Page 88 - Complementary and Alternative Medicine Treatments in Psychiatry
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88  |  Complementary and Alternative Medicine Treatments in Psychiatry


           Section 9: For Women:
           Female Hormones             Check all symptoms that apply to
                                       you during your period:
           Number of pregnancies         Bad cramps
           ____________
                                         Heavy bleeding
           Date of last menstrual period
           ________                    Check all symptoms that apply to
                                       you if you are experiencing
           Use of birth control pills   menopause or perimenopause:
           ____________                  Hot flashes, night sweats
                                         Mood swings, irritability
           Check all of the symptoms that     Insomnia
           apply to you within two weeks     Erratic or missed period
           before your period:           Dry skin, hair, vagina
             Weight gain                Painful intercourse
             Depression, anxiety,       Known or suspected
              irritability                osteoporosis
             Sore or swollen breasts     Joint pain
             Abdominal bloating or      Fibromyalgia
              swelling                   Hysterectomy
             Lower backache             Loss of interest in sex
             Craving for sweets
             Headaches
             Vaginal itching
             Recurrent vaginal
              discharge
             Irregular periods
             Breast lumps (fibrocystic
              breasts)
             Intensification of other
              premenstrual syndrome
              (PMS) symptoms
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