Appointments after a hysterectomy are short, and the brain fog is real. The tool below takes about five minutes at home before you go in. Work through your symptoms by body system — how bad each one is, how often it happens — and mark what it's getting in the way of. You get a one-page report your doctor can read in the first ten seconds: what's going on, how often, and the three questions you most want answered. Nothing is stored and nothing is sent. The only copy is the one you print.
You know you have things to tell the doctor. You thought of three more on the drive over. By the time you're in the room, you're going from memory, you have fifteen minutes, and something you meant to mention has already gone.
This tool is the fix for that. Answer the questions at home the evening before — it takes about five minutes — and walk in with a printed page. Your doctor gets the full picture in the first ten seconds. You don't have to remember anything.
Make this appointment count
Appointments are short and the brain fog is real. Answer these in a minute at home, and walk in with a one-page report: what's going on, how often, how much it's costing you, and the three questions you want answered.
Your answers never leave this page. Nothing is stored, nothing is sent.Some things shouldn't wait for an appointment.
If any of this is happening right now, stop and get help today.
- Sudden shortness of breath, chest pain, or coughing up blood. Get medical help right away. These can be signs of a clot in your lung.
- A painful, red, swollen, or hot leg. New pain in your calf, behind your knee, in your thigh, or in your groin. These can be signs of a clot too.
- Bright red bleeding that soaks a pad or more in an hour, or large clots. Call your doctor, or go to the emergency department.
If something else is frightening you and it isn't on this list, call anyway. Being worried is reason enough.
Nothing's marked. Go back if you meant to fill something in.
Print a fresh one before each appointment. A stack of these shows your doctor how things have changed over time.
Sources and assumptions
This is a conversation tool. It isn't a validated medical questionnaire, and it produces no score. The symptom list follows the shape of established menopause symptom questionnaires, adapted for life after a hysterectomy. What it borrows and from where:
- The get-help-now thresholds at the top, in order: clot-in-the-lung signs and leg-clot signs from RCOG (2025), leg-clot signs also in MyHealth Alberta (Healthwise, May 2025), and the soaks-a-pad-in-an-hour bleeding threshold from MyHealth Alberta (Healthwise), the one source checked that puts a number on it. Full references: RCOG recovering-well leaflets (June–August 2025) and MyHealth Alberta (Healthwise), current as of May 2025. Where sources differ, the most protective one wins.
- The severity-and-frequency rating shape and the quality-of-life section follow the conventions of clinical menopause questionnaires (such as the Greene Climacteric Scale and modern menopause symptom questionnaires). This tool is not one of them and claims no diagnostic power.
- The no-score rule: no single checklist score confirms menopause, rules it out, or means treatment is needed, so this tool doesn't pretend otherwise.
Your answers are processed entirely in your browser and vanish when you leave the page. The only copy that exists is the one you print.
This is a preparation tool, and it can't give medical advice. The report goes with you to an appointment; it can't replace one. Your surgeon's instructions outrank everything on this page.
What the tool covers
The wizard has nine steps. The first covers the basics your doctor needs up front: how long since surgery, what was removed, whether you're on hormone therapy, and what else you're taking. (Medication and supplement lists save five minutes of every appointment.) The last step is your three questions — the ones you always mean to ask and never do.
In between, the six sections in the middle cover the body systems most affected by hysterectomy and the hormonal changes that often follow it: heat and heart rate, sleep and energy, mood and mind, body-wide symptoms, bladder and pelvis, and vaginal and sexual symptoms. Each one has a "when did this start?" field so you're not relying on your doctor to ask.
There's also a section on what everything is getting in the way of — work, relationships, being active, enjoying life. In a short appointment, "it's stopping me doing my job" gets more traction than "I have hot flashes." This section gives that language a place on the page.
Why there's no score
A lot of symptom tools add up your answers and give you a number. This one doesn't, and that's on purpose.
No score on a symptom checklist can tell you whether you're in menopause, whether you need treatment, or whether what you're experiencing is normal. Adding up the boxes and presenting a total invites false confidence in both directions — either "I scored high so something must be wrong" or "I scored low so I must be fine." Neither is a medical conclusion.
What the report does instead is put your experience on a page in a form that is hard to dismiss and easy to discuss. Your doctor can see at a glance where things are bad and how often. That's more useful than a number, and it doesn't overstate what a symptom checklist can do.
What happens to your answers
Nothing is stored, and nothing is sent. The tool runs entirely in your browser. The only copy that exists is the one you print. When you close the tab, the answers are gone — which is why the "print my report" button is there.
Print a fresh one before each appointment. A stack of these over time shows your doctor how things have changed, which is often more useful than any single snapshot.
Before the appointment: the one thing that can't wait
The wizard has a box at the top for things that shouldn't wait for an appointment: sudden shortness of breath or chest pain, a painful or swollen leg, or bright red bleeding that soaks a pad or more in an hour. If any of those are happening, stop filling in the form.
The When To Call guide has a full breakdown of what needs same-day attention and what can wait for an appointment.
Common questions
Does the tool save my answers if I leave the page?
No. Nothing is stored on the server or on your device. If you leave the tab before printing, your answers are gone. Fill it in the evening before your appointment and print it before you close the browser.
What if I don't have something to mark in a section?
Leave it blank. Anything you don't mark stays off the report. There's no minimum — even a report with just your three questions and your medication list gives your doctor something to start with.
Can I use this for an appointment that isn't about menopause symptoms?
Yes. The symptom list is tuned to what comes up after a hysterectomy, but the format — what's happening, how often, what questions you have — works for any appointment. Skip the sections that don't apply.
Do I need an account or login?
No. There's nothing to sign in to. Open the page and start.
Can my doctor make any actual decisions from this?
The report is a conversation tool. It helps your doctor understand your experience in a short appointment. It is not a validated medical questionnaire, and the no-score design is deliberate. Your doctor makes clinical decisions; the report gives them better information to do it with.
I filled in the report, but I'm not sure I remembered everything correctly. What should I do?
Write in the notes field, or on the printed page. The report has a section called "Also on my mind" for exactly this. If you remember something in the waiting room, add it by hand before you go in.
This is a preparation tool, not a diagnostic instrument. It cannot confirm or rule out any medical condition. The report it produces is a conversation aid for an appointment — it can't replace one. Your surgeon's and doctor's instructions outrank anything on this page.