His Holiness
Maharishi
Mahesh Yogi
 
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Difficulty conceiving

Your answers will enable us to develop your personalized consultation.
Select the consultation type for this disorder. For more information, click on the consultation type.
   Enhanced ($900)

   Additional or Follow-up ($450)
Issues
1) (required) Check one or more characteristics or information relevant to your current case of Difficulty conceiving and its symptoms.
 Unable to conceive a baby  Infrequent or irregular periods
 Failure to ovulate  Obstruction of the fallopian tubes
 Endometriosis  Hormonal imbalance
 Have had surgery for this disorder  Low sexual function
 Blocked energy flow  None
2) (required) Check one or more primary areas to be addressed.
  Left Ovary
  Right Ovary
  Uterus
  Reproductive organs
3) (required) Check one or more Sensations that are predominant in your case of Difficulty conceiving.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Difficulty conceivingNone
4) Check one or more kinds of Pain that you experience in association with your case of Difficulty conceiving or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
Current condition
5) (required) Select how often you experience Difficulty conceiving or its symptoms.
Frequency of Difficulty conceiving
6) (required) Currently, how severe is your case of Difficulty conceiving or its associated symptoms?
Duration of Difficulty conceiving     mild     moderate     severe     very severe
7) (required) How disabling is your case Difficulty conceiving or its symptoms?
Disablity from Difficulty conceiving  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Difficulty conceiving or its symptoms?
Duration of Difficulty conceiving  years  months  weeks
9) (required) Is your case of Difficulty conceiving the result of an accident or another sudden traumatic event?
Difficulty conceiving from accident yes  no  unsure
10) (required) Has your case of Difficulty conceiving been medically diagnosed?
Difficulty conceiving was medically diagnosed yes  no
11) Brief history of your case of Difficulty conceiving and its treatment  (optional - up to 250 characters only) 
History of Difficulty conceiving
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Difficulty conceiving?
Prior MVVT treatments for Difficulty conceiving  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Difficulty conceiving  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Difficulty conceiving

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