Reproductive age group -Selective history:
When was the patientís last menstrual period?
If the patient has missed a menstrual period, either intrauterine or ectopic pregnancy should be suspected.
What is the relationship between pain and menses?
Pain with a clear relationship with menses is suggestive of endometriosis, adenomyosis or congestive dysmenorrhea due to Is the pain exacerbated by intercourse, bowel movements or increased physical activity?
If yes rule out endometriosis.
If yes tubal pregnancy or abortion must Ectopic pregnancy be ruled out.
Has the patient had pelvic or abdominal surgery?
Consider pelvic adhesions.
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