Cervical Dysplasia. Have irregular, but non-cancerous, cells been found on a PAP smear? (Class 1 = Slightly abnormal, Class 2 = Abnormal, Class 3 = Severely abnormal. Class 4 would be cancer.)
Not applicable / don't know
Abnormal cells in the past only - class 1 or 2
Very abnormal cells in the past only - class 3
Current abnormal cells - class 1 or 2
Current very abnormal cells - class 3
551.
Do you have difficulty achieving an orgasm?
Don't know
No
Occasionally
Often
Always
552.
When you have tried, how difficult in general has it been for you to conceive children?
Not applicable / I have not tried / don't know
It has not been difficult
There was some difficulty
It was very difficult
I am infertile / unable to have children
553.
Is there a chance of your becoming pregnant within the next six months?
Don't know
No, definitely not
Yes, a fair chance
Yes - in fact I think I may be already
I am currently pregnant
554.
Have you ever been pregnant, now or in the past?
Don't know
No
Yes, but not currently pregnant More questions later...
Currently pregnant with first child More questions later...
Pregnant now but this is not my first time More questions later...
Do you find that deep penetration during sexual intercourse is particularly painful?
Not applicable / don't know
No
Occasionally / moderately
Often / severely
558.
Do you ever experience a vaginal burning sensation?
Occasionally / don't know
No, never
Yes, even without sexual activity
Only with sex, but even without semen contact
Only after contact with semen
559.
Do you have any unusual vaginal discharge or bleeding? An unusual discharge may be heavier/thicker than usual, puslike, grayish, greenish, yellowish, blood-tinged, foul-smelling, with possible itching/burning/rash/soreness.
Don't know
No
Occasional slight discharge More questions later...
Regular minor discharge / occasional significant More questions later...
Constant significant discharge More questions later...
560.
Do you have vaginal itching?
No / don't know
Occasionally / moderate
Often / severe
561.
Do you experience any discomfort in the vulvar area (labia and opening to the vagina)?
Don't know
No
Mild irritation / burning - stinging
Moderate pain
Very painful / sensitive to any contact
562.
Do you experience vaginal dryness? It is usually associated with itching, burning and pain during sexual intercourse.
Do you have any wart-like fleshy bumps in or around the vagina or anus, or groin? They may bleed when irritated, and may occur individually or merge to form small cauliflower-like clusters.
Don't know
No
Yes, one or two
Yes, a few
Yes, many / cluster(s)
565.
What is your current menstrual status? If unsure, answer Premenopausal if aged under 45 or Perimenopausal if 45-52. Only answer Postmenopausal if you have passed through menopause. Answering Don't know will present all menstrual questions.
Not applicable / don't know More questions later...
Premenopausal - I still have regular periods More questions later...
Perimenopausal - periods are changing More questions later...
Menopausal - having menopausal symptoms More questions later...
Postmenopausal, either naturally or surgically More questions later...
Do you have a cough that does not produce mucus (a 'dry cough')?
Don't know
No
Recent problem for less than a month
Problem for over a month but less than a year
Problem for more than a year
570.
Do you have Chronic Obstructive Pulmonary Disease (COPD), also known as Emphysema or chronic Bronchitis?
Don't know
No - definitely not
Mildly
Moderately
Severely
571.
Do you have a history of Acute Infectious Bronchitis? Symptoms may include chest pain on coughing, difficulty breathing, mild fever and a cough with mucus produced later in the course of the infection.
Do you ever have shortness of breath that is not associated with significant exertion? In other words, do you experience a sensation of difficult or uncomfortable breathing or a feeling of not getting enough air?
Have you experienced any kind of chest pain, burning, tightness, pressure or discomfort within the past year?
Don't know
No
Yes More questions later...
Add any additional information here for the questions above:
Please mention the question number(s) if possible.
SYMPTOMS: SLEEP
581.
How often do you take a nap outside of normal sleeping hours?
Never / don't know
Once a month or less
Once a week or less
A few times per week
Daily or almost daily
582.
Roughly how often do you yawn, on average?
Never / a few times per year perhaps
I'd say less than average
Average / a few times per day / don't know
Many times during the day
Several times every hour
583.
Drowsiness. Not including after meals, do you find yourself often falling asleep in situations such as boring meetings, watching TV or while driving?
