Saliva Hormone Testing, Pro or Con?

I had my appointment with the so-called hormonal specialist in town this week. The one I have been waiting for, for months. I went to see her in August, with disappointing results, because it was clear the true focus of her practice was elsewhere (as in botox injections and chemical peels, both of which are truly hazardous to your hormones), and I apparently know more about the subject of hormonal imbalances than she does.

But after calling all around town, it was clear that only she and one other doctor were the only ones in town doing this type of hormonal testing at present, and if I wanted to get it done…

Well, I knew it was a mistake the minute I dropped the samples off at the UPS shipping post. The instructions had been so specific about keeping the saliva samples in the freezer and mailing them off THE NEXT MORNING. You could go with UPS or the postal service, but I knew the US mail didn’t go out before three around here anyway, so I opted for UPS. I walk in with my little test kit, and the woman says, “Fine, just leave it on the counter.”

“When do they pick up?” I ask. “Oh, sometime this afternoon.” In the meanwhile, my little kit sits out in the open on the counter of a store that has its front doors wide open to the fall sunshine. How could the samples not be corrupted?

I ask this of the doctor when I see her, and she looks at me like I’ve grown two heads. “I don’t know,” she says. “It’s not a problem.”

Well, I see it as a problem, because my test results turned out to be totally unexpected and off the charts in some areas, and she can’t explain why. She just kept looking at the results, and circling them, and saying nothing more than, “Well, that’s what it is. As you can see, its…high.” She drew in some upward arrows for effect.

It turns out, that according to the test results, instead of a deficiency in my hormones, I have an excess in some areas. This causes a problem for the doctor, because apparently the procedure is, she tells me I am low in this, this, and that, and then tells me I am in luck, as she has just the supplements I need on hand.

Be very wary of any kind of testing that comes complete with (their own) name brand products as the solution to your problems.

Fortunately, however, she was out of the one thing I was deficient in, Vitamin D. I told her that was okay, I’d manage to get some on my own (from a company I know and trust).

In the meantime, I ask the doctor, “How do you get rid of excess hormones?” She looks at me. “I don’t know.”

Well, I know, because I read it somewhere, but I don’t remember where, because it was just something I read and had no idea I’d be needing.

“I’ll call the lab and see what’s going on with these results,” she says. “Why don’t you make an appointment for next week to come back and find out what they said?”

This time I looked at her. “Why don’t you just call me and tell me what they said?”

Meanwhile, I ask her what could possibly cause my hormone levels to be so high. I know the answer. I want to see if she does. After all, I’m the one paying her to tell me what the problem is. She fumbles badly until I give her a clue, then she takes off with it, all the while, asking, “You know what I mean?”

Yes, Doctor. I know what you mean. I also know that you’re winging it here and it shows.

In the end, she decides I need more testing, and bounds out of the room to figure out what test I need. No way am I doing this saliva test thing again, which several doctors in my research books have found to be unreliable. They recommend blood serum tests instead.

I ask her if there aren’t any blood serum tests I can take to get a better picture of what’s going on. “Why?” she asks. “It won’t do any good.”

This is the exact quote I have read over and over again in my books about women seeking help for hormonal issues, being shut down by their doctors who either have been trained to say or truly believe blood hormone tests aren’t reliable.

But how can the home-collected saliva tests be? It’s impossible. At least when you have samples taken at a lab, be they blood, urine, or saliva, they keep them refrigerated, and transport them in refrigerated containers. God only knows where my samples sat during the five days it took to get to the lab. I sent my samples off the 25th. They weren’t tested until the 29th.

A few weeks ago, I went to what was billed as a seminar on saliva hormone testing, being sponsored by a local pharmacy. A compounding pharmacy, one that can create individual prescriptions for women with hormonal imbalances, once the testing kits show where they are deficient. The room was filled with about forty women, all middle-aged. The presentation was completely on target and informative. The information was correct.

But it was a marketing presentation all the same. Go to your doctor, ask for these kits, get your hormones tested, then come back to us for a consult and we will mix up the perfect prescription for you.

Sounds like a dream come true to women who can’t sleep, can’t lose weight, are either bitchy or want to cry all the time or both at the same time, have hot flashes, headaches, backaches, swelling, cramping, bloating, joint pain and are either losing their hair or growing a moustache, just to name a few symptoms. And don’t forget, we’re all exhausted, and not interested in sex.

But they warn you the testing is imperfect, and it may take a few tests to get your prescription right, and you will need to be tested every three months thereafter to make sure the hormones they are giving you are the right ones for you.

They do not mention the cost, nor that it is not covered by insurance, nor that there are only two doctors in town who subscribe to this method of testing, and one of them is a woman who doesn’t know the first thing about interpreting the results. All she knows is how to hand you a kit and say, “Call me for an appointment to get the results.”

This is the same woman who 7 weeks ago, upon speaking with me for 15 minutes, strongly suggested I go on anti-depressants as the solution to my hormonal problems, which I refused, because countless case studies show that doing so only makes the symptoms worse. Hormonal imbalances are so individual, because each woman’s physical make up and life stressors are so different, that prescribing one pill to take care of them is like asking every woman to wear a one-size-fits-all-tent dress.

