Questionnaire

Welcome explorer!

The questionnaire is relevant for females with the menstrual cycle, i.e. not on hormonal contraception or after menopause.

Time needed: 30 minutes

Compare the questions to your symptoms of the last six months. Click on “yes” if you’ve had it more than once, and immediately get your results at the end, no registration needed!

May you find inspiration and guidance!

Studio Medulla
P.S. Your answers and results will always be just with you, we do not store any.

In the last six month or more
have you experienced/had/noticed...

Part 1

Low or unstable blood sugar – also called low or unstable glycemia? (Think of: increased thirst and urination, blurred vision, headache, fatigue, dry mouth, dizziness, confusion, irritability, sweating, nausea, palpitations, paleness, shakiness, anxiety)?

Thicker hair on face?

Thicker hair on body?

Body and facial hair in unusual places?

Thinner hair on your head?

Hair loss?

Greasy hair?

Acne or greasy skin?

Alterations in armpit skin pigmentation (skin darker and thicker than usual)?

Ovarian cysts?

Irritability?

Aggressive behaviour?

Depression?

Anxiety?

Skin tags, especially in the neck and upper torso?

Menstrual cycles longer than 35 days?

Do you sometimes spend more than two months without menstruation?

Very heavy menstruation, or profuse bleeding, so you need to change very often, or your clothes get soaked?

Going backwards more than six months, have you had several miscarriages in the first trimester, or you cannot get pregnant?

Polycystic ovarian syndrome?

Deeper voice?

Abdominal fat?

Excessive weight you cannot lose?

Clitoral enlargement?

Low libido?

If you take basal body temperature, does your ovulation curve stay flat, i.e. frequent anovulation?

Part 2

Trouble falling asleep or is your sleep interrupted?

Memory lapses or feeling distracted?

Anxiety or nervousness?

Crave sugars or carbs?

Do you feel like you are running from one thing to another?

Are you feeling tired, and yet excited?

Are you jumpy?

Low libido?

Do you spend hours in mental rumination?

Do you feel like yelling or screaming frequently?

High blood pressure or heart palpitations?

Increased abdominal fat?

Skin problems like psoriasis, eczema, fungus, etc.?

Bone density loss, bones breaking?

Unstable sugar, high glycaemic index, or insulin resistance?

Indigestion, ulcers or gastroesophageal reflux?

More difficulty recovering from physical injury than in the past?

Do you get dizzy between meals, or do you have sudden drops in energy even if you take an afternoon rest?

Pink or purple stretch marks on your belly or back, even though you haven't lost weight?

Your menstruation arrives every 22 days or less?

Your menstruation arrives every 36 days or more?

Do you sometimes spend more than two months without menstruation?

Very heavy menstruation, or profuse bleeding, so you need to change very often or your clothes get soaked?

Increased premenstrual stress level?

If you take basal body temperature, does your ovulation curve stay flat, i.e. frequent anovulation?

Going backwards more than six months, have you had several miscarriages in the first trimester, or are you having trouble getting pregnant?

Part 3

Low libido?

Chronic fatigue, which doesn't get much better even with sleep?

Insomnia or difficulty staying asleep, especially between 1 and 4 a.m.?

Loss of stamina and energy, particularly in the afternoon, despite napping?

An atypical tendency to take negative points of view?

You cry more or more frequently?

Decreased ability to solve problems?

Do you feel under pressure most of the time? Do you feel trapped?

Does your blood pressure drop, is getting faster or irregular?

Are you having trouble fighting off infections?

Asthma or bronchitis or persistent cough?

Any new allergies or intolerances?

Do you feel dizzy when you get up from a lying or sitting position?

Low or unstable blood sugar?

Do you crave salty food?

Excessive sweating?

Nausea, vomiting or diarrhoea? Soft stools alternating with constipation?

Muscle weakness, especially in the knee?

Joint or muscle pain?

Haemorrhoids or varicose veins?

Do you bruise easily?

Your menstruation arrives every 22 days or less?

Your menstruation arrives every 36 days or more?

Increased premenstrual stress level?

Do you sometimes spend more than two months without menstruation?

Part 4

Cervical mucus after ovulation that is stretchy, or clear?

From one menstruation to the next, you have more than 6-8 days of wet/oiled/slippery vulva sensation (and it's not sexual arousal)?

Increased water retention?

Low libido?

Severe breast pains?

Very swollen breasts?

Very heavy menstruation, or profuse bleeding, so you need to change very often, or your clothes get soaked?

