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ESTROGEN-PROGESTERONE IMBALANCE TEST

Do You Have Estrogen-Progesterone Imbalance?

This questionnaire lists symptoms and other factors most commonly found in women suffering from Estrogen- Progesterone Imbalance. Read each question carefully and check the box if it applies to you. When you finish, the form will automatically calculate your score.

  Do you have mood swings?

  Do you have unexplained bloating and weight gain?

  Do you experience PMS?

  Do you have decreased libido?

  Do you have night sweats or hot flashes?

  Do you have breast tenderness?

  Do you have headaches/migraines?

  Do you have severe menstrual cramps?

  Do you have heavy periods with clotting?

  Do you have irregular menstrual cycles?

  Do you have uterine fibroids?

  Do you have fibrocystic breast disease?

  Do you have endometriosis?

  Have you had problems with infertility?

  Have you had more than one miscarriage?

  Do you have joint pain?

  Do you have muscle pain?

  Do you have anxiety or panic attacks?

  Total Score

<2 It is not likely that you have estrogen dominance
3-4 Estrogen dominance is probable
5+ Estrogen dominance is a strong possibility and most likely