Reproductive Health Survey

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Reproductive Health Survey

Your gender

1. My testicles were undescended when I was a kid.

2. I had mumps after puberty.

3. I had varicocele surgery, but my sperms did not get better.

4. I smoke more than ten cigarettes a day.

5. I cannot cope with my daily stress.

6. I consume more than two glasses of alcohol beverage a day.

7. I drink more than 5 cups of tea, coffee, and cola a day.

8. I am 10 kg above than normal weight range..

1. I am younger than 35 years old and I have been wishing to have a baby for a year.

2. I am more than 34 years old and I have been wishing to have a baby for 6 months.

3. I cannot have my periods without taking my medications.

4. My periods are painful.

5. I had a gynecological operation.

6. My periods are irregular.

7. My periods take less than 24 days.

8. My periods take longer than 32 days.

9. I have endometriosis.

10. I smoke more than ten cigarettes a day.

11. I cannot cope with my daily stress.

12. I consume more than two glasses of alcohol beverage a day.

13. I drink more than 5 cups of tea, coffee, and cola a day.

14. I am 10 kg above than normal weight range..