The prior sections of this module allowed the learner to complete activities related to obtaining a sexual health history and to consider aspects of a clinical approach that includes safe, patient centred, collaborative care. Determining the reason for presentation, as well as identification of the right client, and preferred gender identity allow the clinician to establish an inclusive evidence-based initiation of the gynecology visit.
- Patient safety includes proper identification. Ask patients what their name is as well as an additional piece of identification such as date of birth or address.
- Gender cannot be assumed. You can normalize pronouns by letting the patient know what your preferred pronouns are and then inquire as to theirs as well.
- Your history questions will vary depending on the reason for presentation and the age of your patients.
- In the Women’s Health Initiative study (2002), researchers examined the data of 45,663 women and determined that there was not a significant difference in the odds of cancer, stroke or blood clots based on whether or not women used vaginal estrogen (after a 6 year follow-up).
- Crandall C. (2002). Vaginal estrogen preparations: a review of safety and efficacy for vaginal atrophy. J Womens Health (Larchmt). 2002 Dec;11(10):857-77. doi: 10.1089/154099902762203704. PMID: 12626086. https://pubmed.ncbi.nlm.nih.gov/12626086/
Complete the post module quiz:
On completion of this module, consider writing a self reflection of your experience. Were you able to improve upon your ability to obtain a gynecological history? Which aspects of the history taking did you find most helpful? How will you change your practice as a result of completing this module? This exercise is self directed and you do not need to submit your reply but we do recommend you keep a folder of your reflections and look back upon these, to appreciate your progress, at the following time points:
- After you complete the history chapter
- After you complete the entire program
- After you complete your 1st post program gynecological history
- After you have completed several gynecological assessments