Barbara Buckley, NP

 

  estrogen dominance/progesterone deficiency Quiz

 

This questionnaire lists symptoms and other factors most commonly found in women suffering from Estrogen Dominance and/or Progesterone Deficiency. Read each question carefully and check the box if it applies to you. When you finish, the form will automatically calculate your score.


 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
  • < 5 — It is not likely that you have estrogen dominance.
  • 5-8 — Possibility of estrogen dominance.
  • 9-20 — Estrogen dominance is probable.
  • > 20 — Indicates that estrogen dominance is very likely.