Eleanor Tan

A 30-year-old woman presents to your GP clinic with severe pelvic pain, heavy menstrual bleeding, and dyspareunia. Focus on taking a thorough gynaecological history, performing a relevant examination, and ordering appropriate investigations.

1. 1Take a focused history of the pelvic pain using SOCRATES and menstrual history
2. 2Explore associated symptoms including dyspareunia, dyschezia, and fertility concerns
3. 3Take a sensitive sexual and gynaecological history
4. 4Verbalise a focused abdominal/pelvic examination with chaperone and consent
5. 5Order and justify appropriate investigations