Problem:
Gail, age 36, has come in four her routine physical examination. She states that she has not had a menstrual period in three months. She has been taking oral contraceptives since her late teenage years, except when she was pregnant with her sons. What further questions do you need to ask Gail prior to the physical examination? How would pelvic inflammatory disease affect the pap smear report? What teaching do you need to provide Gail prior her appointment? What are common signs and symptoms of disorders of the female reproductive system? What results would be obtained from the diagnostic procedure Pap smear performed on women who have not been properly prepared for specific tests?