ESTROGEN

Tick each symptom based on severity. Where you have checked two or more boxes as “moderate” or “severe” in any group, it is likely that you have the hormone imbalance represented by that group. It is recommended to assess your hormone levels with pathology testing.  Please consult with your health care professional.

  

ESTROGEN DEFICIENCY SYMPTOMS	No	Moderate	Severe
Hot Flushes	o	o	o
Sleep Disturbances	o	o	o
Dry Skin	o	o	o
Foggy Thinking	o	o	o
Heart Palpitations	o	o	o
Painful Intercourse	o	o	o
Low Libido	o	o	o
Night Sweats	o	o	o
Vaginal Dryness/Atrophy	o	o	o
Headaches	o	o	o
Memory Lapses	o	o	o
Yeast Infections	o	o	o
Depression	o	o	o
Bone Loss	o	o	o

 

 

ESTROGEN EXCESS SYMPTOMS	No	Moderate	Severe
Water Retention	o	o	o
Breast Swelling & Tenderness	o	o	o
Craving for Sweets	o	o	o
Fibrocystic Breasts	o	o	o
Uterine Fibroids	o	o	o
Heavy Irregular Menses	o	o	o
Fatigue	o	o	o
Weight Gain	o	o	o
Mood Swings	o	o	o
Low Thyroid Symptoms	o	o	o