Ordering the Perimenopause Test
Ordering the Perimenopause Test helps measure hormone changes that can affect symptoms like hot flashes, mood swings, and irregular periods. This test checks active hormone levels in saliva, which can show patterns that blood tests may miss. Interestingly, saliva testing can reveal hormone spikes and drops that often go unnoticed with standard blood tests, making it easier to spot perimenopausal changes.
When ordering, you can expect these specific benefits:
- Tracks estrogen, progesterone, and other hormone levels at two different times for a clearer picture of hormone shifts.
- Helps identify hormone imbalances that may be linked to symptoms like night sweats, memory issues, or joint pain.
- Supports decisions about hormone therapy or lifestyle changes by showing the active form of hormones.
- Includes markers for adrenal function, which can affect fatigue and stress during perimenopause.
- Offers a non-invasive, at-home collection process for convenience and comfort.
Who Should Consider Hormone and Adrenal Testing
People who notice changes in their menstrual cycle, experience sudden mood swings, or feel more tired than usual may benefit from this test. For example, someone who has started to have irregular periods and is also dealing with new sleep problems might want to check if hormone changes are the cause.
Ordering may also be helpful in these situations:
- Someone with new or worsening hot flashes and night sweats.
- People who have noticed increased anxiety or trouble concentrating.
- Those experiencing unexplained weight gain or changes in skin texture.
- Anyone with a family history of early menopause or osteoporosis risk.
- Someone who has noticed a drop in libido and also has more frequent headaches, which can sometimes be linked to hormone shifts.
Testing can help pinpoint the cause of symptoms by measuring hormone levels at two points in time, making it easier to decide on next steps like treatment or lifestyle changes. Delaying this test could mean missing early signs of hormone imbalance, which may make it harder to manage symptoms as they progress. To get a clearer understanding of your hormone patterns, consider ordering today.
Preparing for Saliva Hormone and Adrenal Panel
Fasting is not required for this test, but you should avoid eating, drinking, or brushing your teeth for at least 30 minutes before collecting your saliva sample. Always follow any instructions your doctor or healthcare professional gives you to make sure your sample is collected correctly and your results are as useful as possible.
Labs Included When Ordering Your Perimenopause Test
| Test Name | Reference Range | Significance | Low and High Levels of Perimenopause Test |
|---|---|---|---|
| Estrone (2x) | 4–12 | Estrone is a type of estrogen that increases as women approach menopause. It helps track the shift from reproductive to perimenopausal hormone patterns. |
High levels mean estrogen dominance, which can cause bloating, breast tenderness, or weight gain.
Low levels mean reduced estrogen activity, possibly leading to hot flashes or vaginal dryness. |
| Estradiol (2x) | 1.3–3.3 | Estradiol is the main estrogen before menopause. Tracking it helps show how much estrogen is available to support bone, brain, and heart function. |
High levels mean possible estrogen dominance, which may cause mood swings or headaches.
Low levels mean increased risk for bone loss, memory issues, or night sweats. |
| Estriol (2x) | 0.5–1.5 | Estriol is a weaker estrogen that helps balance the effects of stronger estrogens. It is important for vaginal and urinary tract health. |
High levels mean possible hormone imbalance, sometimes linked to estrogen therapy.
Low levels mean dryness or discomfort in the vaginal area. |
| Progesterone (2x) | 30–100 | Progesterone helps balance estrogen and supports regular cycles. It is key for sleep, mood, and preventing estrogen dominance. |
High levels mean possible supplementation or rare hormone-producing conditions.
Low levels mean irregular periods, sleep problems, or increased risk of estrogen dominance. |
| DHEA (2x) | 2–10 | DHEA is made by the adrenal glands and helps produce other hormones. It supports energy, mood, and stress response. |
High levels mean possible adrenal overactivity or supplementation.
Low levels mean fatigue, low mood, or reduced stress tolerance. |
| Testosterone (2x) | 16–55 | Testosterone supports muscle, bone, and sexual function. It also helps with mood and energy during perimenopause. |
High levels mean possible hair loss, acne, or increased body hair.
Low levels mean low libido, fatigue, or muscle weakness. |
| Follicle Stimulating Hormone (FSH) (2x) | 3–20 | FSH helps control the menstrual cycle and signals the ovaries to produce eggs. It rises as the ovaries slow down hormone production. |
High levels mean the body is trying to stimulate the ovaries, often seen in perimenopause.
Low levels mean the ovaries are still active or there may be a pituitary issue. |
| Luteinizing Hormone (LH) (2x) | 2–16 | LH works with FSH to control ovulation and hormone production. It can show if the body is moving toward menopause. |
High levels mean the body is signaling for ovulation, often seen as menopause approaches.
Low levels mean the ovaries are still responding or there may be a pituitary issue. |
Reference ranges may change slightly as labs update their standards, so always check your report for the most current values.
Perimenopause Test FAQ
Is there Perimenopause Test testing near me?
This is an at-home test kit, so you can collect your saliva sample locally and send it to the lab; check the draw location link at the top of the page. For those experiencing unpredictable symptoms like hot flashes or mood changes, having a convenient collection option makes it easier to get tested without delay.
How do I interpret the test results?
While your treating physician should review your results, we also offer a one-on-one test results review with our clinical team to help you understand your hormone patterns and what they mean for your symptoms.
What is the cost of the test?
The price listed for the test includes standard shipping to you and return shipping to the lab, though draw fees may apply. Ordering this test can help you address hormone-related symptoms sooner, which may lead to faster relief and better management.
How often should I retest?
Retesting every 6 to 12 months is recommended, especially if you are starting or changing hormone therapy or experiencing new symptoms. Regular testing helps track hormone changes over time and supports more precise adjustments to your care plan.
How accurate is the test?
This test uses saliva enzyme immunoassay, which is highly specific for active hormone levels, with a sensitivity of 92% and specificity of 95%. TrueHealthLabs.com partners with CLIA-certified and CAP-certified laboratories to uphold rigorous testing standards for dependable results.
Important Notes
- This test cannot be collected or mailed from New York State
- First sample to be collected 7-10 days after flow starts; Second sample: 19-23 days after flow starts
- If you do not menstruate, the first sample can be collected on any day; the second: 13-15 days after the first collection
Medical Review Board
Reviewed by Jeff Donohue M.D. from Body Logic and Brady Hurst DC, CCCN. Written by True Health Lab’s team of editorial health contributors.
Disclaimer: This information is for educational purposes only and not intended as medical advice. Consult your healthcare provider for personalized guidance.
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