Estrogen Dominance or Progesterone Deficiency
This questionnaire lists symptoms and other factors most commonly found in women suffering from Estrogen Dominance and/or Progesterone Deficiency. By answering this questionnaire, your scores will determine whether or not you might have estrogen dominance/progesterone deficiency.
Do you have premenstrual breast tenderness?
Do you have premenstrual mood swings?
Do you have premenstrual fluid retention and weight gain?
Do you have premenstrual headaches?
Do you have migraine headaches?
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 decreased libido?
Do you have anxiety or panic attacks?
Total Score:______
Each question/symptom is 1 point
Scoring less than 4 points, it is not likely that you have estrogen dominance/progesterone deficiency
Scoring between 5-8 points indicates estrogen dominance/progesterone deficiency is a possibility
Scoring between 9-20 points indicates estrogen dominance/progesterone deficiency is likely
Scoring above 20 points would suggest that estrogen dominance/progesterone deficiency is very likely
Back to Wellness Plans
Back to Questionnaires
This questionnaire lists symptoms and other factors most commonly found in women suffering from Estrogen Dominance and/or Progesterone Deficiency. By answering this questionnaire, your scores will determine whether or not you might have estrogen dominance/progesterone deficiency.
Do you have premenstrual breast tenderness?
Do you have premenstrual mood swings?
Do you have premenstrual fluid retention and weight gain?
Do you have premenstrual headaches?
Do you have migraine headaches?
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 decreased libido?
Do you have anxiety or panic attacks?
Total Score:______
Each question/symptom is 1 point
Scoring less than 4 points, it is not likely that you have estrogen dominance/progesterone deficiency
Scoring between 5-8 points indicates estrogen dominance/progesterone deficiency is a possibility
Scoring between 9-20 points indicates estrogen dominance/progesterone deficiency is likely
Scoring above 20 points would suggest that estrogen dominance/progesterone deficiency is very likely
Back to Wellness Plans
Back to Questionnaires
