Recently I found myself in my Doctor’s office getting a pre-op examine required for ear surgery. While waiting I found a pamphlet full of questions about hormones.
I had time to kill – I answered all the questions and to my surprise found out that I was at risk in a couple of categories, a conversation with my doctor resulted in some blood work being completed. My blood levels indicated numerous deficiencies!
I’m in my thirties – young and healthy – there is no way I would ever guess that at this age I could have a hormone imbalance!
Here are the questions you’ll want to answer to see if you might have deficiencies.
Select the number that best describes how you feel.
If your scores are in the probable or higher in any category, you might want to make an appointment with your doctor.
PROGESTERONE
1 2 3 4 – My breasts are large?
1 2 3 4 – My close friends complain I’m nervous and agitated?
1 2 3 4 – I feel anxious?
1 2 3 4 – I sleep lightly and restlessly
The following questions are for women who have not yet reached menopause and menopausal women who are taking hormone replacement therapy (estrogen or estrogen and progesterone)
0 1 2 3 4 – My breasts are swollen and tender or painful before my period…
0 1 2 3 4 – And my lower belly is swollen…
0 1 2 3 4 – And I’m irritable and aggressive…
0 1 2 3 4 – And I lose my self-control…
0 1 2 3 4 – I have heavy periods…
0 1 2 3 4 – And they are continuously painful.
Add up your overall score.
Post menopausal women not treated with hormone replacement therapy (estrogen or estrogen and progesterone):
4 or less – Satisfactory
5- 8 – Possible Progesterone deficiency
9 or more – Probable progesterone deficiency
Menstrual women and menopausal women taking hormone replacement therapy (estrogen or estrogen and progesterone):
10 or less – Satisfactory
11 – 20 – Possible Progesterone deficiency
21 or more – Probable progesterone deficiency
TESTOSTERONE
(Men and Women)
0 1 2 3 4 – My face has gotten slack and more wrinkled.
0 1 2 3 4 – I’ve lost muscle tone.
0 1 2 3 4 – My belly tends to get fat.
0 1 2 3 4 – I’m constantly tired.
0 1 2 3 4 – I feel like making love less often than I used to.
(Men Only)
0 1 2 3 4 – My breasts are getting fatty.
0 1 2 3 4 – I feel less self-confident and more hesitant
0 1 2 3 4 – My sexual performance is poorer than it used to be.
0 1 2 3 4 – I have hot flashes and sweats
0 1 2 3 4 – I tire easily with physical activity
Add up your overall score.
Women:
5 or less – Satisfactory Level.
6 -10 – Possible Testosterone deficiency.
11 or more – Probable Testosterone deficiency.
Men:
10 or less – Satisfactory Level.
11 – 20 – Possible Testosterone deficiency.
21 or more – Probable Testosterone deficiency.
GROWTH HORMONE
0 1 2 3 4 – My hair is thinning.
0 1 2 3 4 – My cheeks sag.
0 1 2 3 4 – My gums are receding.
0 1 2 3 4 – My abdomen is flabby – “I’ve got a spare tire.”
0 1 2 3 4 – My muscles are slack.
0 1 2 3 4 – My skin is thin and/or dry.
0 1 2 3 4 – It’s hard to recover after physical activity.
0 1 2 3 4 – I feel exhausted
0 1 2 3 4 – I don’t like the world. I tend to isolate myself.
0 1 2 3 4 – I feel continuously anxious and worried.
Add up your overall score.
10 or less – Satisfactory.
11 – 20 – Possible GH deficiency.
21 or more – Probable GH deficiency.
DHEA
0 1 2 3 4 – My hair is dry.
0 1 2 3 4 – My skin and eyes are dry?
0 1 2 3 4 – My muscles are flabby.
0 1 2 3 4 – My belly is getting fat.
0 1 2 3 4 – I don’t have much hair under my arms.
0 1 2 3 4 – I don’t have much hair in the pubic area (0 – plenty of hair // 4 – hairless).
0 1 2 3 4 – I don’t have much fatty tissue in the pubic area (0 – padded // 4 – flat).
0 1 2 3 4 – My body doesn’t have much of a special scent during sexual arousal.
0 1 2 3 4 – I can’t tolerate noise.
0 1 2 3 4 – My libido is low.
Add up your overall score.
