Assess your risk, understand your symptoms, and get personalised, evidence-based recommendations.
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Period and Cycle Wellness
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Section 0 β Eligibility
Before we begin
A few quick checks to make sure this tool is appropriate for you right now.
How old are you?
years
Outside standard range
This assessment is optimised for ages 18β40. You may still proceed but discuss results with a clinician.
Have you ever had a menstrual period?
Are any of the following currently true? (select all that apply)
β This tool is not appropriate right now
This assessment is not validated during pregnancy, within 12 months postpartum, or during cancer treatment. Please consult a clinician directly.
π
Please see a clinician directly
This questionnaire is not validated for your current situation.
Section 1 of 8 β About you
Let's start with the basics
These measurements let us calculate BMI and waist-to-hip ratio β both are key PMOS risk markers.
Height and weight
Height
cm
Weight
kg
Waist and hip circumference (optional)
Target <80 cm waist for South Asian women. WHR >0.87 = central adiposity.
Waist circumference
cm
Hip circumference
cm
BMI
β
Waist-to-Hip Ratio
β
Section 2 of 8 β Your cycle
Your menstrual cycle
Irregular or infrequent cycles are Rotterdam Criterion 1 for PMOS. Answer based on what is typical for you over the past 12 months.
How long is your typical menstrual cycle?
How many menstrual cycles do you have per year?
Have you ever had a single cycle lasting longer than 90 days, outside of pregnancy?
When did your cycle irregularity begin?
Do you experience mid-cycle signs of ovulation?
How long does your period last when it comes?
How would you describe your flow?
Have you been told by a doctor that you are not ovulating (anovulation)?
Have you experienced any unexplained bleeding between periods, or after a prolonged gap?
Section 3 of 8 β Hair and skin
Hair growth & skin
Excess terminal hair (hirsutism) is a core clinical sign of hyperandrogenism β Rotterdam Criterion 2. Rate each site using the Modified Ferriman-Gallwey scale.
3A β Hirsutism (mFG Scale)
Modified Ferriman-Gallwey (mFG) Score β rate each body site
0 = no terminal hair | 1 = a few hairs | 2 = partial coverage | 3 = moderate coverage | 4 = complete / frank hirsutism. South Asian cutoff: mFG β₯4 indicates hirsutism
Body site
0
1
2
3
4
Do you regularly remove facial or body hair?
Your answer adjusts the mFG score for underestimation
Facial and chin hair character
Body hair locations with terminal hair (select all that apply)
None beyond normal
Abdomen (midline)
Chest or nipples
Upper back
Lower back
Upper arms
Inner thighs
Section 3 of 8 (continued) β Acne, hair loss & skin
Acne, hair loss & seborrhoea
Androgenic acne (jawline pattern) and crown-specific hair thinning are additional clinical signs of hyperandrogenism.
3B β Acne
How frequent is your acne?
Where is your acne primarily located?
Did your acne begin or significantly worsen after age 25?
Extended body site involvement (select all that apply)
When during your cycle is your acne typically worst? (skip if no acne)
For how long has your current acne pattern been consistently present?
3C β Androgenic Alopecia
Hair thinning pattern (Ludwig Visual Scale)
At what age did hair thinning begin?
3D β Oily Skin and Scalp
Oily skin
Seborrhoea has low specificity for PMOS β contributes minor supporting context only
Oily scalp
Section 3 of 8 (continued) β Voice
Voice characteristics
Androgens affect the larynx β voice changes can be a subtle sign of androgen excess. These are a supporting signal only, not a standalone diagnostic criterion.
3E β Androgen-Mediated Voice Changes
Has your voice become noticeably deeper, rougher, or lower in pitch over the past 6β12 months?
How often do you feel the need to clear your throat, outside of illness?
Do you experience vocal fatigue or voice strain after speaking for 30 minutes or more?
Section 4 of 8 β Metabolic health
Your health history
These questions identify metabolic risk and conditions that must be excluded before a PMOS workup can be meaningful.
Skin findings β select any that apply
Thyroid disorder
Blood glucose or diabetes status
Lipid profile β if known
Most recent blood pressure reading
Rapid-onset symptoms β do you have any of the following? (select all that apply)
These may indicate Cushing's syndrome or an androgen-secreting tumour β urgent specialist assessment required if positive
None of the below
Hirsutism / acne developing over weeks
Sudden weight gain β abdomen, face, upper back
Easy bruising or purple stretch marks
Muscle weakness β thighs or upper arms
High BP alongside rapid hair/skin changes
β Urgent specialist referral recommended
These signs may indicate Cushing's syndrome or an androgen-secreting tumour. Please seek specialist assessment before using this questionnaire's results.
Family history β mother, sister, or aunt
Sleep symptoms β select all that apply
None
Snoring
Waking unrefreshed
Excessive daytime sleepiness
Diagnosed sleep apnoea (OSA)
Prolactin or adrenal status β if tested
Section 5 of 8 β Wellbeing
Your emotional wellbeing
π Your wellbeing matters β please read before continuing
PMOS significantly affects emotional health. These questions help your clinician provide appropriate support β not to judge you. If you are feeling overwhelmed or having thoughts of harming yourself, please stop and seek support: