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7016 Bryant Irvin Rd. #100 Fort Worth, Texas 76132
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BHRT checklist for women
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BHRT checklist for women
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Depressive Mood (feeling down/sad/lack of drive)
Never
mild
Moderate
Severe
Memory Loss (forgetfulness)
Never
mild
Moderate
Severe
Mental Confusion (feeling in mental fog)
Never
mild
Moderate
Severe
Decreased sex drive/libido (decreased desire for sex)
Never
mild
Moderate
Severe
Sleep problems (difficulty falling/staying asleep/wake up tired)
Never
mild
Moderate
Severe
Mood Changes/Irritability
Never
mild
Moderate
Severe
Tension
Never
mild
Moderate
Severe
Migraine/severe headaches
Never
mild
Moderate
Severe
Difficult to climax sexually
Never
mild
Moderate
Severe
Bloating
Never
mild
Moderate
Severe
Weight gain
Never
mild
Moderate
Severe
Breast Tenderness
Never
mild
Moderate
Severe
Hot Flashes
Never
mild
Moderate
Severe
Vaginal Dryness
Never
mild
Moderate
Severe
Night Sweats
Never
mild
Moderate
Severe
Dry and Wrinkled skin
Never
mild
Moderate
Severe
Hair is falling out
Never
mild
Moderate
Severe
Cold all the time
Never
mild
Moderate
Severe
Swelling all over the body
Never
mild
Moderate
Severe
Joint Pain
Never
mild
Moderate
Severe
Other Symptom that concern you?
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