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Do you have premenstrual breast tenderness? (6 points) Do you have premenstrual mood swings? (6 points) Do you have premenstrual fluid retention and weight gain? (6 points) Do you have premenstrual headaches? (5 points) Do you have migraine headaches? (5 points) Do you have severe menstrual cramps? (6 points) Do you have heavy periods or clotting? (5 points) Do you have irregular menstrual cycles? (6 points) Do you have uterine fibroids? (5 points) Do you have fibrocystic breast disease? (3 points) Do you have endometriosis? (2 points) Have you had problems with infertility? (2 points) Have you had more than one miscarriage? (2 points) Do you have decreased libido? (3 points) Do you have anxiety or panic attacks? (2 points) Do you have fatigue? (4 points) Do you have elevated cholesterol? (4 points) Do you have difficulty losing weight? (2 points) Do you have cold hands and feet? (2 points) Are you experiencing hair loss? (2 points) Do you have less than one bowel movement per day? (2 points) Do you have recurrent infections? (2 points) Is your tongue enlarged with teeth indentations? (2 points) Is your skin pasty, puffy or pale? (2 points) Do you have decreased body hair? (2 points) Is your usual body temperature lower than 98.6? (4 points)
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