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Perimenopause Symptom Tracker

A daily and weekly perimenopause symptom tracker for hot flashes, night sweats, sleep, mood, bleeding, headaches, brain fog, vaginal dryness, medicines, and care questions.

Use this tracker for patterns, not answers.

It can help you see what repeats. It can also help you bring clear notes to care. It cannot diagnose perimenopause. It cannot tell you which treatment to use.

Set up your tracker

Choose one place to keep notes.

Paper. A local file. A spreadsheet. Floriva, if you want private on device pattern tracking.

Keep notes short. Use the same words each day.

Your baseline

Fill this out before you start.

Question Your answer Usual cycle length before changes Usual period length Date symptoms began Main symptoms now Current hormones or birth control Medicines or supplements Health history you want care to know Main goal for tracking

Daily symptom log

Use one row per day. Fill in what matters. Leave the rest blank.

Date Bleeding Hot flashes Night sweats Sleep Mood Headache Brain fog Vaginal dryness Medicine notes Daily impact None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big None / spotting / flow 0 / 1 / 2 / 3 0 / 1 / 2 / 3 Good / broken / poor Steady / anxious / low / irritable No / mild / strong No / mild / strong No / mild / strong None / some / big

Rating key:

0 means none. 1 means mild. 2 means clear. 3 means strong or disruptive.

Hot flash details

Use this table if hot flashes are one of your main symptoms.

Date Time What happened What was happening before it What helped Heat / sweat / chills / racing heart Sleep / stress / food / alcohol / unknown Heat / sweat / chills / racing heart Sleep / stress / food / alcohol / unknown Heat / sweat / chills / racing heart Sleep / stress / food / alcohol / unknown

Do not force a trigger. "Unknown" is a useful answer.

Bleeding notes

Use this if your period pattern is changing.

Bleed start Bleed end Flow Clots Pain 0 to 10 New for you? Light / medium / heavy None / small / large Yes / no Light / medium / heavy None / small / large Yes / no Light / medium / heavy None / small / large Yes / no

ACOG says to talk with an ob gyn about bleeding changes near menopause. Any bleeding after menopause should be checked.

Medicine and supplement log

Track changes. Do not use this table to change a dose on your own.

Date Name Started / stopped / changed Dose, if known Reason What changed

Weekly pattern check

At the end of each week, look for repeats.

Question Your note How many days had hot flashes? How many nights had sweats? How many nights had poor sleep? Which mood showed up most? Did bleeding happen? Did headaches cluster? Did brain fog affect tasks? Did vaginal dryness or sex pain matter this week? Did any medicine change? What do you want to ask care?

Care questions

Pick the questions that fit.

Could these symptoms fit perimenopause? What else should we rule out? Which bleeding changes need follow up? Could my medicines or hormones affect this pattern? What can I do for hot flashes or night sweats? What can I do for sleep? What can help vaginal dryness or sex pain? What symptoms mean I should call sooner? How long should I keep tracking?

Privacy note

Perimenopause notes can include sex, mood, medicine, bleeding, and location details. Keep them where you control access.

Floriva is built for private on device tracking. It can help you keep short symptom labels and look back at patterns. It is still your choice what to write down.