| Symptom | Frequency | Avg severity | Trend |
|---|---|---|---|
| Brain fog | 27 of 28 days | Severe | Stable |
| Anxiety | 26 of 28 days | Moderate | Stable |
| Joint pain | 26 of 28 days | Moderate | Stable |
| Hot flushes | 25 of 28 days | Moderate | Stable |
| Night sweats | 24 of 28 days | Moderate | Stable |
Brain fog appeared on 27 of 28 days and was the most persistent symptom. It almost always followed a night with sleep rated 2/5 or below. After nights rated 3+, brain fog was notably less frequent.
Symptoms were consistently worse in the 2-3 days before menstruation. Sleep quality, energy, and mood all dropped during this window. This cyclical pattern is consistent with hormonal fluctuation.
The patient's SUMM Score improved slightly in the second half of the tracking period (average 41 first 14 days vs 51 last 14 days), with fewer days where work was significantly affected.
1. Could this be perimenopause given my age and symptom pattern?
2. Would HRT be appropriate given the severity of my sleep disruption and brain fog?
3. Should I request a full thyroid panel to rule out thyroid dysfunction?