What tests are available?

Blood Tests: Blood tests are available to check your current oestrogen, progesterone, and testosterone levels; using the same reliable hormone testing commonly used for fertility and ovulation tracking, which can also support assessment in perimenopause. Bloods are essential before starting HRT or testosterone therapy, providing a baseline to confirm whether treatment is needed and to monitor your response safely over time.

DUTCH testing (Dried Urine Test for Comprehensive Hormones) is an advanced functional hormone assessment designed to provide a detailed overview of hormone balance and metabolism. Popular within functional medicine, DUTCH testing measures key hormones such as cortisol, oestrogen, progesterone, testosterone, and DHEA, along with important hormone metabolites that can give deeper insight into how hormones are being processed by the body. This type of testing is often used to support patients experiencing symptoms such as fatigue, low mood, anxiety, weight changes, sleep disruption, brain fog, menstrual irregularities, and perimenopause or menopause symptoms. DUTCH testing can also help identify patterns of stress response and adrenal function, making it a valuable tool for personalised lifestyle, nutrition, and supplement planning. When interpreted by qualified practitioners, DUTCH testing supports a tailored approach to hormone health by linking symptoms with measurable biological pathways.

STEM Adrenal System

The STEM adrenal system is a functional medicine framework used to understand how chronic stress can disrupt multiple interconnected systems in the body, contributing to symptoms such as fatigue, anxiety, poor sleep, weight gain, brain fog, and hormonal imbalance. STEM refers to four key areas often affected by prolonged stress: the Sympathetic nervous system (fight-or-flight activation), Thyroid function, Estrogen and sex hormone balance, and Metabolic/mitochondrial function (blood sugar stability and cellular energy production). Rather than viewing stress as purely emotional, the STEM approach recognises that long-term stress can influence hormone regulation, inflammation, and energy production, helping clinicians identify why patients may feel “wired but tired” and supporting personalised treatment plans based on lifestyle, nutrition, and targeted functional testing.

Homocysteine Testing

Homocysteine is an important functional blood marker often used to assess methylation efficiency, cardiovascular health, and overall metabolic balance. Elevated homocysteine levels may indicate reduced activity in key biochemical pathways involved in detoxification, hormone metabolism, neurotransmitter production, and DNA repair. Homocysteine is closely linked to nutrient status; particularly vitamin B12, folate, and vitamin B6, and may be relevant in patients experiencing fatigue, low mood, brain fog, hormone imbalance, or poor stress resilience. In a functional medicine and epi-genetics framework, homocysteine testing can provide valuable insight into how well the body is processing nutrients and regulating inflammation, supporting a more personalised approach to treatment through targeted dietary and lifestyle strategies.

DNA Hormone Testing

The Nordic DNA Hormones test offers an additional layer of insight by analysing genetic variations linked to hormone production, hormone metabolism, detoxification pathways, and receptor sensitivity. While hormone tests such as the DUTCH test show what your hormones are doing right now—including cortisol patterns and how hormones are being broken down—the DNA Hormones test helps explain why your body may process hormones differently in the first place. Used together, DUTCH and Nordic DNA testing create a more complete functional picture for both women and men, supporting a personalised approach to symptoms such as fatigue, weight gain, mood changes, low libido, PMS, perimenopause, menopause concerns, and testosterone imbalance. When interpreted by qualified practitioners, combining these tests can help guide more targeted lifestyle strategies, nutritional support, and treatment planning based on both your current hormone output and your individual biological blueprint.

In a functional medicine approach, DUTCH hormone testing and Nordic DNA Hormones testing can be used together to build a clearer picture of how an individual produces, metabolises, and clears hormones—particularly oestrogen. The DUTCH test helps identify current hormone patterns and oestrogen metabolite pathways, while DNA testing highlights genetic tendencies in hormone processing, methylation and detoxification. When interpreted by qualified practitioners, this combined information can guide personalised strategies to support healthier hormone metabolism through targeted nutrition, lifestyle changes and micronutrient support—particularly where methylation pathways may be under strain. By improving factors such as methylation efficiency, inflammation balance, liver detoxification support, gut health and stress regulation, functional medicine aims to encourage oestrogen to be metabolised down more favourable pathways, supporting overall hormonal balance and potentially helping to reduce modifiable risk factors associated with long-term hormone exposure.

 

Prices for tests are available in the price brochure.