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VitalisHormones → Data → Action
Free trial: 90 days remaining
Self‑help preparation tool.
Not a substitute for professional medical advice, diagnosis, or treatment.
All data stays 100% on your device — zero server sync.
• This tool provides educational and self-assessment content only.
• All clinical decisions must be made with a qualified healthcare professional.
• Your data is stored locally in your browser using localStorage and IndexedDB.
• No data is ever transmitted to any server — your privacy is absolute.
Validated Clinical Instrument
Vitalis Her
Menopause & Hormonal Health — The Menopause Rating Scale (MRS) translates your experience into objective data that doctors respect.
Total Burden0/ 44Not rated
Menopause Rating Scale (MRS)
Heinemann et al., 2003 • Rate each symptom's severity over the past month
0%
No logs yet
Lab Interpretation
Enter your results to see optimal ranges and clinical guidance.
HRT Candidacy Checklist
BMS / NAMS guidelines — absolute and relative contraindications.
GP Discussion Brief (SBAR)
Generate a structured, doctor‑ready PDF for your appointment.
Validated Clinical Instrument
Vitalis Him
Androgen & Vitality Health — The ADAM Scale helps identify symptoms of low testosterone. Sensitivity ~88%, specificity ~60%.
ADAM Score0/ 10Not rated
ADAM Scale
Morley et al., 2000 • Answer each question honestly
0%
No logs yet
Lifestyle Foundation
"Before Supplements" protocol — the non‑negotiable basics.
Progress:
0%
HPA‑Axis Metrics
Self‑reported indicators of stress resilience and recovery.
Circadian Energy Mapping
Track your energy peaks and cortisol drops throughout the day.
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8pm
Couples Alignment
Vitalis Synergy
Connect & Align — Cross‑analyze your assessments, detect communication patterns, and build a shared action plan. Zero data leaves your devices.
Dual Cross‑Analysis
Compare your scores side‑by‑side. Enter both partners' MRS/ADAM totals.
Gottman Four Horsemen Detection
Identify communication patterns that predict relationship breakdown.
Attachment Style Screener
ECR‑based brief screener (6 items).
P2P Privacy Bridge
Partner A generates an encrypted QR code; Partner B scans it locally.
Scan the QR code with your partner's device to sync data privately.
Zero data transmitted. The QR code contains encrypted pointers only.
Joint Action Plan PDF
Generate a unified Couples Action Plan and Intimacy Protocol.
Doctor Advocacy Kit
Word‑for‑Word Appointment Scripts
"Doctor, I have been tracking my symptoms using the validated Menopause Rating Scale (MRS).
My total score is 0,
indicating a significant symptom burden that is impacting my daily work and quality of life."
"My primary goal is to manage my [sleep disruption / brain fog / hot flushes].
Based on current guidelines, I'd like to discuss body‑identical HRT — specifically transdermal
17β‑estradiol patches and oral micronized progesterone."
"If offered an antidepressant: I understand antidepressants help with anxiety, but because my
symptoms started alongside cycle shifts, I would prefer to try evidence‑based transdermal HRT
first to address the underlying hormonal root cause."
Essential Baseline Testing Checklist
Full Thyroid Panel (TSH, Free T3, Free T4) — Hypothyroidism mimics perimenopause almost perfectly.
Serum Ferritin — Heavy perimenopausal flooding depletes iron stores, causing exhaustion and restless legs.
Vitamin D3 & Lipid Panel — Estrogen loss impacts bone density and cholesterol balance.
DEXA Bone Density Scan — Recommended if you have missed periods for 6+ months or have a family history of osteoporosis.
Body Systems Guide
Metabolism & Abdominal Fat
Estrogen optimizes insulin sensitivity and directs fat storage toward the hips and thighs.
As estrogen falls, insulin resistance can increase, shifting fat storage toward the midsection
(visceral fat). This is a biological shift — not a personal failure.
Brain Fog & Cognitive Resilience
Estrogen fuels brain cell glucose uptake, particularly in the hippocampus (memory hub).
Perimenopausal fluctuations cause temporary energy drops in brain cells, leading to
word‑retrieval delays, short‑term memory slips, and feeling scattered.
Joint Cartilage & Bone Renewal
Estrogen keeps joint cartilage hydrated, supports collagen production, and calms inflammation.
Low estrogen leads to morning joint stiffness in hands, knees, and shoulders (estrogenic arthralgia).
Estrogen loss also accelerates bone breakdown — making strength training and Vitamin D3 essential.
Genitourinary Syndrome (GSM)
Unlike hot flushes, localized tissue thinning in the vagina, urethra, and bladder worsens
without treatment. Low‑dose, localized vaginal estriol or estradiol creams safely hydrate
pelvic tissues, preventing painful intimacy and recurring UTIs.
Connecting the Dots Across Your Entire Body
It can feel terrifying when you suddenly experience five or six seemingly unrelated symptoms
all at once — waking up with stiff fingers, forgetting a simple word at work, gaining weight
around your waist despite eating healthily, feeling sudden panicky anxiety at 4 PM, and lying
awake at 3 AM with a racing heart.
It is completely natural to worry that your body is breaking down, or that you are developing
several separate medical conditions simultaneously. But when you understand that all of these
diverse organs rely on the exact same chemical regulator — estrogen —
a profound wave of relief takes over.
Your body is an integrated ecosystem. Estrogen receptors (ER‑alpha and ER‑beta) are embedded
in almost every tissue type. Treating the root cause creates systemic improvement across your
whole body. When you work with your doctor to restore steady hormone levels using body‑identical
transdermal HRT — supported by progressive resistance training, adequate protein, magnesium
glycinate for sleep, and low‑dose localized vaginal estrogen — you are restoring stability to
your entire nervous, metabolic, and skeletal system.