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Main article: Irregular Periods Overview
Diagnosis of Irregular Periods
Diagnosing the cause of irregular periods and subfertility is a thorough process. The Doctor will ask you about your recent cycles, carry out a physical examination and ask a list of questions to document your:
- Menstrual history
- Cycle characteristics and age menstruation began.
- Obstetric history
- Previous pregnancies, terminations, loss and infections (pelvic, puerperal sepsis).
- Contraceptive history
- When used last and any complications.
- Sexual history
- Frequency and timing, lubricants, douching, libido, dyspareunia, STDs.
- Medical history
- Ovarian cysts, diabetes, hypertension, thyroid disorder, cystic fibrosis, sickle cell disease, tuberculosis, vaccinations (rubella, varicella, hepatitis B & C, HIV), change in weight.
- Surgical history
- Appendicectomy, tubal or pelvic surgery, laparotomy, bowel surgery, caesarean sections, conization or loop excision.
- Family history
- Diabetes mellitus, hypertension, cancer, consanguinity, premature ovarian insufficiency.
- Social history
- Occupation, diet, drug history (prescription, non-prescription and recreational), smoking, alcohol, caffeine.
Following a comprehensive history and physical examination, the Doctor will recommend some tests to help identify or rule out known causes.
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