Hormone & Adrenal Testing

Comprehensive hormone and adrenal testing at this Annandale integrative clinic using DUTCH dried urine hormone panels, male and female salivary hormone profiling including testosterone, oestrogen, and progesterone, adrenal cortisol and stress hormone testing, and thyroid function assessment. All results interpreted within a full naturopathic consultation and personalised treatment plan.

Integrated Health Australia in Annandale, Sydney provides detailed hormone assessment services suited to patients experiencing fatigue, mood imbalance, weight changes, libido decline, sleep disruption, perimenopausal symptoms, or general hormonal dysregulation. The primary hormone testing tool offered is the DUTCH (Dried Urine Test for Comprehensive Hormones) panel — one of the most detailed commercially available hormone assessments, delivered as a home collection kit using four to five timed urine samples dried on filter paper and mailed to a certified DUTCH-method laboratory. The DUTCH Complete panel quantifies oestrogens (E1, E2, E3) and their phase-II hydroxylation and methylation metabolites (2-OH, 4-OH, 16-OH oestrone; 2-MeOE1), progesterone and its metabolites (alpha-pregnanediol, beta-pregnanediol), androgens (testosterone, DHEA-S, androsterone, aetiocholanolone, androstanediol), diurnal free cortisol and cortisone curves (from four timed collections to assess the cortisol awakening response and diurnal rhythm), and melatonin. This metabolite-level view of hormone clearance pathways is particularly relevant in Australia, where endocrine disruptor exposure and high-stress urban lifestyles are common drivers of oestrogen metabolism imbalance. Salivary hormone panels for both male and female patients assess bioavailable (free) hormone fractions — including testosterone, oestradiol, progesterone, DHEA, and cortisol — in a medium that better reflects tissue-level hormone availability than serum total hormone measurements. Adrenal and stress hormone assessment using four-point salivary cortisol collection reveals whether the patient shows an appropriate diurnal cortisol curve, adrenal hypo-response (burnout pattern), or adrenal hyper-response (chronic activation pattern). Thyroid function is assessed via standard referral pathways as part of the functional medicine workup. Dr Jason Mallia at the Annandale Sydney clinic interprets all hormone test results within a whole-person framework, building a personalised protocol using nutritional medicine, adaptogenic herbal medicine, lifestyle modification, and targeted supplementation to support hormonal balance. Health fund rebates apply to the consultation component.