Hormonal Health Profile

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Most women are surprised to learn that the symptoms they've been dealing with for months or years are really signs of hormonal imbalance - and that there's a lot they can do to heal themselves. What is your body telling you.

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First: What is your body telling you?

Check any symptoms you've experienced in the last 3 months. (If you didn't experience the symptom, don't check anything.) Here's how to rate your symptoms.

  • Mild: A minor issue. It doesn't affect me much.
  • Moderate-Severe: A real problem, but I push myself through it.
  • Very Severe: I can barely function or deal with it.
    • 1. My menstrual periods are irregular.  MILD MODERATE-SEVERE VERY SEVERE
    2. I have hot flashes or night sweats.  MILD MODERATE-SEVERE VERY SEVERE
    3. I have insomnia or disturbed sleep.  MILD MODERATE-SEVERE VERY SEVERE
    4. I feel very tired, especially in the afternoon.  MILD MODERATE-SEVERE VERY SEVERE
    5. I am irritable, sad or depressed.  MILD MODERATE-SEVERE VERY SEVERE
    6. I have gained weight and can't lose it.  MILD MODERATE-SEVERE VERY SEVERE
    7. My interest in sex isn't what it used to be  MILD MODERATE-SEVERE VERY SEVERE
    8. I crave sweets or carbohydrates.  MILD MODERATE-SEVERE VERY SEVERE
    9. I suffer from vaginal dryness.  MILD MODERATE-SEVERE VERY SEVERE
    10. I experience bloating, gas, or bouts of diarrhea.  MILD MODERATE-SEVERE VERY SEVERE
    11. I am forgetful, foggy-brained or confused.  MILD MODERATE-SEVERE VERY SEVERE
    12. I am anxious.  MILD MODERATE-SEVERE VERY SEVERE
    13. I have tension headaches or migraines.  MILD MODERATE-SEVERE VERY SEVERE
    14. I feel stiff or achy, especially in the morning.  MILD MODERATE-SEVERE VERY SEVERE
    15. I feel overwhelmed or just not myself.  MILD MODERATE-SEVERE VERY SEVERE

    Next: What demands are you making of your body?

    1. Are you being tread for any serious disease or condition?  YES NO
    2. Is your work as source of stress for you?  YES NO
    3. Do you skip meals?  YES NO
    4. Do you feel overscheduled and overwhelmed?  YES NO
    5. Are you taking prescription medication?  YES NO
    6. Do you experience conflict or stress in your personal relationships?  YES NO
    7. Do you drink caffeine or soft drinks?  YES NO
    8. Have you experienced a major trauma or loss in the last 5 years?  YES NO

    OK: What kind of support are you giving your body?

    1. Do you eat protein as part of every meal?  YES NO
    2. Do you eat 4 or more servings of fruit and vegetables every day?  YES NO
    3. Do you minimize you intake of refined carbohydrates, alchohol and sweets?  YES NO
    4. Do you exercise 3 or more times a week?  YES NO
    5. Do you feel you make time for your needs?  YES NO
    6. Do you take nutritional supplements?  YES NO
    7. Do you try to reduce processed foods and fast foods in your diet?  YES NO

    Two final questions:

    1. Are you on HRT General or trying to wean yourself off of it?  YES NO
    2. What is your age?