Estrogen Quiz

Signs & Symptoms

Never                         Always

1. I am losing hair on top of my head

0        1          2          3          4

2. I am getting thin vertical wrinkles above my lips

0        1          2          3          4

3. My breasts are droopy

0        1          2          3          4

4. My face is to hairy

0        1          2          3          4

5. I have hot flashes

0        1          2          3          4

6. I feel tired constantly

0        1          2          3          4

7. Woman with periods: I do not feel like making love anymore

0        1          2          3          4

8. I am depressed

0        1          2          3          4

9. My menstrual flow is heavy

0        1          2          3          4

10. Woman without periods: I do not feel like making love anymore

0        1          2          3          4