1. Optimal Thyroid Function: free T3, free T4
2. Adrenal testing if stress is an issue: salivary cortisol measurements with an integrative doctor
3. Total and free testosterone levels, or total testosterone and sex hormone binding globulin (SHBG)
4. Consider other hormone testing if you are perimenopausal, menopausal, or have stopped having menses for unknown reasons: Estradiol, Progesterone, DHEA-S
5. If you have pain with sex, a good gynecologic exam should be able to identify any skin conditions or infections contributing to the pain.