Why Test for Hormonal Imbalance?
Explore how women in the U.S. can test for hormonal imbalances. Learn about symptoms, types of hormone tests, and the top labs and at-home brands offering female hormone panels.
Hormones play a critical role in regulating metabolism, mood, reproductive health, sleep, and more. In women, hormonal imbalances can result from age, stress, medical conditions, or lifestyle changes. Common signs include:
Fatigue
Irregular periods
Weight gain or loss
Mood swings or anxiety
Acne or hair thinning
Low libido
Fertility issues
Getting a hormonal imbalance test helps pinpoint the root cause and supports a personalized treatment plan.
Common Female Hormones Tested
1. Estrogen (Estradiol)
Regulates menstrual cycles and reproductive function. Imbalances may lead to irregular periods or menopause symptoms.
2. Progesterone
Supports pregnancy and regulates the cycle. Low levels may contribute to fertility problems or PMS symptoms.
3. Testosterone
Yes, women produce testosterone too. High levels are linked to PCOS, acne, and unwantedfacial hair.
4. Thyroid Hormones (TSH, T3, T4)
Affect metabolism, energy levels, and weight control.
5. Cortisol
The stress hormone, linked to fatigue, anxiety, and adrenal dysfunction when out of balance.
6. FSH & LH
These pituitary hormones regulate ovulation and menstrual cycles. They’re especially important for fertility evaluation and perimenopause.
Types of Hormonal Imbalance Tests
1. Blood Tests (Serum)
The gold standard. Done at labs or doctor’s offices. Measures hormone levels at a specific time.
2. Saliva Tests
Often used for at-home testing kits. Measures free (active) hormone levels, especially for cortisol and estrogen.
3. Urine Tests
Best for tracking hormone metabolites over 24 hours. Common in functional medicine and advanced hormone panels.
When Should Women Get Tested?
Persistent symptoms like fatigue, mood changes, or missed periods
Difficulty getting pregnant
Suspected PCOS or thyroid issues
Menopause or perimenopause transition
Monitoring hormone replacement therapy (HRT)
Timing matters. For example, testing progesterone is best done around day 21 of a 28-day menstrual cycle.