Screening Form for Rating Your Symptoms

♀ Women today are confused about using hormones – and with good reason.  Everywhere they turn, they are given conflicting information about the risks and benefits of using hormone replacement therapy.  To make matters worse, a woman may be experiencing so many uncomfortable symptoms (e.g., night sweats, insomnia, fatigue, low energy, foggy thinking, increased irritability, bleeding problems, headaches, mood swings, etc.) that she is sometimes driven to seek treatments that may not be in her best interest, or may be increasing her risks for life-threatening disease.

Download (PDF, Unknown)

Click on the PDF link above to download/print a copy of the screening form. Rate your symptoms from zero (0) to ten (10). If you are experiencing symptoms to the degree that they are interfering with your life, consider checking your hormone levels with lab testing. The baseline test kit I most often recommend for my patients is the Weight Management Profile PLUS THYROID and CARDIO. Click this LINK to get full details on which lab tests are included in this in-home saliva/blood spot sample collection kit.

If you need additional help, or have questions about testing or treatment, please send an Email message to Kathryn, our Family Nurse Practitioner, from the contact page.