When was the fibroid detected ?
How frequent are your periods
How is the bleeding ?
Do you have a stomach pain during your periods ?
Do you get a white discharge ?
Do you have any irritation, mood swings or depressions before your periods.YesNo
Do you have any hot flushes ?
Have you got any investigation done ? (If yes. then please mention the details of the reports in the 'more symptoms' column at the end of the questionnaire)
Are you already a patient with Dr.Manoj's Homeopathy? If yes please give your Registration Number in the text box.
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