Consultation form

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Which of the following symptoms do you have? You may tick multiple boxes.

Increased or prolonged mensturation

Anemia

Frequent urination

Abdominal fullness, constipation

Painful mensturation

Do you want pregnancy?

Absolutely yes

I would prefer

Does not make any difference

I dont want pregnancy

Which of the following do you have? You may tick multiple boxes.

My mother or sister has fibroids too

My mother or sister has uterine/ovarian cancer

I have intrauterine device for birth control

I have a genital infection

I am a smoker

I consume alcohol regularly

Thank you for consulting us. We will respond as soon as possible.

Fill in this form to consult on nonsurgical treatment of uterine fibroids and adenomyosis

OTHER NON SURGICAL TREATMENTS

WHATS APP NUMBERS

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