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Nutrition &
Natural Healing Center

Dr. Roger Trubey, Dr.PH, MPH, and Doctor of Integrative Medicine
6320 Oak Hollow Dr.
Burleson, TX 76028 

Call 501-538-4944

Adrenal and Sex Hormone Assessment

Hormones exert a powerful influence over all physical, intellectual and emotional behavior. Problems with weight, memory, sleep, digestion, blood pressure, high cholesterol, cravings, addictions, sexual dysfunctions, and problems associated with the immune system, are all influenced by the endocrine system. Endocrine problems lead to a wide spectrum of symptoms that in most cases can be reversed using natural methods.

A primary marker of the aging process in both men and women is a reduction in normal hormone levels which is responsible in large part for infertility, decreased energy and muscle strength, loss of libido, depression, mood swings, inability to cope, and an increase in the symptoms of PMS and menopause.  Research has shown that the use of natural hormone replacement can provide benefits for both men and women.

Estrogen dominance is a primary cause of almost all female health problems, including fibrocystic breast disease, PMS, mood swings, excessive bleeding, endometriosis, fibroids, infertility, and ovarian cysts. Perimenopause is the time when hormone levels begin to shift in preparation for menopause. It is not so much the decrease in hormones that produces the uncomfortable symptoms associated with perimenopause, but rather the changing ratio between estrogen and progesterone. Chronic or episodic depression, severe mood swings, and anxiety are frequent manifestations of these midlife fluctuations.

But estrogen can also be found deficient in the female body as well.  Signs of estrogen deficiency include: hot flashes, night sweats, dry eyes, vaginal dryness, sagging breasts and loss of breast fullness, mental fogginess, depression, changes in mood, decreased sense of sensuality and sexuality.

Progesterone is another female "sex" hormone, produced in the ovaries, that prepares the uterus for a fertilized egg. Its sudden withdrawal causes the uterus to shed its lining if pregnancy does not occur. While estrogen is high (during days 7-14 of the menstrual cycle), progesterone is at its lowest level. Its levels climb to a peak between days 14 - 24, and then dramatically drop off again just before the start of menstruation. Ideally, women should have five to ten times more progesterone than estrogen in the blood and 40 to 150 times more in the saliva. The lower the ratio of progesterone to estrogen, the higher the risk of health problems. Progesterone has the unique ability to change its structural form to become other hormones, allowing it to be converted and utilized by the body to the point of depletion.

Testosterone is responsible for much more than defining sexual characteristics in men or influencing sex drive. Testosterone is essential for life since it helps to regulate basic metabolism. Testosterone also facilitates protein synthesis and the building of body and bone tissues. Testosterone is produced by small groups of specialized cells within the testicles and is also secreted, to a lesser extent, by the ovaries. The production of testosterone is triggered by luteinizing hormone (LH), produced in the pituitary gland. In the absence of LH, testosterone production ceases. With age, blood levels of testosterone slowly decrease. Research conducted by the National Institute of Health has shown a 2% reduction per year from age 30 to age 70.

Endocrine problems may be the result of stress. Simply put, stress is the sum total of all mental and physical input over a given period of time. The marker used to measure stress is the adrenal steroid hormone, cortisol. Stress, whether physical or emotional in origin, provokes a response by the adrenal glands. Many hormonal imbalances are the direct result of adrenal insufficiency. When the adrenal glands become exhausted due to overwork, adequate levels of the stress hormones, DHEA and cortisol cannot be produced, this in turn plays a major role in the usage, or the misappropriation of all the other steroid hormones.  In other words with undue, long-term stress the body will use sex hormones to make stress hormones.  This is never an efficient system and was only designed by the creator for emergencies.  The trouble is that when this process continues for long periods of time, a maladaption takes place that depletes both progesterone and testosterone leading to estrogen dominance and all the problems associated with that in both men and women.

The adrenal glands produce two primary hormones, DHEA and cortisol. Both are considered the major shock absorber hormones in the body. They buffer us to stress and the negative impact it can have on both mental and physical function. Long-term stress can have a serious impact on the adrenal glands and cause them to shrink and reduce production. This causes cellular damage, which sets off a chain reaction affecting all parts of the body, as well as accelerating the aging process.

The adrenal glands hold the key to the hierarchy of hormones. It is necessary to establish the proper foundation first which means you must determine the cause of the hormonal dysfunction and treat the cause first. Our research has shown that to cause a positive hormonal change you must normalize adrenal activity first. It is the mainspring in the hormonal mechanism. When the adrenals malfunction, all other associated systems will as well. The symptoms associated with adrenal dysfunction are diverse and can involve the digestive, circulatory, respiratory, as well as the brain and nervous systems. In addition, the adrenals can impact the growth and repair of bones, muscles, hair and nails.

Knowing your saliva hormone levels is an important first step in assessing where your hormones may be out of balance and determining whether your current natural hormone regimen is working for you. If you are wondering whether certain symptoms may be due to a hormone imbalance, this is a quick, easy, and accurate way to find out.

Salivary hormone testing provides clues about menstrual irregularities, infertility, endometriosis and osteoporosis. A hormone test can determine some of the reasons for hot flashes, night sweats, decreased libido, as well as monitor bio-identical and natural hormone therapy.

Saliva contains the free fraction of the hormones which reflects the bioactive tissue levels. Free Fractions in saliva correlate more closely with clinical symptoms than total serum hormone levels (which mostly reflect the bound fraction).  Adrenal and sex hormone assessment is an accurate and simple way for the individuals to know their current status of both the adrenals and sex hormones.

 Scientific literature for almost 30 years has documented saliva testing of steroid hormones. Saliva testing is routinely used in scientific research settings and as standard textbook material for students of endocrinology and internal medicine (Williams Textbook of Endocrinology). The World Health Organization (WHO) approved this method of testing in the 1990's when it was found to be an accurate, convenient and noninvasive measurement of free hormone levels.  Simply put the salivary adrenal and sex hormone assessment tells us the amount of hormones in our body (and their critical ratios) that are actually usable by our cells.  A serum test, on the other hand, evaluates all circulating hormones, regardless of their availability to our cells.

Call Dr. Trubey at 501-538-4944 and make an appointment for a comprehensive health evaluation today.

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