Hormone Replacement Therapy: Saliva Testing

It is one of the main causes of premature aging has been identified as one of the most common reasons otherwise healthy women just don’t feel well. Dr. Steve Jepson with The Spa at the Utah Dermatologic & Medical Procedures Clinic explains.


At UDMPC, we are dedicated to helping you both look and feel younger. Hormone imbalance is one of the main causes for premature aging. Hormone imbalance is also the most common reason that otherwise healthy women don’t feel good. In the 9 years that I spent practicing Primary Care Medicine before opening my Anti-Aging Clinic, I came across countless women who were frustrated with the way they felt. They had symptoms of menopause, but were still menstruating. They had symptoms of low thyroid, but had normal thyroid testing. They had already gone through menopause but felt worse with traditional hormone replacement…or felt better with traditional hormone replacement, but stopped their hormones because of recent cancer and heart disease scares associated with Prempro. They felt tired, had low libido and other forms of sexual dysfunction, had unexplained weight gain, had worsening PMS, slept poorly, had heart palpitations, had hot flashes, felt cold all the time, felt depressed and anxious, etc., etc. And their doctor (myself included) could find nothing wrong with them!

Now there is an answer! Our understanding of hormone balance, replacement, and testing has evolved over the last few years. Medical science now has better tools for testing and treating hormonal imbalance. We also now understand that hormone imbalance affects women of all ages and often explains the medical dilemmas that I described above.

Saliva Hormone Testing is one of these new tools. We can now test the levels of 5 important hormones through the saliva – estrogen, progesterone, DHEA, testosterone, and cortisol. Saliva hormone levels reflect the actual functioning levels of those hormones much more accurately than blood hormone testing. Plus, it is much easier to collect than blood – patients simply spit into a test tube.

We can then look at those hormone levels (and also at the ratios between the various levels) and specifically design the proper combination of hormones to bring each individual person back into hormonal balance. At UDMPC, we do this using the expertise of the pharmacists at a compounding pharmacy like Jolley’s in SugarHouse, who combine only natural hormone formulations at prescribed doses. Natural forms of estrogen and progesterone are much safer and much more effective than the traditional synthetic hormones that are now falling out of favor in the medical community. Plus, a compounding pharmacist can custom tailor these natural hormones at the individual doses that are just right for you. This means a faster and more effective hormone balancing result.

Unfortunately, most physicians haven’t yet learned about saliva testing, so you may get an “I don’t know” when you ask your doctor about it. The major drug companies now fund most medical education. Since this type of hormone replacement is accomplished with generic medicines, there is no major drug company out spreading the word. I anticipate that it will take a few more years for the entire medical community to become familiar with this superior method of hormone testing and replacement.

We routinely perform hormone consultations and testing through my office, as part of our anti-aging emphasis, and would be happy to assist you in rebalancing your hormones.

By, Dr. Steven P Jepson, M.D.


The Spa at the Utah Dermatologic & Medical Procedures Clinic

(801) 281-0022


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