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During menopause, a woman is vulnerable to the effects of Estrogen Dominance. This Comprehensive Menopausal Panel helps us understand the levels of 8 key Hormones. The right balance of hormones is vital to a woman’s health.


Price: $650 (Testing + Consult)

Time: Get your results 7-14 business days after test.


No. This test is done at home and comes with prepaid shipping materials and everything you need to ensure proper delivery to the lab.

Web results are posted within 7-14 business days. Our office will notify you when test results have been reported.

Yes. The kit comes with easy to follow instructions


Yes. Dr Hagmeyer will review the test result with you. Each test comes with a post-test review/explanation.

One we have placed the order for the test we are unable to issue a refund.


Hormone imbalances in woman can contribute to:

  • Decreased libido
  • Sleep disorders
  • Decreased muscle mass and strength
  • General fatigue/decreased energy
  • Increased risk for coronary artery disease or heart attack
  • Hair loss or thinning
  • Increased fat accumulation
  • Urinary problems
  • Decreased bone density or osteoporosis
  • Compromised immune function
  • Irritability and depression

A personalized treatment program and cost of treatment plan will be recommended after your test results have been reviewed.

Order Your Personalized Menopause Plus & Hormone Test Profile which includes:

·         Comprehensive Menopause Plus & Hormone Test.

·         One on one consult with Dr. Hagmeyer to discuss Test Results

·         Recommendations for a Treatment plan and cost of treatment if necessary

Learn More About Menopause Hormones

Whats Being Tested

Menopause is not a single point in time when hormone production is switched off, but a gradual decline that brings an end to female fertility. During menopause, a woman’s levels of estrogen and progesterone diminish – leading to a lack of menstrual periods. 

A woman is considered to be in menopause when she’s had no menstrual cycles for 12 months. The right balance of hormones is vital to a woman’s health. But in menopause, when levels are dropping, a deficiency of one hormone can trigger a relative excess of another and result in common imbalances such as:

Estrogen Dominance or Low Progesterone

Results in mood swings, migraines, fat gain in hips and thighs

Low Estrogen or Fluctuations of Estrogen

Triggers hot flashes, night sweats, palpitations, foggy thinking, memory lapse & vaginal dryness

Low Testosterone or DHEA

Leads to decreases in bone or muscle mass, metabolism, energy, strength, stamina, exercise tolerance & libido

High Cortisol

Results in insomnia, anxiety, sugar cravings, feeling tired but wired & increased belly fat

Low Cortisol

Causes chronic fatigue, low energy, food and sugar cravings, poor exercise tolerance or recovery & low immune reserves

Neurotransmitter Imbalance

Changes in estrogen and progesterone levels can impact neurotransmitter levels. For instance, a drop in estrogen can result in a drop in serotonin.

Thyroid Imbalance

Changes in estrogen levels can lead to thyroid symptoms like slowed metabolism and always feeling cold. In fact, many women experiencing menopause will be diagnosed with hypothyroidism.

Low Vitamin D

Sufficient levels of Vitamin D, estrogen and testosterone are important for maintaining bone health in the menopause years.


Menopause Plus™ is our most comprehensive salivary hormone test for evaluating key hormone levels in both women and men.

    • Eight specimens – collected over six days –
    • estradiol,
    • estrone,
    • estriol,
    • progesterone,
    • the progesterone/estradiol ratio (P/E2),
    • testosterone.
    • DHEA,
    • cortisol,
    • melatonin

To enhance clinical utility, in addition to evaluating patient results against various healthy cohort reference ranges, a therapeutic cohort results cover page is provided for the clinician to quickly and conveniently observe where patient results fall in comparison to a cohort of peri/menopausal women treated with bioidentical hormone therapy.

The Menopause Plus hormone test provides information about the impact that shifting hormone levels can have in women during perimenopause and menopause.

In addition, imbalances of other steroid hormones, such as DHEA, cortisol, and melatonin, can influence sex-hormone production. Hormones imbalances can be associated with common symptoms such as:

    • Hot flashes
    • Fatigue
    • Weight loss or gain
    • Menstrual irregularities
    • Loss of libido
    • Changes in hair and skin

Benefits of our Menopause Plus Assessment

The Menopause Plus salivary assessment offers several advantages for patients presenting with hormone-related symptoms:

Comprehensive testing: eight saliva samples, collected every other day over 6 days, provides individual and average levels for estrone (E1), estradiol (E2), estriol (E3), progesterone, progesterone/estradiol ratio (P/E2), as well as a one-time measurement of testosterone; additional collections over a 24-hr period provide diurnal measurement of cortisol, DHEA, and melatonin

    • Reporting: reference and therapeutic ranges enabling the physician to choose the optimal reference cohort for their patient
    • Patient ease-of-use: saliva testing is simple, non-invasive and at-home collection

Imbalanced hormone production affects a wide range of body functions, producing symptoms that can negatively affect the quality of life. Identification and targeted treatment of hormonal imbalances using customized hormone therapy, targeted nutritional supplementation and/or diet/lifestyle recommendations can improve symptoms and enhance quality of life.

Clinical Overview What is Salivary Hormone testing?

Salivary hormone testing is an easy, non-invasive diagnostic option to measure unbound and biologically active levels of key hormones. Depending on the salivary profile selected, these include the complete array of sex hormones, with select profiles also offering adrenal hormones (cortisol and/or DHEA), and the pineal hormone, melatonin.

The option to assess adrenal hormones and melatonin in addition to sex hormones provides clinical insight into how these hormones function in concert and how they may be influencing the range of presenting symptoms. Menopause Plus is Genova’s most comprehensive salivary hormone profile.

Biomarkers offered:

    • Estrone (E1)
    • Estradiol (E2)
    • Estriol (E3)
    • Progesterone
    • Testosterone
    • Progesterone/Estradiol Ratio (P/E2)
    • Cortisol
    • DHEA
    • Melatonin

The advantage of measuring hormones on different days and at different times of the day, depending on clinical objectives, providing insight into irregular patterns of hormone secretion over time in female patients.

When should Salivary Hormone testing be considered?

Salivary Hormone testing, such as the comprehensive panel offered by the Menopause Plus™ profile, is designed to assist in the management of hormone-related symptoms in both males and females such as:

    • Weight gain
    • Anxiety
    • Fatigue
    • Muscle mass loss
    • Muscle weakness
    • Low libido and sexual performance issues
    • Hair loss
    • Sleep disturbances
    • Brain fog
    • Mood instability
    • Hot flashes
    • Vaginal dryness

The various profiles are ideal for establishing a baseline assessment of parent hormones and their metabolites ahead of clinical intervention with hormone therapy (HT), as well as subsequent monitoring if needed.

What advantage does Salivary Hormone testing offer compared to other hormone tests?

Serum vs. Saliva:

  • With saliva measuring the bioavailable (non-protein-bound) fraction of circulating hormones that can freely diffuse into tissues, it provides a more accurate assessment of topical hormone supplementation than serum.
  • Serum levels do not rise significantly after topical dosing. By contrast, saliva levels do – reflecting tissue delivery of the topically delivered hormone.