HRT tracker for symptoms, side effects, labs and doctor visits

This HRT tracker is where you note how hormone therapy is treating you, a day and a month at a time, so changes become visible and easy to discuss with your doctor. The 28 undated pages hold your profile, a record of the treatment you were prescribed, day and week pages for flushes, sweats at night, rest, mood and energy, month summaries, a side effect diary, a blank timing log for doses or applications, a lab record and visit notes, all sized for US Letter and A4. Download the PDF instantly; nothing is shipped.

Clear notes now mean calmer, more useful appointments later.

How the HRT tracker shows what is changing

Pick up to 10 symptoms and name them your own way, score each from 0 to 3 daily and view the whole month on a single page alongside how many flushes you had, your sleep, mood, energy and any bleeding. Note every flush or sweaty night with when it happened, its intensity and the circumstances, and add anything unfamiliar to the side effect diary, even when you are unsure it is connected.

Copy your treatment exactly as the pharmacy label shows it, note each change your doctor makes and how you felt two and six weeks later. Before every visit, the prep page gathers your notes and questions, so nothing important slips away in a short appointment.

Who this hormone therapy tracker is for

• Women in perimenopause or menopause who are new to hormone therapy and want to watch their flushes, night sweats, rest and mood change month by month
• Anyone asked by their doctor to note symptoms and side effects ahead of the next review
• People on a patch, gel, spray or tablet who need a simple log of when each dose or application happens, exactly as prescribed
• Those who like to keep all their lab work, checkups and treatment changes in one binder
• Anyone whose questions vanish the moment a quick appointment starts and who wants to walk in ready

Design and printing

• Clean, minimal look: white pages with soft blush pink details that save ink
• Wide margins, so a home printer will not cut anything off
• Portrait, in two sizes: A4 at 210 x 297 mm and US Letter at 8.5 x 11 inches
• Undated, so you can begin any day and reprint pages whenever you need
• Use a binder or a clipboard, or have it spiral bound at a print shop