This time, after seeing the high levels of my hormones, in particular my serotonin level, which is what the SSRI anti-depressant would supposedly boost, she did a complete 180. As I was leaving, I asked her, just to make sure, “Now, you don’t recommend the anti-depressants any more, correct?” And she looked at me. “Well, you’re the one who said you wanted to go natural, right? You can’t do that if you’re on anti-depressants.”

Professionalism at its finest.

Women and Insanity

For the past six months, I've been doing research for a book on women's health, in particular PMDD, or Pre-Menstrual Dysphoric Disorder, a biological/physiological condition that occurs in concert with a woman's menstrual cycle, and has, amid much controversy, been categorized in the DSM-IV as a mental disorder. I'm going to start sharing my findings here on Wellness Wednesdays, in the hopes of helping women who suffer from not only PMDD, but a host of other hormone-related issues (such as thyroid, menopause, PMS, post-partum depression, and countless others) realize that these issues are indeed biological in origin and not mental.

In short, no, you're not going crazy. Your hormones are simply out of whack. Week after week, I'm going to explain the various reasons why you feel the way you do. Why you think you're losing your mind, and why you're not. Better yet, I'm going to tell you what you can do to bring your hormones, and your life, back into balance.

We are blessed in that--while mainstream medicine for the most part continues to dismiss, discount, and ignore women's hormonal health concerns--the good news is it's nowhere near as bad as it used to be, as will be outlined by my guest blogger today, fellow Wild Rose Press author Loretta Rogers.

So thank you, Loretta, for helping me to kick this new direction for my blog off with a historical perspective on what in most cases were no doubt simply hormonal issues, if any imbalance was present at all. As you will see, sometimes all a man needed to commit a woman to the insane asylum was a desire to do so.

Because divorce was a rarity during the pioneer/frontier days, men devised other ways to get rid of unwanted wives and children, and that was by declaring them insane and placing this unwanted loved one in an insane asylum. Actually these early asylums were in reality prisons and not medical centers. These institutions were filthy, dark places where people were treated more like animals than human beings. The asylums usually provided only the basic necessities of life. Food was poor, cleanliness was not stressed and the rooms were often very cold. Diseases were quick to spread throughout the asylum.

Some of the reasons women were institutionalized are unbelievable. In the early 1800’s wives and daughters were often committed for not being obedient enough to their husbands or fathers. You’ve heard the term, “children are to be seen and not heard.” This applied to wives as well. If a woman spoke out and went against the “norm” she could be committed.

With no birth control, it wasn’t unusual for a woman to give birth to another baby while still nursing her last child. And a brood of six to twelve children wasn’t unusual either. With her body no longer firm and supple, her energy level somewhere between zero and double zero, and with the daily routine of cooking, cleaning, plowing, and all the other demands, a woman was run ragged. It’s no wonder she grew old long before her time.

All the husband and/or father had to do was simply write the word “lunacy” on the admission form. Lunacy was an acceptable reason for divorce. The woman’s husband would declare her insane, put her in the asylum and then file for the divorce. A few months later, his marriage records to a younger bride usually showed up.

Other reasons to be “put away”, were depression, alcoholism, just being a little different from the norm, and even going through menopause. Doctors just didn’t know how to deal with mental issues and the result was to put their patients in the asylum. These women were locked up and forgotten by their loved ones. The fathers/husbands often forbid the family members to visit. It was as if the wife or daughter had simply died. Most of these women did stay at the insane asylum until their death.

If a father had no sons, but didn’t want his daughter to inherit his fortune or worldly goods, he could have her declared insane, institutionalized, and leave his money to a favorite nephew or his ranch to a ranch hand he considered as a son. If a man’s wife had died in child birth and he couldn’t find a woman to wed who was willing to become a stepmother to his large brood, or if he couldn’t marry off any of his eligible daughters, he simply declared them as lunatics and placed them in an asylum. Sometimes daughters were committed for unwanted pregnancies. Other children were committed for being disobedient or for illnesses such as Down’s Syndrome or Autism. Being born deaf or mute, retarded or physically disfigured was another reason a child might be committed.

Oftentimes, the husband might tell others that his wife or child had died. If a newspaper office was available, he might even have an obituary printed. Yet the person was very much alive at the asylum. While it was rare for a sane person to be released from an asylum, it did happen. Imagine what it was like for this woman. Having been declared dead, she had no identity.

Some of these asylums were built next to, or part of, the prison system. This was to help cut back costs of care, food and facilities. Rape was prevalent in asylums. Because women had been declared insane, it was deemed they had no powers of reasoning, no feelings or emotions. In other words, they were considered walking zombies. Because of this deranged thinking, (no pun intended) prisoners and even asylum employees used the women for their own pleasures.

If you are into genealogy and have run into a brick wall trying to locate a female relative, the US census has a place on some of their census, example 1850, that had a place to mark if deaf, dumb or insane. The probate section may carry Lunacy Record Books at the county courthouses. Some Wills will declare if someone is insane or having lunacy. If someone seems to have disappeared, they may have been “sent away.”

Therefore, when we refer to the ‘good old’ days, we might remember these women and their lives, and be thankful that they paved the way for us.

Loretta C. Rogers. http://www.lorettacrogersbooks.com/

Isabelle and the Outlaw