Women's Health Hormone Testing: Your Questions Answered

Let's Simplify Hormone Testing

Looking for a women's hormone test? This post will answer your hormone testing questions: when to get tested, why to get tested, and how to do it!

By Chelsey Richardson, DNP, ARNP, FNP

📅 Updated on: April 14, 2024

As a nurse practitioner who's navigated the complex world of hormones, I've seen firsthand the pivotal role they play in our well-being. Hormones are like the body's secret messages, coordinating everything from our mood to our metabolism. But when these messages get mixed up, it can feel like our own bodies are speaking a foreign language.

Rewind to the early 1900s: hormones were a mystery, especially for women's health. It wasn't until the 1950s that scientists cracked how hormones govern the menstrual cycle, leading to treatments for cramps and irregular periods. This breakthrough changed how we approach women's health, showing just how crucial understanding hormones is.

Fast forward to today, and we've got advanced tests that can tell us exactly which hormones are out of balance and by how much. It's like having a detailed map of what's happening inside your body, allowing us to find the best path to feeling good again. This progress in hormone health and testing is a testament to how much we value understanding and improving women's health.

Why Get Women's Hormone Health Tests?

Think of women's hormone health tests as your personal health detectives. They zoom in on your hormone levels to spot any troublemakers messing with how you feel, from zapping your energy to playing with your moods.

Spotting these imbalances lets us tackle the real issues, guiding you back to feeling more like your awesome self!

What Are The Symptoms of Hormone Imbalance?

A lot of our health problems come from our hormones not playing nice. Feeling off? It might be time to check if your hormones are in balance. Some clues that you could use a women's hormone health test include running into health issues like:

  • Sex drive changes
  • Stubborn weight gain
  • Hair loss or breakouts
  • Mood swings and irritability
  • Vaginal dryness or hot flashes
  • Low energy
  • Menstrual cycle irregularities
  • Difficulty sleeping
  • Breast tenderness
  • Anxiety or weepiness
  • Heavy or painful periods
  • Brain fog

Are your hormones in balance? 👉 Take our quiz!

Comprehensive Female Profile II

The Comprehensive Female Profile II looks at your sex, adrenal, and thyroid hormones to determine if there are any imbalances.


Are There More Serious Types of Hormone Disorders?

The above issues are bad enough, but they could be part of a bigger story. Here are some of the disorders and syndromes that hormone testing for women's health aims to solve:

  1. Polycystic Ovary Syndrome (PCOS): Imagine your menstrual cycle and hormones playing a confusing game of tag. That's PCOS. It can mess with your periods, cause weight gain, and even make getting pregnant harder.
  2. Endometriosis: It's like the tissue that should line your uterus decides to go exploring where it shouldn't. It can be really painful and mess with your fertility.
  3. Thyroid Disorders: Your thyroid gland is like a thermostat for your body's energy. If it's off, you might feel wiped out or, on the flip side, like you're running too hot. This can throw a wrench into your body's hormone harmony, affecting everything from your weight to your chance of having a baby.
  4. Menopause Symptoms: Menopause is a milestone, but it can come with a mixed bag of symptoms like hot flashes and mood swings, not to mention it nudges up the risk for weaker bones and heart issues.
  5. Osteoporosis: When estrogen takes a dip, especially during menopause, your bones might get the short end of the stick, becoming fragile and more likely to break.

Hormone testing is often part of the diagnosis process for the above conditions. If you believe you suffer from any of the symptoms we listed here today, you cannot be too proactive! Hormone testing is accessible and relatively affordable.

And guess what? I'm here to guide you through every step of the way. Let's work together to understand what your body is saying and find the right solutions for you.

Chelsey Richardson

Through functional medicine & health consultation, I'll help you boost energy, balance your hormones, and ensure you radiate wellness inside and out.

What Are The Key Hormones in Women's Health?

In the world of women's health, hormones are like the superstars running the show behind the scenes. Let's introduce you to the main players and why they're so important:

Estrogen: Think of estrogen as the queen of sex hormones. It's all about keeping your reproductive system in tip-top shape, influencing everything from your menstrual cycle to the glow of your skin to your mood. But it's a bit of a Goldilocks hormone—not too much, not too little, just right is where we want our estrogen levels!

Progesterone: If estrogen is yin, then progesterone would be yang. Progesterone plays a special role in preparing the body for and maintaining pregnancy, balances the effects of estrogen, and is known as the “calming” hormone. Without enough progesterone, periods can be heavy and unpredictable, the possibility of pregnancy dwindles, and PMS and anxiety can be off the charts!

Testosterone: This hormone is not just for men, it’s actually the most abundant sex hormone in a woman’s body! Testosterone is not only important for libido but also helps maintain muscle mass, motivation, and bone health. Too much can cause annoying problems such as acne, frontal hair loss, or irregular periods, but too little can leave you feeling like you have no mojo!

Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH): These two are like the dynamic duo of your reproductive system. LH is the hormone that gives the green light for ovulation each month, while FSH gets the follicles in your ovaries ready to release an egg. Together, they make sure your menstrual cycle runs like clockwork.

Thyroid Hormones: Ever think of your body as a big energy factory? Well, thyroid hormones are the managers making sure everything's running smoothly. They regulate how fast your body uses energy, keeping your metabolism on track. But if they're out of whack, it can throw a wrench into everything from your weight to skin texture to how energetic you feel.

