With medical examinations, laboratory and physical examinations during the consultation .
Ask for tests of urinary free cortisol (collect urine for 24 hours) ,cortisol in the blood , and post-dexamethasone 21 h ,also the salivary cortisol .
To perform tests of cortisol in the blood must come to rest for at least half an hour to the laboratory. In Chile, the iema is one of the best laboratories in endocrinology