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Currently Menstruating Female Hormones Quiz

The female hormone complex is complicated and has very unique characteristics when compared to the male hormone complex.  Your sex hormones are involved with more than just monthly cycles, ability to get or maintain a pregnancy.  These same hormones play roles in multiple organ systems in your body!  When the sex hormones are not at adequate levels it can affect sleep, muscle mass, your mood and a host of other different symptoms in addition to the above.  This quiz is designed to help determine if you could have Female Hormone Dysfunction.  The results are not diagnostic of dysfunction but will help direct you, if you should seek further evaluation with a Qualified Medical Professional.

Sincerely,

Jon Skelton, MD

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Start

Personal and Family History Risk

In this section we will assess your risk for Hormone Dysfunction due to Past Medical History

Question 2 of 16

Do you or a close relative (Mother, Grandmother, Sister) have a family history of Uterine, Endometrial, or Ovarian Cancer?

A

Yes

B

No

Question 3 of 16

Have you ever been diagnosed Polycystic Ovarian Syndrome or been diagnosed with Ovarian Cysts?

A

Yes

B

No

Your Current Symptoms

In this section we will be asking you to rate how often you have symptoms associated with Hormonal Dysfunction. 

Answers will range from 0 which means rare/never to 3 which means nearly daily or more.  Only choose 1 answer.

Question 5 of 16

Pain and cramping during periods

A

0

B

1

C

2

D

3

Question 6 of 16

Scant Blood Flow

A

0

B

1

C

2

D

3

Question 7 of 16

Heavy Blood Flow

A

0

B

1

C

2

D

3

Question 8 of 16

Breast pain and swelling during menses 

A

0

B

1

C

2

D

3

Question 9 of 16

Pelvic Pain During Menses

A

0

B

1

C

2

D

3

Question 10 of 16

Irritable and depressed during menses

A

0

B

1

C

2

D

3

Question 11 of 16

Acne

A

0

B

1

C

2

D

3

Question 12 of 16

Facial Hair Growth 

A

0

B

1

C

2

D

3

Question 13 of 16

Hair Loss or Thinning Hair

A

0

B

1

C

2

D

3

Question 14 of 16

Do you have alternating cycle lengths?

A

Yes

B

No

Question 15 of 16

Extended menstrual cycle (greater than 32 days)

A

Yes

B

No

Question 16 of 16

Shortened menstrual cycle (less than 24 days)

A

Yes

B

No

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