10 or less – Satisfactory.
11 – 20 – Possible DHEA deficiency.
21 or more – Probable DHEA deficiency.
THYROID
0 1 2 3 4 – I’m sensitive to cold.
0 1 2 3 4 – My hands and feet are always cold.
0 1 2 3 4 – In the morning my face is puffy and my eyelids are swollen.
0 1 2 3 4 – I put on weight easily.
0 1 2 3 4 – I have dry skin.
0 1 2 3 4 – I put on weight easily.
0 1 2 3 4 – I have dry skin.
0 1 2 3 4 – I have trouble getting up in the morning.
0 1 2 3 4 – I feel more tired at rest than when I am active.
0 1 2 3 4 – I am constipated.
0 1 2 3 4 – My joints are stiff in the morning.
0 1 2 3 4 – I feel like I’m living in slow motion.
Add up your overall score.
10 or less – Satisfactory.
11 – 20 – Possible Thyroid hormone deficiency.
21 or more – Probable Thyroid hormone deficiency.
ESTROGEN
0 1 2 3 4 – I’m losing hair on the top of my head.
0 1 2 3 4 – I’m getting thin, vertical wrinkles above my lips.
0 1 2 3 4 – My breasts are droopy.
0 1 2 3 4 – My face is too hairy.
0 1 2 3 4 – My eyes are dry and easily irritated
0 1 2 3 4 – I have hot flashes.
0 1 2 3 4 – I feel tired constantly.
0 1 2 3 4 – I am depressed.
0 1 2 3 4 – My menstrual flow is light (0 – Moderate // 1-3 – low // 4 – none)
0 1 2 3 4 – Women with periods: My cycles are irregular, too short (less than 27 days) or too long (more than 31 days).
Add up your overall score.
10 or less – Satisfactory.
11 – 20 – Possible GH deficiency.
21 or more – Probable GH deficiency.
A FEW MORE PERTINENT QUESTIONS
ENERGY
YES or NO – Do you have a hard time getting up in the morning?
YES or NO – Do you always feel tired or tired in the afternoon?
SEX
YES or NO – Do you lack sexual desire?
YES or NO – Does your penis or clitoris seem less sensitive?
YES or NO – Are your erections not firm enough?
YES or NO – Have you lost your attraction toward your partner?
YES or NO – Do you lack vaginal lubrication?
SLEEP
YES or NO – Do you sleep poorly?
YES or NO – Do you rarely dream?
MEMORY
YES or NO – Do you suffer from short or long term memory loss?
YES or NO – Do you have trouble concentrating?
SKIN AND HAIR
YES or NO – Wrinkles on your face along the nose, smile lines, forehead creases?
YES or NO – Do you have age spots.
YES or NO – Do you have dry, thin skin?
YES or NO – Are you losing your hair or is it turning gray?
WEIGHT CONTROL
YES or NO – Is your abdomen too plump? Is it distended?
YES or NO – Women: Are your breasts too large? Do they get larger before your period?
YES or NO – Are your buttocks and thighs too well padded? Are you pear shaped?
STRESS & MOOD
YES or NO – Do you suffer from constant fatique?
YES or NO – Do you have high blood pressure?
YES or NO – Are you anxious, nervous, or irritable?
YES or NO – Do small things set you off?
YES or NO – Are you depressed?
JOINTS & BONES
YES or NO – Do you have osteoarthritis in the hip?
YES or NO – Do you have fibromyalgia (sharp shoulder pain)?
YES or NO – Have you lost muscle mass, tone and strength?
YES or NO – Do you have bone loss of the spine, hips hands, wrist & feet?
Select your response and discuss the ailments with your physician.
This test was designed by Dr. Heroghe, a noted European Endocrinologist.
{ 2 comments… add one }
I’m so glad to have found you and this quiz. I’ve been wondering lately (probably because my birthday is coming up) how my hormones have been (“hey hormones, how’ve you been lately?”…sorry, that kinda struck me funny…) I’ve notice some BIG changes in my ability to sleep (wth!) and my periods. So thanks for this. Definitely some deficiencies. I look forward to learning more and reading more from your awesome site. Thank you!
Just be sure that you now go to a Doctor and get tested. This quiz is just to determine if you MAY have a a deficiency… it’s not a diagnosis by any means!