Table 4.

Questionnaire-based assessments of HMB

Questions
Philipp et al10  • How many days did your period usually last, from the time bleeding began until it completely stopped?
• How often did you experience a sensation of “flooding” or “gushing” during your period?
• During your period did you ever have bleeding where you would bleed through a tampon or napkin in 2 hours or less?
• Have you ever been treated for anemia?
• Has anyone in your family ever been diagnosed with a bleeding disorder?
• Have you ever had a tooth extracted or had dental surgery? If yes, any bleeding concerns?
• Have you ever had surgery other than dental surgery? If yes, any bleeding concerns?
• Have you ever been pregnant? If yes, any bleeding concerns? 
Matteson et al12 (selected questions) • During the past month, how would you describe your periods?
• On your heaviest day of bleeding during the past month, how many high-absorbency sanitary products did you soak (either completely or almost completely)?
• During the past month, how many times have you had an episode of bleeding that soaked through your “outer” clothes (pants, skirt, dress)?
• During the past month, how many times did you pass blood clots (clumps of blood)?
• Please fill in the following statement about pain related to your period. During the past month, my period was associated with . . . 
• During the past month, how many days do think your work at your job suffered because you were bleeding?
• During the past month, how many days did you avoid family activities (grocery shopping, household chores) when you thought you would be bleeding?
• During the past month, on how many days did you plan your activities (work, social, or family) based on whether or not there was a bathroom nearby?
• During the past month, on how many days did you choose what to wear based on whether or not you were bleeding?
• On a scale of 0-10, with 0 being no concern at all and 10 being extremely concerned, please rate your overall concern about bleeding staining your clothes. 
Toxqui et al9  • Self-judgment: Do you believe that you have an excessive menstrual flow?
• Lasting days:
• Does your menses last for more than 7 days?
• Total number of days in a single menstrual period:
• Total pad counts per single menstrual period:
• Do you use more than 20 pads during a single menstrual period?
• Total pad counts in a single menstrual period:
• Number of sanitary products changed per day:
• Do you need to change pads or tampons more frequently than every 3 hours?
• Number of pads on the day with the heaviest menstrual flow:
• Leaking of menstrual blood: Do you experience frequent episodes of accidental soiling of your clothing or bedsheets?
• Presence of coagulated menstrual blood: Do you pass blood clots that are larger than 1 inch in diameter? 
Questions
Philipp et al10  • How many days did your period usually last, from the time bleeding began until it completely stopped?
• How often did you experience a sensation of “flooding” or “gushing” during your period?
• During your period did you ever have bleeding where you would bleed through a tampon or napkin in 2 hours or less?
• Have you ever been treated for anemia?
• Has anyone in your family ever been diagnosed with a bleeding disorder?
• Have you ever had a tooth extracted or had dental surgery? If yes, any bleeding concerns?
• Have you ever had surgery other than dental surgery? If yes, any bleeding concerns?
• Have you ever been pregnant? If yes, any bleeding concerns? 
Matteson et al12 (selected questions) • During the past month, how would you describe your periods?
• On your heaviest day of bleeding during the past month, how many high-absorbency sanitary products did you soak (either completely or almost completely)?
• During the past month, how many times have you had an episode of bleeding that soaked through your “outer” clothes (pants, skirt, dress)?
• During the past month, how many times did you pass blood clots (clumps of blood)?
• Please fill in the following statement about pain related to your period. During the past month, my period was associated with . . . 
• During the past month, how many days do think your work at your job suffered because you were bleeding?
• During the past month, how many days did you avoid family activities (grocery shopping, household chores) when you thought you would be bleeding?
• During the past month, on how many days did you plan your activities (work, social, or family) based on whether or not there was a bathroom nearby?
• During the past month, on how many days did you choose what to wear based on whether or not you were bleeding?
• On a scale of 0-10, with 0 being no concern at all and 10 being extremely concerned, please rate your overall concern about bleeding staining your clothes. 
Toxqui et al9  • Self-judgment: Do you believe that you have an excessive menstrual flow?
• Lasting days:
• Does your menses last for more than 7 days?
• Total number of days in a single menstrual period:
• Total pad counts per single menstrual period:
• Do you use more than 20 pads during a single menstrual period?
• Total pad counts in a single menstrual period:
• Number of sanitary products changed per day:
• Do you need to change pads or tampons more frequently than every 3 hours?
• Number of pads on the day with the heaviest menstrual flow:
• Leaking of menstrual blood: Do you experience frequent episodes of accidental soiling of your clothing or bedsheets?
• Presence of coagulated menstrual blood: Do you pass blood clots that are larger than 1 inch in diameter? 

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