 
Menopause Hormone Therapy Questionnaire
- Are you experiencing recurring bladder infections? 
- Do you suffer from disruptive hot flashes (intense and sudden waves of heat accompanied by excessive sweating? 
- Are you experiencing uncharacteristic mood changes (e.g. sadness, irritability, etc.)? 
- Are you experiencing night sweats, sleep disturbances or difficulty sleeping? 
- Do you suffer from vaginal dryness or painful intercourse? 
- Do you have a loss of interest in sexual activities (libido, desire)? 
- Has your complexion gone through noticeable changes (i.e. drier than usual, unwanted facial hair, acne). 
- Do you feel bloated or have gained weight? 
- Have your periods become irregular (i.e. skipped periods, heavier flow, etc.)? 
- Do you have difficulty concentrating or remembering things? 
For more information or to schedule a consultation, fill out the form below an we will be in touch with you.
