Bioidentical hormones are very much in fashion today and rightfully so. We need adequate hormone levels to function well into the second part of our lives. So the question that I ask myself as a naturopathic doctor is which hormones and what quantity will be most supportive in creating health.
There have been many different methods of testing that I have worked with over the last 15 years. I have not yet found one that is more accurate then simply taking a good case and examining the "signs and symptoms" of a case.
The only testing I recommend at this point is that the patient get an FSH test. FSH stands for "follicle stimulating hormone". The amount of this hormone in the blood will tell us if the brain is asking for more hormones. I don't think it makes any more sense for a patient to have a high FSH then a high TSH. TSH stands for thyroid stimulating hormone and when it is elevated we know that the brain is asking for hormones that it is not getting and we add thyroid hormones.
If the FSH is high we should also add hormones to achieve a normal level.