Never / don't know
Once a month or less
Once a week or less
A few times per week
At least daily
584.
Do you generally become sleepy after eating?
Rarely / don't know
No
Occasionally
Often
585.
Do you have difficulty staying awake after midnight?
Yes, always
Usually / I only stay up for special occasions
Sometimes / I'm about average / don't know
No, I regularly stay up into the small hours
Not at all, I'm a real "night person"
586.
How is your quality of sleep when you are able to sleep without interruption or pain?
Usually broken up / difficult
Sometimes broken up / difficult
Average/sound / don't know
Generally deep
Always deep
587.
Sleep. On average, how many hours of sleep do you get per night?
Fewer than 6
6 to 7
8 / don't know
9
10 or more
588.
Do you sweat at night? Only include sweating that is not the result of an overly warm environment or too many bed covers.
Don't know
No
Only slightly
Moderately, sheets are damp or moist
Profusely, sheets are soaked
589.
If you suffer from night sweats (severe/drenching sweating that is not due to heat or humidity), for how long has it been a problem?
Not applicable / don't know
Recent onset only - less than 2 weeks' duration
2 weeks to 2 months
2 to 6 months
Longer than 6 months
590.
Do you experience bizarre, vivid or nightmarish dreams?
Never / don't know
Occasionally
Quite often, quite bad
Often and awful/recurring nightmares
591.
Do you remember your dreams when you wake up?
I almost always remember my dreams clearly
Average - sometimes I remember / don't know
I almost always forget them quickly
592.
Do you have any other sleep problems? Examples include insomnia, restless legs, snoring, apnea, other sleep disorders, grogginess and problems that are present upon waking up.
Don't know
No
Yes More questions later...
Add any additional information here for the questions above:
Please mention the question number(s) if possible.
Have you had an enlarged artery called an aneurysm or experienced a ruptured aneurysm? Sometimes cerebral aneurysms are the cause of stroke, although most strokes are caused by clotting rather than by a rupturing aneurysm.
Don't know
No
Possible enlargement being watched for progression
Yes, may require surgery
Yes, ruptured or required surgery
595.
Do you have Raynaud's phenomenon (extreme loss of circulation to fingers and/or toes)?
Add any additional information here for the questions above:
Please mention the question number(s) if possible.
GLOSSARY
Acute An illness or symptom of sudden onset, which generally has a short duration.
AIDS Acquired Immune Deficiency Syndrome. An immune system deficiency disorder that suddenly alters the body's ability to defend itself. The AIDS virus invades the T4 helper/inducer lymphocytes and multiplies, causing a breakdown in the body's immune system, eventually leading to overwhelming infection and/or cancer, with ultimate death.
Anemia (Anaemia, Anemias) A condition resulting from an unusually low number of red blood cells or too little hemoglobin in the red blood cells. The most common type is iron-deficiency anemia in which the red blood cells are reduced in size and number, and hemoglobin levels are low. Clinical symptoms include shortness of breath, lethargy and heart palpitations.
Aneurysm Localized enlargement of an artery.
Apnea Cessation of breathing.
Arterial (Arteries, Artery) Blood that leaves the heart. When it leaves the right ventricle, it is venous blood; and when it leaves the left ventricle, through the aorta, it is fresh and oxygenated. After it has passed out to the capillaries and started to return, it is venous blood.
Asthma (Asthmatic) A lung disorder marked by attacks of breathing difficulty, wheezing, coughing, and thick mucus coming from the lungs. The episodes may be triggered by breathing foreign substances (allergens) or pollutants, infection, vigorous exercise, or emotional stress. Extrinsic Asthma is triggered by pollen, chemicals or some other external agent; Intrinsic Asthma is triggered by boggy membranes, congested tissues, or other native causes… even adrenalin stress or exertion.
Atherosclerosis Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.
Benign Literally: innocent; not malignant. Often used to refer to cells that are not cancerous; they tend to grow slowly and don't spread (metastasize) like cancer tumors do.
