Anubha Anti-Ageing Medicine
SALIVARY HORMONE TESTING
Salivary testing allows for the assessing of free hormone values [Oestriol (E3), Oestradiol (E2),
Oestrone (E1), Progesterone, DHEAS, Testosterone, Cortisol], which is not available on routine blood
testing apart from free testosterone. The unique value of salivary testing is the ability to assess E1,
E2 & E3 and their ratio to each other as well as the ratio of free progesterone to free oestradiol which
may reflect on the state of oestrogen dominance, a surprisingly common hormonal situation
confronting women in the peri-menopause (which can affect treatment and outcomes). Many patients
suffering from fatigue syndromes may have low cortisol states reflecting adrenal insufficiency or
exhaustion; the advantage of salivary hormone assessments of cortisol is the ability to collect 4
salivary samples from early morning through the day and late at night which is not practical through
laboratory blood collecting. These salivary samples can detect the phases of low adrenal function and
consequent asthenia or exhaustion.
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