Assessment
Number of sexual partners
*
Number of pregnancies
*
Smoking
Years of smoking
*
Packs per year
*
Hormonal contraceptives
Years of hormonal contraceptives
*
Iud use
Years of iud
*
Stds
Number of stds
*
Condylomatosis
Vaginal condylomatosis
Vulvo perineal condylomatosis
Syphilis
Pelvic inflammatory disease
Genital herpes
Molluscum contagiosum
Hiv
Hepatitis b
Hpv
Number of diagnosis
*
Recent cancer diagnosis
Recent cervical dysplasia diagnosis
Recent hpv diagnosis
Recent diagnosis
Age
*
First sexual intercourse age
*