Menopause symptom tracker

Rate how each symptom has been lately and get a clear summary to take to your GP appointment.

Your details

Your symptom summary

5 / 24

2 bothering you a lot

Hot flushesmoderate
Poor sleepmoderate
Ask about (hot flushes)HRT, or menopause CBT alongside or instead
Ask about (poor sleep)menopause CBT for waking with sweats, plus treating the sweats
Since last timeup 5 from 0
What NICE NG23 says at 49over 45 with symptoms and irregular periods, NICE says perimenopause can be diagnosed without a blood test
Bring this toyour GP or a menopause clinic

This is a note for your appointment, not a test. Rate the same symptoms every couple of weeks to see what changes, especially after starting or changing treatment. HRT, CBT and other options can all help.

Symptoms affecting work, sleep or relationships are a good reason to book a GP appointment. Bleeding after 12 months without a period, or unexpected bleeding after the first 6 months of HRT, needs a GP visit soon.

The working

A simple tally

Each symptom scores 0 for none up to 3 for severe, for a total out of 24. Moderate hot flushes and poor sleep with mild low mood scores 5, with two symptoms flagged as bothering you a lot. It is a note for your appointment, not a test.

Treatments

What can help

Option	Helps with
HRT	flushes, sweats, mood, joint aches and more
Vaginal oestrogen	dryness and bladder symptoms
CBT	flushes, low mood, anxiety and sleep
Non hormonal medicines	flushes, if HRT is not for you

At the appointment

Make it count

Bring this summary and your period dates
Say which symptom you most want help with
Mention any family history of breast cancer or clots
Ask for a follow up in 3 months

Your summary

What NICE says to ask about

For your two worst symptoms we add what NICE NG23 suggests discussing: HRT for flushes and sweats, with menopause CBT alongside or instead; CBT for sleep broken by night sweats; HRT or CBT for low mood that started with other symptoms; vaginal oestrogen for dryness, which is fine alongside HRT; and testosterone if low desire has not improved on HRT. Add last time’s total to see the change. NICE reviews treatment at 3 months, then once a year, and bleeding is common in the first 6 months of HRT. Bleeding after that, or after 12 months without a period, needs a GP visit.

Perimenopause or menopause?

How NICE says it is recognised

Over 45, NICE NG23 says no blood test is needed: perimenopause is recognised from symptoms with irregular periods, and menopause after 12 months without a period. If contraception, a coil or a hysterectomy hides your periods, it can be judged from symptoms. Between 40 and 45 your GP may check a hormone called FSH; before 40, symptoms can be premature ovarian insufficiency, which needs a GP visit and blood tests. At 49 with irregular periods, that points to perimenopause, and HRT or CBT can be discussed now.

Read with care

What this cannot tell you

DiagnosisOther conditions, like thyroid problems, can cause similar symptoms.
Severity scaleThis is not a validated questionnaire.
EmergenciesThoughts of self harm need help now: Samaritans 116 123.

Questions

Common questions

What are the most common menopause symptoms?

Hot flushes, night sweats, poor sleep, low mood and vaginal dryness.

How do I talk to my GP about menopause?

Bring a list of symptoms and say how they affect your life.

Can menopause cause anxiety?

Yes. Mood changes and anxiety are common.

Sources

Last checked 21 October 2026. Spotted something wrong? Tell us and we will fix it.

Support when you need it

Contact your midwife or GP any time you are worried, and call NHS 111 if you cannot reach them. If a date or a result brings up difficult feelings, Tommy's and the Miscarriage Association offer kind, free support.