Inside the HRT tracker: 28 pages

1. 1Cover and page index
2. 2Seven steps for getting started, a note on which pages need printing just once versus repeatedly, and a reminder that nothing here is medical advice
3. 3Profile: your details, allergies, why you began hormone therapy in your own words, other conditions, personal and family health history, what your doctor asked you to watch for and how you hope to feel
4. 4Care team: a 14 line contacts table (doctors, gynecologist, lab, pharmacy, specialists, insurance and others), how to get hold of your doctor and emergency details
5. 5Treatment record: 6 lines for your prescribed hormone therapy, each with the medicine and strength from the label, its form, your doctor's instructions, the start date and prescriber, plus boxes to tick for the form, where and when to use it as advised, 6 lines for any other medicines or supplements, what your doctor said you might notice and when to phone them
6. 6Treatment changes: 3 changes written exactly as prescribed, the reason your doctor gave, how you felt at 2 and 6 weeks, and the follow-up lab and visit
7. 7Symptom list: a 10 line table to name and describe your tracked symptoms, 16 examples people often follow, a 0 to 3 rating scale and factors that can affect how you feel
8. 8Daily page holding two days: times you woke and went to bed, circles to rate energy, mood and how well you slept, the number of flushes, night sweats, wake-ups, symptoms, the time of your dose or application as prescribed, plus water, exercise, coffee or tea, alcohol and a note
9. 9A Monday to Sunday grid with 17 rows: flushes, night sweats, sleep length and quality, mood, energy, whether therapy was taken as prescribed, 7 of your symptoms, any bleeding or spotting, exercise and stress, then your best and toughest days, visit notes and what made a difference
10. 10Flush and night sweat record: 20 lines noting when, whether it was daytime or night, intensity, duration, the situation and a comment, then suspected triggers and ways you cooled off
11. 11A month of sleep and energy on 31 lines: hours of sleep, wake-ups, sweats, energy, mood and a one line summary of each day
12. 12Month grid, days 1 to 31, with rows for flushes, your 10 numbered symptoms, sleep, mood, energy, doses taken and any bleeding, a key for your symptom names and boxes for the month's lab test, visit and treatment change
13. 13Looking back on the month: the good days and the tough ones, the flush total, typical sleep, your overall feeling, which symptoms eased or worsened, patterns, what helped, points for your doctor and next month's plans
14. 14Side effect diary: 14 lines for when, what you noticed, the time or place, intensity, duration and whether your doctor knows, plus the urgent warning signs your doctor gave you and their response
15. 15Monthly timing log for doses or applications: your doctor's instructions at the top, then 31 lines with the time, a tick once done, the site you used where it applies, any late or missed dose and notes
16. 16Refills and pharmacy: 16 refill lines, pharmacy details and a checklist for before you run out
17. 17Optional notes on bleeding and spotting: a 31 day grid with rows for bleeding, spotting, cramping, sore breasts, mood and one extra symptom, plus a table covering 12 months
18. 18Blank lab record: 20 lines for the date, the test name as printed on the report, the result and its unit, the reference range from the report, the ordering doctor and notes
19. 19Results compared over time: 14 tests down the side and 6 dates across, so reported values sit side by side
20. 20Checkups and screenings: 14 lines for the checks your own doctor suggested, showing who suggested it, the last date, the reported result, when it is due again and whether it is booked, with reminders and questions below
21. 21Optional blood pressure and weight: two 22 line tables for date, blood pressure, weight and notes
22. 22Appointment prep: visit details, your top 3 topics, how you have been feeling, symptoms that changed, side effects to raise, a list of what to bring and 6 numbered questions
23. 23Visit notes: the doctor's comments, the answers you got, your treatment as prescribed at this visit, any tests ordered, a checklist of next steps and when you go back
24. 24Running list of questions for the doctor: 16 lines to note the date, the question, the answer and a tick once it has been asked
25. 25Visit history: 20 lines showing when, which doctor or lab, the kind of visit, why, any labs, any change to treatment and the next step, along with 20 circles to count visits
26. 26The year by month: a line for each month showing your general wellbeing, key symptoms, flushes, visits, any treatment change and a comment, then labs, checkups and visits still to arrange
27. 27Looking back on the year: how you feel now versus twelve months ago, the largest shifts, what worked, what was tough, what your body taught you and questions to carry into the new year
28. 28Lined notes page

What you will download

• HRT Tracker in US Letter, PDF, 28 pages
• HRT Tracker in A4, PDF, 28 pages
• Read Me First, a short PDF printing guide

How to download and print

• Check out with PayPal, a debit or credit card, Apple Pay or Google Pay. Your download page opens as soon as the payment goes through.
• We email the same private download links to you, so you can download your files again later.
• Open the PDF in a free reader such as Adobe Acrobat Reader and print at 100% or Actual size.
• Print only the pages you need, as often as you like, for your own personal use.

Good to know

• This PDF is designed to be printed and has no hyperlinks, but you can open it in a note taking app and write on it there.
• It is a digital download, so nothing physical is shipped.
• Colors may look slightly different on paper than on screen.
• The files are meant for your own use, so please keep them to yourself rather than sharing, reselling or redistributing them.
• Digital files can't be sent back, but if one won't open or prints wrongly, email us and we will help right away.
• Use it to keep your own records only. It is not medical advice, and it will never diagnose, treat or suggest a hormone, dose, time, target or treatment. Any field labeled as your doctor advised is empty for you to fill in from your own doctor's instructions. Please do not begin, pause or change hormone therapy by yourself, and speak to your doctor about any symptom that is new or worries you.

How this was made

Designed and written by PetiteDiary. AI tools helped draft parts of the text, and some background scenes in the preview images were created with AI. Every page was designed, reviewed and checked before release.

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