Female Hormone Test Questionnaire - Theorem Metabolic

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  • -Female Hormone Test Questionnaire

    FROM THE ANALYST'S DESK: Female hormones are sophisticated - they fluctuate by design throughout your cycle. To provide forensic-level interpretation, I need to understand your cycle timing, lifestyle context, and health history. This questionnaire takes 15-20 minutes but enables analysis worth hours. Three fields are absolutely critical and marked with warning symbols - without these, analysis cannot proceed.

    SECTION 1: BIOMETRIC IDENTITY







    SECTION 2: MENSTRUAL CYCLE INTELLIGENCE - CRITICAL

    ANALYST'S NOTE: Cycle timing determines which reference ranges apply. The same progesterone level means entirely different things on Day 7 versus Day 21. Your LMP date is the foundation of accurate interpretation.

    This is Day 1 of your most recent period BEFORE testing

    If known - this calculates your cycle day

    From Day 1 of period to Day 1 of next period




    SECTION 3: CONTRACEPTION & MEDICATIONS - CRITICAL

    CRITICAL DISTINCTION: Hormonal contraception suppresses natural cycling - similar to how TRT affects male hormones. Your results show contraceptive effect, not natural hormone production. This fundamentally changes interpretation.





    Include thyroid meds, antidepressants, blood pressure meds, metformin, etc.

    SECTION 4: NUTRITION & ENERGY AVAILABILITY - CRITICAL

    ANALYST'S NOTE: Low Energy Availability (eating less than 30 kcal/kg body weight) triggers metabolic defence mechanisms that elevate prolactin, suppress progesterone, and prevent fat loss despite restriction. Calorie intake is forensically important.







    SECTION 5: TRAINING & PHYSICAL ACTIVITY






    SECTION 6: HEALTH HISTORY & CURRENT SYMPTOMS




    SYMPTOM INTELLIGENCE: Check ALL symptoms you experience regularly. Patterns across categories reveal underlying hormonal drivers.






    SECTION 7: REPRODUCTIVE GOALS & HISTORY







    [number menarche-age id:menarche-age class:form-control placeholder "Age" min:8 max:20]

    No periods for 3+ months outside pregnancy


    SECTION 8: STRESS & LIFESTYLE FACTORS

    1 = minimal stress, 10 = overwhelming stress








    SECTION 9: CURRENT SUPPLEMENT USAGE

    Include vitamins, minerals, herbal supplements, protein powders, etc. with dosages and duration.


    SECTION 10: GOALS & PRIORITIES

    PRIORITY MATRIX: Rank your objectives so the analysis focuses on what matters most to YOU. 1 = highest priority, 5 = lowest priority.









    Describe your main symptoms, concerns, or goals. Be detailed - this context is forensically valuable.


    SECTION 11: DECLARATION & CONSENT

    DATA PROTECTION & PRIVACY: Your health information is handled in strict accordance with UK data protection laws (GDPR). All data is stored securely, used solely for your hormone analysis, and never shared with third parties without your explicit consent. You have the right to request, modify, or delete your data at any time.

    For full details, please review our Privacy Policy.

    By submitting this questionnaire, you acknowledge that:

    • This hormone analysis is for educational and health optimisation purposes

    • It does not constitute medical diagnosis or treatment and should be discussed with your healthcare provider

    • The analysis represents a single timepoint and may require repeat testing to confirm patterns

    • You consent to Theorem Metabolic storing and processing your health information for the purpose of providing your hormone analysis

    • You have read and agree to our Privacy Policy