Saliva Hormone Testing – Patient Instructions


  • Fast 12-14 hours prior to test
  • Do not brush/floss your teeth or drink anything (including water) prior to testing.
  • Do not apply any topical cream or cosmetics to the mouth area.
  • Do not exercise.
  • Do not take any vitamins or minerals for 48 hours.
  • Avoid drinking coffee, tea, alcohol, & smoking for 24 – 48 hours prior to testing.
  • Do test as early in the A.M. as possible.


  • You need to be on hormones for at least three weeks in order to get a hormone level that properly reflects your hormone use.
  • To get baseline (unsupplemented) hormone levels, wait at least 3 days after discontinuing oral or patch supplementation and 2 weeks after discontinuing cream supplementation.
  • Apply your topical hormones around 10 PM the night before collection. If you normally apply cream in the morning wait until evening and apply cream around 10 PM the night before saliva collection. You may apply your hormone cream as usual after you give your morning saliva sample. Do not apply topical hormones to face or neck the night before collection, and change your pillowcase the night before collection to avoid possible contamination.
  • Take your hormone pills around 10 PM the night before the test. If you normally take your tablet(s) in the morning; wait until evening and take around 10 PM the night before saliva collection. You may take your hormones as usual after giving your saliva specimen.
  • If you use hormone patches, collect your saliva in the morning regardless of when you put your last patch on.
  • If you normally take oral progesterone (e.g. Prometrium™ or compounded progesterone), in the evening, take your regular dose the night before saliva collection.
  • If you use sublingual (under the tongue) or troche (lozenge) hormones, talk to Dr. Swetlikoff for advice on collection times.



  • Who are post-menopausal and not taking hormones can collect saliva at any time of the month.
  • Who have had a hysterectomy and not taking hormones (with or without removal of ovaries) can collect saliva at any time of the month.
  • Menstruating with regular cycles (˜ 28 days) must collect saliva between days 19-21 of cycle (first day of bleeding is day 1).
  • With long menstrual cycles (>28 days) should collect saliva 1 week before next period is due.
  • With shorter menstrual cycles (<28 days) should collect one week (7days) before next period is due.
  • With irregular or missed periods should wait until menstruation occurs and then collect between days 19-21. Call us if you’re not sure what to do.
  • On cyclical hormone replacement (e.g. days 1-25 of month) should collect saliva towards the end of the hormone treatment cycle.
  • Who take hormones every day can collect salvia at any time of the month.
  • Who have gone 3 months or more without a period can test anytime.


  • Who do not take hormones can collect saliva any day of the month
  • Who take hormones cyclically (e.g. days 1-25 of the month) should collect saliva towards the end of the hormone cycle (e.g. days 20-25)
  • Who take hormones every day can collect saliva any day of the month.

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    Are Cellphones Dangerous?

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    We are all surrounded by electromagnetic fields (EMFs).  The sun and earth produce their own natural forces which we cannot escape.  But modern lifestyles and technologies have now chronically exposed humans to fields much different.  For example, AC electric fields from house wiring and corded appliances, power lines and radio frequencies are part of everyday living.  Cellphones, cordless phones, Wi-Fi routers, baby monitors, smart meters and Bluetooth devices are everywhere.  The real fact is that these EMFs are unavoidable and exposure now starts during pregnancy and infancy, right until death.  We are living in an environment of electro smog….

    There is huge controversy over what health risks EMFs may or may not produce.  Most international health organizations, scientific bodies and pro-technology groups state that EMFs, at current levels and forms, do not significantly harm humans or animals.  Specific correlations with diseases like cancer, immune dysfunction or cognitive decline have not been shown statistically to be relevant.  So the general viewpoint is that all this exposure is safe.  These conclusions are readily available on the internet, if one wants to read the data presented.

    However, there are many other researchers, physicians and anti-EMF groups that disagree with these conclusions.  They point out that most studies have not been done for long enough periods of time and that the layering of multiple different types of EMF exposure simultaneously, have not been taken into account.  The frequency, power density, strength and duration of exposure are felt to alter the health risks and need to be factored in with more relevance.  Also, the sensitivity to EMFs may be varied form person to person, based on their own individual constitution and age.  Kind of like the old saying, “One man’s food is another man’s poison”.

    Some research has shown that EMFs alter voltage gated calcium channels in the outer membrane of cells, resulting in mitochondrial dysfunction, oxidative free radical stress and possibly DNA damage.  The result being that some people report a variety of health issues from both long and short EMF exposure.  Ringing in the ears, dizziness, heart palpitations, headaches, insomnia, foggy thinking, chronic fatigue, anxiety, depression, pain syndromes and hormone imbalances are some examples.  More serious conditions like brain cancers, neurological defects, auto-immune disease and dementia are also being discussed by the anti-EMF groups.  The jury is out on all of this, but certainly, the sides are very polarized.

    So what does one do?????  Well…. the cat is out of the bag.  EMF technologies are not going away.  You cannot hide anywhere from EMF exposure.  Whether you believe that EMFs are safe or harmful, here are a few basic tips…..Try replacing wireless devices with wired versions.  Reduce cellphone use and don’t wear it in your bra or pocket.  Use the speaker in the phone and keep it in Airplane mode most of the time.  Reduce laptop use and use wired equipment.  Get as much electrical junk out of the bedroom and far away from your bed.  Try not live near cellphone towers.  Shut Wi-Fi routers off at night.  It is not clear if the advertised shielding devices out there actually work.  Have lots of houseplants, eat a diet rich in anti-oxidants, get outside in nature and get grounded, sweat, stay well water hydrated, and smart phones are not toys for the kids.  There are many other tips available if one researches them.  May the force be with you……

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