Female Hormone Quiz

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Female Hormone Quiz

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Name* This field is required.
First Name
Last Name
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How did you hear about us?
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Email* This field is required.
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Date* This field is required.
Date
Month
Day
Year
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Are you on hormones or hormonal birth control? * This field is required.
YESNO
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If you are trying to lose weight, how much weight would you like to lose?* This field is required.
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Age* This field is required.
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High Cortisol
My life is crazy stressful
I often feel overwhelmed by stress?
The feeling of constantly racing from one task to the next?
Weight gain, especially around the middle?
Feeling wired, yet exhausted?
Muscle weakness?
Feeling like you get a “second wind” at night that keeps you up late?
Difficulty falling asleep or staying asleep?
Quick to anger or feel on edge?
Easily distracted, especially when stressed
Anxiety or nervousness-can’t stop worrying about things?
Memory lapses especially under stress?
Brain fog or fuzzy brain?
Sugar cravings? (you need something sweet after each meal?)
Skin conditions such as eczema or thin skin?
Bone loss (maybe your doctor has said osteopenia or osteoporosis)
High blood pressure or rapid heartbeat?
High blood sugar, pre-diabetes, diabetes or insulin resistance?
Shakiness between meals>Feeling like you can’t go a few hours without eating > Blood sugar instability?
Indigestion, ulcers, or GERD (acid reflux)?
Unexplained pink or purple stretch marks on your belly or back?
Irregular menstrual cycles?
Decreased Fertility?
Poor immune function-do you get sick often?
Lowered thyroid function? (if not tested, does metabolism seem slow?)
NO SYMPTOMS
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Low Cortisol
Fatigue or burnout (you need caffeine for energy, fall asleep while reading or watching movies or are exhausted after exercise)?
Tired in the morning, even when you get a full night’s sleep?
I want to take naps all day
You feel dizzy when you stand from a seated or lying down position?
Loss of stamina, particularly in the afternoon, from 2-5p?
Chronically negative? (I call it "the Eeyore voice)
Crying for no reason?
Dark rings under your eyes?
Decreased problem solving ability?
Feeling stressed most of the time (everything seems harder than before and you have trouble coping)?
Decreased stress tolerance?
Insomnia or difficulty staying asleep, especially between 1-4am)
Low blood pressure?
Difficulty fighting infection (you catch every virus, particularly respiratory)?
Difficulty recovering from illness, or healing wounds?
Asthma? Bronchitis? Chronic cough? Allergies?
Low or unstable blood sugar?
Sugar cravings?
Salt cravings?
Excessive sweating?
Nausea, vomiting, diarrhea? Or loose stools alternating with constipation?
Muscle weakness, especially around the knee? Muscle or joint pain?
NO SYMPTOMS
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Low Progesterone* This field is required.
Agitation/ Irritability
Nervousness/Anxiety
Fuzzy thinking/Brain fog
Depression
Food cravings
Insomnia
Big emotional swings
Cyclical headaches (particularly menstrual or hormonal migraines)?
Frequent headaches
Low libido?
Agitated, irritable or weepy before my period?
Irregular menstrual cycles, or cycles becoming more frequent as you age?
Heavy or painful periods?
Bloating, particularly in the ankles and belly, and/or fluid retention (you gain 3-5lbs or more before your period)?
Ovarian cyst, breast cysts, or endometrial cysts (polyps)?
Swollen breasts or painful breasts
Weight gain
Painful joints
Easily disrupted sleep, waking at night?
Itchy or restless legs, especially at night?
Infertility or sub-fertility (you’ve been trying hard to conceive but haven’t hit the 6 or 12 month mark of no conception)
Miscarriage in the first trimester? (within the last 6 months)
NO SYMPTOMS
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High Estrogen (Estrogen Dominance):
Bloating, puffiness or water retention?
Abnormal Pap Smears?
Heavy bleeding or post menopausal bleeding?
Weight gain, particularly in the hips, midsection & thighs?
Increased bra-cup size or breast tenderness?
Fibroids?
Endometriosis, or painful periods?
Mood swings, PMS, depression, anxiety or just irritability?Weepiness, sometimes over silly things?
Weepiness, sometimes over silly things?
Mini breakdowns?
Migraines or other headaches?
Insomnia?
Brain fog?
A red flush on your face (or rosacea)
Reduced sex drive?
Gallbladder problems (or you have had them removed)?
Fibrocystic breasts?
