Below are a list of symptoms and other factors most commonly found in people suffering from female hormonal imbalance (low estrogen levels). Read each question carefully and check the box if it applies to you. When you finish, the form will automatically calculate your score.
| I have hot flashes. |
Evaluation Score
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| I have night sweats. | ||
| I have vaginal dryness. | ||
| I have bladder leakage when I cough, sneeze, or run. | ||
| I get very emotional 5-7 days before my period begins. | ||
| I am over 40 years old. | ||
| I have difficulty sleeping. | ||
| I have lost interest in sex. | ||
| My periods have ceased. |