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Complete Hormones 24-Hour, Urine - Genova Test Kit - NOT CURRENTLY AVAILABLE

The Complete Hormones is the most comprehensive urinary hormone test, designed to assist in the clinical management of hormone-related conditions. This hormone test assesses parent hormones, their metabolites, and key metabolic pathways.


Test Code: GD4200

Also Known As:


Specimen Type: Urine


No fasting required. Ship to lab Monday-Thursday only and within 48 hours after collection. Please read all of the directions and the collection procedures prior to starting test. Avoid eating (whole or ground) flax seeds and sesame seeds for at least 48 hours before urine collection begins. Avoid overhydration. Certain medicines may impact test results (e.g. cephalosporins, cimetidine, fibrates and trimethoprim-sulfamethoxazole). Check with physician before stopping medications. Delay collection if you have a urinary tract infection until after completing treatment. If the goal is to evaluate ovulatory function, collect urine between days 19-25 of the menstrual cycle.

Test Results:

21 days once the lab receives the specimen. May take longer based on weather, holiday or lab delays.


This test should NOT be performed on individuals with kidney disorders. Abnormal kidney function or use of diuretics may influence test results. Synthetic hormones will not show up on the test and conjugated equine estrogens will show up mostly as estrone.

The 24-Hour Collection captures all urine over a 24-hour time period. It provides a time-average for hormone spikes that may occur throughout a complete circadian rhythm (24 hours). As a result, the 24-Hour provides the highest level of sensitivity to assess very low levels of hormones by providing a direct measurement of the Total Output of each hormone.

The Complete Hormones provides insight into the contribution that sex hormones may have in patients presenting with hormone-related complaints, and helps assess disease risk associated with elevated estrogen metabolites.

Urine measures the most metabolites, providing more insight into associated disease risk.

The Complete Hormones profile evaluates:

  • Progesterone (via pregnanediol)
  • Glucocorticoids, including cortisol
  • Androgens, including DHEA and testosterone, and their metabolites
  • Estrogens (E1 Estrone, E2 Estradiol, E3 Estriol) and metabolites, including hydroxylated and methoxylated estrogens
  • Methylation capacity
  • 5α-reductase activity
  • Anabolic/Catabolic Balance

When should the Complete Hormones test be considered?

The Complete Hormones test is designed to assist in the management of hormone-related symptoms in both males and females.

The Complete Hormones test is 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 in both female and male patients.

The Complete Hormones test provides insight into the impact that shifting hormone levels may play in men (andropause or male menopause) and women (peri/menopause). Symptoms include the following:

  • 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

In addition to supporting patient management around hormone-dependent symptoms, the profile provides valuable insight into disease risk for hormone-associated cancers (breast, prostate) and osteoporosis.

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