Hormone Tests

HOW TO ORDER LAB TESTS….

1. Read the relevant summary pages (all listed on the Lab Tests page).
2. Decide which tests you need and what labs they are from. Book an Ask Micki here if you need help with this.
3. Click the BIG orange buttons below to go to the relevant labs. These are affiliate links, which will trigger a small amount of commission for me. Doing it this way means I can get on with writing and researching more stuff for us rather than doing all the test admin, but keep the business afloat at the same time. Bless you x
4. Search for the test you need. You will find collection instructions, sample reports etc and can order there. If ordering PHC or Cyrex tests via me, read the FAQ and tips on each test page.

If you get stuck, just email me: micki@purehealthclinic.co.uk

Results

The labs will send you your results direct. I will send you the PHC and Cyrex results with some details on what they mean and what to do next. You should get your results within 3 weeks (working days).

Interpretation & Help

Most results have very comprehensive reports nowadays to help you see what the results mean. If you need help, book an Ask Micki session to start with, check out the test videos on the You Tube channel here and the test factsheets here as I write them.

Unsure if you need a Hormone Test?

Check out these factsheets and see if anything resonates with you: Oestrogen Dominance, PMS, Menopause, Men’s Health.

Testing Summary

There are simply loads of different hormone tests you can do and it really depends what you are looking to find out. To be honest, I am going to make this easy for us and recommend only a couple. What we want is useable, practical information to help see what is going on in this complex area of hormones. For both women and men, the best test, by far, is the DUTCH Complete Plus (RG). You can do other versions of the DUTCH including the standard DUTCH Complete (RG) or DUTCH Complete with Mapping (RG) or the DUTCH Mapping Plus (RG), see the differences below.

If you want to check your hormones throughout the cycle, the DUTCH with Cycle Mapping can be a little pricey so go instead then for the Genova Rhythm Test (PHC) if needed. You can choose the Genova Rhythm Plus (PHC) and include adrenals, cortisol and DHEA too.

For men, see also the useful Male Hormone Check (MC) and PSA Test (MC).

The DUTCH Test

Put simply, I think you get a great deal of information with this test, plus it’s simple to do as it uses dried urine.

It can be done by people with irregular cycles, on HRT, the pill etc and by men. It covers everything you’re likely to need to know clinically to help you get well, including adrenals and the metabolites (you can read more about that here on the Adrenal Tests page), sex hormones (oestrogen, progesterone, testosterone) and their metabolites, a monthly cycle (in the Cycle Mapping one,) clues on methylation, oestrogen dominance (important for women and men), oestrogen breakdown, androgen and DHEA issues, liver phase 1 and 2 clearance, organic acid markers for B12, B6 and glutathione deficiency, an oxidative stress check and three key markers for mood issues, fatigue and hypersensitivity.

It’s more cost up front, I’ll grant you, but much better value in the long run. The only downside is the complexity of the reports!

You can learn all about the DUTCH tests on their site here. And see the various sample reports here.

The DUTCH Complete (RG) checks adrenals, sex hormones (oestrogen, progesterone, androgens inc testosterone and DHEA), plus all the other markers as described above.

The DUTCH Complete with cycle mapping  (RG) checks all of that plus a monthly cycle pattern of the oestrogen and progesterone for women having cycles.

The DUTCH Plus (RG) is the Complete using saliva samples plus CAR (cortisol awakening response) that can sometimes show a developing adrenal problem even if the normal cortisol samples look OK. I think this is the best.

The DUTCH Mapping Plus (RG) is the cycle mapping test as above but including CAR.

Here is a video overview I did of the DUTCH test:

Here are the DUTCH Collection Instructions as a PDF and here is a series of videos if you are more complex cycle-wise or on meds/supplements. 

If your cycles are long, short or irregular, see the extra guidelines here

If you are on HRT, check if the DUTCH is viable or not for you here; it depends on the form you are taking.

Note the Mirena coil contains synthetic progesterone which is not detected by the DUTCH tests; everything else is tested fine but don’t rely on it to show progesterone correctly.

Samples are returned to the UK lab and drop-shipped to the US for you. Any questions, check the DUTCH website, their FAQ is very useful.

Note that if you mess up your samples, a new test kit costs a further amount – about £12 currently – so just be aware of that.

The One Day Hormone Test

An alternative, cheaper option for a salivary adrenal and hormone test is the Labrix Basic Hormone Panel (RG). This measures oestradiol (E2), progesterone, testosterone, DHEA and morning cortisol. It is indicated for all men and women presenting with symptoms of hormone imbalance and can also be applied while using hormone replacement therapy for baseline measurements and monitoring..

Just bear in mind that when you take your sample matters for women – to interpret the results, you need to know roughly which phase you are in ie. luteal (Day 15- 28 usually) or follicular (day 1-13 usually). Ovulation occurs on Day 14 roughly. These timings vary a lot so use them as guidelines only and be led by the test instructions!

Oestrogen Metabolism

How we are metabolising oestrogens is vital. Read the Oestrogen Dominance factsheet here. If oestrogens are not being metabolised down well enough, it leaves us at risk of oestrogen-sensitive illnesses such as breast and prostate cancers.

Oestrogen metabolism is included in the DUTCH tests above or you can do the Genova Oestrogen Metabolism Test (PHC).

