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Please, Health Me!? Appointment Cheat Sheet

Yeast Infection Symptoms

Use this before your appointment to organize what has been happening. You do not need to diagnose yourself. The goal is to give your provider a clear history so they can better understand your symptoms and decide what testing or treatment may be helpful.

Your answers stay on this device

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Symptoms

Are these symptoms:
What does the discharge look like?
Is there an odor?
Do you have itching and/or burning?
Do you have pain with urination or intercourse?
Have you recently taken antibiotics?

Sexual health information

You only need to include what is relevant, but honest information can help your provider rule out other causes.

Have you had:
Are you currently on any form of contraceptives?
Is your partner circumcised?

History and treatment

Do you have any history of:

Leave unchecked if N/A.

Have you been using new products lately, such as soaps or vaginal products?
Are you concerned about an STD infection?

We do not save any of this information.