Action Form: Permanent Birth Control: The Facts
If you had a medical diagnosis, how difficult was it to get a correct one? Don't Know Easy Difficult Impossible
What kind of experience have you had with the medical profession? Don't Know Bad Good Excellent
If you used a alternative practitioner, what kind of experience did you have? Don't Know Bad Good Excellent
What did you find worked for you? Stress Reduction Vitamins Herbs Diet Change Prescription Drugs Exercise Time-Off Body Work
Who would you like to be informed about this subject? Medical Associations Government Regulatory Agencies Elected Representatives Drug and Supplement Manufacturing Companies
What following conditions do you think apply to you. (Check anything that might apply) abdominal surgery Check off any of the following therapies or procedures you use. abdominal pain abnormal uterine bleeding burning cramping dry vagina early estrogen deficiency estrogen deficiency excessive growth of breast tissue gastritis heavier periods heavier menstrual periods heavier bleeding heavy lifting increased menstrual pain irritable bowel syndrome laparoscopic sterilization loss of libido lowered hormone levels major abdominal surgery menstrual pain menstrual complications pain in the low back painful periods premature menopause prone to bleed recurrent abdominal pain scars small scars therapeutic abortion tubal reconstructions tubal pregnancy unwanted pregnancy urinary problems Make your imput count. The information you submit will be compliled with all other submissions and used to activate for positive change in women's health.
Check off any of the following therapies or procedures you use. abdominal pain abnormal uterine bleeding burning cramping dry vagina early estrogen deficiency estrogen deficiency excessive growth of breast tissue gastritis heavier periods heavier menstrual periods heavier bleeding heavy lifting increased menstrual pain irritable bowel syndrome laparoscopic sterilization loss of libido lowered hormone levels major abdominal surgery menstrual pain menstrual complications pain in the low back painful periods premature menopause prone to bleed recurrent abdominal pain scars small scars therapeutic abortion tubal reconstructions tubal pregnancy unwanted pregnancy urinary problems
