Hormones Tests
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What is Hormones Tests
Hormone tests are laboratory tests that measure the levels of various hormones in the blood, urine or saliva. These tests are used to diagnose and monitor various hormonal disorders such as thyroid dysfunction, diabetes, fertility problems, menopause, and certain types of cancer. The most common hormones tested include thyroid hormones, insulin, testosterone, estrogen, progesterone, cortisol, and growth hormone. Hormone tests are usually ordered by a healthcare provider based on the symptoms a person is experiencing, as well as their age, sex, and medical history.
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Hormone testing allows us to identify and assess hormone imbalances that might be harming you. We frequently use blood samples for hormone testing, but certain procedures may call for urine or saliva samples.
Benefits of Hormones Tests
Diagnose Hormonal Imbalances
Hormone testing can help detect hormonal imbalances in the body that can cause various health issues. This includes conditions such as Hypothyroidism, Hyperthyroidism, Polycystic Ovary Syndrome (PCOS), and Menopause.
Personalized and Targeted Treatment
Hormone tests can provide information that is specific to your individual health needs. With this information, your doctor can recommend personalized and targeted treatment plans that can effectively manage your hormonal imbalances.
Early Detection of Health Issues
Hormone testing can help detect early indications of health issues, which can allow for early intervention and treatment. This can help prevent the development of more serious health issues in the future.
Improved Quality of Life
Hormonal imbalances can cause many uncomfortable symptoms that can negatively impact your quality of life. Through hormone testing, healthcare providers can identify and treat these imbalances, leading to an improvement in your overall health and quality of life.
Monitoring Progress
Hormone testing can also be used to monitor your progress and determine whether your treatment plan is effective. This can help adjust the plan accordingly to ensure the best possible results.
What are the Applications of Hormones Tests
Diagnosis of Endocrine Disorders
Hormone tests are used to determine the levels of different hormones in the body. These tests help in the diagnosis of endocrine disorders like diabetes, thyroid problems, osteoporosis, adrenal gland disorders, and certain types of cancer.
Fertility Tests
Hormone tests are used to assess the fertility of both men and women. For women, these tests help in evaluating the levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and estradiol. In men, hormone tests help in measuring the levels of testosterone, follicle-stimulating hormone, and luteinizing hormone.
Assessment of Puberty
Hormone tests can help in evaluating the onset of puberty in both boys and girls by measuring the levels of testosterone and estrogen respectively. These tests are also helpful in identifying early or delayed puberty.
Monitoring Hormone Replacement Therapy
Hormone tests are used to monitor hormone replacement therapy in people who have hormonal imbalances. These tests help in determining the effectiveness of the treatment and adjust the dosages if required.
Monitoring Pregnancy
Hormone tests are used to monitor the hormonal changes during pregnancy. These tests can help identify potential risks and complications during pregnancy, such as gestational diabetes and preeclampsia.
Monitoring Athlete Performance
Hormone tests are used to monitor athlete performance and detect the use of performance-enhancing drugs like steroids. These tests help in ensuring fair play and maintaining the integrity of sports.
Types of Hormones Tests
Saliva Testing
Saliva testing has been used in clinical research, including studies conducted at the National Institutes of Health (NIH) for more than 30 years. Saliva testing has been available to physicians for over a decade, and Medicare and many insurance companies provide reimbursement. Over years of clinical practice, it has been shown that saliva testing is the most accurate measurement of the body's availability of the hormones Cortisol, DHEA, Estrogen, Progesterone, and Testosterone. Saliva testing is much more specific and correctly identifies the level of hormones at the cellular level, in contrast to a serum (blood) test, which measures the level of hormones circulating in the bloodstream.
Serum or Blood Testing
Most serum hormone tests define the normal range of hormones very broadly, which is a distinct disadvantage to their use. After a woman's blood has been drawn, a portion of the blood sample (the serum) is used to measure hormone levels. Most serum testing measures the level of “free” hormone (the hormone that can easily enter the cell), the level of the “total” hormone (the hormone attached to substances that carry hormones in the bloodstream), or a calculated combination of both free and total levels of hormone. It is not an accurate reflection of the bioavailable hormone (the amount of hormone that is active in organs and tissues). In addition, the results of the serum hormone tests are often inconsistent, especially if the hormone value indicated is in the low-normal range. Serum testing is less helpful in monitoring women using transdermal (patch or cream) forms of hormones, as the hormone is bound to the red blood cell surface and does not register in the serum in very high amounts.
Follicle-Stimulating Hormone (FSH) Testing
FSH, another serum hormone test, is frequently used to determine the hormonal status of premenopausal women who may complain of hot flashes, mood changes, or other symptoms. The FSH test should not be used as an accurate measure of sex steroid hormone production or as an indication of reproductive status for most women, because the level of FSH fluctuates widely during the decade before menopause.A properly conducted FSH test requires that blood be drawn three times at 60-minute intervals beginning precisely at 8am. The FSH reference ranges are based on the average of those three levels. In many cases, only one blood sample is drawn for evaluation, usually during the appointment with the woman’s physician at a time other than 8 a.m. The vital clinical decisions about a woman’s hormonal status and subsequent treatment are usually based on that single test. When hormone imbalance is detected early and steps are taken to correct it, symptoms can be relieved, and progression to disease states may be prevented.
