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Protocol - Ovulation History

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Description:

These self-administered questions ask about menstruation and pregnancy history. Female respondents are asked about age at first menstruation, onset and cause of menopause, and pregnancy history and outcomes.

Protocol:

Menstrual History

1. Age at First Menstrual Period:                            

2. Have you had a menstrual period within the last year?

[ ] Yes

[ ] No → Age at last menstrual period:                            

3. Cause of Menopause:

[ ] natural

[ ] chemotherapy, medication induced

[ ] surgery on reproductive organs

[ ] other:                            

Pregnancies

4. Have you ever been pregnant?

[ ] Yes

[ ] No



Pregnancy

Date of End of Preg.

Outcome

Breast Feeding

Live birth

Stillborn

Miscarriage

Induced abortion

Yes/No

Months of breast feeding

(Example)

11/13/1994

2 (twins)

     

Yes

3

(Example)

2/1996

   

1

 

-

-

1

             

2

             

3

             

4

             

5

             

6

             

5. Age at first birth:                            

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult

Participants:

Women, ages 18 years old and above

Specific Instructions:

These questions should only be asked of women.

Selection Rationale

Ovulation history is associated with some female cancers. The Working Group selected this protocol because it includes major reproductive landmarks relevant to female reproductive cancers. A substantial amount of information is gathered in a short protocol.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Ovulation History Text 2961271 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Ovulation hx proto 62567-3 LOINC
Derived Variables

None

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source
University of Pennsylvania, Abramson Cancer Center, Cancer Risk Evaluation Program, Health History Questionnaire 9/2006, page 7.
General References

None

Protocol ID:

70501

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX070501_Breast_Feeding_1 PX070501040204 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_2 PX070501040304 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_3 PX070501040404 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_4 PX070501040504 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_5 PX070501040604 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_6 PX070501040704 Breast Feeding? 4 N/A
PX070501_Breast_Feeding_Months_1 PX070501040205 Months of breast feeding? 4 N/A
PX070501_Breast_Feeding_Months_2 PX070501040305 Months of breast feeding? 4 N/A
PX070501_Breast_Feeding_Months_3 PX070501040405 Months of breast feeding? 4 N/A
PX070501_Breast_Feeding_Months_4 PX070501040505 Months of breast feeding? 4 N/A
PX070501_Breast_Feeding_Months_5 PX070501040605 Months of breast feeding? 4 N/A
PX070501_Breast_Feeding_Months_6 PX070501040705 Months of breast feeding? 4 N/A
PX070501_Ever_Pregnancy PX070501040100 Have you ever been pregnant? 4 Variable Mapping
PX070501_First_Birth_Age PX070501050000 Age at first birth? 4 Variable Mapping
PX070501_Menopause_Cause PX070501030000 Cause of Menopause? 4 Variable Mapping
PX070501_Menopause_Cause_Other PX070501030100 Cause of Menopause? 4 Variable Mapping
PX070501_Menstrual_Period_First_Age PX070501010000 Age at First Menstrual Period? 4 Variable Mapping
PX070501_Menstrual_Period_Last_Age PX070501020200 Age at last menstrual period? 4 Variable Mapping
PX070501_Menstrual_Period_Within_Last_Year PX070501020100 Have you had a menstrual period within the last year? 4 Variable Mapping
PX070501_Pregnancy_End_Date_1 PX070501040201 Date of End of Preg? 4 N/A
PX070501_Pregnancy_End_Date_2 PX070501040301 Date of End of Preg? 4 N/A
PX070501_Pregnancy_End_Date_3 PX070501040401 Date of End of Preg? 4 N/A
PX070501_Pregnancy_End_Date_4 PX070501040501 Date of End of Preg? 4 N/A
PX070501_Pregnancy_End_Date_5 PX070501040601 Date of End of Preg? 4 N/A
PX070501_Pregnancy_End_Date_6 PX070501040701 Date of End of Preg? 4 N/A
PX070501_Pregnancy_Outcome_1 PX070501040202 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_2 PX070501040302 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_3 PX070501040402 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_4 PX070501040502 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_5 PX070501040602 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_6 PX070501040702 Outcome of Pregnancy? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_1 PX070501040203 Number of birth? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_2 PX070501040303 Number of birth? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_3 PX070501040403 Number of birth? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_4 PX070501040503 Number of birth? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_5 PX070501040603 Number of birth? 4 N/A
PX070501_Pregnancy_Outcome_Number_Birth_6 PX070501040703 Number of birth? 4 N/A
Research Domain Information
Measure Name:

Ovulation History

Release Date:

December 30, 2009

Definition

Measure to assess ovulation history, including pregnancy and breast-feeding history

Purpose

The purpose of this measure is to assess a woman's ovulation history, including pregnancy and breast-feeding history. It is important to measure because of the association between ovulation history and some female cancers.

Keywords

cancer, ovulation, menstruation, pregnancy history, risk, breast feeding, Cancer Risk Evaluation Program (CREP)