Menopause Review

Patient Details

Please use date format: DD/MM/YYYY

Symptom Checker

Hot flushes: *
Night sweats: *
Sleep problems: *
Fatigue (extreme tiredness): *
Joint pains: *
Palpitations: *
Brain fog: *
Mood swings: *
Not functioning at work, home, in relationships: *
Urinary problems: *
Reduced libido: *
Sore/dry vagina: *
Body changes: *

Systolic “Higher” / Diastolic “Lower” / Heart Rate
Is HRT helping with your symptoms? *
Are you experiencing any side effects? *
Has there been any change in your health since last HRT check? *
Has there been any vaginal dryness or discomfort? *
Has there been any vaginal bleeding? *
Are your cervical smears up to date? *
Have you had a breast mammogram (if eligible)?
Are you on contraception? *