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Management of Menopause Type^®Seminar
Module C: Objective Data
CHOOSING HORMONE TESTS
Serum, Saliva & Urine
Optimal Hormone Evaluation
The relative benefits and limitations of the different hormone tests can be summed up in the following chart. Objective review of these tests helps when choosing optimal hormone evaluation for each woman.
	Serum with SHBG				Saliva Multiple Sample			Urine 2:16 OH-Estrones
Quantitative Levels	GOOD				GOOD			FAIR
Bioavailability	FAIR				GOOD			FAIR
Fluctuations	POOR				VERY GOOD			POOR
Cancer Risks	FAIR				FAIR			VERY GOOD
Non-Invasive	NO				YES			YES
Prudent healthcare requires that urinary 2:16 OH-Estrones be a part of any hormone evaluation. Beyond that, a choice may be made on whether or not invasive tests will be used. Another consideration is the reality that serum tests are usually covered by insurance, while some insurance companies do not reimburse patients for saliva tests.
Two Scenarios for Optimal Hormone Evaluation are:
Salivary Tests with Urine Test:
Salivary Tests:						Saliva				Urine
Estradiol X 3, Progesterone X 3, Testosterone X 3			Quantitative Levels			GOOD*				FAIR
			Bioavailability			GOOD				FAIR
			Fluctuations			VERY GOOD				POOR
Urine Test:			Cancer Risks			FAIR				VERY GOOD
2:16 OH-Estrones			Non-Invasive			YES				YES
Serum Tests with Urine Test:
Serum Tests:							Serum			Urine
Estradiol, Progesterone,			Quantitative Levels				GOOD			FAIR
Testosterone, SHBG			Bioavailability				FAIR			FAIR
			Fluctuations				POOR			POOR
Urine Test:			Cancer Risks				FAIR			VERY GOOD
2:16 OH-Estrones			Non-Invasive				NO			YES
Once the objective data has been collected the therapeutic goals must be revisited before the assessment and planning is undertaken.
What's Next?
Next we will review diagnostic goals & therapeutic goals before turning our attention to assessment and planning.
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