name: menopause description: Track menopause symptoms, HRT treatment, bone density, and health risk assessment argument-hint: <operation_type+description, e.g.: start 48 2025-11-15, symptom hot flashes 5-10 times daily, bone -1.5> allowed-tools: Read, Write schema: menopause/schema.json

Menopause Management Skill

Perimenopausal symptom tracking and management, providing menopause health assessment and management recommendations.

Core Flow

User Input → Parse Operation Type → Execute Operation → Generate/Update Data → Save → Output Result

Supported Operations

| Operation | Description | Example | |-----------|-------------|---------| | start | Start menopause tracking | /menopause start 48 2025-11-15 | | symptom | Log symptoms | /menopause symptom hot flashes 5-10 times daily moderate | | hrt | Log HRT treatment | /menopause hrt start estradiol 1mg | | bone | Log bone density | /menopause bone -1.5 osteopenia | | status | View status | /menopause status | | risk | Risk assessment | /menopause risk |

Step 1: Parse User Input

Operation Type Recognition

| Input Keywords | Operation | |----------------|-----------| | start | start | | symptom | symptom | | HRT, hrt | hrt | | bone | bone | | status | status | | risk | risk |

Menopause Stage Recognition

months_since_lmp = (today - lmp_date) / 30.44

if (months_since_lmp < 12) {
  stage = "perimenopausal"  // Perimenopause
} else if (months_since_lmp >= 12 && months_since_lmp < 36) {
  stage = "menopausal"  // Menopause
} else {
  stage = "postmenopausal"  // Postmenopause
}

Symptom Type Recognition

| Keywords | Symptom Type | English | |----------|--------------|---------| | hot flashes | hot_flashes | hot flashes | | night sweats | night_sweats | night sweats | | sleep issues | sleep_issues | sleep issues | | mood changes | mood_changes | mood changes | | vaginal dryness | vaginal_dryness | vaginal dryness | | joint pain | joint_pain | joint pain |

Severity Recognition

| Keywords | Level | Score | |----------|-------|-------| | mild | 1 | 1 | | moderate | 2 | 2 | | severe | 3 | 3 |

Frequency Recognition

| Input | Standardized | |------|-------------| | 5-10 times per day | 5-10_per_day | | 3-4 times per night | 3-4_per_night | | often | often | | occasional | occasional |

T-Score Recognition

| User Input | T-Score | |------------|---------| | -1.5 | -1.5 | | 负1点五 | -1.5 | | minus 1.5 | -1.5 |

Bone Density Diagnosis Recognition

| Keywords | Diagnosis | T-Score Range | |----------|-----------|---------------| | normal | normal | T >= -1.0 | | osteopenia | osteopenia | -2.5 < T < -1.0 | | osteoporosis | osteoporosis | T <= -2.5 |

Step 2: Check Information Completeness

start Operation Required:

age: Age (40-65)
last_menstrual_period: Last menstrual period date

start Operation Validation:

Age should be 40-65
LMP cannot be future date
LMP should be within past 12 months

symptom Operation Required:

Symptom type
Frequency or severity

bone Operation Required:

t_score: T-score

hrt Operation Recommended:

action: start/stop/effectiveness
Medication information (when starting)

Step 3: Interactive Prompts (If Needed)

Scenario A: Missing Age

Please provide your age:
(Age should be 40-65)

Scenario B: Missing LMP Date

Please provide your last menstrual period date:
(Format: YYYY-MM-DD)

Scenario C: Unclear Symptom Frequency

What is the symptom frequency?
• X times per day
• X times per night
• Often
• Occasional

Scenario D: Missing T-Score

Please provide bone density test T-score:
(e.g., -1.5)

Step 4: Generate JSON

Menopause Data Structure

{
  "menopause_id": "menopause_20250101",
  "stage": "perimenopausal",
  "age": 48,
  "last_menstrual_period": "2025-11-15",
  "months_since_lmp": 0,

  "symptoms": {
    "hot_flashes": {
      "present": false,
      "frequency": null,
      "severity": null,
      "impact_on_life": null,
      "triggers": [],
      "last_updated": null
    },
    "night_sweats": {
      "present": false,
      "frequency": null,
      "severity": null
    },
    "sleep_issues": {
      "present": false,
      "type": null,
      "sleep_quality": null
    },
    "mood_changes": {
      "present": false,
      "symptoms": []
    },
    "vaginal_dryness": {
      "present": false,
      "severity": null
    },
    "joint_pain": {
      "present": false,
      "severity": null,
      "locations": []
    }
  },

