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Several hormones play a role in ovulation and menstrual cycles. This panel measures seven key hormone levels that can affect your menstrual cycle, ovulation, and ability to become pregnant.
Finger-Stick Sample
A woman should consider fertility testing if she has been actively trying to get pregnant, by having unprotected intercourse on a regular basis with her partner, for more than one year. If a woman is age 35 or older, she should consider fertility testing after six months of trying to get pregnant.
Collect your specimen in the morning and drop it in the mail, on the same day, using the pre-paid envelope we provide in your test kit.
An anti-müllerian hormone (AMH) test measures the amount of AMH in a blood sample. In females, the ovaries make AMH. The ovaries are glands where eggs form and female hormones are made. In general, a high level of AMH means you have more eggs available, and a low level means your egg supply is shrinking and your time to get pregnant may be shorter.
This test measures the level of follicle-stimulating hormone (FSH) in a sample of your blood. A hormone is a chemical messenger in your bloodstream that controls the actions of certain cells or organs. FSH plays an important role in sexual development in children and fertility in adults.
Higher levels of FSH are often a sign of a condition in the reproductive glands (ovaries or testicles) that prevents them from making normal levels of sex hormones.
In women who menstruate (have periods), FSH helps control the menstrual cycle. It triggers the growth of eggs in the ovaries and gets the eggs ready for ovulation. Ovulation is when an ovary releases an egg so it can travel down a fallopian tube where it can be fertilized by sperm.
The LH blood test measures the amount of luteinizing hormone (LH) in blood. LH is a hormone released by the pituitary gland, located on the underside of the brain. This is a hormone with key roles in both male and female reproductive systems. This test is recommended for men that have signs of infertility or lowered sex drive, or, have signs of a pituitary gland problem.
A prolactin (PRL) test measures the level of prolactin in a sample of your blood. Prolactin is a hormone produced by the pituitary gland, a small gland at the base of the brain. Higher-than-normal levels of prolactin in your blood can cause certain symptoms, such as irregular periods, infertility and erectile dysfunction.
Having higher-than-normal prolactin levels (hyperprolactinemia) can affect the body in different ways. In women, it can affect how the ovaries work and can cause menstrual problems and infertility.
Higher-than-normal prolactin levels can have different causes:
Prolactinoma, a benign (noncancerous) tumor growing on the pituitary gland. This is the most common cause. This type of tumor makes prolactin, which leads to higher-than-normal levels of prolactin in the blood.
Certain medicines
Certain health conditions, such as hypothyroidism (underactive thyroid), kidney disease, and chest injuries
Other pituitary gland tumors
A prolactin test is used to:
Identify a prolactinoma
Find the cause of irregular menstrual periods
Find the cause of infertility in men and women
Find the cause of a man’s low sex drive and/or erectile dysfunction
Monitor a known prolactinoma to see if:
Treatment is working.
The tumor has come back after treatment.
This test measures the level of Free T4, or free thyroxine, in your blood. A Free T4 test is used to find out how well your thyroid gland is working and is important for the regulation of your metabolism. T4 is 1 of 2 hormones produced by the thyroid, a butterfly-shaped gland in your neck.
It’s also used to help diagnose and monitor thyroid disease and conditions that may affect your thyroid, including: Hypothyroidism, or underactive thyroid, which is when your thyroid gland doesn’t make enough thyroid hormone to meet your body’s needs.
This test measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It prompts the thyroid gland to make and release thyroid hormones into the blood.
This test provides a sensitive measurement for Estradiol in the blood. Estradiol is one of the primary components of Estrogen. The increased sensitivity can be useful for situations where a person may have lower estradiol levels.
If you’re female, you may need an AMH test if you:
Are having fertility problems. You may need an AMH test to:
Find out if your egg supply is normal for your age.
Plan in vitro fertilization (IVF) treatment. Higher levels of AMH mean that you’re likely to respond to fertility medicine and you may only need a small dose. Low levels of AMH may mean need higher doses to respond.
Have symptoms of polycystic ovary syndrome (PCOS), including:
Irregular menstrual periods, or no periods at all (amenorrhea)
Acne
Too much hair on the face, chest, stomach, or thighs
Hair loss on the head (male pattern baldness)
Weight gain
Dark patches of skin
Are being treated for certain types of ovarian cancer. AMH testing can show if your treatment is working. After treatment the test can show whether cancer has returned.
