womens-health

name	womens-health
description	Comprehensive women's health skill covering menstrual cycle tracking, fertility awareness, pregnancy monitoring, perimenopause/menopause management, and gender-specific preventive care. Triggers on: period, menstrual cycle, fertility, ovulation, pregnancy, menopause, perimenopause, women's health, gynecology, PMS.
allowed-tools	["bash","glob","read"]
version	1.0.0

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

# 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 |

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⚠️ **Note**: This information is educational. For concerning symptoms, consult a healthcare provider specializing in women's health.