Women's Hormone Panel: Expanded
Comprehensive assessment of key reproductive and metabolic hormones including estradiol, progesterone, testosterone, FSH, LH, DHEA, thyroid markers, and prolactin to evaluate menstrual cycle irregularities, fertility concerns, and hormone-related symptoms.
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What this test measures
This comprehensive hormone panel evaluates multiple key reproductive and metabolic hormones that provide insights into reproductive health, metabolic function, and conditions like PCOS or menopause. The panel includes follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (estrogen), progesterone, total testosterone, unconjugated DHEA, thyroid-stimulating hormone (TSH), free T4, free T3, thyroid peroxidase (TPO) antibodies, and prolactin in the blood.
These hormones play essential roles in ovulation, fertility, menstrual cycle regulation, and overall hormone balance, and imbalances may be associated with irregular or missed periods, mood changes, unexplained weight changes, problems with ovulation, ongoing fertility issues, and conditions like Polycystic Ovary Syndrome (PCOS). Female hormone disorders are not uncommon - for example, PCOS may affect around 5 to 10 percent of premenopausal women, but up to 70 percent of cases are undiagnosed. Testing can help identify potential hormonal imbalances and provide valuable information for individuals and healthcare providers to determine appropriate next steps for managing symptoms.
What's included
Who should consider this test
You might consider this test if you are experiencing any of the following:
- Individuals experiencing irregular menstrual periods or missed periods who want to understand potential hormonal causes
- Those with fertility concerns or difficulty conceiving who need comprehensive hormone evaluation
- Individuals with symptoms suggestive of PCOS, such as excess hair growth, acne, weight gain, or irregular cycles
- Those experiencing perimenopausal or menopausal symptoms like hot flashes, mood changes, or night sweats
- Individuals with unexplained fatigue, mood changes, or weight fluctuations that may be hormone-related
- Those with family history of thyroid disorders or hormone-related conditions seeking proactive screening
- Individuals monitoring hormone replacement therapy or other hormonal treatments
What to expect
Preparation
For individuals with regular menstrual cycles, it is best to have the sample collected on cycle days 2, 3, or 4 (cycle day 1 is the first day of the period), when hormone levels are considered at baseline. No fasting is required for this test. Those taking biotin supplements should discontinue them at least 72 hours before testing to ensure accurate results. Hormonal contraceptives may affect certain hormone levels, so timing should be discussed with a healthcare provider if relevant.
Sample Type
Blood sample collected through a simple blood draw from a vein in the arm
Collection
Visit any Quest Diagnostics or LabCorp patient service center for sample collection. The blood draw typically takes just a few minutes and is performed by trained phlebotomists. No doctor visit required.
Turnaround
Results are typically available within 1-3 business days and will be accessible through a secure online portal
Understanding your results
Hormone levels and ranges can vary from lab to lab, and results provide a general idea of what elevated or low levels of particular hormones may indicate. Female hormones fluctuate and interact with one another, which can make results complex to analyze, and it's advisable to discuss results with a healthcare provider to help interpret findings and discuss next steps if warranted. Timing within the menstrual cycle significantly affects hormone levels, so cycle day information is important for accurate interpretation.
| Population | Reference Range | Notes |
|---|---|---|
| Premenopausal Women (Follicular Phase) | FSH: 3-9 mIU/mL, LH: 2-10 mIU/mL, Estradiol: 27-161 pg/mL, Progesterone: <1 ng/mL | Values measured during days 2-5 of menstrual cycle when hormones are at baseline |
| Premenopausal Women (Luteal Phase) | Progesterone: 5-20 ng/mL, Estradiol: 70-300 pg/mL | Values measured approximately 7 days after ovulation |
| Postmenopausal Women | Estradiol: <15 pg/mL, Progesterone: <1 ng/mL | FSH and LH levels typically elevated after menopause |
| Adult Women (General) | Total Testosterone: 6.0-86 ng/dL (15-70 ng/dL typical), Prolactin: 0-20 ng/mL (non-pregnant) | Testosterone levels are much lower in women than men but still play important roles |
Reference ranges shown are general guidelines. Your lab report will include the specific reference range used by the laboratory that processed your sample, which is the authoritative range for interpreting your results.
What does a “Low” result mean?
Low estrogen levels typically occur naturally after menopause, but may also happen with genetic disorders, extreme exercise, anorexia, nutrient deficiencies, or treatments like radiation and chemotherapy. Low progesterone is common during perimenopause and menopause, and may also indicate fertility problems in younger women. Low testosterone can be caused by menopause, surgery to remove ovaries, conditions like Addison's disease, premature ovarian insufficiency, malnutrition, or stress, and has been linked to decreases in mood, well-being, and libido. Low DHEA typically happens during periods of great stress and can throw off sex hormone balance, causing depression and fatigue.
What does a “High” result mean?
Elevated FSH levels often signal menopause or diminished ovarian reserve, while low levels may indicate pituitary dysfunction. High LH levels early in the cycle may suggest PCOS, while elevated levels can also indicate menopause or primary ovarian failure. High testosterone levels could indicate problems with fertility and/or PCOS, as women with PCOS often have increased levels of both total and free testosterone. High progesterone may be caused by pregnancy, an adrenal imbalance, or certain forms of cancer. Elevated prolactin levels may indicate a pituitary tumor or dysfunction.
Privacy & confidentiality
All test orders are authorized and results reviewed by an independent, board-certified physician who is not the patient's personal doctor. At LevelPanel, we understand that hormone testing is deeply personal, and we're committed to protecting your privacy at every step. Your test results are completely confidential and <u>not reported to your doctor</u> unless you choose to share them. The results are <u>not part of your medical records</u> and will <u>not appear on insurance statements</u> or explanations of benefits (EOB), ensuring complete discretion. We use secure, encrypted systems to protect your health information, and results are only accessible through your private online account with multi-factor authentication. Your employer, insurance company, or government agencies cannot access your results without your explicit consent. This privacy protection allows you to explore your hormonal health on your own terms, whether you're investigating unexplained symptoms, monitoring your reproductive health, or simply taking a proactive approach to wellness. Many individuals prefer the convenience and privacy of direct-access testing, especially for hormone panels that can reveal sensitive information about fertility, menopause, or conditions like PCOS. With no doctor visit required, you can get comprehensive hormone insights quickly and privately, then decide how and when to share results with healthcare providers if you choose to pursue treatment options.
Frequently asked questions
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This test may not be available in: NY, NJ, RI
This page is for informational purposes only and does not constitute medical advice. Always consult with a healthcare provider regarding any health concerns. LevelPanel does not diagnose, treat, or prescribe.
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Not sure if this is the right test? Contact our care team for guidance.