Designs for Health Hormone Spotlight™

Functional 24-Hour Female Urinary Hormone Assessment
A hormone functional wellness test that offers an advanced, 24-hour functional look into the intricate world of female hormone balance and regulation.
Designs for Health Hormone Spotlight™ test delivers a comprehensive urinary assessment of estrogen, progesterone, androgen, and adrenal hormone metabolites collected over a full day. By evaluating hormone production, metabolism, and clearance across a 24-hour period, the test provides insight into daily hormone rhythms and metabolic pathways relevant to female hormonal physiology. Using gold-standard LC-MS/MS technology, the test provides highly accurate quantitative measurements of hormone metabolites and clinically relevant ratios.
The test also evaluates key hormone metabolism pathways, including estrogen hydroxylation and methylation patterns, androgen metabolism, and adrenal hormone conversion. Multiple timepoints of adrenal hormone activity — including waking, mid-morning, afternoon, evening, and bedtime measurements — help illustrate daily cortisol and cortisone rhythms. Together, these insights support health-care practitioners in developing personalized nutritional, lifestyle, and supplementation strategies tailored to each individual’s unique biochemistry.
How does this test benefit the client or patient?
- Provides insight into a patient’s 24-hour hormone production, metabolism, and clearance patterns
- Reports clinically relevant measurements across key hormone pathways, including estrogens, progesterone metabolites, androgen metabolites, and adrenal hormones
- Includes informative hormone ratios and metabolic markers such as estrogen metabolism pathways (e.g., 2-hydroxyestrone and 16α-hydroxyestrone patterns), 24-hour cortisol output, DHEA, and markers of androgen metabolism such as 5α-reductase activity
- Evaluates hormones involved in important physiological processes related to stress response, energy balance, reproductive health, fertility, menstrual cycle dynamics, sexual desire, and overall metabolic function
The Designs for Health Hormone Spotlight™ functional wellness test is not diagnostic and is not eligible for coverage under Medicare, Medicaid, or medical insurance.
DFH Spotlight testing must be ordered or authorized by a qualified health-care provider registered with DFH. Please reach out directly to your practitioner to express your interest in any of the Spotlight tests.
Spotlight test kits are not available for purchase or shipping in New York or the U.S. territories.