- When was the last period, and was it as expected? Is birth control used (the pill, intra-uterine device, condoms)? Is abnormal blood loss experienced? Is blood loss experienced now?
For women of child-bearing age, always consider the possibility of pregnancy or ectopic pregnancy with possible imminent rupture of the fallopian tube. - Is discharge experienced, pain during sexual intercourse, or blood loss after sexual intercourse?
Inflammation of the uterus and parametrium can cause lower abdominal pain. - What is the obstetric / gynaecological history?
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