Menopause symptom checklist for your doctor

Tick what you notice, how much it bothers you and when it started, add what you tried so far and your own questions, and print one page to bring to your visit.

Educational, not medical advice

This checklist helps you describe what you notice and ask your own questions. It does not assess or interpret anything, and it does not suggest a treatment.

Build your one-page sheet

Three short steps. The sheet updates as you go and prints on its own.

The checklist needs JavaScript, which is off in this browser. The questions below still help you prepare.

1Symptoms you notice

Pick how much each one bothers you. Leave “None” for the rest. Add when it started if you can.

Body

Hot flashes and sweating

Episodes of feeling hot, sweating, night sweats

Heart discomfort

Being unusually aware of my heartbeat, skipped or racing beats, tightness

Sleep problems

Trouble falling asleep or staying asleep, waking early

Joint and muscle discomfort

Aches in joints or muscles, stiffness

Mood, energy and thinking

Low mood

Feeling down, sad, close to tears, low drive, mood swings

Irritability

Feeling nervous, inner tension, short-tempered

Anxiety

Inner restlessness, feeling panicky

Physical and mental exhaustion

Less energy, worse memory or concentration, forgetfulness

Bladder, vaginal and sexual

Sexual changes

Changes in desire, activity or satisfaction

Bladder changes

Trouble urinating, needing to go more often, leaking

Vaginal dryness

Dryness or burning, discomfort with sex

2What you tried so far
3Your own questions

Type them the way you would say them. We tidy the spacing and add a question mark; your words stay as they are. Up to 5.

4 Your one-page sheet

Tick a symptom, something you tried or type a question, and it appears here.

Tick a symptom, something you tried or type a question first.

What treatment typically costs

Not on your printed sheet. For when you and your clinician talk about options.

Online menopause care, per month

Prices checked Oct 18, 2026

Plans that include the clinician and the medication run from $67.07/mo to $218.42/mo across the 5 clinics in our comparison that publish one, each priced from the clinic’s own pages.

Another 4 clinics bill only for visits or a membership, with the medication billed separately. With insurance, what you pay depends on your plan. Which option fits, if any, is for you and your clinician to decide.

Questions

What should I bring to a menopause appointment?

A short list of the symptoms that bother you most, how strong each one is and when it started, anything you already tried, your current medicines and supplements, and the questions you want answered. This page builds that list and prints it on one sheet.

What should I ask my doctor about menopause?

Ask which options there are for the symptoms that bother you most, the benefits and risks of each given your own history, whether anything else should be ruled out, and when to come back. The sheet adds one question per symptom you tick, plus your own.

Where does the symptom list come from?

It is the 11 items of the Menopause Rating Scale, a published questionnaire used in research and clinics, written in plain words. Each item takes one of the scale’s severity words. We do not add them up or score them.

Does this tool tell me whether I am in menopause?

No. It only records what you notice, in your words, so that a clinician can assess it with you. It does not interpret your answers or suggest a treatment.

Is what I enter sent or saved anywhere?

No. Everything stays in this browser tab: nothing is sent to us or to anyone else, nothing is stored, and closing or reloading the tab clears it. No name, birth date or contact details are asked for.

Educational only. Not medical advice. Some links earn us a commission: kymatahealth.com/affiliate-disclosure.