Women Hormone Screener

Hormone Balance Screener

HORMONE BALANCE SUMMARY

Score Summary

A: Vasomotor & Sleep
0 / 15
Minimal
B1: Anxiety
0 / 15
Minimal
B2: Depression
0 / 15
Minimal
C: Physical
0 / 24
Minimal
D: Sexual
0 / 15
Minimal
E: Menstrual
0 / 15
Minimal
F1: Thyroid
0 / 15
Minimal
F2: Adrenal/Stress
0 / 15
Minimal
F3: Blood Sugar/Insulin
0 / 15
Minimal
G1: High Androgens
0 / 15
Minimal
G2: Low Androgens
0 / 15
Minimal

HORMONE PATTERN MATCHES

NEXT STEPS

Note: This screening tool is based on clinically-validated questionnaires and provides patterns to discuss with healthcare providers but is not diagnostic on its own.

Clinically-Informed Hormone Balance Screener

Instructions: For each symptom, select your score (0-3) from the dropdown menu:

Items marked with 🔵 are for premenopausal women only.

SECTION A: VASOMOTOR & SLEEP SYMPTOMS

0/15
Hot flashes or flushes?
Night sweats?
Sweating during the day?
Heart racing or palpitations?
Sleep problems?
SECTION A TOTAL: 0 / 15

SECTION B1: ANXIETY SYMPTOMS

0/15
Feeling tense or nervous?
Feeling panicky?
Difficulty concentrating?
Premenstrual anxiety?
Tightness in head or body?
SECTION B1 TOTAL: 0 / 15

SECTION B2: DEPRESSION SYMPTOMS

0/15
Feeling down or sad?
Tearfulness?
Loss of interest in activities?
Fatigue or low energy?
Feelings of worthlessness?
SECTION B2 TOTAL: 0 / 15

SECTION C: PHYSICAL SYMPTOMS

0/24
Muscle and joint pain?
Headaches?
Dizziness?
Numbness or tingling?
Physical exhaustion?
Dry skin, hair, or eyes?
Weight gain or bloating?
Breast tenderness/pain?
SECTION C TOTAL: 0 / 24

SECTION D: SEXUAL SYMPTOMS

0/15
Low sexual desire?
Vaginal dryness?
Avoiding intimacy?
Difficulty with orgasm?
Reduced sexual satisfaction?
SECTION D TOTAL: 0 / 15

SECTION E: MENSTRUAL SYMPTOMS

0/15

IMPORTANT: Skip this entire section if you are postmenopausal

Heavy/prolonged bleeding?
Irregular periods?
Spotting between periods?
Severe menstrual cramps?
Premenstrual mood changes?
SECTION E TOTAL: 0 / 15

SECTION F1: THYROID-RELATED

0/15
Cold intolerance?
Slow-thinking or brain fog?
Constipation?
Unexplained weight changes?
Eyebrow thinning (outer third)?
SECTION F1 TOTAL: 0 / 15

SECTION F2: ADRENAL/STRESS-RELATED

0/15
"Wired but tired" feeling?
Salt or sweet cravings?
Waking between 2-4 AM?
Dizziness when standing?
Poor stress tolerance?
SECTION F2 TOTAL: 0 / 15

SECTION F3: BLOOD SUGAR/INSULIN-RELATED

0/15
Hypoglycemic episodes?
Fatigue after meals?
Central weight gain?
Increased thirst/urination?
Carbohydrate cravings?
SECTION F3 TOTAL: 0 / 15

SECTION G1: HIGH ANDROGEN SIGNS

0/15
Facial/body hair growth?
Scalp hair loss?
Acne or oily skin?
Increased irritability?
Darkened skin patches?
SECTION G1 TOTAL: 0 / 15

SECTION G2: LOW ANDROGEN SIGNS

0/15
Decreased muscle tone?
Decreased motivation?
Low libido?
Reduced sense of wellbeing?
Decreased stamina?
SECTION G2 TOTAL: 0 / 15