NO SYMPTOMS
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Low Estrogen
Hot flashes
Night sweats
Sleep disorders
Bone Loss
Vaginal dryness, irritation or loss of feeling
Dry skin
Heart palpitations
Depression, perhaps with anxiety
Yeast infections
Bladder infections
Sagging breasts and loss of fullness
Lessened self image and attention to appearance
Sun damage is more obvious, even glaring, on chest, face & shoulders
Painful intercourse
Lack of menstruation
Hair loss
Wrinkles
Reduced stamina
Low energy or all day long fatigue
Trouble sleeping, waking up in the middle of the night
A leaky or overactive bladder
Periods are fewer than 3 days
Increased back and joint pains
Recent injuries, particularly to wrists, shoulders, lower back, or knees? Loss of interest in exercise?
Memory loss (you walk into a room and forget what you were going to do or draw a blank mid sentence)
Mood swings or emotional fragility, especially compared with how you felt 10 yrs ago
NO SYMPTOMS
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Excess Androgens* This field is required.
Acne
Excess hair on your face, chest, or arms?
Greasy skin and/or hair
Thinning hair on your head or hairloss
Areas of dark, velvety skin discoloration in body folds and creases
Hyperglycemia or hypoglycemia and/or unstable blood sugar
Insulin resistance (carb cravings/feeling like you can keep eating/ it takes a lot to feel satisfied when eating)
Reactivity and/or irritability, or excessively aggressive
Depression
Anxiety
Menstrual cycles occurring more than every thirty five days (between periods)
Ovarian cysts
Mid Cycle pain
Infertility? Or sub-fertility?
Polycystic ovary syndrome (PCOS)
Skin tags- especially on your neck & upper body? (Small, flesh-colored growths on the skin surface, usually a few millimeters in size and smooth)
NO SYMPTOMS
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Low Testosterone* This field is required.
Low libido or diminished sex drive
Depression, mood swings, or cry easily
I have no motivation
Lack of self esteem
Heart palpitations
Dry skin
Vaginal dryness
General hair loss
I am tired or fatigued throughout the day or have been diagnosed with chronic fatigue syndrome
I am unable to gain muscle, and I’m losing muscle mass
Muscle and joint pain
I have a decrease in bone density or have been diagnosed with osteopenia or osteoporosis
I have urinary incontinence
I have difficulty or am unable to orgasm
I have cardiovascular symptoms or heart disease
Weight Gain
Anxiety or panic attacks
NO SYMPTOMS
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Hypothyroid
Hair loss
Thinning eyebrows on the outer third of brow
Dry, straw-like hair that tangles easily
Dry skin
Thin, brittle fingernails
Fluid retention or swollen ankles
Constipated often and need a stimulant (like caffeine) or laxative to have a bowel movement
High cholesterol
Recurrent headaches
Decreased sweating
Periods are sporadic or occur more than 35 days apart
Muscle or joint aches or poor muscle tone (you became an old lady overnight)?
Tingling in your hands or feet
Cold hands and feet? Cold intolerance? You always need layers of clothing
Low body temperature
Heat intolerance
A slow heart rate, or bradycardia (fewer than 60 beats per minute, and not because you’re an athlete)
Lethargy (you feel like you’re moving through molasses)-everything feels hard
Slow brain, slow thoughts? Difficulty concentrating? Bad memory
Low sex drive, and you’re not sure why
Sluggish reflexes, diminished reaction time, even a bit of apathy
Depression or moodiness (the world is not rosy as it used to be)
You are on a prescription for the latest antidepressant but you’re still not feeling like yourself
Heavy periods or other menstrual problem
Infertility or miscarriage? Preterm birth? (last 6 months only)
An enlarged thyroid/goiter, Swollen neck
Difficulty swallowing
Enlarged tongue
A family history of thyroid problems
Diagnosed Hypothyroid, on medication & still have symptoms
Diagnosed Hashimotos
NO SYMPTOMS
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Insulin Resistance
Overweight
Carb cravings
Elevated blood pressure
Frequent urination at night (more than once)
Frequent hunger, needing to eat between meals
Not satisfied after meals or at night-you can keep eating when you are stuffed
The need for a nap after eating, especially after lunch
Dark velvety skin patches on the back of your neck, groin and armpits
Feeling like you are always stressed or in a state of "flight or fight"
Skin tags
Cysts (like Baker cysts)
Low HDL
High triglycerides
High glucose /Insulin (Test HOMA-IR)
Blood sugar swings
Elevated testosterone levels
History of miscarriage
Belly fat-If you look down and cannot see your feet
Fatty liver-If you look down and cannot see your feet
PCOS
Inflammation/ Stiffness in joints
Sleep apnea
Slow metabolism
Memory problems
Poor focus/Brain fog
Anxiety
Loss of muscle mass
Acne
Pre-diabetes
Low endurance/ fatigue
NO SYMPTOMS
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