What Hormones Should Be Tested?
Thyroid Disorders
The thyroid is a small gland in the lower part of the front of your neck that helps regulate metabolism, energy levels, heart rate, development, and body temperature.When the thyroid is out of balance with either high (hypothyroidism) or low levels (hyperthyroidism), it can make it difficult to carry on with everyday life. Sometimes this is due to an autoimmune condition like Hashimoto's or Graves'Disease.Since cis-women and people assigned female at birth are five to eight times more likely than men to develop a thyroid condition, if you're feeling a little off, it can be incredibly helpful to get your hormones tested to see if your thyroid is to blame.
Fertility
One of the most common things we associate hormones with is pregnancy. So it makes sense to get your hormones tested if you've had difficulty conceiving or if you're hoping to get pregnant. The main hormone test that helps determine fertility is a follicle stimulating hormone (FSH) test. This hormone tells your ovaries to release an egg each month during ovulation. FSH tests can also tell you about how close you are to menopause or if you may have an issue with your ovaries. Some other hormones they can test to gauge ovulation and fertility are progesterone and luteinizing hormone (LH).
Sex Hormones
Sex hormones like estrogen, progesterone and testosterone definitely influence fertility, but they also regulate many other processes like libido, bone and muscle growth, inflammatory responses, cholesterol, and fat distribution.Although testosterone is usually associated with male bodied people, it is one of the hormones that is often tested for women. Low testosterone levels in women can interfere with FSH and fertility, libido, and blood cell production. While all hormone levels fluctuate throughout your life and your menstrual cycle, hormone testing for sex hormones can help give you insights into any fertility issues, weight management, menstrual problems, hair growth, and many other health issues.
Other Health Changes
There are so many hormones in your body, all with special and necessary jobs. Another hormone that is commonly tested for is dehydroepiandrosterone, DHEA. This is a precursor hormone that is converted by the body into other hormones like testosterone and estradiol-the strongest of the three estrogens.DHEA irregularities can lead to PolyCystic Ovarian Syndrome, PCOS, cancer, and in rare cases-Addison's disease.
How To Prepare For Hormone Tests
Follow Your Doctor's Instructions
Your doctor will give you specific instructions on preparing for your hormone test. These instructions may include fasting before the test, having the lab drawn on a specific day of your menstrual cycle, or avoiding certain medications prior to testing.
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Be Honest With Your Doctor
It's essential to be honest with your doctor about any medications or supplements you are taking, as these can affect your hormone levels and your test results.
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Keep a Symptom Diary
If you are experiencing symptoms related to a hormone imbalance, keeping a symptom diary can be helpful. Note down your symptoms, when they occur, and how severe they are. This information can help your doctor interpret your hormone test results and guide treatment.
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Stay Hydrated
If you have a blood or urine test, staying hydrated in the days leading up to the test is essential. Dehydration can affect your hormone levels and the accuracy of your test results.
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Get Enough Sleep
Getting enough sleep is crucial for maintaining healthy hormone levels. Aim for 7-9 hours of sleep each night in the days leading up to your test.
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Thyroid Disorders
Thyroid disorders, including hypothyroidism and hyperthyroidism, can cause various symptoms, including fatigue, weight gain, and hair loss. Hormone tests can help diagnose these conditions and guide treatment.
Reproductive Disorders
Reproductive disorders, including PCOS and menopause, can cause irregular periods, infertility, and other symptoms. Hormone tests can help diagnose these conditions and guide treatment.
Adrenal Disorders
Adrenal disorders, including adrenal fatigue and Cushing's syndrome, can cause various symptoms, including fatigue, weight gain, and high blood pressure. Hormone tests can help diagnose these conditions and guide treatment.
How To Get a Hormone Panel
The first step is to speak with your primary care provider or a hormone specialist. They will assess your symptoms and determine if you are a good candidate for a hormone panel. If so, they will write an order for the lab tests and provide you with their recommendations based on the results.
While your primary care doctor may be able to get a blood sample, they'll likely send it off to a lab to get analyzed. You'll benefit from going directly to a hormone specialist like who can draw a blood sample, help you understand the results, and provide hormone replacement therapy to treat symptoms all in one place.
Once you have the order from your healthcare provider, you can go to a lab that provides hormone testing. Most—if not all—labs require an appointment, so it's best to schedule your hormone lab panel appointment well in advance.
On the day of your appointment, the lab technician will draw your blood and send the sample to the lab for analysis. Results may take a few days to a week, depending on the specific tests ordered.
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FAQ
Q: What a hormonal imbalance may look like？
Over 9 months, we addressed her high levels of cortisol at night, lowered inflammatory markers with changes to her diet, healed her digestive dysfunction, and added in supplements to help stimulate natural production of estrogen and progesterone while replenishing certain micronutrients. Her period finally returned, and at 27 years young, she was no longer worried about if she would ever be able to have a healthy cycle and have children in her future.
