Comprehensive Reproductive Hormone Testing and Naturopathic Care

Dr. Karrina Wallace meeting with a new client in her office.

Get answers for cycle changes, PMS, perimenopause, menopause, acne, and low libido

Hormonal symptoms can affect your mood, energy, skin, cycle, sleep, metabolism, and quality of life. If you are dealing with irregular periods, PMS, PMDD, PCOS symptoms, perimenopause, menopause symptoms, hormonal acne, hair changes, low libido, or unexplained weight changes, reproductive hormone testing may help clarify what is going on.

At Ponderosa Natural Medicine in Wheat Ridge, Colorado, we use comprehensive hormone testing and a detailed review of your health history to better understand the patterns contributing to your symptoms. Rather than treating symptoms in isolation, we look at how reproductive hormones interact with adrenal function, thyroid health, blood sugar, digestion, inflammation, and nutrient status.

Your care plan may include nutrition and lifestyle recommendations, targeted supplements, herbal medicine, hormone support when appropriate, additional lab testing, and referrals when needed.

    Your symptoms are not “just normal” — they deserve a thoughtful evaluation

    Many patients are told that PMS, heavy periods, acne, mood changes, low libido, or perimenopause symptoms are just part of life. While hormone changes are common, disruptive symptoms are still worth understanding.

    Reproductive hormone symptoms often have more than one cause. Estrogen, progesterone, testosterone, DHEA, cortisol, insulin, thyroid hormones, inflammation, and nutrient status can all influence how you feel.

    We may evaluate:

    • Estrogen and progesterone patterns
    • Ovulation and luteal phase health
    • Testosterone and androgen levels
    • PMS, PMDD, and cyclical mood changes
    • Irregular, heavy, painful, or absent periods
    • PCOS-related symptoms
    • Perimenopause and menopause symptoms
    • Hot flashes, night sweats, and sleep disruption
    • Hormonal acne or abnormal hair growth
    • Hair thinning or hair loss
    • Low libido or vaginal dryness
    • Unexplained weight changes
    • Thyroid, adrenal, and blood sugar patterns
    • Nutrient deficiencies that may affect hormones
        Patient Journey

        What to Expect

        A personalized process to better understand your hormones.

        01

        Initial Appointment

        We review your symptoms, cycle history, health history, stress, sleep, digestion, mood, skin, libido, medications, supplements, and prior lab work.

        • Review of menstrual cycle patterns and hormone symptoms
        • Discussion of PMS, mood, skin, hair, libido, and weight changes
        • Review of perimenopause or menopause symptoms
        • Physical exam when appropriate
        • Initial nutrition and lifestyle recommendations
        • Lab recommendations based on your history and goals
        02

        Review of Findings

        At your follow-up visit, we review your results and explain how they may relate to your symptoms.

        • Nutrition and lifestyle recommendations
        • Targeted supplements
        • Herbal medicine
        • Cycle and hormone support
        • Sleep and stress support
        • Blood sugar, thyroid, or adrenal support when appropriate
        • Hormone therapy discussion or referral when indicated
        03

        Follow-Up Care

        Follow-up visits help monitor progress and adjust your plan over time.

        • Cycle regularity and symptom changes
        • PMS, mood, sleep, libido, and energy
        • Skin, hair, and weight-related symptoms
        • Lab changes when retesting is appropriate

        Ready to Better Understand Your Hormones?

        You do not have to keep guessing about cycle changes, PMS, perimenopause symptoms, acne, low libido, or unexplained weight changes. Ponderosa Natural Medicine offers comprehensive reproductive hormone testing and individualized naturopathic care in Wheat Ridge and the Denver Metro area.

        How Reproductive Hormone Testing Can Help

        Hormone testing can provide insight into why symptoms are happening and how different systems may be connected. This allows us to create a more targeted and individualized treatment plan.

        More Predictable Cycles

        Irregular, absent, heavy, or painful periods may be related to ovulation patterns, progesterone levels, thyroid function, PCOS, stress, or nutrient deficiencies.

        Better PMS and Mood Support

        PMS, PMDD, irritability, anxiety, depression, breast tenderness, and headaches may be connected to estrogen and progesterone patterns, cortisol, inflammation, or nutrient status.

        Clearer Skin and Hair Insight

        Hormonal acne, abnormal hair growth, and hair thinning can be influenced by androgens, insulin, thyroid function, stress hormones, and inflammation.

        Perimenopause and Menopause Support

        Hot flashes, night sweats, sleep disruption, brain fog, cycle changes, vaginal dryness, and libido changes may reflect shifting estrogen, progesterone, testosterone, and cortisol patterns.

        Improved Libido and Sexual Wellness

        Low libido can have many contributors, including hormone shifts, stress, fatigue, sleep disruption, vaginal dryness, medications, thyroid function, and emotional health.

