Female Hormone Self Assessment - HARRIS INTEGRATED HEALTH AND NUTRITION

HARRIS INTEGRATED HEALTH AND NUTRITION

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Female Hormone Self-Assessment

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Height *

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Menstrual or Menopause Concerns Premenstrual Syndrome Dysplasia/Fibrocystic Syndrome/Menopause

Female Hormone Self Assessment *

Have you had a hysterectomy Have a history of antibiotic use Continuously use prescription medication Take synthetic hormones in topical cream, patch or orally Experience difficulty sleeping Experience mood swings Experience hot flashes Experience low libido Drink more than one glass of alcohol weekly Drink caffeine daily Experience exhaustion Experience irregular menstrual cycle Experience infertility Painful intercourse Engorged breasts Milk production (not nursing) Lack of interest in sex Blurred vision Acne and/or oily skin Aggressive feelings Overwhelming sexual urges Absence of menstrual flow for 6 or more months Occasionally skip periods Menstruation began after 16 years old Breasts shrinking Thinning pubic and armpit hair Difficulty urinating Unable to get pregnant Miscarriage Excess facial hair Poor sense of smell Monthly abdominal pain without bleeding Menstrual type pain between menses irregular time intervals between periods Menstrual cycles greater than 32 days Menstrual cycles less than 24 days Vaginal bleeding between periods Pain during periods is getting progressively worse Pain, cramps

Female Hormone Self Assessment (cont) *

Premenstrual tension Painful menses (cramping, etc) Menstruation excessive or prolonged Painful, tender breasts Menstruate too frequently acne, worse at menses Depressed feelings before menstruation Vaginal discharge Menses scanty or missed Hysterectomy/ovaries removed Depression Insomnia Abdominal bloating Breast tenderness, swelling Depressed, irritable, nervous easy to anger, resentful Easily overwhelmed Nausea and/or vomiting Fine wrinkling in corner of mouth and/or eyes Diarrhea or constipation Headache Food cravings, binge eating Back pain Feel faint Clumsiness Forgetful Weight gain-water Suicidal

Female Hormone Self Assessment (cont) *

Lumps are painful, tender Clear, gray, or yellow vaginal discharge Vaginal bleeding after sex or between periods Burning or itching on external genitalia Urgent, painful urination Lower abdominal or back pain Heavy, watery and bloody vaginal discharge Heavy menstrual flow Pelvic cramps Thin, scant white vaginal discharge Greenish yellow or offensive discharge Cheesy white discharge Breast lumps or swelling Lumps hurt just before period Swelling under armpit Change in breast size, shape White or slightly bloody vaginal discharge, one week before period Current diagnosis of fibrocystic breast disease Irregular menstrual cycle Menstruation excessive or prolonged Menstruation too frequent Acne, worse at menses Menses scanty or missed Hysterectomy/ovaries removed Dry skin, hair, vagina Lack of interest in sex Mood swings,irritable Depression, anxiety, nervousness Craving for sweets, binge eating Headaches or dizziness Painful intercourse Sudden hot flashes Spontaneous sweating Shortness of breath and/or heart palpitations Unpredictable vaginal bleeding Difficulty holding urine Difficulty sleeping Mental fogginess Vaginal pain and/or itching Thin, scant white vaginal discharge Low back and/or hip pain Breast tenderness, pain or tingling sensation Easy bruising, loss of skin tone Thinning armpit and pubic hair Stopped menstruating Breasts beginning to shrink Abnormal growth of hair above lip

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Welcome
Programs
- From a Distance >
- Eye to Eye >
Diet Lifestyle Environment
Resources
Cancer
- Cancer
Products
Services
- Eye to Eye >
- From a Distance >
Books
- Book; Our Modern Mortal Trilogy
NitroGreens
New Client Register/Sign In
BrainSustain Vanilla Delight 10 Servings
BrainSustain Vanilla Delight 10 Servings