Menopause Pulse — Symptom Report
December 1, 2025 – January 26, 2026 · 8 check-ins over 8 weeks
Things to discuss with your provider
▲
Sleep is your most affected area and has been trending worse over the past 3 check-ins. Staying asleep is rated 7/10 severity.
Sleep category: 18/30 (60%) · Highest of all categories
⚠
67 days since your last period — your cycles have been lengthening (28, 34, 38, 52 days). This pattern is consistent with perimenopause transition.
Cycle range: 28–67+ days · Trend: lengthening
↓
Thermostat symptoms are improving. Down from 32/40 to 22/40 over the tracking period.
This may be connected to Estradiol patch, which is marked as helping
→
Black cohosh was paused — marked "not helping." You may want to discuss alternatives or next steps.
Latest note: "Took for 6 weeks, no noticeable change. Pausing to simplify and focus on HRT."
?
Magnesium glycinate — "not sure" if it's helping. Worth discussing whether to continue, adjust, or stop.
Latest note: "May be helping with sleep — hard to separate from the estradiol."
↓
Overall symptom burden is trending down — improved by 28 points over 8 check-ins.
This is an encouraging trend worth continuing to monitor
Tracking Summary
Active symptoms
26 of 41
rated above 0 in latest
Most affected
Sleep
18/30 (60%)
Overall trend
↓ Improving
over tracking period
Symptom Categories (Most Recent)
Sleep
60%
top: Staying asleep (7)
Thermostat
55%
top: Night sweats (7)
Cognitive
45%
top: Brain fog (6)
Physical
40%
top: Joint pain (6)
Intimate
20%
top: Vaginal dryness (4)
Medications & Supplements
Estradiol patch (0.05mg) · twice weeklyHelping
📝 Dec 15: Night sweats still bad, but hot flashes during the day have reduced noticeably.
📝 Jan 12: Significant improvement in sleep. Night sweats down from nightly to 2–3x per week.
Magnesium glycinate (400mg) · nightlyNot sure
📝 Jan 5: May be helping with sleep — hard to separate from the estradiol. Continuing for now.
Paused
Black cohosh (540mg)Not helping
📝 Dec 22: Took for 6 weeks, no noticeable change. Pausing to simplify and focus on HRT.
Menstrual Cycle Data
Days since last period67 ⚠
Periods logged4
Average cycle length41 days
Cycle range28–67+ days
Cycle trendLengthening
Recent cycle lengths28, 34, 38, 52 days
Selected Notes
Dec 1: Starting to track seriously. Night sweats are the worst — waking up 3–4 times a night. Brain fog is affecting work.
Dec 22: Started HRT patch last week. No change yet but doctor said give it 4–6 weeks.
Jan 12: Real improvement in sleep this week. Still have joint pain in mornings but mood feels more stable.
Jan 26: Best week in months. Want to discuss whether dose adjustment makes sense at next appointment.
Questions to bring to your appointment
Based on the patterns above, here are some things worth asking about:
1.Would a sleep study be appropriate given these patterns?
2.Based on these cycle changes, should we discuss hormone level testing?
3.Are there alternatives to Black cohosh we haven't tried?
4.Should I continue Magnesium glycinate, or would stopping for a while make it clearer whether it's helping?
Generated by Menopause Pulse · menopausepulse.com · Self-reported data for discussion purposes. Not a medical diagnosis.
How these insights are generated
Each insight above is generated by looking at your self-reported data against simple, transparent rules. Nothing is inferred beyond what you've logged. Here's what triggered each insight in this report:
▲ Sleep is your most affected area
This category scored 60% of its maximum (18/30) in the most recent check-in — higher than any other category. The last 3 check-ins showed consecutive increases, so the trending language was added.
⚠ 67 days since your last period
Based on logged period dates. A gap of 60+ days is flagged automatically. Cycle lengths of 28, 34, 38, 52 days show a lengthening pattern detected from consecutive increases.
↓ Thermostat symptoms are improving
Thermostat category decreased by 31% (from 32/40 to 22/40) between the earliest and most recent check-in. Estradiol patch is marked "helping," so it's noted as a possible factor.
→ Black cohosh was paused
This medication was marked "not helping" and paused. Surfaced so your provider knows what's been tried.
? Magnesium glycinate — "not sure"
This medication's efficacy is marked "not sure." Flagged as a conversation point about whether to continue, adjust, or stop.
↓ Overall symptom burden is trending down
Composite symptom score decreased by 28 points (from 122 to 94) over 8 check-ins — exceeding the 10-point threshold for this insight.