Hormone Balance Quiz
Saliva testing is a simple, accurate way to determine your “free” or bioavailable hormone levels. The answers will guide you & your doctor towards the appropriate saliva test for each identifiable imbalance.
- Read carefully through the list of symptoms in each group, and put a check mark next to each symptom that you have. (If you check off the same symptom in more than one group, that’s fine.)
- Go back and count the check marks in each group. In any group where you have two or more symptoms checked off, there’s a good chance that you have the hormone imbalance represented by that group.
The more symptoms you check off, the higher the likelihood that you have the hormone imbalance represented by that group. (Some people may have more than one type of hormonal imbalance.)
Print this survey out and bring this to your next naturopathic visit.
Selecting two or more symptoms from the above group may indicate an imbalance, and diagnosis and treatment should be done under the supervision of your naturopathic doctor.
| SYMPTOM GROUP 1 | |
| PMS | Insomnia |
| Early miscarriage | Painful and/or lumpy breasts |
| Unexplained weight gain | Cyclical headaches |
| Anxiety | Infertility |
| TOTAL BOXES CHECKED | |
| SYMPTOM GROUP 2 | |
| Vaginal dryness | Night sweats |
| Painful intercourse | Memory problems |
| Bladder infections | Lethargic depression |
| Hot flashes | |
| TOTAL BOXES CHECKED | |
| SYMPTOM GROUP 3 | |
| Puffiness and bloating | Cervical dysplasia (abnormal pap smear) |
| Rapid weight gain | Breast tenderness |
| Mood swings | Heavy bleeding |
| Anxious depression | Migraine headaches |
| Insomnia | Foggy thinking |
| Red flush on face | Gallbladder problems |
| Weepines | |
| TOTAL BOXES CHECKED | |
| SYMPTOM GROUP 4 | |
| A combination of the symptoms in #1 and #3 | |
| TOTAL BOXES CHECKED | |
| SYMPTOM GROUP 5 | |
| Acne | Polycystic ovary syndrome (PCOS) |
| Excessive hair on the face and arms | Hypoglycemia and/or unstable blood sugar |
| Thinning hair on the head | Infertility |
| Ovarian cysts | Mid-cycle pain |
| TOTAL BOXES CHECKED | |
| SYMPTOM GROUP 6 | |
| Debilitating fatigue | Unstable blood sugar |
| Foggy thinking | Low blood pressure |
| Thin and/or dry skin | Intolerance to exercise |
| Brown spots on face | |
| TOTAL BOXES CHECKED | |
Selecting two or more symptoms from the above group may indicate an imbalance, and diagnosis and treatment should be done under the supervision of your naturopathic doctor.
Group 1: Progesterone Deficiency
Recommendation: Saliva testing for progesterone & estradiol
Group 2: Estrogen Deficiency
Recommendation: Saliva testing for estradiol
Group 3: Excess Estrogen
Recommendation: Saliva testing for all estrogens & progesterone.
Group 4: Estrogen Dominance
Recommendation: Saliva testing for all estrogens & progesterone.
Group 5: Androgen Excess
Recommendation: Saliva testing for all estrogens, progesterone,
testosterone, and DHEA.
Group 6: Cortisol or Adrenal Deficiency
Recommendation: Saliva testing- “Adrenal Stress Index” to examine
cortisol rhythm and other adrenal hormones.