Boil (Boils, Abscess, Abscesses, Carbuncle, Carbuncles, Cystic Acne, Furuncle, Furuncles, Hidradenitis Suppurativa, Pilonidal Cyst, Pilonidal Cysts) A localized infection deep in the skin. A boil generally starts as a reddened, tender area. Over time, the area becomes firm and hard. Eventually, the center of the abscess softens and becomes filled with white cells that the body sends to fight the infection (pus). Finally, the pus forms a "head" and drains out through the skin. A furuncle or carbuncle is an abscess in the skin caused by the bacteria Staphylococcus aureus. It can have one or more openings onto the skin and may be associated with a fever or chills. Cystic acne is a type of abscess formed when oil ducts become clogged and infected. Cystic acne is most common in the teenage years. Hidradenitis suppurativa is an illness in which there are multiple abscesses that form under the arm pits and in the groin area. These areas are a result of local inflammation of the sweat glands. A pilonidal cyst is a special kind of abscess that occurs in the crease of the buttocks. These frequently form after long trips that involve sitting.
Bronchitis Inflammation of the mucous membrane of the bronchial tubes, frequently accompanied by cough, hypersecretion of mucus, and expectoration of sputum. Acute bronchitis is usually caused by an infectious agent and of short duration. Chronic bronchitis, generally the result of smoking, may also be known as Chronic Obstructive Pulmonary Disease (COPD) or Emphysema.
Cancer Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.
Candidiasis (Candida) Infection of the skin or mucous membrane with any species of candida, usually Candida albicans. The infection is usually localized to the skin, nails, mouth, vagina, bronchi, or lungs, but may invade the bloodstream. It is a common inhabitant of the GI tract, only becoming a problem when it multiplies excessively and invades local tissues. Growth is encouraged by a weakened immune system, as in AIDS, or with the prolonged administration of antibiotics. Vaginal symptoms include itching in the genital area, pain when urinating, and a thick odorless vaginal discharge. Candidiasis is also known as: Candida; Candida albicans; Candida Related Complex; Chronic Candida Syndrome; (Chronic) Systemic Candidiasis; Monilia; Candidiasis Hypersensitivity Syndrome; Candidosis; (Chronic) Mucocutaneous Candidosis; Thrush (oral or vaginal); Moniliasis; Polysystematic Candidiasis.
Cardiovascular Pertaining to the heart and blood vessels.
Cervical Dysplasia Abnormal cells on the surface of the cervix, classified as either mild (70% of cases fall into this category; the cells regress on their own), moderate, or severe, or as class 1, 2 or 3. While dysplasia itself does not cause health problems, it is considered to be a precancerous condition. Left untreated, dysplasia sometimes progresses to an early form of cancer known as cervical carcinoma in situ, and eventually to invasive cervical cancer.
Chronic (Chronicity) Usually referring to chronic illness: Illness extending over a long period of time.
Coccidioidomycosis (Valley Fever) A disease caused by inhaling spores of the fungus Coccidioides immitis. It starts out as a respiratory illness and may progress to a persistent infection; disseminated coccidioidomycosis is the most severe form and is often fatal. Anyone who is present near dust-producing activities where soil or other materials contaminated with C. immitis are present can get this disease if enough spores are inhaled. Symptoms: First the lungs are infected, possibly producing no symptoms at all or perhaps a fever, chills, and cough. This infection may heal completely, or result in other complications. Approximately 1-in-1000 cases will progress to the disseminated form, leading to lesions in the lung and abscesses throughout the body. These abscesses tend to form in the subcutaneous tissues, skin, bone and the central nervous system (the brain and spinal cord).
Cysts (Cyst) A closed pocket or pouch of tissue; a cyst may form within any tissue in the body and can be filled with air, fluid, pus, or other material. Cysts within the lung generally are air-filled, while cysts involving the lymph system or kidneys are fluid filled. Cysts under the skin are benign, extremely common, movable lumps. These may develop as a result of infection, clogging of sebaceous glands, developmental abnormalities or around foreign bodies.
Cytomegalovirus (CMV) A member of the herpes virus family which may induce the immune-deficient state or cause active illness, such as pneumonia, in a patient already immune-deficient due to chronic illness, such as cancer or organ transplantation therapy.
Discharge (Discharges) A secretion, of pus for example, from a wound or bodily orifice.
