Questions About Gynecological Care of Patients With Down Syndrome
| How long does the caregiver stay with the patient? |
| What is your main concern or difficulty regarding puberty? |
| Have there been secondary sexual characteristics? (breasts, hair, vaginal bleeding) If yes, at what age? |
| How often does menstruation occur? |
| Do you notice pain with menstruation? Changes in behavior? |
| Does the patient use any medication to delay the onset of menstruation? |
| Would you like some medication to be used to delay the onset of menstruation? |
| Does the patient use any medication to control menstrual symptoms? |
| Do you think it is necessary to use any method or medication to control bleeding/menstruation? |
| What type of treatment to prevent pregnancy and/or reduce/abolish menstrual bleeding would you like the patient to use? |
| Does the patient use any method of contraception? If so which type? Did you notice side effects? Have you had to stop using it? What reason? |
| Does the occurrence of menstruation make it impossible or has already made it impossible for the patient to attend school, work, or other social activities? |
| Would you allow/not allow a loving relationship (dating, without sex)? |
| Would you allow/not allow intimate relationships, consensual sexual relations? |
| Do you think there is a need for guidance on STDs (sexually transmitted diseases)? |
| Do you agree to perform a surgical method to sterilize the patient? |
| Has the patient ever consulted with a doctor or gynecologist? |
| Has the patient ever had sexual intercourse in her life? |
| Has the patient ever had treatment for vaginal infection/discharge? |
| Does the patient perform personal hygiene alone? |