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Heavy periods Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Heavy periods. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had heavy periods?
  2. Age of menarche (when first got menstrual period)?
  3. Duration of the menstrual period i.e. how many days do you bleed for?
  4. Is the menstrual interval regular?

    Why: i.e. from Day 1 of menstruation to the onset of the next period.

  5. What is the interval of your menstrual cycle?

    Why: i.e. from day 1 of menstruation to the onset of the next menstrual period. Average interval is 28 days.

  6. How many pads or tampons would you use per day whilst bleeding, and how saturated are they?
  7. Do you get clots, if yes how big would the clots be?

    Why: e.g. size of little finger nail, thumb nail, 20 cent coin, 50 cent coin, apricot.

  8. Do you get "flooding" i.e. gushing of blood from the vagina when you stand up?
  9. Past medical history?

    Why: some medical conditions can present with heavy menstrual bleeding e.g. hypothyroidism, iron deficiency anemia, lupus erythematosus, cirrhosis of the liver.

  10. Medications?

    Why: e.g. heavy menstrual periods may be a complication of oral contraceptive pill.

  11. Method of contraception, if relevant?

    Why: e.g. intrauterine contraceptive device (IUCD) may cause heavier and more painful periods.

  12. Cigarette smoking?

    Why: cigarette smokers are five times more likely to have abnormal periods.

  13. Alcohol history?

    Why: alcoholism may cause heavy menstrual flow.

  14. Family history?

    Why: e.g. fibroids, endometriosis, thyroid disorders, bleeding disorders.

  15. Dysmenorrhea (pain with menstruation)?

    Why: should consider pelvic inflammatory disease, endometriosis, ectopic pregnancy.

  16. Inter-menstrual bleeding i.e. spotting between your menstrual periods?

    Why: usually indicate cervical "erosion", cervical polyp, presence of an IUCD and the oral contraceptive pill. Cervical cancer and intrauterine cancer must however be ruled out.

  17. Bleeding after intercourse i.e. post-coital bleeding?

    Why: usually indicate cervical "erosion", cervical polyp, presence of an IUCD and the oral contraceptive pill. Cervical cancer and intrauterine cancer must however be ruled out.

  18. Dyspareunia (pain during sexual intercourse), if so is the discomfort superficial within the vagina or deep within the pelvis?

    Why: if pain is deep may suggest endometriosis, pelvic inflammatory disease.

  19. Vaginal discharge, if so what is the nature of the discharge?

    Why: may suggest pelvic inflammatory disease especially if abnormal offensive pus-like vaginal discharge.

  20. Symptoms of bleeding disorders

    Why: e.g. extensive skin bruising, bleeding gums, bleeding nose, heavy menstrual periods, rectal bleeding and painful swollen joints.

  21. Symptoms of endometriosis?

    Why: e.g. Menstrual pain that begins after years of pain free menstrual periods, pain with intercourse, non-specific pelvic pain, rectal pain especially before and during menstruation, heavy menstrual periods, reduced fertility or infertility.

  22. Symptoms of pelvic inflammatory disease?

    Why: e.g. lower abdominal pain with or without a fever, pain with sexual intercourse, painful heavy or irregular periods, bleeding between the periods, abnormal perhaps offensive pus-like discharge from the vagina, painful or frequent urination.

  23. Symptoms of pregnancy?

    Why: e.g. missed periods, nausea, breast tenderness, urinary frequency - may suggest ectopic pregnancy or miscarriage.

  24. Symptoms of hypothyroidism?

    Why: e.g. husky voice, tiredness, weight gain, constipation, cold intolerance, loss of hair, puffiness of the eyes and face, heavy menstrual periods.

Conditions listing medical symptoms: Heavy periods:

The following list of conditions have 'Heavy periods' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Heavy periods or choose View All.

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