Perimenopause and menopause symptom checklist

The manifestations of perimenopause and menopause can vary from person to person.

Place ticks ✅ in the boxes to indicate the symptoms that are causing you concern.

We can save this checklist in your records for your doctor's assessment or bring it up during your upcoming appointment for discussion.

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Perimenopause and menopause symptoms

not at alla little quiet a lotvery often

Hot flushes (feeling waves of heat)

not at alla little quiet a lotvery often

Sweating at night

not at alla little quiet a lotvery often

Trouble sleeping

not at alla little quiet a lotvery often

Muscle and joint pains

not at alla little quiet a lotvery often

Heart beating quickly or strongly

not at alla little quiet a lotvery often

Brain fog (difficulty concentrating)

not at alla little quiet a lotvery often

Forgetfulness

not at alla little quiet a lotvery often

Less sexual desire

not at alla little quiet a lotvery often

Dry vagina (causing painful sex)

not at alla little quiet a lotvery often

Anxiety

not at alla little quiet a lotvery often

Itchy skin

not at alla little quiet a lotvery often

Tiredness

not at alla little quiet a lotvery often

Wee (urinary) problems

not at alla little quiet a lotvery often

Irregular periods

not at alla little quiet a lotvery often

Mood changes (feeling unhappy or depressed)

not at alla little quiet a lotvery often

Weight gain

not at alla little quiet a lotvery often

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