Endometriosis A condition whereby endometrial tissue builds up in parts of the uterus where it does not belong or areas outside of the uterus, forming 'ectopic implants'. Unlike the normal tissue lining the uterus, ectopic tissue has no place to shed in response to a decline in estrogen and progesterone. This results in debris and blood accumulating at the site of the implant leading to inflammation, scarring and adhesions that ultimately cause symptoms and complications. Symptoms typically occur in a cyclic fashion with menstrual periods, the most common being pelvic pain and cramping before and during periods; pain during intercourse; inability to conceive; fatigue; painful urination during periods; gastrointestinal symptoms such as diarrhea, constipation, and nausea.
Epstein Barr Virus (EBV, Epstein-Barr Virus) A virus that causes infectious mononucleosis and that is possibly capable of causing other diseases in immunocompromised hosts.
Human Immunodeficiency Virus (HIV) A retrovirus associated with onset of advanced immunodeficiency syndrome (AIDS).
Immune System (Immune Response, Immunity) A complex that protects the body from disease organisms and other foreign bodies. The system includes the humoral immune response and the cell-mediated response. The immune system also protects the body from invasion by making local barriers and inflammation. The process may involve acquired immunity (the ability to learn and remember a specific infectious agent), or innate immunity (the genetically programmed system of responses that attack, digest, remove, and initiate inflammation and tissue healing).
Lesion (Lesions) Any damage to tissue structure or function; an abnormal change in body tissue caused by disease or injury. A scar is a lesion, as is cancer, a stomach ulcer or a pimple.
Lung (Lungs, Pulmonary) Organ of the body, located in the chest cavity which is designed to bring oxygen from the air into the blood stream, while also expelling carbon dioxide and other waste gases out of the body. Pulmonary: Related to the lungs.
Menopause (Menopausal) The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.
Menstruation (Menses, Menstrual, Menstrual Cycle, Menstrual Cycles, Menstrual Flow, Menstrual Phase, Monthly Cycle) The periodic discharge of blood, tissue fluid and mucus from the endometrium (lining of the uterus) that usually lasts from 3 - 5 days. It is caused by a sudden reduction in estrogens and progesterone.
Mucus (Mucous) The viscous, slippery substance that consists chiefly of mucin, water, cells, and inorganic salts and is secreted as a protective lubricant coating by cells and glands of the mucous membranes.
Multiple Sclerosis (MS) Demyelinating disorder of the central nervous system, causing patches of sclerosis (plaques) in the brain and spinal cord, manifested by loss of normal neurological functions, e.g. muscle weakness, loss of vision, and mood alterations.
Ovarian Cysts (Ovarian Cyst) These occur in two forms, namely "functional" and "organic". Symptoms may not be present but can include pressure or pain in the abdomen, problems with urine flow or pain during sexual intercourse. Rarely, a very large cyst can become twisted and stop its own blood supply, possibly causing nausea, fever or severe abdominal pain. Functional ovarian cysts form part of the normal functioning of the ovary and are always benign. They may be either "follicular cysts", produced by all menstruating women every month and reaching up to 2-3cm in diameter before they rupture at ovulation, or "corpus luteum cysts", which appear after ovulation and may grow to produce "hemorrhagic cysts" if ovulation does not occur or is delayed. Rupture of such a cyst can sometimes cause painful ovulation or bleeding, which is often moderate and resolves by itself. Organic ovarian cysts may be benign or malignant and are not linked to the functioning of the ovary. They occur as either "dermoid cysts", which are benign tumors that may nevertheless recur on either ovary and contain elements derived from the skin (hairs, sebum, teeth), or other organic cysts.
Pap Test (Pap Smear) Papanicolaou test. Microscopic examination of cells collected from the vagina and cervix to test for uterine cancer or dysplasia.
Perimenopause (Perimenopausal) A transition time during which menstrual periods can become irregular and symptoms of menopause may be experienced prior to menopause. On average, the onset of perimenopause occurs around age 47 and the average duration is 4-5 years. It is increasingly seen in women even up to 12-15 years before menopause. An array of physical, mental and emotional symptoms can occur during this time.
Phlebitis Inflammation of a vein. Symptoms of superficial phlebitis include pain, swelling, redness, and warmth around the affected vein. The vein feels hard to the touch because of the clotted blood.
Pneumonia (Pneumonitis) Inflammation, usually infectious, of the lungs. Unless the result of only moderate chemical or smoke irritation, it is a potentially life-threatening condition. There are so many defenses against an infection this deep in the body that the very presence of pneumonia signals a pathogen of great virulence or impaired or exhausted immunity, or all three. Pneumonitis: Inflammation of the lungs, from whatever cause. It may be concurrent with pneumonia or pleurisy.