Menstrual blood is quite dark?

Menstrual blood has several large clots?

Menstruation often comes with severe pain?

Fainting, nausea, vomiting when you are menstruating?

Uterine fibroids?

Any cysts? Ovarian cysts? Breast cysts, or endometrial cysts (polyps)?

Endometriosis?

Have you gained weight, especially in the hips and belly?

Unpredictable mood swings?

Depression?

Anxiety?

Aggressiveness?

Irritability?

Migraines or other frequent headaches?

Insomnia or disturbed sleep?

Having trouble thinking clearly?

Gall bladder or liver problems?

Part 5

Vaginal dryness, irritation, or loss of sensation in vulva and vagina?

Breasts that have lost a bit of volume?

Do you see little mucus during your menstrual cycle, or it is almost never transparent or stretchy-elastic?

Do you sometimes feel moist at the vulva but you never feel wet/oily (except when you are sexually aroused)?

Face wrinkles increased?

Is your menstruation very light? (i.e. you bleed for less than three days, or you could change once-twice a day).

Is the colour of your menstrual blood pinkish, pale red, orangy?

Is menstrual blood texture somewhat watery?

Sore joints?

You have little memory?

Emotional frailty? Very thin skin?

Depression, apathy, sadness?

Anxiety?

Night sweats or flushes?

Lack of lubrication and hydration (eyes, skin)?

Lack of or decreased libido?

Pain during sex?

Trouble sleeping, waking up in the middle of the night?

More active bladder than usual, or leaking?

Frequent urinary tract infections?

More visible sunlight damage, on the chest, face or shoulders?

Bone density loss?

Are you underweight or very thin?

Part 6

Have you seen spotting, i.e. brownish or dark red blood stains, in the 3-5 days before menstruation?

Increased premenstrual stress level?

Cyclical headaches?

Very swollen and/or very painful breasts?

Ovarian cysts, breast cysts, or endometrial cysts (polyps)?

Uterine fibroids?

Light or poor sleep?

Leg restlessness, especially at night?

Experience of intense and extreme emotions?

Less dexterity or poor motor coordination?

Swelling and/or water retention before menstruation?

Painful menstruation?

Very heavy menstruation, or profuse bleeding, so you need to change very often, or your clothes get soaked?

Going backwards more than six months, you cannot get pregnant?

Going backwards more than six months, have you had several miscarriages in the first trimester?

Your menstruation comes every 22 days or less?

Your menstrual cycle is very irregular?

Low libido?

Water retention?

If you take basal body temperature, does it stay "flat" between menstruations, i.e. frequent anovulation?

If you take basal body temperature, does your ovulation curve lasts for less than 10 days, before menstruation returns?

If you take basal body temperature, is your ovulation curve low, or very unsteady?

Part 7

Hair loss, including the last third of your eyebrows and/or lashes?

Dry skin?

Dry hair, or that knots easily?

Thin nails that break or flake easily?

Water retention or swollen ankles?

Excessive weight you can't lose?

High cholesterol?

Do you relieve yourself less than once a day, or do you feel like you're not completely empty?

Frequent headaches?

Decrease or increase in sweating?

Cold hands and feet?

Intolerance to heat or cold?

Tingling in hands and feet?

Muscle or joint pain?

Poor muscle tone?

Do you talk slowly, maybe in a hoarse voice or take a lot of breaks?

A slow heartbeat, or sudden rapid palpitations?

Fatigue, especially in the morning?

Slow brain? Difficulty concentrating?

Slow reflexes, slow reaction times, a little apathy?

Low libido?

Difficulty swallowing? Big tongue?

A family history of thyroid problems?

Depression or mood swings?

Menstrual cycles longer than 35 days or shorter than 23 days?

Very heavy menstruation, or profuse bleeding, so you need to change very often, or your clothes get soaked?

If you take basal body temperature, pre-ovulatory temperature that is often equal or less than 36,3°C (orally)?

Going backwards more than six months, have you had several miscarriages in the first trimester, or you cannot get pregnant?

Disclaimer
All content shared is for information and entertainment only. It does not constitute or replaces medical diagnosis and treatment. If you suspect you have a hormonal imbalance, please consult your medical practitioner. Anna M. Buzzoni declare she is not a doctor, a psychologist or a medical practitioner. Anna M. Buzzoni declines any responsibility deriving from the use or misuse of this information and content. The information provided comes from carefully selected sources, but Anna M. Buzzoni takes no responsibility should the information be partial, wrong, or outdated.