Cortisol: Also known as your “Stress” hormone, plays a crucial role in helping you feel energized all while taming inflammation. But when we get too much of a good thing problems like insomnia, mid-section weight gain, blood-sugar imbalances, immune dysfunction, AND other hormonal imbalances ensue. When it comes to our hormonal hierarchy, cortisol is at the top and can mess with ALL of your other hormones making it one you don’t want to neglect!

Understanding these hormones and how they work together in your body gives us the blueprint to address issues like irregular periods, mood swings, or even trouble with getting pregnant. So, knowing your hormone levels isn't just sciencey stuff—it's about getting to the heart of your health.

DUTCH Complete Hormone Test

The DUTCH Complete™ is a comprehensive assessment of sex and adrenal hormones, their metabolites, and other key biomarkers.


What Are The Most Common Hormone Testing Methods?

When it comes to figuring out what's up with your hormones, how we collect samples and the type of test we choose matter a lot. Let's break down the usual methods and what they can tell us:

Sample Collection Techniques: Whether it's a quick blood draw, finger prick, a simple saliva sample, or urine collection, getting the material for testing is step one. It's all about catching your hormones in action, so sometimes, you might even take several samples at different times to get the full picture.

Hormone Blood Testing vs. Saliva Testing vs Urine Testing: Here's the deal—each has its own perks. Blood tests are often the standard and can give us a clear view of what's happening hormone-wise; however, they are just one snapshot at a moment in time. Saliva testing, on the other hand, is super convenient and less invasive and is the go-to method for measuring cortisol levels. Urine testing has actually been around for a while and offers the distinct advantage of capturing not only hormone levels but also how hormones are being broken down in the body -- this is especially helpful when troubleshooting hormonally driven issues. Not all tests are created equal. Some details might be clearer in blood tests, while saliva tests can conveniently offer insights into the day-to-day changes and urine tests can show important nuances that might not be found elsewhere.

Interpreting Test Results: This part is key. High levels, low levels—they're all clues pointing us towards what might be out of balance. For instance, high levels of certain hormones might hint at conditions like PCOS, while low levels could signal thyroid issues or menopause. Or depending on certain levels of hormones it may point to signs of poor liver detoxification or genetic variations in methylation. It's like piecing together a puzzle; each result helps us see the bigger picture.

interpreting lab results is a challenge

What Are The Benefits of Regular Hormone Testing for Women?

Of course, preventing syndromes like PCOS or managing thyroid disease is huge. But there's more to regular hormone testing than dodging these health hurdles. It's also a powerful tool for personalized health care.

Think of regular testing as your health's personal roadmap. It doesn't just flag potential issues like hormone imbalances or the early signs of conditions. It's your guide to understanding your body's unique rhythm and needs. By tracking your hormone levels over time, we can tailor your health strategies directly to you, making sure your wellness plan is as unique as your fingerprint.

So, yes, sidestepping problems like PCOS, or Fibrocystic breasts or Adrenal dysfunction is a major plus. But embracing hormone testing as part of your regular health check-ups? That's how you take the driver's seat in your health journey, navigating with precision and care tailored just for you.

When Should You Test for Women's Hormone Imbalance?

Timing can be everything. Generally, it's wise to consider testing if you're experiencing symptoms that just don't add up: think persistent fatigue, unexplained mood swings, or irregular periods. But there's more nuance to it.

Depending on your specific concerns—like fertility issues or transitioning into menopause—timing tests around your menstrual cycle or at specific points in your symptoms' pattern can offer clearer insights.

A great time to test hormones is often during the second half of your menstrual cycle, about 7 days before your period is due. This helps us evaluate the relationship of estrogen to progesterone providing important insights concerning hormonal balance.

For women with very irregular cycles, you may want to ask about a type of hormone testing that captures hormones over multiple days in time.

For women who are nearing menopause, there is no perfect way to test hormones and with all hormonal issues, your symptoms are some of the most important data we have!

Keys to Hormonal Harmony

If you can't meet with me directly, this mini-course is the next best thing, covering four vital topics: hormone balance, adrenals & tyroid, gut health, and detox.

What About the Cost and Insurance Coverage for Hormone Health Tests?

Let's talk numbers. The cost of hormone testing can vary widely, depending on the type of test and where it's done. While some tests might be covered by insurance, others, especially more comprehensive panels or tests done out of sheer curiosity, might not be.

I've put together a list of lab tests ranging from $55 to $300+. Relative to the power of the data these tests provide, I think they are worth every penny!

Wrapping Up

FAQs like these are just the starting point. They open up a conversation about how we can use hormone testing not just to solve health mysteries but to proactively manage and optimize our well-being. It's about turning question marks into exclamation points when it comes to understanding our bodies.

Chelsey Richardson

Your Women's Hormone Specialist

Chelsey Richardson

Chelsey Richardson is a Board-Certified Family Nurse Practitioner, Doctor of Nursing Practice, Functional Medicine Specialist and a hormone, and gut health enthusiast. She is on a mission to empower women (and men) to understand their bodies better and aid them in restoring their vitality through a holistic, root-cause approach.