This questionnaire screens for possible uterine causes of infertility or miscarriage. It is not a substitute for professional medical diagnosis. Conditions screened include dysmorphic T-shaped uterus, septate uterus, endometrial polyp, submucous myoma, and intrauterine adhesions. It has 6 questions and takes about 3 minutes. Please choose the answer closest to your situation.
This questionnaire was prepared by Dr. Patsama Vichinsartvichai, LIFE by Dr. Pat. For questions, contact: [email protected]