Are you having or have experienced vaginal dryness or painful sex? *

Yes

No

Sometimes

Are you having or have experienced loss of interest in sex? *

Yes

No

Sometimes

Are you having or have experienced weight gain or bloating? *

Yes

No

Sometimes

Are you having or have experienced memory loss or issues with mental clarity? *

Yes

No

Sometimes

Are you having or have experienced changes in sleeping habits? *

Yes

No

Sometimes

Are you having or have had hair loss or thinning of your hair? *

Yes

No

Sometimes

Are you having or have experienced urinary urgency, frequency, or recurrent urinary tract infections? *

Yes

No

Sometimes

Thank you! Complete the questionnaire to get your results! See if you would benefit from a consultation with one of our medical team.

Name *

Phone

Email *

Best way to reach you? *

Phone Call ( If prefer quick communication)

Text

Email