PERI & MENOPAUSE SYMPTOM CHECKER
PERI & MENOPAUSE SYMPTOM CHECKER
Fill out this form scoring your symptoms from 0-5 based on the severity
SYMPTOMS |
Score 0 - 5 0- not at all 5- severe |
Comment |
Feeling unhappy |
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Feeling rage |
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Feeling tired or low in energy |
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Difficulty concentrating |
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Memory problems |
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Feeling tense/nervous |
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Loss of interest in things I used to enjoy |
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Sudden panic/anxiety |
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Crying spells |
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Feeling depressed/low mood |
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Strong/fast heartbeat |
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Difficulty sleeping |
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Irritability |
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Feeling faint |
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Pressure in head |
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Tinnitus (ringing/buzzing in the ears) |
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Headaches |
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Muscle and joint pain/ache |
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Pins and needles |
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Frozen shoulder |
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Difficulty breathing |
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Hot flushes |
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Night sweats |
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Reduction/loss of libido |
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Sexual discomfort (loss of lubrication) |
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Vaginal dryness |
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Urinary frequency/ pain when peeing |
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Changes in periods/menstrual cycle |