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SIGNS &SYMPTOMS


Never                         Always


  1. I am losing hair on top of my head

0        1          2          3          4

2. I am getting thin vertical wrinkles above my lips


0        1          2          3          4


3. My breasts are droopy


0        1          2          3          4


4. My face is to hairy


0        1          2          3          4


5. I have hot flashes


0        1          2          3          4


6. I feel tired constantly


0        1          2          3          4


7. Woman with periods: I do not feel like making love anymore


0        1          2          3          4


8. I am depressed


0        1          2          3          4


9. My menstrual flow is heavy


0        1          2          3          4


10. Woman without periods: I do not feel like making love anymore


0        1          2          3          4







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