        Better Understanding of Weight Changes

        Unexplained weight gain or difficulty losing weight may involve reproductive hormones, insulin resistance, thyroid function, cortisol, inflammation, sleep, and lifestyle factors.

        01
        Hormone Foundations

        What Are Reproductive Hormones?

        Key hormones that influence your cycle, mood, skin, sleep, and metabolism

        Reproductive hormones include estrogen, progesterone, testosterone, DHEA, LH, FSH, and other hormone signals involved in menstrual cycles, ovulation, fertility, libido, mood, and the transition through perimenopause and menopause.

        When these hormones shift or become imbalanced, symptoms may show up in many ways — including cycle changes, mood swings, acne, sleep issues, breast tenderness, heavy bleeding, hot flashes, low libido, or changes in body composition.

        Testing helps us better understand your unique hormone patterns so care can be more personalized.

        02
        Lab Evaluation

        Comprehensive Reproductive Hormone Testing

        Lab testing can help identify patterns behind your symptoms

        Hormones

        Core hormone testing

        DUTCH testing to assess estrogen, progesterone, testosterone, DHEA, cortisol, and hormone metabolites
        Blood hormone testing for estradiol, progesterone, testosterone, DHEA-S, LH, FSH, and other markers
        Related Systems

        Looking beyond the ovaries

        Thyroid testing to evaluate whether thyroid dysfunction is affecting cycles, energy, mood, or weight
        Blood sugar and insulin markers to assess patterns that may contribute to PCOS, cravings, weight changes, or acne
        Nutrient testing to identify deficiencies that may affect hormone production, mood, energy, and cycle health
        Inflammation and metabolic markers when appropriate
        Personalized Care

        Selected for your stage of life

        Testing is selected based on your symptoms, stage of life, cycle patterns, goals, and health history.

        03
        Symptom Patterns

        Symptoms That May Be Related to Reproductive Hormone Imbalance

        Reproductive hormone testing may be helpful if you experience:

        PMS or PMDD Mood swings, irritability, anxiety, or low mood before your period Irregular, heavy, painful, or absent periods Spotting between periods PCOS symptoms Hormonal acne Abnormal facial or body hair growth Hair thinning or hair loss Low libido Vaginal dryness Hot flashes or night sweats Sleep disruption Breast tenderness Headaches or migraines around your cycle Perimenopause or menopause symptoms Unexplained weight changes

        These symptoms can have many possible causes. Our goal is to identify what may be contributing and create a plan tailored to your body and stage of life.

        Ready to Better Understand What’s Driving Your Symptoms?

        You do not have to keep guessing. If you’re dealing with frustrating cycle changes, perimenopause or menopause symptoms, hormonal acne, hair changes, mood symptoms, low libido, or unexplained weight changes, we can help you take the next step with a more thorough, individualized approach.

        Frequently Asked Questions

        Do you offer reproductive hormone testing?

        Yes. Depending on your symptoms, we may recommend DUTCH testing, blood hormone testing, thyroid testing, blood sugar and insulin markers, nutrient testing, or other labs.

        Can stress affect reproductive hormones?

        Yes. Chronic stress can affect ovulation, progesterone, cycle regularity, libido, sleep, mood, and perimenopause symptoms. That is why we often evaluate adrenal patterns alongside reproductive hormones.

        What symptoms suggest I may need hormone testing?

        Hormone testing may be helpful for PMS, PMDD, irregular periods, heavy bleeding, painful periods, acne, hair changes, low libido, perimenopause symptoms, menopause symptoms, or unexplained weight changes.

        Do you help with perimenopause and menopause?

        Yes. We support patients experiencing hot flashes, night sweats, sleep changes, mood changes, irregular cycles, vaginal dryness, low libido, brain fog, and other symptoms related to perimenopause and menopause.

        What hormones do you test?

        Testing may include estrogen, progesterone, testosterone, DHEA, LH, FSH, cortisol, thyroid hormones, insulin, blood sugar markers, and hormone metabolites depending on your symptoms.

        Do you prescribe hormone therapy?

        When appropriate, hormone therapy may be discussed as part of your care plan. Recommendations depend on your symptoms, labs, health history, risk factors, and goals.

        What is DUTCH testing?

        DUTCH testing is a dried urine test that can assess reproductive hormones, adrenal hormones, and hormone metabolites. It may be useful when symptoms involve PMS, perimenopause, menopause, acne, low libido, or stress-related hormone changes.

        What is the first step?

        Schedule a new patient appointment. If you would like to make sure the practice is the right fit first, you can also schedule a free 15-minute consultation.

        Can hormone imbalance cause acne?

        Yes. Hormonal acne may be influenced by androgens, insulin resistance, inflammation, stress hormones, cycle changes, and other internal factors.