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Menstrual Mapping

A month long assessment of a woman’s key reproductive hormones.

Evidence shows that hormonal imbalances can be the root-cause of many chronic health issues in relation to a woman’s menstrual cycle. Most practitioners don’t even look at what your hormones are doing over the course of the month.

Conditions that can be influenced by a woman’s hormonal cycle include:

  • PMS
  • PMDD
  • PCOS
  • Infertility
  • Irregular Cycles
  • Anovulation
  • Amenorrhea
  • Luteal Phase Defect
  • Migraines
  • Mood Swings
  • Heavy bleeding and painful periods

With Menstrual Mapping we can get to the root of your hormone-related menstrual symptoms, irregular periods, amenorrhea, or infertility by taking a look at the ENTIRE MONTH of your cycle.

The Menstrual Map looks at fluctuations of key hormones during your entire cycle:

Luteinizing Hormone (LH)

LH is produced in the pituitary gland. In a normal menstrual cycle, LH surges at the end of your follicular phase to trigger ovulation. High levels of LH during non-ovulatory times could reflect: ovarian failure or menopause, a pituitary disorder, or PCOS. Low levels of LH may mean you have: a pituitary disorder, anorexia, malnutrition, or are under stress.


Estradiol is the predominant, and the most
potent, circulating estrogen in women. An excess of estradiol relative to progesterone is known as “estrogen dominance” and can explain many symptoms such as: PMS, PMDD, weight gain, fibrocystic breasts and uterine fibroids. With the onset of menopause & peri-menopause low levels of estradiol leads to: hot flashes, night sweats, vaginal dryness, sleep disturbances, foggy thinking and bone loss.


Progesterone’s primary function during the menstrual cycle is to prepare your endometrium for implantation of a fertilized egg. Progesterone levels should increase during the luteal phase of your cycle, after ovulation. In some women experiencing infertility, ovulation may occur but luteal phase levels of progesterone are inadequate which can lead to a condition called “luteal phase defect”. If you’re a woman who is not ovulating then you will not have adequate progesterone and will experience symptoms of a progesterone deficiency. This is common in PCOS, post-birth control syndrome, amenorrhea, over-exercise, and of course menopause. Progesterone has wide-ranging physiological effects, including neuroprotection, maintenance of skin elasticity, and development of bone tissue.

The convenience of testing from home. 

With ZRT’s Minimally Invasive test, you can easily perform this test at home with dried urine samples!

Example Report:

Menstrual Mapping IS for:

  • Women experiencing infertility
  • Women who experience irregular cycles or amenorrhea
  • Women who experience hormone-related issues such as: mood swings, PMS, PMDD, PCOS, migraines, bloating, heavy or painful periods
  • Women committed to collecting urine samples every other day from day 7 of their cycle to menstruation (or day 30+ if not menstruating)

Menstrual Mapping is NOT for:

  • Women on any type of hormonal (or non-hormonal) birth control including: oral contraceptives, IUD, copper IUD, etc. Hormonal (and non-hormonal birth control, like copper IUD) suppresses a woman’s natural hormonal rhythm and doesn’t reflect an accurate picture of a natural cycle. If you’re experiencing symptoms while on hormonal birth control of any kind, please consult with your doctor.

Let’s Work Together & Get To The Bottom of Your Menstrual Cycle Related Issues. 

Schedule Your Complimentary Consult With Me to Learn More.

Sarah Neumann Haske, MS, RDN is a Digestive Health Dietitian and owner of Neumann Nutrition & Wellness, LLC. Her practice helps women heal their gut using a root-cause approach to their health. As a result of her program, her clients are able to come off medications, feel more energized, and live a radiant care-free life. If you’re interested in finding direction and accountability while discovering freedom from your digestive issues, then schedule your free call with Sarah now.