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Female Hormone Check

Type

Blood Testing

Biomarkers

12

Duration

30 min

Results

4 days

Simple female hormone test to identify hormonal imbalances.

A hormone panel measures the chemical messengers that regulate virtually every function in your body — from energy and mood to metabolism, sleep, reproduction, and muscle growth. Hormones fluctuate with age, stress, sleep quality, and lifestyle, and imbalances can cause symptoms that are often attributed to "just getting older." Common markers include testosterone and estradiol (sex hormones), cortisol (the stress hormone), DHEA-S (an adrenal precursor), thyroid hormones, and gonadotropins like FSH and LH that regulate reproductive function. Men typically see testosterone decline after 30, while women experience significant hormonal shifts during perimenopause and menopause. Testing provides objective data to distinguish hormonal issues from other causes.

Key Details

Biomarkers
4–12 hormone markers
Fasting Required
Not required, but morning draw recommended
Sample Type
Blood draw
Turnaround
2–5 business days
Timing Note
Morning draw for accurate testosterone/cortisol

Who Is This For?

Men over 30 experiencing low energy, reduced libido, difficulty building muscle, or mood changes. Women with irregular periods, fertility concerns, or perimenopausal symptoms. Anyone experiencing unexplained fatigue, weight gain, sleep disruption, or mood swings. Athletes interested in optimizing recovery and performance through hormonal insights.

What's Included

Testosterone (total and/or free)
Estradiol (E2)
Sex hormone-binding globulin (SHBG)
Cortisol
DHEA-S
FSH and LH (gonadotropins)
Progesterone (if female panel)
Prolactin (if comprehensive)

Preparation Required

Fasting for 10–12 hours before your appointment is recommended for accurate results (water is fine). Avoid alcohol for 24 hours and intense exercise for 12 hours before the blood draw. Morning appointments are ideal for consistent hormone and glucose readings. The blood draw typically takes 5–10 minutes.

Biomarkers Tested

12
Estradiol (E2) pg/mL

The most potent and prevalent form of estrogen. In women, estradiol regulates the menstrual cycle, fertility, and bone density. In men, it's produced from testosterone and plays roles in bone health and libido. Levels vary significantly with age and menstrual cycle.

Progesterone ng/mL

A hormone essential for menstrual cycle regulation and pregnancy maintenance. Progesterone rises after ovulation, preparing the uterus for implantation. Low levels can cause irregular periods and difficulty maintaining pregnancy.

LH (Luteinizing Hormone) mIU/mL

Works with FSH to regulate reproductive function. In women, an LH surge triggers ovulation. In men, LH stimulates testosterone production. Abnormal levels can indicate pituitary or gonadal disorders.

FSH (Follicle-Stimulating Hormone) mIU/mL

Regulates reproductive function in both sexes. In women, FSH stimulates egg development; elevated levels indicate declining ovarian reserve or menopause. In men, FSH stimulates sperm production.

LH to FSH Ratio ratio

Normally 1:1; higher ratios (e.g., 2:1 or 3:1) may indicate PCOS.

Prolactin ng/mL

A hormone primarily known for stimulating breast milk production. Elevated prolactin in non-pregnant individuals can indicate pituitary tumors, medication side effects, or hypothyroidism. High levels can suppress reproductive hormones.

Testosterone (Total) ng/dL

The primary male sex hormone, also important in women at lower levels. Testosterone regulates muscle mass, bone density, fat distribution, libido, and mood. Levels decline naturally with age in both sexes.

Free Androgen Index (FAI) ratio

A calculated ratio of total testosterone to SHBG that estimates the amount of biologically active testosterone. FAI is particularly useful in women for assessing androgen excess in conditions like PCOS.

SHBG (Sex Hormone-Binding Globulin) nmol/L

A protein that binds and transports sex hormones (testosterone, estrogen) in the blood. High SHBG reduces the amount of free, active hormones available. SHBG increases with age, thyroid hormones, and estrogen; decreases with obesity and insulin resistance.

Dehydroepiandrosterone sulfate (DHEA-S) µg/dL

The sulfated, stable form of DHEA with a long half-life, making it the preferred test for adrenal androgen production. DHEA-S is the most abundant circulating steroid hormone and a key longevity biomarker.

Cortisol µg/dL

The primary stress hormone, produced by the adrenal glands. Cortisol regulates metabolism, immune response, blood pressure, and the sleep-wake cycle. Chronically elevated cortisol from stress contributes to weight gain, immune suppression, and metabolic dysfunction.

Free Testosterone pg/mL

The unbound, biologically active fraction of testosterone (typically 1–3% of total). Free testosterone is the form that can enter cells and exert effects. More clinically relevant than total testosterone for assessing hormonal status.

Frequently Asked Questions