---
name: womens-health
description: "Comprehensive women's health skill covering menstrual cycle tracking, fertility awareness, pregnancy monitoring, perimenopause/menopause management, and gender-specific preventive care. Triggers on: period, menstrual cycle, fertility, ovulation, pregnancy, menopause, perimenopause, women's health, gynecology, PMS."
allowed-tools: [bash, glob, read]
version: "1.0.0"
---
# Women's Health — Your Reproductive Health Companion
Specialized women's health skill for menstrual cycle tracking, fertility awareness, pregnancy support, and menopause management with personalized care throughout all life stages.
## Life Stage Coverage
### 🌸 Menstrual Years (12-45)
- Cycle tracking and pattern recognition
- Fertility awareness (natural family planning)
- PMS/PMDD management
- Menstrual disorder screening
### 🤰 Pregnancy & Postpartum
- Trimester-specific guidance
- Symptom tracking
- Preparation checklists
- Postpartum recovery
### 🍂 Perimenopause & Menopause
- Hormonal transition support
- Symptom management
- Bone health
- Cardiovascular risk awareness
## Cycle Tracking
### Menstrual Cycle Phases
| Phase | Days | Hormones | Symptoms |
|-------|------|----------|----------|
| Menstrual | 1-5 | Low | Bleeding, cramps |
| Follicular | 6-14 | Rising estrogen | Energy ↑, mood ↑ |
| Ovulation | ~14 | LH surge, peak estrogen | Fertile window |
| Luteal | 15-28 | Progesterone dominant | PMS possible |
### Fertility Awareness
**Fertile Window**: ~6 days (5 days before ovulation + day of)
- Ovulation: ~14 days before next period
- Egg viability: 12-24 hours
- Sperm viability: up to 5 days
**Tracking Methods**:
1. BBT (Basal Body Temperature): Rise 0.3-0.5°C after ovulation
2. Cervical mucus: Egg white consistency = fertile
3. LH tests: Positive 24-36h before ovulation
4. Calendar method: Cycle length - 14
## Pregnancy Monitoring
### Trimester Milestones
| Trimester | Weeks | Key Developments | Focus |
|-----------|-------|------------------|-------|
| First | 0-13 | Organ formation | Prenatal vitamins, avoid teratogens |
| Second | 14-27 | Growth, movement | Anatomy scan, glucose test |
| Third | 28-40 | Maturation | Birth preparation, monitoring |
### Important Screenings
| Test | Timing | Purpose |
|------|--------|---------|
| Dating ultrasound | 8-12 weeks | Confirm due date |
| NIPT/cfDNA | 10-13 weeks | Chromosomal screening |
| Anatomy scan | 18-22 weeks | Structural assessment |
| Glucose challenge | 24-28 weeks | Gestational diabetes |
| Group B Strep | 35-37 weeks | Infection prevention |
## Menopause Management
### Stages
| Stage | Definition | Duration |
|-------|------------|----------|
| Perimenopause | Irregular cycles, symptoms | 4-8 years |
| Menopause | 12 months no period | Permanent |
| Postmenopause | After menopause | Lifetime |
### Common Symptoms (75% of women)
- Hot flashes/night sweats
- Sleep disturbances
- Mood changes
- Vaginal dryness
- Decreased libido
- Weight gain (abdominal)
### Health Priorities Post-Menopause
1. **Bone health**: DEXA scan at 65 (earlier if risk factors)
2. **Cardiovascular**: Risk equalizes with men
3. **Cancer screening**: Mammograms continue
## Output Example
```markdown
# Women's Health Report — March 20, 2026
## 🌸 Cycle Summary
### Current Cycle
| Parameter | Value | Normal Range |
|-----------|-------|--------------|
| Cycle Day | 14 | — |
| Cycle Length | 28 days | 21-35 days |
| Period Duration | 5 days | 3-7 days |
| Flow | Moderate | Light-Heavy |
### This Cycle's Data
```
Flow by Day:
Day 1: ████████ Heavy
Day 2: ██████████ Heavy
Day 3: ██████ Moderate
Day 4: ███ Light
Day 5: █ Spotting
```
### Fertility Status
**Today**: 🔴 Fertile Window (High fertility)
- Ovulation predicted: Tomorrow (CD 15)
- Chance of conception: 20-30%
- Fertile days remaining: 3
**Symptoms**:
- ✅ Cervical mucus: Egg white, stretchy
- ✅ BBT: Rising trend (36.4°C → 36.7°C)
- ✅ LH test: Positive today
---
## 📊 Cycle Pattern Analysis
### Last 6 Cycles
| Cycle | Length | Period | PMS | Notes |
|-------|--------|--------|-----|-------|
| 1 | 28 days | 5 days | Mild | — |
| 2 | 29 days | 5 days | Moderate | Stress |
| 3 | 27 days | 4 days | Mild | — |
| 4 | 28 days | 5 days | Mild | — |
| 5 | 30 days | 5 days | Moderate | Travel |
| 6 | 28 days | 5 days | Mild | Current |
**Pattern**: Regular (SD = 1.1 days), average 28.3 days
**PMS Pattern**: Worse with stress/travel
---
## 💡 Recommendations
### For Trying to Conceive
- ✅ Intercourse today, tomorrow, and day after
- ✅ Consider lying down 15 min post-intercourse
- ✅ Start prenatal vitamins if not already
- 📅 Next cycle: If no period by April 4, take pregnancy test
### For Cycle Health
- Track PMS symptoms to identify triggers
- Stress management during luteal phase
- Iron-rich foods during menstruation
### Red Flags (Consult Gynecologist)
- Cycles <21 or >35 days consistently
- Periods >7 days or very heavy (soaking pad/hour)
- Severe cramps not relieved by OTC meds
- Bleeding between periods
- No period for 3 months (not pregnant)
---
## 📋 Preventive Care Schedule
### For Your Age (32)
| Screening | Frequency | Last Done | Next Due |
|-----------|-----------|-----------|----------|
| Pap smear | Every 3 years | 2024 | 2027 |
| HPV test | Every 5 years | — | 2026 |
| Breast self-exam | Monthly | — | Ongoing |
| Clinical breast exam | Every 3 years | 2024 | 2027 |
| STI screening | As needed | 2024 | As needed |
---
⚠️ **Note**: This information is educational. For concerning symptoms, consult a healthcare provider specializing in women's health.
