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. 2017 Jul 1;26(7):762–767. doi: 10.1089/jwh.2016.6155

Table 2.

Domains of Questions and Concepts Measured for Assessment of Clinical History Taking

Heaviness of the bleeding
 Amount of bleeding
 Frequency of menstrual product changes
 Bleeding through clothes
 Passage of blood clots
 Duration of the bleeding
Pattern of the bleeding
 No. of days between periods
 Whether or not periods are “predictable”
Quality of life
 Changed daily routine because of bleeding
 Bleeding affects her quality of life
 Missed work because of bleeding
 Changed social plans because of bleeding
Mood related to bleeding
 Anxiety related to bleeding
 Depressed moods related to bleeding
Patient expectations
 Patient expectation for results of treatment
Other questions/symptoms/bleeding disorders
 Dysmennorhea
 Weakness
 Whether the patient has had other problems with bleeding such as during pregnancy, with delivery, or when brushing teeth