How many cycles should I track?

Start with one cycle. Two or three cycles make the pattern easier to see if the issue is not urgent or unsafe.

Should I share every note with a clinician?

No. Share the smallest useful summary. Each group below ends with a one-page summary you can use instead of the full log.

Can Floriva hold this tracker?

Yes. Floriva can keep short cycle and symptom notes on your device. Paper works too.

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Premenstrual Symptom Tracker

One plain tracker for premenstrual symptoms: mood, energy and sleep, digestive, and physical. Log timing, daily impact, and visit questions in compact tables.

Premenstrual symptoms rarely show up one at a time. Mood, sleep, digestion, and body aches can all shift in the same week.

This tracker covers all of it in one place. Pick the groups that fit you: mood, energy and sleep, digestive, or physical. Each group ends with a short summary you can bring to a visit.

It is not medical advice. It does not diagnose PMS, PMDD, or any other condition.

Safety check first

Read this before anything else, especially if mood symptoms are part of your pattern.

Do I feel safe right now? Do I feel out of control? Do I have thoughts of self harm? Do I need immediate help?

If danger feels immediate, seek urgent help now. If you are in suicidal, mental health, emotional distress, or substance use crisis and not in immediate physical danger, call or text 988. If you already have a clinician or crisis plan, follow that plan.

Quick start note

Fill this out once, before you pick a group below.

Question Your note Date symptoms started First day of last period Cycle day, if known Days before bleeding, if known Main symptom Symptom groups affecting me mood / energy and sleep / digestive / physical Main daily impact Main question for care

Group 1: Mood

ACOG, the Office on Women's Health, and Mayo Clinic list mood swings, irritability, anger, anxiety, crying spells, low mood, and trouble focusing among possible PMS and PMDD symptoms. This section does not diagnose PMS, PMDD, depression, anxiety, ADHD, or panic disorder.

Daily mood log

Date Cycle day Period timing Mood word Intensity 0 to 10 Sleep Pain 0 to 10 Stress Safety note : : : before / during / after anger / anxiety / sadness / crying / mood swings / low focus

Mood related checks

Symptom Check what fits Anger or irritability poor sleep / stress / cramps / bleeding started soon after Anxiety or panic feelings racing heart, chest tightness, or dread (NIMH lists these as possible panic sensations) Crying or low mood skipped meal / conflict / breast pain / headache Focus or memory slips (brain fog, forgetfulness, or ADHD feeling worse) lost words / reread text / missed a step / NIMH describes ADHD as ongoing inattention, hyperactivity, or impulsivity

Mood pattern review

Question Your note Did mood symptoms start before bleeding? Did they ease after bleeding started? Did sleep or pain change first? Did this happen outside period timing too? What made me seek help?

Short mood summary

Use a doctor message script or a support person note if you want a lower detail way to raise this before a visit.

Group 2: Energy and sleep

ACOG and Mayo Clinic list fatigue, sleep trouble, and problems concentrating as possible PMS symptoms. The Office on Women's Health lists trouble sleeping and low energy among possible PMDD symptoms.

Daily energy and sleep log

Date Cycle day Days before period Fatigue 0 to 3 Sleep quality Wake ups Mood Daily impact : : : : good / broken / short steady / low / anxious / irritable

Use 0 = none, 1 = mild, 2 = changed my day, 3 = hard to manage.

What came with the tiredness

Poor sleep or many wake ups. Low mood or tearfulness. Cramps or headache. Bloating or breast soreness. Needed more help with care tasks. Bleeding started soon after.

Short energy and sleep summary

For a deeper sleep only log with night sweats and hot flashes, use the period sleep and insomnia log.

Group 3: Digestive

The Office on Women's Health and Mayo Clinic list bloating, gas, constipation, and diarrhea among possible PMS symptoms. Cleveland Clinic notes that some people use the phrase "period flu" for flu like feelings near a period, including body aches, nausea, and bowel changes, though this is not an official medical term.

Prompt care check

Seek prompt care if any of these fit.

Severe or worsening belly pain Blood or black stool, or rectal bleeding Vomiting or fever Signs of dehydration Pregnancy or possible pregnancy Faintness or dizziness Symptoms feel unsafe

Daily digestive log

Date Cycle day Period timing Symptom Severity 0 to 10 Stool type, if relevant Notes : : before / during / after nausea / constipation / diarrhea / gas / bloating hard / formed / loose / watery

Mayo Clinic lists nausea, loose stools, headache, and dizziness as symptoms that can happen with menstrual cramps. Your notes show timing. They do not prove the cause.

Digestive pattern review

Question Your note Which symptom started first? Did it ease after bleeding started? Did fever, vomiting, or blood happen? Did this happen outside period timing? What changed school, work, or plans?

Group 4: Physical (fever, chills, breast, skin, vulvar)

Mayo Clinic and Cleveland Clinic list body aches, headache, fatigue, tender breasts, and acne flare ups among possible physical PMS symptoms. ACOG notes that vulvovaginal symptoms such as dryness, itching, or burning can have several possible causes and should be reviewed with a clinician.

Daily physical symptom log

Date Cycle day Period timing Symptom Location or side Severity 0 to 10 Notes : : before / during / after body aches / chills / fever / breast tenderness / acne / vulvar itching or dryness

Physical symptom notes by type

Symptom Key context to note Body aches, chills, or fever like feeling measured temperature, if checked; cough or sore throat Breast tenderness left, right, or both; one spot or spread out; nipple or skin change Acne flare up location (jaw, chin, cheeks); spot type; product changes Vulvar dryness or itching burning, discharge or odor change, product exposure

Mayo Clinic says breast pain can be cyclic or noncyclic. A measured temperature and clear location notes help a clinician sort the pattern faster than a guess.

Physical symptom pattern review

Question Your note How many days before bleeding did it start? Did it change when bleeding started? Did fever or a measured temperature happen? Did this repeat last cycle? What is the main care question?

Visit prep and screening anxiety

If a screening visit like a Pap smear or mammogram is coming up and it adds its own anxiety on top of premenstrual symptoms, that is worth naming too. The American Cancer Society notes mammogram callbacks can bring anxiety, and CDC explains that Pap and HPV tests are both used for cervical cancer screening. You do not need a diagnosis label to ask for a calmer visit; naming what helps you and what you want to ask is enough.

One page visit summary

Use this if you only want to bring one page, no matter which groups apply to you.

Summary item Your note Date range tracked Symptom groups affected mood / energy and sleep / digestive / physical Worst day Main symptom in each group Period start date, if it started Daily impact Safety concern, if any Main question

You can copy only this summary. You can export only this summary. You can keep the daily notes for yourself.

Privacy note

Premenstrual symptom notes can include period dates, mood, mental health, sex, pain, and private health details.

Keep only what helps. Share only what you choose. A short summary may be enough for a portal message or visit.

Floriva can keep short cycle notes on your device. Paper works too. No app can promise full privacy. You still choose what to type, export, screenshot, print, or share.

For privacy choices, read the PMS body data privacy checklist. For visit prep, read Floriva for gynecologist prep. If mood symptoms are severe or safety is a concern, use the PMDD tracking kit, which includes a safety plan.