Diagnostic steps include a thorough history, a thorough gynecologic examination, and hormone determinations. A detailed and confirmed diagnosis is a prerequisite for individualized therapy (e.g., physical activity, phytotherapy, hormone therapy). The anamnesis leads the way to the initiation of possible intervention measures. In many cases, the complaint situation provides the essential guidelines for the start and type of therapy.
Family history
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- What changes have you noticed?
- Hot flashes
- Sweats
- Circulatory instability
- Cold sensation
- Tendency to cry
- Irritability,
- Nervousness
- Bad mood
- Listlessness
- Depressive moods
- Forgetfulness
- Insomnia
- What other complaints have you noticed?
- Weight gain
- Constipation
- Low back pain
- Back and joint pain
- Heart palpitations
- Difficult and painful urination
- Menstrual disorders
- Upper lip hair
- Decreased desire for sexual intercourse (libido disorders).
- Pain during sexual intercourse
- Drying of the skin with wrinkling
Vegetative anamnesis including nutritional anamnesis.
- When was your first menstrual period?
- When was your last menstrual period?
- Do you eat a balanced diet?
- Do you eat a vegetarian diet?
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
Self history including medication history.
