Complaints & Symptoms
Files & tests
Medication & Supplements
Cycle
Lifestyle
History

My complaints and symptoms

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Complete the Green Climacteric Scale (GSC)

i
Complete or update GSC
Psychological score
Score out of 33
22
Physical score
Score out of 21
07
Vasomotor score
Score out of 6
2
Libido score
Score out of 3
2
Vulvo-vaginal score
Score out of 12
4
Individual signs and symptoms
Complaint
Score
Remarks
1. Attacks of heart palpitations
A feeling that your heart is suddenly beating faster or stronger than normal
-
-
2. Feeling tense or nervous
A constant state of alertness and anxiety
-
-
3. Trouble sleeping
Trouble falling asleep or sleeping through the night
-
-
4. Nervous or excited
Feeling constantly tense or nervous for no apparent reason
-
-
5. Anxiety attacks, panic attacks
Sudden, intense episodes of anxiety or panic for no apparent reason.
-
-
6. Trouble concentrating
Having trouble keeping your attention on something
-
-
7. Feeling of tiredness or lack of energy
Feeling tired all the time, no matter how much you sleep
-
-
8. Loss of interest in most things
Things you used to like don't interest you anymore
-
-
9. Feeling of unhappiness or depression
Feeling sad or depressed often for no apparent reason
-
-
10. Crying spells
Having regular times when you cry
-
-
11. Irritability
It's easy to get annoyed or upset about small things
-
-
12. Feeling of dizziness or fainting
The feeling that you are going to faint or that the world is spinning around you
-
-
13. Pressure or tension in the head
A persistent feeling of pressure or tension in your head
-
-
14. Tinnitus or tinnitus
Continuous noise or ringing in the ears
-
-
15. Headaches
Regular or persistent pain in your head
-
-
16. Muscle and joint pain
Pain or stiffness in your muscles and joints
-
-
17. Less feeling in the hands and/or feet
Decreased ability to sense touch, pain, or temperature
-
-
18. Breathing problems
Trouble breathing or feeling like you're not getting enough air
-
-
19. Hot flushes
Sudden waves of heat, often accompanied by sweating
-
-
20. Night sweats
Excessive sweating during the night, often for no apparent reason
-
-
21. No sex drive
Decreased desire or interest in sexual activity
-
-
22. Vaginal dryness
-
-
23. Unintentional loss of urine
Decreased desire or interest in sexual activity
-
-
24. Frequent cystitis
Decreased desire or interest in sexual activity
-
-
25. Pain when having sex
Decreased desire or interest in sexual activity
-
-
Additional remarks
-

Complete the Green Climacteric Scale (GSC)

i
Complete or update GSC
Psychological score
Score out of 44
-
Physical score
Score out of 21
-
Vasomotor score
Score out of 8
-
Libido score
Score out of 4
-
Vulvo-vaginal score
Score out of 16
-
Additional remarks
-

Medication & Supplements

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Updating
Home medication
Name + dose + start date
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Hormone supplementation
Name + dose + start date
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Other supplements
Name + dose + start date
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Contraception
Type/brand - if not, but desired, state what you had thought
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Cycle

Updating
Last menstrual period date
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Menstrual characteristics
  • Regular/unchanged from how it has always been.
  • Regular/unchanged since the use of hormone replacement therapy (HRT) or contraceptives that cause regular bleeding.
  • More irregular (longer or shorter cycles).
  • Severe or lighter bleeding.
  • Menstruation lasts longer or less.
  • Associated complaints are more severe.
  • The period just won't come
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Reason for stopping menstruation
  • Use of hormone therapy (HRT, oral contraception, hormonal IUD, implant, or injection).
  • Use of other medications that have stopped menstruation.
  • After surgery: hysterectomy (removal of the uterus), endometrial ablation (complete or partial removal of the endometrium), or uterine wall damage after surgery.
  • After surgery followed by HRT.
  • After ovarian removal (with or without hysterectomy).
  • Stopped after cancer treatment.
  • Stopped naturally (>12 months).
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Vaginal bleeding
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Lifestyle

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Updating
Smoking
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Alcohol consumption
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Diet
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Physical activity
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Stress level
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relaxation
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Sleep quality
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Lenght
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Weight
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Abdominal circumference
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Medical history

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Previous history
i
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Chest anomalies
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Postnatal depression
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Fertility issues
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Premenstrual syndrome
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Allergies
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Others
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Filename 044.pdf
By
Aonnoy
|
June 05, 2024

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