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Rate your symptoms

Have you noticed these symptoms or any changes in them?

By completing this chart at regular intervals, such as monthly, or bi-monthly, you can easily spot any changes in your symptoms and gain invaluable insights into your menopause experience.

This can be a helpful tool when discussing options with your healthcare professional to assess the effectiveness of current treatments or explore alternative approaches.

Screenshot your results to support conversations with your healthcare professional.

Complete the chart below to rate the severity of your symptoms on a scale of 1 to 5.*

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Hot flushes

Hot flushes

Night sweats

Night sweats

Headache

Headache

Fatigue

Fatigue

Mood Swings

Mood Swings

Brain fog

Brain fog

Irregular heart beat

Irregular heart beat

Bloating

Bloating

Weight gain

Weight gain

Decreased libido

Decreased libido

Muscle tensions

Muscle tensions

Vaginal symptoms

Vaginal symptoms

Irregular periods

Irregular periods

Write other symptoms here to screenshot and discuss with your healthcare professional:

Date of creation, 08/2024
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