Which hormones can you test using saliva testing?

Question:

Which hormones can you test using saliva testing?  Is it possible that a woman can be low in testosterone?

Answer:

Yes, I always test my hormones through saliva testing because this will test the Bioavailable amount of hormones in the body, not the total amount, which is sometimes inaccessible for the body to use.  Saliva testing is done in a timed fashion and we usually, depending on the patient, will do it in one day or over the course of a month.   The hormones I typically test using saliva testing includes Estrogen-Estradiol, Estrone, Estriol, progesterone, testosterone, BAGA, Cortisol.   These are typically measured in saliva tests.  For thyroid hormone, I do measure this in a blood test. To answer the second part of the question, yes, it is very common for women to be low in testosterone.  About 80% of women are low in testosterone as they approach perimenopause and beyond.  There is a small percentage who are high-testosterone and we have to also analyze these patients as well.  With high testosterone, you can have abnormalities in glucose and insulin, and possibly have polycystic ovarian syndrome, or be at high risk for heart disease.  Patients with low testosterone tend to have a low libido, lack of muscle tone, and drive, and benefit significantly from Bio-identical testosterone replacement. Posted by Dr. Allison Pontius