This is the most comprehensive hormone test available. Consider the 24-hour urine sample as an annual “tune-up” on your hormone status. Whether you are struggling with fertility, weight gain, menopause symptoms or andropause (male-menopause), this comprehensive test covers the sex hormones, adrenal hormones and thyroid health. It is most accurate because it provides a stable indicator of output not susceptible to the hour-to-hour fluctuations seen in blood or saliva tests. We use this particular test when assessing hormone levels in men and women for the purpose of:


  • Female hormone balance
  • Androgen balance (male hormones)
  • Breast and prostate cancer risk factors
  • Adrenal health
  • Adrenal reserves
  • Growth hormone
  • 5α-reductase activity
  • Thyroid sensitive markers
  • Monitoring bioidentical hormone therapy
  • Fatigue, weight gain, sleep issues

Urine hormone testing is well-established in medical literature as a reliable method of assessing physiological hormone levels.

Estrogen metabolites: These metabolites provide critical information about a person’s relative risk for estrogen related cancer. A recent concept in hormone-related cancer prevention is the measurement of the ratio of two estrone metabolites: 2-hydroxyestrone and 16α-hydroxyestrone. A decrease in the 2/16α ratio is associated with an increased risk of breast and cervical cancer. This ratio is available only in a urine collection.

Urinary estrogens: can be a sensitive monitor of liver detoxification capability. Elevated urinary estrogens in normally-cycling women may indicate a history of exposure to compounds that stress the liver such as environmental chemicals. This phenomenon has also been observed in peri- or post-menopausal women who have previously taken conjugated equine estrogens. Interventions intended to improve liver function result in a gradual normalization of the abnormal estrogen levels.

Adrenals: glucocorticoid and mineralocorticoid metabolites measured in a 24-hour urine hormone profile take adrenal assessment beyond simple cortisol measurements. This profile provides a comprehensive picture of long-term adrenal health, short term stress response and cortisol/cortisone balance.

View a sample report here

We also offer hormone testing in the form of Saliva sampling as these are best used for assessing:


  • Circadian cortisol pattern
  • Menstrual cycle evaluation

Saliva testing for hormones is a method which has gained popularity in the recent years. This is due to the simplicity and noninvasive nature of sample collection. Saliva is beneficial for monitoring cortisol according to the AM/PM circadian rhythm.  It can also be helpful to assess cyclical output of estrogen and progesterone throughout the month in a cycling or peri-menopausal woman.


  1. Circadian Rhythm & Adrenal Stress Index – View Sample Report
  2. Fertility assessment
  3. Peri-menopause Hormone Panels – We have 2 formats to choose from: