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12

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

No Yes

11

Is sleep easily disrupted?

No Yes

10

Itchy legs or leg fatigue, especially at night?

No Yes

9

Increasing clumsiness or poor coordination?

No Yes

8

Infertility or reproductive function insufficiency (you are trying to conceive but cannot do so for 12 months since the decision; six months if you are thirty-five or older)?

No Yes

7

Miscarriage in the first trimester?

No Yes

6

Anxiety or PMS?

No Yes

5

Painful sensations in the chest or swollen breast?

No Yes

4

Cyclic headaches (specifically menstrual or hormonal migraines)?

No Yes

3

Irregular menstrual cycles or cycles that have become more frequent with age?

No Yes

2

Heavy or painful periods (heavy - when you have to change your pad or tampon every two hours or more; painful - when you can't get by without ibuprofen)?

No Yes

1

Bloating, swollen legs and/or fluid retention (gaining 2-3 kg or more during your period)?

No Yes