Q: What are hormones tests?
Q: Why are hormone tests done?
To diagnose hormonal disorders or imbalances, such as thyroid disease, diabetes, or adrenal dysfunction.
To monitor the effectiveness of hormone replacement therapy or other treatments.
To assess reproductive health, such as fertility testing or testing for menopause.
To evaluate the cause of symptoms such as fatigue, weight gain, mood changes, or menstrual irregularities.
Q: What hormones are commonly tested?
Thyroid hormones (T3, T4, TSH)
Sex hormones (estrogen, testosterone, DHEA-S, progesterone)
Adrenal hormones (cortisol, aldosterone)
Pituitary hormones (growth hormone, prolactin)
Reproductive hormones (FSH, LH)
Q: How to Prepare for a Hormone Test
Q: When you should consider getting a hormonal imbalance test？
Bloating
Swelling and tenderness in your breasts
Fibrocystic lumps in your breasts
Acne
Decreased sex drive
Irregular menstrual periods
Increased symptoms of premenstrual syndrome (PMS)
Mood swings
Headaches
Anxiety or depression
Night sweats or hot flashes
Weight gain
Increase in body fat, particularly breasts
Erectile dysfunction
Low sperm count
Decreased bone mass
Q: How hormone testing works？
If you’re on birth control , your hormone levels on any test will be suppressed, because birth control pills contain synthetic estrogen and/or progesterone which deplete your body’s natural production of these hormones. Once going off the birth control pill, your body should naturally take over this process again, however that can take up to 12 months to regain a regular menstrual cycle.
Q: What can you learn from a hormone test?
If you often wake up tired in the mornings, wired at night and/or feel like you need a nap in the afternoon, you may be suffering from what many functional medicine experts now refer to as adrenal fatigue. The official medical term for this condition is HPA dysfunction. Chronic stress over months to years cause an imbalance in our HPA axis which can lead to elevated or suppressed levels of cortisol. Our cortisol acts on a circadian rhythm. It should typically peak at 6-9 am and gradually go down throughout the day so that melatonin can rise at night for a restful sleep . Testing shows us how your cortisol acts throughout the day and identifies any imbalance.
Sex Hormones
Our sex hormones include estrogen and progesterone that vary during the course of a normal menstrual cycle. Testing on Day 3 or 21 can provide your doctor with valuable information connecting your symptoms to hormone imbalances.The purpose of estrogen goes beyond solely helping to support fertility and a healthy menstrual cycle. It also aids in enhancing the effects of neurotransmitters in the brain, supports bone and cardiovascular health, and reduces the incidence of acne in women.Progesterone prepares our endometrium for a potential pregnancy after ovulation. It is also high during pregnancy to maintain a viable fetus.
Q: How to prepare for saliva hormone testing？
When you are investigating estrogen and progesterone you need to do this on day 21 of a 28-day cycle, or 7 days prior to ovulation. To look for androgens like testosterone, you can do this on any day of the month, while stress hormones such as cortisol need to be taken at a specific time through the day or night,
Many saliva hormone tests will require the first collection to be done while fasting, which means it is done within the hour after waking up before any food or drink has been consumed. It is also important to avoid stimulants on the day of testing, so don’t have anything containing caffeine and avoid smoking because this can affect your cortisol results.
Saliva cortisol testing is done at 4 points throughout the day, morning, midday, afternoon, and evening to graph your daily cortisol production. Naturally, cortisol should be highest in the morning, and gradually come down to be low at night. If you are someone who works nightshift or has an irregular sleep schedule, you might have to adjust the testing times to reflect your typical day-to-day wake and sleep patterns.
If you are unsure about the timing of a test because your menstrual cycle is irregular, it can be helpful to review the last 3 menstrual cycles you’ve had and obtain an average. If it has been years or months since you experienced a menstrual cycle, your naturopath or doctor might suggest you do the testing on any day since it is unknown when your next cycle will be. The results are always read within the context of your cycle, even if that means you didn’t have a period within the timeframe of doing the testing.
Q: How to prepare for urine hormone testing？
Urine testing is taken throughout the day at various times to look at your adrenal hormone levels, so it is important to stick to the timing for accurate results. Unlike saliva testing, you don’t have to avoid eating within an hour of taking the test but you must still avoid smoking and stimulants for the day.
If you are taking any amino acids, supplements, or herbs it might be advisable to stop taking these within a certain time of doing the testing so it is important to refer to the particular instructions for the test you are using.
Q: At What Age Should You Test Your Hormones?
Q: What Day Is Best for Testing?
Q: How to Test Your Hormones at Home?
Q: Can You Test While on Bioidentical Hormones?
Q: What If I Am Breastfeeding? Can I Still Test My Hormones?
Q: How do I test my hormone levels?
Q: How do you know if your hormones are imbalanced?
Q: Does insurance cover hormone testing?
Q: What age should you get your hormones checked?
Q: What does a female hormone imbalance feel like?
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