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Wellness Evaluation

Welcome to the wellness evaluation. Please fill out the questions below and submit them to the Women's Wellness Place. We will take the time to go over your answers and respond to you with our knowledgeable health recommendations.

Each patient is an individual. Every woman needs a personal health analysis to determine her needs. NOW is a good time to evaluate your overall health status and to make a long-range plan for the remainder of your life. Exercise and diet are probably the most important things you can improve on to enhance your cardiovascular, musculoskeletal and emotional health. Your genetics play a very important part in your health too. This is why we recommend taking a pro-active role in preventing disease.

Name
Email Address
1. Age
2. Last menstrual period
3. If still menstruating, are you regular?
yes no

Menses should occur in most women every 23-40 days, for 4-7 days, and not be heavier than a pad every 3-4 hours. Abnormal uterine bleeding is common in perimenopause** (see Dysfunctional uterine bleeding, endometrial ablation). For some women who do not smoke, low-dose contraceptives, which contain estrogen and progesterone, or low doses of progesterone, or Depo-Provera in a shot, or IUD Mirena, can cure that bleeding problem. Others may prefer to try some life-style changes like losing weight if overweight, or gaining if underweight, changing the type of diet and getting more exercise, taking supplements **see Cool Menopause Formulas. If your periods are still regular and you have mood swings, PMS, physical problems before the bleeding starts, go to the section on PMS below.

4. Are you on hormone replacement therapy (HRT)?
5. If yes to #4, why are you on HRT?


see useful info on menopause and HRT

6. Did you suffer from any of the symptoms on the MENSI questionnaire in the past month?
yes no

If you do, be sure to mention it at your next regular check-up. See**Menopause/HRT or for alternative therapies see**Cool Menopause Formulas.

7a. Do you suffer from osteoporosis?
yes no
7b. Does it run in your family?
(Has anyone shrunk or gotten the "Dowagers" hump? Fractured their hip, wrist or spine?)

yes no
8. When was your last bone density test?
9. Do you take calcium or get enough in your diet?
yes no

If you never had a bone density test and you are at risk, please ask for one at your physician's office. Cool Menopause Formulas can help you get enough calcium into your diet, as well as treat menopause symptoms.

10a. How many times a week do you exercise?
10b. Describe your exercise routine in detail.


For optimal cardiovascular wellness and weight management, we suggest 45-60 minutes daily of aerobic exercise (*see Exercise and also the link-Personal Fitness Program). There are numerous natural phytonutrients (natural plant substances) that can prevent heart disease, high lipids, strokes, etc *see Nature's Phytonutrients. Diet is so very important here. Decreasing stress by exercise, good nutrition, rest and having fun helps too!! Research has shown at minimum, you should be on a multivitamin, like our Wholesome Unisex Multivitamins.

11. Do you or have you had any of the following conditions?
heart attack stroke blood clot hypertension high cholesterol diabetes obesity

see Harvard Medical School Weight Standards information for ideal weights.
Daily use of aspirin can reduce strokes and heart attacks. Statins (lipid-lowering medications) are effective in women with high cholesterol)

12. Do you smoke?
yes no

Smoking is the #1 cause of cardiovascular disease, lung cancer and pulmonary disease, can lead to bladder, esophageal and other gastric cancers, premature menopause.

13. Do you have a family history of things that predispose us to heart attack, stroke and clots?
hypertension high cholesterol diabetes heart disease hereditary clotting factors (like factor V Leiden)

Beta-blockers, ACE inhibitors can reduce heart attacks in women with hypertension.

14. If you are premenopausal, do you have PMS?
yes no

PMS is a group of annoying symptoms that occur prior to your period each month. Here is a checklist of symptoms that may be associated. ** Try our PMS formula and see** PMS in the useful info section of the main menu for more detailed info.

15. Are you worried about your sexuality? Do you feel that your desire to have sex is lessened or is orgasm difficult to achieve?
yes no

Androgen Insufficiency Syndrome is a very common problem in women and is not often addressed by all physicians. It occurs with removal of the ovaries, with some women at menopause and while on various other medications, in Addison's disease and in disorders of the hypothalamus or pituitary gland. Testosterone is made in the ovaries and adrenal glands. DHEA comes from the adrenal and becomes testosterone and a very minute amount of estrogen in tissue. You may need **Testosterone, DHEA, or other supplements to enhance your sexuality. The side effects of too much testosterone and DHEA can be hair growth, acne and increased cholesterol. You will need to work closely with your physician to be sure the dose is not too high for you. Viagra (sildenafil) produces the same effect in both sexes-improved blood flow to the genitals. The response is subtler and more difficult to measure in women but it does appear to enhance the engorgement of the vagina and clitoris and increase arousal. Research is still limited. A Viagra cream may be out soon. Viacreme is a mentholated cream that causes a tingly sensation on the clitoris-not to be confused with Viagra. **Ginko Biloba 60120mg/day may help sexual functioning, so try our Renewal "Lust for Life" Formula, conveniently combining DHEA and Ginko for energy, sexuality and intellext!

16. Are you losing your memory?
yes no

Researchers at the University of San Francisco found that women who walk regularly are less likely to experience age-related memory loss and decline in mental functioning. A cure for dementia is far from our grasp so we must do whatever we can to stay alert. For women not on Estrogen, you may need our **Cool Menopause Formulas more than ever. There is evidence that estrogen prevents dementia. **DHEA 50 mg was found to enhance the well-being both physical and psychological 60-80% after 6 months in a study in 1994 in the Journal of Clinical Endocrinology. DHEA is an androgen produced by both men and women which decreases with age. It is involved in preventing aging and in immune function. Some researchers speak of Adrenopause-the pause in the adrenal glandular functioning. Therefore, why settle for a lower amount of DHEA or testosterone or estrogen for that matter just because you are older? Why not supplement it so you feel like you did when you were younger? Isn't that what many of our wellness goals are-to feel great even as you age??? Remember, people didn't live past 50 in the past. We now live to 80 and 90 but we want to feel great too. A Boston University School of Medicine study found that women's arousal and return of fantasies and other measures of sexuality all improved on DHEA.

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