This section is placed under the medical supervision of Dr. Foued Hamza , a surgeon specializing in plastic, reconstructive and aesthetic surgery.
Are you wondering if leg pain, disproportion, easy bruising, or a feeling of heaviness could be signs of lipedema? There is no online test that can confirm this condition. Diagnosis relies primarily on the patient's history of symptoms, a physical examination, and the investigation of other possible causes.
This questionnaire does not calculate any score. It helps you organize factual observations, identify situations that should not be delayed, and generate a readable report for a general practitioner, vascular physician, or specialist consultation.
New: the Lipoedema Monitoring Booklet , 11 printable sheets (path, requests for care, appointments and sessions, compression, budget) to follow your journey in one place.
Also read: the stages and types of lipedema , to understand what professionals describe without self-diagnosing.
Private questionnaire to prepare for the appointment
Your choices will remain on this page and disappear upon reloading. The widget does not transmit the content of your answers. To protect your privacy, do not enter your name, date of birth, contact information, or case number.
PREPARATION TOOL, WITHOUT DIAGNOSIS
Organize your observations before the consultation.
Check only what you have actually observed. The result reformulates your answers without interpreting them and without classifying any potential lipedema.
SUMMARY TO BE REVIEWED WITH A PROFESSIONAL
Consultation preparation sheet
This form only reflects your choices. It does not confirm or rule out lipedema, does not determine any stage, and does not replace a clinical examination.
No online test confirms lipedema
Lipedema remains a clinical diagnosis. A symmetrical distribution, often unaffected feet, pain upon touch, heaviness, or easy bruising may be part of the clinical picture, but none of these elements is specific. Their absence does not automatically rule out the disease either.
The professional reviews the chronology, examines the affected areas, and looks for venous disease, lymphedema, other causes of edema, or joint disorders. Further tests may be helpful for differential diagnosis, but no single result replaces this comprehensive approach.
To understand these distinctions before your appointment, consult our comprehensive guide to lipedema . The information sheet generated here is for describing your situation, not for choosing the name of a disease.
Who should I give the form to?
The primary care physician can be a first point of contact. Depending on the symptoms and examination, they may refer the patient to a vascular specialist, a clinic specializing in lymphatic disorders, a physical medicine and rehabilitation specialist, or another appropriate professional. A surgical consultation should not be the only step if the diagnosis remains uncertain.
Please bring any existing reports and the updated treatment list, without copying them into this tool. You can print the summary and then add the necessary identifying information for the practice on paper. This will allow the healthcare professional to distinguish your observations from the medical conclusions.
What questions should be asked during the consultation?
- What other causes can explain the pain, swelling, or disproportion?
- What elements of the examination point towards or against lipedema?
- Is a venous, lymphatic, or other examination useful in my case?
- What realistic goals can be set for pain, mobility, and quality of life?
- Who should I contact if the volume or symptoms change rapidly?
If compression stockings are mentioned, ask how measurements will be taken, what type of device is suitable, and what signs warrant reassessment. Our guide to compression stockings and garments explains why a usual size or a purchase based solely on a photo is not sufficient.
When should you not wait for the scheduled appointment?
Sudden, distinctly asymmetrical swelling that is red, hot, or painful requires immediate medical attention. Sudden shortness of breath, chest pain, or general malaise may be an emergency: call 15 or 112. These symptoms should not be attributed to suspected lipedema or the results of a questionnaire.
After a procedure, the team's instructions remain the priority. Our information sheet on postoperative edema helps prepare for the call, but should never delay an urgent assessment.
How to use the form without self-diagnosing?
Reread the document as a list of facts: affected areas, sensations, chronology, and impact. Do not count the checked boxes or compare this total to someone else's. The number of responses has no diagnostic value and does not correspond to any stage.
You can update the form if the situation changes, but avoid anxious daily monitoring. Any new or rapid change warrants a medical consultation. To navigate through content related to swelling, compression, and lipedema, open the Lipedema and Compression thematic pathway.
Method and sources
The questionnaire includes elements frequently sought during the clinical history and examination, as well as general warning signs. It is not a validated diagnostic tool and does not claim to establish any thresholds. The content should be reviewed with a professional and updated if recommendations change.


