Menstrual Cycle Diary - Medical Acupuncture Clinic

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Menstrual Cycle Diary - Medical Acupuncture Clinic
Menstrual Cycle Diary
The Menstrual Cycle
Occurs due to the co-ordinated inter reaction of hormones within the ovary, pituitary and uterus.
To track the phases in your cycle, the physiological changes that these induce in your body, and the
ability to recognize your most, and least, fertile times, it may be helpful for you & your practitioner
if you keep a daily chart or diary.
This can be with or without recording BBT. If you prefer to take the BBT readings, you can
download the chart & information on how to use it in the ‘Patient Resources’ section, otherwise the
following Cycle Diary may be sufficient.
Always use a new chart for each cycle. Write the month at the top of the Cycle Diary. Record the
day date (eg.Tues 12) of the 1st day of your period in the column ‘Date’ beside ‘Day 1’. The length
of your cycle is counted from the 1st day of one period to the 1st day of the next period. Record all
symptoms you experience and add any symptoms of your own experienced to the list.
If you don’t get a period, continue recording on another sheet after day 30, continuing from day1 on
the 2nd sheet until the flow begins. If you do not get a period for several months, use a new diary
sheet for each month, marking each new sheet consecutively 2nd, 3rd, etc, as you progress. Be sure to
include all information – a blank space tells nothing, but a ‘0’ indicates no symptom.
Flow
Information regarding the flow is important to your practitioner as it gives him/her information on
the type of dysfunction, if any, that may be occurring. The volume of flow (heavy/mid/light), colour
of blood, size/colour of clots, pain experienced, any odour associated, length of time occurred, etc.,
are all important.
Other symptoms
Breast tenderness, bloating sensation, mucous secretion, constipation, loose stools, excessive
tiredness, headaches, sleep difficulties, irritability, mood changes, anxiety, appetite, stress levels, all
are important symptoms in assessing cycle problems.
Assess each if these on a 0 to 10 level, where 0 indicated no symptom, and 10 most severe symptom
level. Or use your own method of symptom description, eg: E = high energy; D = depression; B =
breast discomfort, N = nausea, T = tearful, H = headache, In = insomnia, I = irritable, T = tearful,
etc. Perhaps it would be better to use both, eg: E5 = mid energy; D3 = slightly depressed; B7 =
significant breast soreness, etc.
Medical Acupuncture Clinic www.med-acu.com
Medical Acupuncture Clinic www.med-acu.com

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