Standard clinical assessment
Symptoms, cycle history, medicines and accepted diagnostic criteria remain central. Imaging or other investigations may be needed for endometriosis or fibroids.
Individual women's health care
Women's hormonal health: assessment built around your clinical picture
Concerns such as PMS, PCOS, perimenopause and other hormone-related symptoms begin with medical history, cycle pattern, medicines, established diagnostics and ordinary medical or gynaecological care. Carefully selected functional measurements can contribute to identifying causes, but are not standalone diagnoses.
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Defined scope
Scope of this care area
This clinic route considers cycle pattern, symptoms, medicines, contraception or hormone therapy, sleep, mental health, metabolic context and previous medical or gynaecological evaluation.
Selected endocrine, metabolic, gut, nutritional or genetic measurements may be considered only when they answer a defined question. They are not a mandatory package and do not replace accepted diagnostic pathways.
Who this care area may help
- People seeking assessment of PMS or PMDD symptoms across the menstrual cycle.
- People with possible PCOS who need symptoms, cycle history, androgen-related findings and metabolic context considered together.
- People experiencing perimenopausal or menopausal change alongside sleep, mood, thyroid, iron or metabolic questions.
- People with endometriosis, fibroids or persistent fatigue who want supplementary questions considered without displacing established care.
Who this care area is not designed to help
- Anyone with urgent bleeding, a new breast change or rapidly worsening symptoms who needs ordinary medical care first.
- Someone seeking a laboratory report as a substitute for accepted PCOS, endometriosis, fibroid or other gynaecological assessment.
- Someone expecting one hormone value, metabolite or genetic variant to explain all symptoms or dictate treatment.
- Someone who only wants the Women's Health+ home test; that is a separate direct-purchase route.
Clinical method
What “root cause” means in hormonal-health care
At MediBalans, root cause means the primary driver, or decisive combination of causes, identified by combining medical history, clinical assessment, established medical diagnostics and carefully selected functional laboratory tests. In our clinical work, we identify the primary root cause — or the decisive combination of causes — in almost every case.
Hormone-related symptoms can reflect interacting thyroid, iron, sleep, mental-health, medication, metabolic and reproductive causes. The clinical task is to identify which causes are decisive and determine treatment order; no association, metabolite or genotype is interpreted alone. Treatment response is individual and monitored clinically.
- Start with the clinical pattern. Review timing across cycles, symptom course, medicines, contraception or hormone therapy and previous care.
- Keep established pathways central. Use accepted criteria, standard tests, imaging or gynaecological referral where appropriate.
- Add a defined measurement only if useful. Match the sample, timing and test scope to a specific clinical question.
- Agree care and review. Document priorities, what will be monitored and when another pathway should take priority.
Tests are optional tools
Different samples answer different questions
Hormone and metabolite panels
Selected saliva, urine or blood measurements report different markers. One panel cannot diagnose PMS, PCOS, endometriosis or perimenopause.
Timed cortisol measurements
These report cortisol and DHEA-related measurements across the day. They do not independently establish the cause of fatigue or hormone-related symptoms.
Metabolic, gut or genetic context
Such results may add context in selected cases, but genotype does not show current hormone status and a stool marker does not quantify systemic oestrogen exposure.
Within clinic care
Meet Mario supports continuity
When included in your MediBalans plan, Meet Mario may support the clinician-defined plan, practical questions and agreed follow-up between appointments.
It does not replace the care team, is not continuously monitored and must not be used for urgent or emergency symptoms.
Separate direct purchase
Women's Health+ is not clinic care
Women's Health+ and other Genova tests can be purchased directly as a home-collection kit, laboratory analysis and report. A direct purchase does not create a MediBalans patient relationship; medical interpretation, treatment and follow-up are separate.
Every Genova test ordered through MediBalans includes one complimentary month of Meet Mario to explore the report, receive contextual explanations and collect questions.
Evidence and boundaries
Evidence and limitations
- PMS and PMDD are assessed primarily through symptom pattern and timing; PCOS uses accepted clinical criteria; endometriosis and fibroids may need imaging or other conventional investigation.
- Saliva, urine and blood are different sample matrices and are not interchangeable.
- No single hormone result, metabolite ratio, genetic variant or stool marker explains symptoms, establishes disease risk or determines treatment by itself.
- No assessment, laboratory report or care plan guarantees diagnosis, symptom improvement or a particular outcome.
For the fuller current description of both routes, see the existing in-depth women's-health page.
Evidence base
Sources for scope and safety boundaries
The sources below support symptom- and criteria-based assessment of menopause, PCOS and endometriosis through established care when needed; they do not validate a home hormone panel, metabolite ratio, gut marker or genetic variant as a standalone diagnosis.
- Socialstyrelsen — National guidelines 2026 for menopausal symptoms
- NICE NG23 — Menopause: identification and management
- 2023 International evidence-based guideline for the assessment and management of PCOS
- NICE NG73 — Endometriosis: diagnosis and management
These sources do not validate Genova, ALCAT, CMA, HRV or any proprietary panel, and they do not promise diagnosis, improvement or any particular outcome.
Questions
Frequently asked questions
Is the clinic assessment the same as buying Women's Health+?
No. A MediBalans clinical assessment is an individual healthcare service. Women's Health+ is a separate direct purchase of a home-collection kit, Genova laboratory analysis and laboratory report. You can choose either route without buying the other.
Can a hormone panel diagnose PMS, PCOS, endometriosis or perimenopause?
No. These concerns require symptom history, accepted clinical criteria and, where appropriate, ordinary medical or gynaecological assessment. A specialised laboratory report cannot establish the diagnosis or cause by itself.
Are specialised tests required for every patient?
No. Medicines, cycle pattern, previous investigations and the clinical question determine whether any additional endocrine, metabolic, nutritional, gut or genetic measurement could be useful.
Does a direct Genova test include clinical interpretation?
No. A direct order includes the collection kit, Genova laboratory analysis, laboratory report and one complimentary month of Meet Mario. Medical interpretation, treatment and clinical follow-up are separate services.
Next step
Choose clinic care only when you want individual assessment
Book a consultation for individual clinical assessment. A direct laboratory purchase remains a separate choice.
Book a clinical assessment