Need some help on your Hormones this test price includes preparation of report and going over report with Dr Dietrich ( 1 Hour) . Either in person or go over the results over the phone.
The Comprehensive Hormone Assessment Panel, (estrogen, progesterone, testosterone, DHEA and four diurnal cortisol) is a excellent starting place for evaluating hormone function in the body. This panel tests both reproductive (sex) and adrenal hormones. If your only testing the sex hormones you are missing valuable information that could lead to more effective treatment strategies.
The major sex hormones to assess are estradiol, progesterone and testosterone. Estrone and estriol are also important sex hormones to consider testing. The main adrenal hormones are DHEA and cortisol. These seven hormones will provide crucial information about deficiencies, excesses and daily patterns, which then result in a specifically tailored treatment approach and one far more beneficial than the old "shotgun" approach. Below is a brief description of each of these hormones: Estrogens:
There are three forms made by the body: estrone, estradiol and estriol. The form used in past hormone replacement therapies is estradiol, often in the form of concentrated pregnant mare's urine (premarin). It is a proliferative (causes growth) hormone that grows the lining of the uterus. It is also a known cancer-causing hormone: breast and endometrial (uterine) in women and prostate gland in men. It will treat menopausal symptoms like hot flashes, insomnia and memory-loss. With the bio-identical formulas estriol is matched with estradiol (biest) to provide protective effects and additional estrogenic benefits. The other major protector in keeping estradiol from running amok is progesterone. Estrone and estriol are also useful hormones to test. Progesterone:
Called the anti-estrogen because it balances estradiol's proliferative effects. It is considered preventive for breast and prostate cancers as well as osteoporosis. In addition, too little progesterone promotes depression, irritability, increased inflammation, irregular menses, breast tenderness, urinary frequency and prostate gland enlargement (BPH). Testosterone:
An anabolic hormone (builds tissue) that is essential for men and women. The proper level of testosterone is necessary for bone health, muscle strength, stamina, sex drive and performance, heart function and mental focus. DHEA:
An important adrenal gland hormone, which is essential for energy production and blood sugar balance. DHEA is a precursor to other hormones, mainly testosterone. Cortisol:
Your waking day hormone (highest in the morning and lowest at night). It is necessary for energy production, blood sugar metabolism, anti-inflammatory effects and stress response.
Some of the common imbalances identified through testing include estrogen dominance, estrogen deficiency, progesterone deficiency, androgen (testosterone and DHEA) excess or deficiencies, adrenal dysfunction and adrenal fatigue.
The Whole Picture
Clinically it may be obvious to test the estrogen, progesterone and testosterone, but it is equally important to look at the foundation of the Balance/ImBalance: DHEA and cortisol- the adrenal hormones. Sex hormones are made in both the gonads and the adrenal glands. Often when the reproductive system is out of balance the adrenal glands go into overtime in an attempt to compensate.Conversely, the adrenal glands produce cortisol and DHEA which reduce gonadal hormone production.
As we age and our production of sex hormones changes the adrenals will maintain a central role in sustaining optimal health and function. The AM cortisol level represents the maximum output of cortisol for the entire 24 hour period and initiates and maintains waking day activity and function. Cortisol level at noon, late afternoon and night indicates the pattern of cortisol production over the 24 hour period and can highlight adrenal exhaustion.
DHEA levels are equally important because this hormone has a central role in disease prevention and health optimization and is often referred to as the "anti-aging hormone". Including DHEA and cortisol along with the sex hormones in testing results, from testing the reproductive hormones is very significant clinically and once both of these systems are addressed, most patients' symptoms will improve. Measuring DHEA and cortisol production is your first glimpse into the status of the connection between the two endocrine organs.
Usually after a month or two we will re-Test to see the changes to a healthier symptom free state.
Who should Test:
Both men and women experience changes in hormone levels with age. Sometimes those changes result in unpleasant symptoms that demand attention. Often, the changes are more subtle yet there is still an impact on overall health. Hormone testing is applicable for:
Men and women concerned with changing hormone levels as a result of age.
Cycling women experiencing PMS symptoms, perhaps related to a hormonal imbalance.
Peri and post-menopausal women concerned with their estradiol and progesterone levels for replacement considerations.
Those wishing to monitor their hormone levels following replacement therapy (oral, sublingual or topical), and subsequently regulate their supplement levels.
Anyone with symptoms involving fatigue, insomnia, stress, immunity problems, blood sugar problems, and overweight should be tested for cortisol levels as well as "sex" hormones.
Men and women of any age who are having symptoms of hormone imbalances should test for all hormones that may be associated with their symptoms. Men and women over the age of forty may want to do a baseline test. Frequently imbalances will be detectable for a time period before symptoms gain attention.