womens-health

# Women's Health — Your Reproductive Health Companion Specialized women's health skill for menstrual cycle tracking, fertility awareness, pregnancy support, and menopause management with personalized care throughout all life stages. ## Life Stage Coverage ### 🌸 Menstrual Years (12-45) - Cycle tracking and pattern recognition - Fertility awareness (natural family planning) - PMS/PMDD management - Menstrual disorder screening ### 🤰 Pregnancy & Postpartum - Trimester-specific guidance - Symptom tracking - Preparation checklists - Postpartum recovery ### 🍂 Perimenopause & Menopause - Hormonal transition support - Symptom management - Bone health - Cardiovascular risk awareness ## Cycle Tracking ### Menstrual Cycle Phases | Phase | Days | Hormones | Symptoms | |-------|------|----------|----------| | Menstrual | 1-5 | Low | Bleeding, cramps | | Follicular | 6-14 | Rising estrogen | Energy ↑, mood ↑ | | Ovulation | ~14 | LH surge, peak estrogen | Fertile window | | Luteal | 15-28 | Progesterone dominant | PMS possible | ### Fertility Awareness **Fertile Window**: ~6 days (5 days before ovulation + day of) - Ovulation: ~14 days before next period - Egg viability: 12-24 hours - Sperm viability: up to 5 days **Tracking Methods**: 1. BBT (Basal Body Temperature): Rise 0.3-0.5°C after ovulation 2. Cervical mucus: Egg white consistency = fertile 3. LH tests: Positive 24-36h before ovulation 4. Calendar method: Cycle length - 14 ## Pregnancy Monitoring ### Trimester Milestones | Trimester | Weeks | Key Developments | Focus | |-----------|-------|------------------|-------| | First | 0-13 | Organ formation | Prenatal vitamins, avoid teratogens | | Second | 14-27 | Growth, movement | Anatomy scan, glucose test | | Third | 28-40 | Maturation | Birth preparation, monitoring | ### Important Screenings | Test | Timing | Purpose | |------|--------|---------| | Dating ultrasound | 8-12 weeks | Confirm due date | | NIPT/cfDNA | 10-13 weeks | Chromosomal screening | | Anatomy scan | 18-22 weeks | Structural assessment | | Glucose challenge | 24-28 weeks | Gestational diabetes | | Group B Strep | 35-37 weeks | Infection prevention | ## Menopause Management ### Stages | Stage | Definition | Duration | |-------|------------|----------| | Perimenopause | Irregular cycles, symptoms | 4-8 years | | Menopause | 12 months no period | Permanent | | Postmenopause | After menopause | Lifetime | ### Common Symptoms (75% of women) - Hot flashes/night sweats - Sleep disturbances - Mood changes - Vaginal dryness - Decreased libido - Weight gain (abdominal) ### Health Priorities Post-Menopause 1. **Bone health**: DEXA scan at 65 (earlier if risk factors) 2. **Cardiovascular**: Risk equalizes with men 3. **Cancer screening**: Mammograms continue ## Output Example ```markdown # Women's Health Report — March 20, 2026 ## 🌸 Cycle Summary ### Current Cycle | Parameter | Value | Normal Range | |-----------|-------|--------------| | Cycle Day | 14 | — | | Cycle Length | 28 days | 21-35 days | | Period Duration | 5 days | 3-7 days | | Flow | Moderate | Light-Heavy | ### This Cycle's Data ``` Flow by Day: Day 1: ████████ Heavy Day 2: ██████████ Heavy Day 3: ██████ Moderate Day 4: ███ Light Day 5: █ Spotting ``` ### Fertility Status **Today**: 🔴 Fertile Window (High fertility) - Ovulation predicted: Tomorrow (CD 15) - Chance of conception: 20-30% - Fertile days remaining: 3 **Symptoms**: - ✅ Cervical mucus: Egg white, stretchy - ✅ BBT: Rising trend (36.4°C → 36.7°C) - ✅ LH test: Positive today --- ## 📊 Cycle Pattern Analysis ### Last 6 Cycles | Cycle | Length | Period | PMS | Notes | |-------|--------|--------|-----|-------| | 1 | 28 days | 5 days | Mild | — | | 2 | 29 days | 5 days | Moderate | Stress | | 3 | 27 days | 4 days | Mild | — | | 4 | 28 days | 5 days | Mild | — | | 5 | 30 days | 5 days | Moderate | Travel | | 6 | 28 days | 5 days | Mild | Current | **Pattern**: Regular (SD = 1.1 days), average 28.3 days **PMS Pattern**: Worse with stress/travel --- ## 💡 Recommendations ### For Trying to Conceive - ✅ Intercourse today, tomorrow, and day after - ✅ Consider lying down 15 min post-intercourse - ✅ Start prenatal vitamins if not already - 📅 Next cycle: If no period by April 4, take pregnancy test ### For Cycle Health - Track PMS symptoms to identify triggers - Stress management during luteal phase - Iron-rich foods during menstruation ### Red Flags (Consult Gynecologist) - Cycles <21 or >35 days consistently - Periods >7 days or very heavy (soaking pad/hour) - Severe cramps not relieved by OTC meds - Bleeding between periods - No period for 3 months (not pregnant) --- ## 📋 Preventive Care Schedule ### For Your Age (32) | Screening | Frequency | Last Done | Next Due | |-----------|-----------|-----------|----------| | Pap smear | Every 3 years | 2024 | 2027 | | HPV test | Every 5 years | — | 2026 | | Breast self-exam | Monthly | — | Ongoing | | Clinical breast exam | Every 3 years | 2024 | 2027 | | STI screening | As needed | 2024 | As needed | --- ⚠️ **Note**: This information is educational. For concerning symptoms, consult a healthcare provider specializing in women's health.