Postmenopause (Postmenopausal) The postmenopausal phase of a woman's life begins when 12 full months have passed since the last menstrual period and any menopausal symptoms have become milder and/or less frequent.
Premenopause (Premenopausal) The period when women of childbearing age experience relatively normal reproductive function (including regular periods).
Raynaud's Phenomenon (Raynaud's, Raynauds Disease, Raynaud's Disease, Raynauds Phenomenon, Raynauds Syndrome, Raynaud's Syndrome) Raynaud's disease or syndrome is a disorder of blood circulation, mainly in the fingers and toes. It is of unknown cause and characterized by changes of the skin that are aggravated by exposure to cold: first, becoming white with numbness and pain as a result of inadequate oxygenation of the blood, then red/purple with a burning sensation. The sudden constriction of blood vessels causes decreased blood flow to the extremities and can, in extreme cases, lead to gangrene. Also called "white finger", "wax finger" or "dead finger".
Scleroderma (Systemic Sclerosis) An autoimmune disease of the connective tissue, characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body. This leads to thickness and firmness of involved areas.
Shingles (Herpes Zoster) A severe infection caused by the Varicella-Zoster virus (VZV), affecting mainly adults. It causes painful skin blisters that follow the underlying route of brain or spinal nerves infected by the virus. Also know as herpes zoster.
Stroke (Stroke-Type Event) A sudden loss of brain function caused by a blockage or rupture of a blood vessel that supplies the brain, characterized by loss of muscular control, complete or partial loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. The most common manifestation is some degree of paralysis, but small strokes may occur without symptoms. Usually caused by arteriosclerosis, it often results in brain damage.
Syndrome A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).
Thrombophlebitis Venous inflammation with formation of clots. It can occur without any symptoms until the clot reaches the lungs. However, in about half of cases, there are warning symptoms including swelling, pain and warmth in the entire calf, ankle, foot, or thigh (depending on where the involved vein is located).
Thyroiditis (Chronic Thyroiditis, Hashimoto's Thyroiditis) Inflammation of the thyroid; there are several forms of thyroiditis, including chronic or Hashimoto's thyroiditis (also called autoimmune or chronic lymphocyctic thyroiditis), subacute thyroiditis, and painless or postpartum thyroiditis. Thyroiditis often results in hypothyroidism.
Tuberculosis Also known as TB, Consumption or "The White Plague", tuberculosis is an infectious disease caused by a bacterium called Mycobacterium tuberculosis, usually affecting the lungs but possibly also the brain, kidneys and bones. Patients may at first be symptom-free or experience a flu-like illness. In the secondary stage, there might be a slight fever, night sweats, weight loss, fatigue and various other symptoms, depending on the part of the body affected. Tuberculosis of the lung is usually associated with a dry cough that eventually leads to a productive cough with blood-stained sputum. There might also be chest pain and shortness of breath.
Tumor (Tumors, Tumour, Tumours) An abnormal growth of tissue resulting from uncontrolled, progressive multiplication of cells and serving no physiological function; a neoplasm. Literally, a swelling; in the past the term has been used in reference to any swelling of the body, no matter what the cause. However, the word is now being used almost exclusively to refer to a neoplastic mass, and the more general usage is being discarded.
Uterine Fibroids Fibroids are the most frequently seen tumors of the female reproductive system. Also known as uterine myomas, leiomyomas, or fibromas, they are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. In more than 99% of cases they are benign (non-cancerous). They may range in size from the size of a pea to the size of a softball or small grapefruit. Some women never have symptoms, the most common of which are: heavy or prolonged menstrual periods; abnormal bleeding between menstrual periods; pelvic pain; frequent urination; low back pain; pain during intercourse; a firm mass, often located near the middle of the pelvis, which can be felt by a physician.
Varicose Veins Twisted, widened veins with incompetent valves.
Vasculitis Inflammation and necrosis of blood vessels, including arteries, veins and capillaries. The damage may be due to infectious agents, mechanical trauma, radiation or toxins; often no specific causative factor is identified. It involves immune mechanisms such as deposition of circulating immune complexes and direct attack by circulating antibodies
Yeast A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.
More questions later...
