| Perform thorough review of systems and obtain past medical and surgical histories, with focus on past menstrual history, prior contraceptive use, and prior obstetrics and gynecologic history |
| Evaluate for history suggestive of diagnosis of: |
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- Pelvic inflammatory disease
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- Gastrointestinal disease, especially irritable bowel syndrome
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- Urinary disease, especially interstitial cystitis/painful bladder syndrome
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- Psychiatric disease, with a focus on symptoms of depression and anxiety
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| Assess characteristics of the pain: |
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- Provocative and palliative factor
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- Setting in which pain occurs
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- Temporal: Timing when the pain occurs and events that precede or trigger pain
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| Obtain psychosocial history, with particular focus on: |
- Substance use or abuse, including alcohol, marijuana, and prescription medication
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- Patient safety: Does the patient have a current or past history of physical, sexual, or emotional abuse?
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| Ask about prior diagnostic tests or pain treatments |
| Inquire about family history of relevant clinical conditions, such as chronic pain syndromes |
