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Anti-Aging questionnaire for women
1. Is your menstrual cycle more irregular than when you were in your midtwenties?
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2. Do you have alternations of heavier bleeding one cycle followed by a cycle with lighter bleeding?
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3. Have you experienced hot flushes in which a wave of warmth rises from your chest and abdomen up to your face in a matter of minutes?
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4. Do you have trouble sleeping or awaken at night and notice that you are sweating excessively?
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5. Has your interest in sexual intimacy, or the pleasure you derive from it, lessened?
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6. Do you have vaginal dryness or pain with sexual intercourse?
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7. Do you have breast enlargement or tenderness before some periods that you didn\'t have when you were younger?
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8. Are you more irritable or do you suffer from periods of depressed mood? Is some of your zest for life fading?
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9. Have your headaches gotten worse just before or during your period?
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10. Have you recently noticed difficulty concentrating or forgetfulness when trying to remember names and places?
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Have your breasts gotten smaller or started to droop?
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12. Have you been experiencing more stress, anxiousness, or nervousness?
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13. Have you gained weight, especially in the abdomen, hips, and buttocks (or clothes not fitting/too tight)?
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14. Are you slower, more sluggish, or do you have less energy?
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