Tell us about yourself
This helps us show the most relevant symptom questions and match conditions accurately.
Male
Including testosterone, TRT & male hormone concerns
Female
Including menopause, perimenopause & female hormones
Your Age
How to answer
For each symptom, select the option that best describes your experience. The more honestly you answer, the more accurate your results.
Never
I don't experience this
Rarely
Occasionally or very mildly
Unsure
Sometimes, hard to say
Yes
Yes, noticeably
Significant
Yes, significantly affects my daily life
Energy & Fatigue
Hormone-driven fatigue is distinct from ordinary tiredness — it tends to be persistent, unrelated to sleep quality and affects motivation.
Persistent fatigue or low energyFeeling tired even after adequate sleep, lacking motivation to do everyday tasks
Brain fog or poor concentrationDifficulty focusing, memory lapses, mental sluggishness or feeling mentally "cloudy"
Low motivation or driveLoss of ambition, reduced enthusiasm for activities you previously enjoyed
Afternoon energy crashesSignificant drop in energy in the afternoon, often requiring caffeine or rest
Sleep
Hormonal imbalances are among the leading causes of disrupted sleep — particularly cortisol, testosterone, oestrogen and progesterone.
Difficulty falling asleepTaking more than 30 minutes to fall asleep, racing thoughts at night
Waking in the night or early hoursFrequently waking between 2–4am, difficulty returning to sleep
Waking unrefreshedNot feeling rested even after 7–9 hours sleep, needing to sleep longer than before
Mood & Mental Health
Sex hormones directly influence neurotransmitter production — low testosterone or oestrogen frequently presents as depression, anxiety or irritability.
Low mood or mild depressionPersistent feelings of sadness, hopelessness or emotional flatness without obvious cause
Increased anxiety or worryFeeling more anxious than usual, heightened stress response, feeling overwhelmed
Irritability or mood swingsShorter fuse, snapping easily, mood changes that feel out of character or uncontrollable
Loss of enjoyment or pleasureActivities you used to enjoy no longer bring satisfaction — sport, socialising, hobbies
Body Composition & Physical
Testosterone and growth hormone are fundamental to maintaining muscle mass and managing body fat — particularly around the abdomen.
Loss of muscle mass or strengthMuscles feeling weaker, reduced physical capacity, clothes fitting differently around muscle areas
Increased body fat — especially abdomenWeight gain around the middle despite no significant change in diet or exercise habits
Slow recovery from exerciseTaking longer than before to recover from workouts, persistent muscle soreness
Reduced stamina or exercise capacityGetting more tired than before during physical activity, reduced performance
Sexual Health & Libido
These are among the most clinically specific symptoms of testosterone deficiency in men — particularly reduced libido and erectile dysfunction.
Reduced sex drive (libido)Noticeably less interest in sexual activity compared to your past self — one of the most specific indicators of low testosterone
Erectile dysfunctionDifficulty achieving or maintaining erections, reduced morning erections or spontaneous erections
Reduced intensity of orgasmOrgasms feel less intense or satisfying than previously
Reduced fertility or testicular changesConcerns about fertility, noticeably smaller testicles, reduced ejaculatory volume
Physical Changes — Men
Physical signs of hormonal decline in men often develop gradually and are easily attributed to "just getting older."
Hot flushes or sweatingUnexpected episodes of heat, particularly at night — yes, men experience these too with low testosterone
Increased hair loss or thinningAccelerated hair thinning or loss — can indicate elevated DHT or hormonal imbalance
Reduction in body or facial hairNoticeably less body hair, slower beard growth than before
Breast tissue development (gynaecomastia)Tenderness or enlargement of breast tissue — caused by testosterone/oestrogen imbalance
Joint pain or stiffnessIncreased joint discomfort, particularly morning stiffness — testosterone has anti-inflammatory properties
Bone or back pain, fracturesIncreased bone pain or unexplained fractures — low testosterone reduces bone mineral density
Thyroid Symptoms
Thyroid dysfunction is frequently mistaken for hormonal decline — or can occur alongside it. These symptoms can indicate hypothyroidism or hyperthyroidism.
Feeling cold all the timeSensitivity to cold, feeling cold when others are warm — classic hypothyroid sign
Unexplained weight gain despite no change in dietGaining weight without eating more — a specific indicator of underactive thyroid (hypothyroidism)
Constipation or slow digestionSluggish bowel movements, feeling bloated — the thyroid regulates metabolic rate including digestion
Dry skin, brittle nails or hair lossParticularly dry skin on hands and feet, nails breaking easily, diffuse hair thinning
Heart palpitations or racing heartbeatAwareness of heartbeat, rapid or irregular pulse — can indicate overactive thyroid (hyperthyroidism)
Adrenal & Cortisol
The adrenal glands produce cortisol, DHEA and play a critical role in energy, stress response and immune function. Chronic stress depletes adrenal function.
Inability to cope with stressFeeling overwhelmed by things that didn't bother you before, low stress resilience
Salt or sugar cravingsStrong cravings for salty foods or sugar — particularly in the afternoon
Dizziness when standing up quicklyLightheadedness or dizziness when rising from sitting or lying — orthostatic hypotension
Frequent illness or low immunityGetting colds or infections more often than before, slow recovery from illness
Blood Sugar & Metabolic
Insulin resistance often coexists with hormonal imbalance and can amplify symptoms of fatigue, weight gain and brain fog.
Always feeling hungry, especially after eatingHunger returning quickly after meals, cravings shortly after eating — can indicate insulin resistance
Shakiness or irritability if meals are delayedFeeling shaky, irritable or anxious when hungry — reactive hypoglycaemia or insulin dysregulation
Dark patches of skin on neck or armpitsAcanthosis nigricans — dark velvety patches that can indicate insulin resistance
Your Symptom Analysis
Based on your responses, here is a summary of potential hormonal patterns identified:
Recommended Next Step
Blood Tests We'd Recommend
Based on your symptom profile, the following markers from our 150-marker blood panel would be most relevant to investigate the hormonal patterns identified above.
Book Your Blood Test →Important Notice
These results are based on self-reported symptom pattern matching using clinically published criteria including the Aging Male Symptoms (AMS) scale, NICE Menopause Guidelines (NG23, 2024), and Endocrine Society clinical practice guidelines. This tool does not constitute a medical diagnosis. Symptoms can have multiple causes. You should discuss these results with a qualified clinician before making any health decisions.
The Right Next Step
Get the answers
from your blood, not guesswork.
A private consultation at Avani Wellness Clinic starts with a comprehensive blood test — 150 markers including all the hormones relevant to your results above. You'll leave knowing exactly what's happening in your body.
Book a Private Consultation