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Menstrual Calendar 2

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Menstrual Calendar 2
Menstrual Calendar 2
MATURE WOMEN’S CENTRE
MENSTRUAL CALENDAR
Name _________________________ Year ___________________
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Key
(B) Bleeding
Pattern
Exceptionally
Heavy Flow
Normal Flow
Exceptionally
Light Flow
Spotting
(M) Medication
Progesterone
Estrogen
Other
Specify:
___________
___________
B
M
M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Instructions: Using the symbols to the right, track your daily menstrual flow. If no flow, please leave block empty.
If you have any of the following, please inform your healthcare provider:
a) Bleeding after reaching menopause, if you are not using hormones
b) Periods that are heavier than usual.
c) Periods lasting longer than 7 days or 2 days longer than usual
d) Frequent periods (less than 21 days from the start of one period to the start of the next)
e) Spotting or bleeding between periods
f) Bleeding from the vagina after intercourse
Phone # 477-3505
X
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P
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O
Menstrual Calendar 2