Annual Visit Checklist


Talk About Your Menstrual Cycle

Whether your trusted source for medical information is your gynecologist, primary care physician, or other health care professional, his or her guidance can play an important role in helping to support your health and well-being.

Download and print out the checklist below, then complete the questions to take with you during your next visit, whether it’s your annual exam, or a separate visit to discuss issues related to your menstrual cycle. They’ll serve as a starting point for questions you may want to ask about your menstrual cycle and for steps you can take to find relief from symptoms related to your cycle.

Please Note: This Annual Visit Checklist is not a formal diagnostic tool. It is meant to help identify possible symptoms related to your menstrual cycle for discussion with your health care professional. Other medical conditions may cause similar symptoms. Please seek medical advice from your health care professional if you have any questions or concerns about your menstrual cycle or any symptoms that may be related to your menstrual cycle.

Download the Annual Visit Checklist


This document is a PDF (portable document format). PDF files require Adobe® Acrobat® Reader®; click here to download this free program.