You may need this test if:
You’ve been unable to get pregnant after 12 months of trying.
Your menstrual periods aren’t regular or have stopped.
You may need an FSH test along with other hormone tests if there is a medical reason, including:
Premature menopause (age 40 or younger)
Early menopause (before age 45)
Having symptoms that may be related to menopause, but the cause isn’t clear
You have a less interest in sex than usual.
If you think you may have a pituitary disorder. Pituitary problems can affect fertility and decrease your interest in sex. They may also cause symptoms, such as:
Fatigue
Weakness
Decreased appetite and/or weight loss
The main symptoms of hypogonadism are reduced libido/erectile dysfunction, reduced muscle mass and strength, increased adiposity, osteoporosis/low bone mass, depressed mood and fatigue. If you are male, abnormally high LH levels along with low levels of testosterone may mean that your testicles aren’t responding to LH’s signal to make more testosterone. Low levels of LH may mean that your pituitary gland isn’t making enough LH. That can lead to too little testosterone production.
In women, symptoms may include:
Changes in menstruation (irregular periods or absence of periods)
Production of breast milk when not pregnant or breastfeeding
Nipple discharge
Infertility
Symptoms also depend on whether you have gone through menopause, which is when your periods stop, normally around age 50.
If you have higher-than-normal levels of prolactin because of a prolactinoma, you may also have other symptoms. A prolactinoma that is not treated can grow large enough that it presses against nearby parts of the pituitary gland and the brain. This can cause:
Headaches
Changes in vision, if the tumor is pressing on the optic nerve (the nerve at the back of the eye)
Low levels of other pituitary hormones, such as thyroid hormones and cortisol
If you’ve already been diagnosed with high prolactin levels from a prolactinoma, you may need prolactin testing to check whether your treatment is working. After treatment, you may be retested to see if the tumor has come back.
High free T4 might indicate that you have hyperthyroidism. This causes symptoms such as:
Anxiety and irritability
Intolerance of heat
Fatigue
Swelling of the thyroid gland
Racing heart rate
Weight loss
Reduced libido
Low free T4 might indicate hypothyroidism. This causes symptoms such as:
Tiredness
Sensitivity to cold
Weight gain
Depression and slow thoughts
Muscle cramps
Dry skin, brittle hair and nails
Reduced libido
A higher than normal level of T4 may be due to conditions that involve an overactive thyroid, including:
Graves disease
Taking too much thyroid hormone medicine
Thyroiditis
Toxic goiter or toxic thyroid nodules
Some tumors of the testes or ovaries (rare)
Getting medical imaging tests with contrast dye that contains iodine (rare, and only if there is a problem with the thyroid)
Eating a lot of foods that contain iodine (very rare, and only if there is a problem with the thyroid)
A lower than normal level of T4 may be due to:
Hypothyroidism (including Hashimoto disease and other disorders involving an underactive thyroid)
Severe acute illness
Malnutrition or fasting
Use of certain medicines
Hyperthyroidism (too much thyroid hormone) is also called overactive thyroid. Having more thyroid hormones than you need speeds up your body functions and causes symptoms that include:
Weight loss, even though you may be eating more than usual
Rapid or irregular heartbeat
Feeling nervous or irritable
Trouble sleeping, fatigue
Shaky hands, muscle weakness
Sweating or being very sensitive to heat
Frequent bowel movements (pooping a lot)
Goiter (enlarged thyroid)
Hypothyroidism (too little thyroid hormone) is also called underactive thyroid. Not having enough thyroid hormone slows down your body functions and causes symptoms that include:
Fatigue
Weight gain
Being very sensitive to cold
Joint and muscle pain
Dry skin
Dry, thinning hair
Heavy or irregular menstrual periods
Depression
Constipation
High levels of estradiol in men are associated with abdominal obesity, an increased risk of cardiovascular disease, insulin sensitivity, and blood sugar dysregulation. In males, estradiol and/or estrone tests may be used to see whether too much estrogen is causing conditions, such as late puberty, breast growth (gynecomastia), or infertility.
Register your test kit as stated in the instructionsprovided in your test kit.
Collect your sample in the morning,
using the easy-to-follow instructions
that are included in your test kit.
Then, return your sample on the same
day, using the pre-paid return envelope
provided in your test kit.
Receive your digital test results in 3
to 5 days from when our lab receives
your sample.
Watch our instructional video to learn how easy it is to collect your sample.