  "symptom_history": [],

  "hrt": {
    "on_treatment": false,
    "considering": false,
    "medication": null,
    "type": null,
    "dose": null,
    "route": null,
    "start_date": null,
    "duration": null,
    "effectiveness": null,
    "effectiveness_rating": null,
    "side_effects": [],
    "notes": ""
  },

  "bone_density": {
    "last_check": null,
    "t_score": null,
    "z_score": null,
    "diagnosis": null,
    "diagnosis_category": null,
    "fracture_risk": null,
    "fracture_risk_level": null,
    "next_check_due": null,
    "calcium_intake": {},
    "vitamin_d": {},
    "weight_bearing_exercise": null,
    "fall_risk_factors": []
  },

  "cardiovascular_risk": {
    "last_assessment": null,
    "blood_pressure": null,
    "systolic": null,
    "diastolic": null,
    "bp_classification": null,
    "lipids": {},
    "blood_sugar": {},
    "risk_level": null,
    "risk_factors": [],
    "modifiable_factors": []
  },

  "lifestyle": {
    "exercise": {},
    "diet": {},
    "stress_management": [],
    "sleep_habits": null
  },

  "metadata": {
    "created_at": "2025-01-01T00:00:00.000Z",
    "last_updated": "2025-01-01T00:00:00.000Z"
  }
}

Complete schema definition: see schema.json.

Step 5: Save Data

Read data/menopause-tracker.json
Update corresponding data
Write back to file
If detailed records exist, save to data/menopause-records/YYYY-MM/YYYY-MM-DD_symptom-record.json

Execution Instructions

1. Parse user input and determine operation type
2. Execute corresponding logic based on operation type
3. Validate input data and state
4. Generate JSON compliant with schema.json
5. Save to data/menopause-tracker.json
6. Output operation result and summary to user

Example Interactions

Example 1: Start Menopause Tracking

User: /menopause start 48 2025-11-15

System:
Menopause tracking created

Basic Information:
Age: 48
Last menstrual period: November 15, 2025
Menopause stage: Perimenopause

Stage Description:
Perimenopause is the period from when ovarian function begins to decline until one year after menopause, typically lasting 4-10 years.

Common Symptoms:
• Irregular menstrual cycles
• Hot flashes and night sweats
• Mood swings
• Sleep disturbances
• Vaginal dryness

Recommended Checkups:
• Bone density test (recommended every 1-2 years)
• Cardiovascular risk assessment (blood pressure, lipids)
• Gynecological exam (annually)
• Breast exam (annually)

Lifestyle Recommendations:
• Regular exercise (3-5 times per week)
• Balanced diet (rich in calcium and vitamin D)
• Maintain healthy weight (BMI 18.5-24.9)
• Quit smoking and limit alcohol
• Stress management
• Adequate sleep

Data saved to: data/menopause-tracker.json

Example 2: Log Hot Flash Symptoms

User: /menopause symptom hot flashes 5-10 times daily moderate

System:
Symptom recorded

Symptom Information:
Type: Hot flashes
Frequency: 5-10 times daily
Severity: Moderate

Current menopause stage: Perimenopause

Symptom Score:
Hot flash score: 14/12 (severe)

Overall symptom burden: 65/100 (moderate)

Assessment:
Moderate symptom burden affecting quality of life.

Recommendations:
• Lifestyle adjustments
• Regular exercise, stress reduction
• If symptoms significantly affect life, consider medical evaluation for HRT

Management Tips:
• Identify and avoid triggers (hot drinks, hot environments, stress)
• Wear layered clothing for easy adjustment
• Keep room temperature cool (18-22°C)
• Use cooling pillows
• Regular exercise (yoga, tai chi)

Data synced to symptom records

Example 3: Log Bone Density

User: /menopause bone -1.5 osteopenia

System:
Bone density record updated

Bone Density Test Information:
Test date: June 15, 2025
T-score: -1.5
Z-score: -1.2
Diagnosis: Osteopenia

Fracture Risk Assessment:
Current risk: Low

Bone Density Changes:
2023: T-score -1.3 (normal)
2025: T-score -1.5 (osteopenia)
Change: Slight decline

Management Recommendations:
• Calcium: 1200-1500mg daily
• Vitamin D: 800-1000IU daily
• Weight-bearing exercise: 3-4 times weekly
• Strength training: 2-3 times weekly
• Quit smoking and limit alcohol

Follow-up Recommendation:
Next test: June 15, 2026 (1 year later)

For more examples, see examples.md.

Menopause Management