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Symptoms of midlife in the twenty-tens - confidential menopause survey
1.
What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
2.
In what country do you live?
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People’s Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The former Yugoslav Republic of Macedonia
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Yemen
Zambia
Zimbabwe
3.
Do you have children? If so, in which age bracket(s).
Under 11
12 - 18
19 and over
4.
At what age did you become aware of your menopausal symptoms?
I'm not aware of any symptoms yet
Aged 40 or before
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
Over 55
5.
Which of these symptoms have you experienced? (answer as many as apply to you)
hot flushes
night sweats
going hot and cold throughout the day
insomnia
palpitations
sore breasts
loss of breast fullness
weight gain
dizziness
nausea
disembodiment / out of body experiences
excess sweating
change of body odour
abdominal pain
aching joints and / or muscles
heightened sense of smell
brain fog / forgetfulness
lethargy
a new surge of energy
anxiety
feelings of doom
vaginal dryness or discomfort
lower libido
migraines or headaches
cystitis
urinary incontinence or need to urinate more often
flatulence
hair loss or thinning
appearance of facial hair
problems with gums
mood swings
uncontrollable rages
loss of concentration
loss of confidence
increased confidence
brittle / ridged nails
dry skin
adult acne / oily skin
clumsiness
menstrual flooding
muscle cramps
blood sugar crashes
food cravings (usually for sweet, salty or sour flavours)
tinnitus / ringing in ears
constipation or diarrhoea
Other (please specify)
6.
Which one of these symptoms bothers you the most?
hot flushes
night sweats
going hot and cold throughout the day
insomnia
palpitations
sore breasts
loss of breast fullness
weight gain
dizziness
nausea
disembodiment / out of body experiences
excess sweating
change of body odour
abdominal pain
aching joints and / or muscles
heightened sense of smell
brain fog / forgetfulness
lethargy
anxiety
feelings of doom
vaginal dryness or discomfort
lower libido
migraines or headaches
cystitis
urinary incontinence or need to urinate more often
flatulence
hair loss or thinning
appearance of facial hair
problems with gums
mood swings
uncontrollable rages
loss of concentration
brittle / ridged nails
dry skin
adult acne / oily skin
clumsiness
menstrual flooding
muscle cramps
blood sugar crashes
food cravings (usually for sweet, salty or sour flavours)
tinnitus / ringing in ears
constipation or diarrhoea
Other (please specify)
7.
If you are past menopause, what age were you when you had your last period?
I am still having periods
40 or under
41 - 45
46 - 50
51 - 55
56 - 60
over 60
8.
Are you taking any form of prescribed HRT?
yes
no
9.
If so, has HRT helped you to feel better?
Yes
No
Not sure
10.
Do you use natural therapies to help relieve symptoms?
No
Black cohosh
Wild Yam
Soy
Sage
Valerian
Dong quai
Agnus castus
Ginseng
St John's Wort
Flaxseed
Red clover
Vitamin E
Omega 3
Other (please specify)
11.
Where have you found the most helpful information about menopause?
GP or medical professional
Online
Books
Mother
Other family members
Friends
Other (please specify)
12.
On the whole, do you feel positive about this new life stage?
Yes
No