Comprehensive Women's Healthcare

1600 West College Street Suite 1101 Grapevine, TX 76051 Phone: (817) 424-3112 Fax: (817) 488-2820

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We Now Perform

3D/4D Sonograms!

20 minute session
DVD of session
CD with images
8 printed images

Call for an appointment with our sonographer Janet, to experience this great technology.

Now offering in office ablations!

Click here to learn more

Fertility Status

A woman's ability to conceive and then enjoy a normal pregnancy is dependent upon several factors. One of these is hormonal balance. Two of the essential hormones which must be available to the body to maintain a pregnancy are progesterone and thyroid. A deficiency of either of these can lead to a host of symptoms, including miscarriages and difficulty with conception.

This questionnaire lists symptoms and other factors most commonly found in women suffering from a deficiency in progesterone and/or thyroid hormones. Read each question carefully and check the box if it applies to you. When you finish, the form will automatically calculate your score.

Do you have premenstrual breast tenderness?
Do you have premenstrual mood swings?
Do you have premenstrual fluid retention and weight gain?
Do you have premenstrual headaches?
Do you have migraine headaches?
Do you have severe menstrual cramps?
Do you have heavy periods or clotting?
Do you have irregular menstrual cycles?
Do you have uterine fibroids?
Do you have fibrocystic breast disease?
Do you have endometriosis?
Have you had problems with infertility?
Have you had more than one miscarriage?
Do you have decreased libido?
Do you have anxiety or panic attacks?
Do you have fatigue?
Do you have elevated cholesterol?
Do you have difficulty losing weight?
Do you have cold hands and feet?
Are you experiencing hair loss?
Do you have less than one bowel movement per day?
Do you have recurrent infections?
Is your tongue enlarged with teeth indentations?
Is your skin pasty, puffy or pale?
Do you have decreased body hair?
Is your usual body temperature lower than 98.6?

: Total Score

< 5 — It is not likely that you have low progesterone and/or low thyroid
6-20 — Possibility of low progesterone and/or low thyroid
21-40 — Low progesterone and/or low thyroid are probable
> 40 — Low progesterone and/or low thyroid are very likely