• Menstrual Cycle Analysis

    Provided by the Peristeam Hydrotherapy Institute

  • Cycle Length

    Let's determine the length of your cycle. This would be the amount of days from day one of the period to the start of the next period. Women commonly report that their cycle is 28 days but it is rare for the cycle to always be 28 days. It usually fluctuates and looking at the variations in length can reveal important information about your overall health. In order to get a proper determination of your cycle length please list the length of your past 6 cycles. If you use a period app it automatically calculates this information for you. If you do not use a period app, you can use the calendar where you mark down your periods. Count from day one of the period until the day before your next period starts. That'll be the overall cycle length. If you do not use an app or calendar please leave the form blank and use the notes section to write any info about how long you think it might be.

  • If you do not have periods please proceed to the next section.

  • Please Select the First Day of Your Last Period
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    2 digit month, 2 digit day, 4 digit year
  • Please Include Information About Your Previous Six Menstrual Cycles.
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  • NO PERIODS

  • If you have periods please proceed to the next section. 

  • If you don't have periods, what is the reason?

  • Information About Your Last Period

    Each period is a snapshot of your current state of health during this month. In general women's health can change significantly from cycle to cycle. For this reason it's very useful to look at the signs from your very last period to see exactly what your signs tell us about your health at this moment in time. Please fill out the following sections and mark "Yes" ONLY if that symptom occurred on your very last period. For signs that you've seen before but didn't occur during the last period please select "Not the Last Period But Sometimes It Does Occur" or "Been a Long Time". Finally, there is a Notes section at the end where you can include any more information that you think might be relevant about these specific signs.

  • If you do not currently have periods please do your best to fill out information about your last period marking the column "It's Been a Long Time". 

    There will also be some indicators and questions below that are not period-related. Please answer those accordingly. 

  • Uterine Fatigue

  • Uterine Fatigue Indicators
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  • Stagnation

  • Stagnation Indicators
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  • Blood Deficiency

  • Blood Deficiency Indicators
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  • Heat

  • Heat Indicators
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  • Dryness

  • Dryness Indicators
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  • Dampness

  • Dampness Indicators
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  • Weak Digestion

  • Weak Digestion Indicators
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  • Standard Healthy Cycle

    Let's do a quick little check list and see how your very last cycle compares to a standard healthy cycle or "perfect period". Please fill this out based on your last cycle.

  • If you do not have periods please proceed to next page. 

  • Menstrual Cycle Summary

  • Standard Healthy Cycle Analysis

    Practitioner Use Only. Clients please skip to the next section.
  • Standard Healthy Cycle Analysis
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  • Proper Period Care

    There are certain lifestyle behaviors and products that really help to improve overall menstrual cycle health. This is known as proper period care or period pampering. Let's see how you're doing to pamper yourself.
  • Proper Period Care
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  • A healthy period lasts for 4 days long of fresh bleeding. In order for the period to stop on day 5 the body needs adequate rest during days 1-4 of the period. Inadequate period rest during days 1-4 of the period can result in periods with 5 days or longer of fresh bleeding. Do You Have Any of the Following Signs of Inadequate Period Rest?
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  • More Information

  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are You Currently Pregnant?
  • Are You Currently Trying to Conceive?
  • If trying to conceive are you past this month's ovulation? Alternatively if using IUI/IVF has the transfer already taken place?
  • Do You Currently Have Active Fresh Bleeding or Fresh Spotting?
  • Do You Currently Have A Burning Itch?

  • Evaluation

    Practitioner Use Only
  • Imbalances
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  • Period Care
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  • Should be Empty: