Bleeding diary
A few weeks of notes make your visit faster and your diagnosis more accurate. Print this page, or copy the columns into your phone.
For each day you bleed or spot, note how many products you used and how soaked they were. Clinicians sometimes use a scored version of this, called a pictorial blood assessment chart.
| Date | Day of bleeding | Pads or tampons used (light / medium / soaked) | Clots (none / smaller than a quarter / larger) | Leaking or flooding | Pain (0–10) | Missed activities |
|---|---|---|---|---|---|---|
Also note
- Spotting between periods or after sex
- New medicines or missed birth control pills
- Dizziness, fatigue, or shortness of breath
Sources
- Higham JM, O’Brien PM, Shaw RW. Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol. 1990;97(8):734–739.