Gosh, hormones are always so complicated, aren’t they?! Here’s a lovely picture of some cute sheep to help distract you for a moment….

flock of sheep grazing on pasture

Better? OK, let’s carry on…

Cycle Mapping

Sometimes women might need to see what’s happening throughout the month. It might be to see when they are likely ovulating or when their hormone symptoms are at their worst – do the symptom timings correspond with a surge or drop somewhere you could target?

The DUTCH Test with Cycle Mapping (RG) will do this for you – it gives you some useful graphs – I find looking at those can help you to see past the numbers and compare where the peaks and troughs should be and where yours are. However it is pricey and you can get more or less the same info using the Genova Rhythm or Rhythm Plus tests (PHC).

Why is it useful to test adrenals as well?

Including adrenals (in the DUTCH tests and the Genova Rhythm Plus (PHC)) can be very useful because they are partly responsible for the production of the sex hormones, especially as we get older (take note pre-menopausal women) so, if the hormone levels are struggling, it is often because the adrenal output is too low or dysfunctional somewhere, if you see what I mean. Correcting the adrenals and HPA axis generally improves oestrogen and progesterone levels and is usually where I would start with poor hormone levels, especially if you are over 40.

Also, the adrenal test will check DHEA levels too which has a direct impact on progesterone and testosterone production. So, if your DHEA was high, this could explain why you are progesterone dominant or producing a lot of male hormone. Obviously, it all gets a lot more complex than that – this is hormones after all! – but you get the general gist.

For women no longer having periods

I would say the the DUTCH Complete test (RG) above, which includes a check of the good and bad oestrogen ratios for risk of hormonal cancers like breast or ovarian, for example, would be a great choice. I encourage everyone past menopause to have it.

Male Hormones

For men, things are a lot simpler (as always with hormones!). Again, do the DUTCH Complete (RG). This includes DHEA, which is so important for men as it is the pre-cursor for making testosterone and male hormones in general. Ergo: if DHEA and testosterone are low, you have your answer – boost the DHEA, or in more complex cases, see what else might be going on.

Alternatively, you can simply do the Male Hormone Check blood test (MC) which includes an SHBG marker and a good amount of general info, and they also do a PSA Blood Test (MC).

Told you: simpler!

Adding Neurotransmitters

Sometimes it can be useful to see what your levels of the brain neurotransmitters are with hormones eg. serotonin for PMDD, PMS with mood issues or adrenaline or GABA for anxiety etc.

The best test here is the Neuro Hormone Complete Plus (RG), which includes adrenals, key hormones and the main neurotransmitters. If doing the DUTCH Complete, use the Neurotransmitter Basic (RG) or the more advanced Neuro Biogenic Amines (RG).

Phew: that’s a lot of info and choices I know, sorry; I’m trying to cover all bases here! Just have a good look through the various tests I’ve highlighted – and others I haven’t – and see what test gives you the information you need. I’ve tried to choose tests that give you good reports to help you see what the results mean too!

HOW TO ORDER LAB TESTS….

1. Read the relevant summary pages (all listed on the Lab Tests page).
2. Decide which tests you need and what labs they are from. Book an Ask Micki here if you need help with this.
3. Click the BIG orange buttons below to go to the relevant labs. These are affiliate links, which will trigger a small amount of commission for me. Doing it this way means I can get on with writing and researching more stuff for us rather than doing all the test admin, but keep the business afloat at the same time. Bless you x
4. Search for the test you need. You will find collection instructions, sample reports etc and can order there. If ordering PHC or Cyrex tests via me, read the FAQ and tips on each test page.

If you get stuck, just email me: micki@purehealthclinic.co.uk

Results

The labs will send you your results direct. I will send you the PHC and Cyrex results with some details on what they mean and what to do next. You should get your results within 3 weeks (working days).

Interpretation & Help

Most results have very comprehensive reports nowadays to help you see what the results mean. If you need help, book an Ask Micki session to start with, check out the test videos on the You Tube channel here and the test factsheets here as I write them.

Testing Summary

There are simply loads of different hormone tests you can do and it really depends what you are looking to find out. To be honest, I am going to make this easy for us and recommend only a couple. What we want is useable, practical information to help see what is going on in this complex area of hormones. For both women and men, the best test, by far, is the DUTCH Complete Plus (RG). You can do other versions of the DUTCH including the standard DUTCH Complete (RG) or DUTCH Complete with Mapping (RG) or the DUTCH Mapping Plus (RG), see the differences below.

If you want to check your hormones throughout the cycle, the DUTCH with Cycle Mapping can be a little pricey so go instead then for the Genova Rhythm Test (PHC) if needed. You can choose the Genova Rhythm Plus (PHC) and include adrenals, cortisol and DHEA too.

For men, see also the useful Male Hormone Check (MC) and PSA Test (MC).

Testing Tips…

Check above for all the various links for help on the DUTCH tests.

Genova has a Guide to which samples are best for which hormones here.

If you have erratic cycles or find it difficult to track your cycle/see when you’re in the luteal phase – the best time to test if having periods – try using ovulation sticks. They don’t have to be the fancy digital ones. Use one a day. Count seven days after the paper first changes colour and do your test then – that’s when you will be in the luteal phase. Clever huh? The lab taught me that one 🙂