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Anketa
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Ime i prezime:
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Datum i mesto rodjenja:
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Zanimanje:
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ANAMNEZA MENSTRUACIJE
Kada je nastupila prva menstruacija?
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Ciklusi do porodjaja:
uredni
neuredni
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Ukoliko su neuredni, najveci razmak izmedju ciklusa je:
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Koliko dana traje menstrualno krvarenje?
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Da li su menstruacije bolne?
da
ne
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Kada je nastupila poslednja menstruacija?
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