Obstetrics and Gynaecology  |  History, Examination & Investigation

Obstetrics and Gynaecology

History, Examination & Investigation




Bleeding history-clots/flooding/cycle length

Associated Post-coital bleeding (PCB) / Intermenstrual bleeding (IMB)




Fertility desired?

Medications - past Tamoxifen or unopposed oestrogen use

Current contraceptive

Smoking history

Family history of endometrial or bowel cancer

Known PCOS

Psychological impact

History of bleeding disorder

Family history of endometrial or bowel cancer

Abdominal examination

Pelvic examination

Speculum examination - view the cervix and take smear if due or if concern


Pregnancy test

Full blood count


Consider TSH (use clinical judgement)

Consider coagulation screen (3-5% of menorrhagia patients have a coagulation disorder)

Take swabs if considered clinically necessary or if a Mirena is to be considered

Cervical smear if due/considered necessary

Note female hormone testing is not routinely required 




Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.