Welcome | Robert Lang, MD

Perimenopausal/Menopause Test

Fill out the following questionnaire to find out how how well your thyroid is functioning.

  Anxiety

  Depression (new or worse)

  Insomnia

  Mood Swings/Irritability

  Poor Concentration

  Poor Memory/Forgetfulness

  Headaches

  Itchy, "Crawling Skin"

  Weight Gain or Inability to Lose Weight

  Hot Flashes

  Night Sweats

  Vaginal Dryness

  Low Libido

  No longer having periods or skipping periods

  Palpitations

  Sore/Swollen Breasts

  Total Score


0-9Pre-menopausal
10-19Moderate Menopause
20-24Profound Menopause
25+Severe Menopause

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