Female Fertility Panel (FSH, LH, Estradiol, AMH, Prolactin)
Comprehensive hormone panel that measures five key fertility markers to assess ovarian function, ovulation patterns, and reproductive health in women.
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LevelPanel has no business or affiliate relationship with Quest or LabCorp. These links are provided as a public service.
Lab testing services linked from this site are not available to residents of Alaska, Arizona, or Hawaii, unless otherwise noted on the lab's own website.
This publication is not intended to solicit the purchase of laboratory testing from any individual consumer.
What this test measures
This panel measures five hormones that together provide a comprehensive snapshot of reproductive function and ovarian reserve: Follicle-Stimulating Hormone (FSH), Luteinizing Hormone (LH), Estradiol (E2), Anti-Mullerian Hormone (AMH), and Prolactin. Each hormone captures a different aspect of the reproductive system, and their combined values reveal more than any single test can.
FSH and LH are pituitary hormones that regulate follicle development and trigger ovulation. Estradiol, produced by developing ovarian follicles, reflects follicular activity and helps prepare the uterine lining for potential implantation. AMH provides an estimate of ovarian reserve by reflecting the pool of small developing follicles. Prolactin, also from the pituitary gland, normally supports lactation but can interfere with ovulation when elevated outside of pregnancy. By assessing these five markers simultaneously, healthcare providers can evaluate ovarian reserve, confirm whether ovulation is occurring, screen for conditions like PCOS, and identify hormonal imbalances that may be affecting fertility.
What's included
Who should consider this test
You might consider this test if you are experiencing any of the following:
- Women trying to conceive who want to understand their reproductive health status
- Those experiencing irregular menstrual cycles, missed periods, or unusual bleeding patterns
- Women concerned about their ovarian reserve or egg count, especially those over 30
- Individuals with symptoms like breast discharge, unexplained weight changes, or difficulty getting pregnant
- Women planning to delay pregnancy and considering fertility preservation options like egg freezing
- Those with family history of early menopause or reproductive disorders
What to expect
Preparation
Timing within the menstrual cycle is important for accurate FSH and estradiol results - these are typically measured on days 2-3 of the cycle. AMH can be tested at any point during the cycle as it remains relatively stable throughout the month. Fasting is generally not required for female hormone tests. Individuals should inform their healthcare provider about any medications, including hormonal contraceptives, as these may affect results.
Sample Type
Simple blood draw from a vein in the arm, similar to routine lab work
Collection
A healthcare professional will collect the blood sample using standard venipuncture techniques. The process typically takes just a few minutes and involves minimal discomfort.
Turnaround
Results are typically available within 2-3 business days after the laboratory receives the sample
Understanding your results
The five hormones are most informative when interpreted as an interconnected set. For example, low AMH combined with elevated FSH suggests diminished ovarian reserve, while an elevated LH-to-FSH ratio may point toward PCOS. Elevated prolactin can suppress ovulation even when other markers appear normal. Reference ranges for FSH, LH, and estradiol depend on menstrual cycle timing, so the day of the blood draw relative to the cycle is important context. AMH, by contrast, can be drawn at any point in the cycle. Healthcare providers evaluate the full pattern alongside age, symptoms, menstrual history, and reproductive goals to build an individualized fertility assessment.
| Population | Reference Range | Notes |
|---|---|---|
| Premenopausal Women (FSH) | 3-10 mIU/mL (day 3 of cycle) | Lower FSH values (5-8 mIU/mL) generally indicate better ovarian function, while higher values may suggest diminished ovarian reserve |
| Premenopausal Women (LH) | 2-10 mIU/mL (baseline) | LH surges above 20 mIU/mL during ovulation, but consistently high baseline levels may suggest PCOS |
| Premenopausal Women (Estradiol) | 27-161 pg/mL (early cycle); <80 pg/mL (day 3) | Higher day 3 estradiol levels may indicate diminished ovarian reserve or can mask elevated FSH levels |
| Reproductive Age Women (AMH) | 1.0-3.5 ng/mL | Low: <1.0 ng/mL; Severely low: <0.4 ng/mL; levels naturally decline with age |
| Non-pregnant Women (Prolactin) | 2-29 ng/mL | Normal range for reproductive age women; levels <25 ng/mL are typically considered normal |
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 FSH levels are generally associated with better ovarian function. Low LH levels could indicate issues with ovulation cycles or hypothalamic amenorrhea, often caused by stress or significant weight loss. Low AMH levels (below 1.0 ng/mL) may suggest reduced ovarian reserve, though this doesn't necessarily prevent natural conception. Low prolactin levels are rare and may affect milk production in breastfeeding individuals. Age-related declines in these hormones can be normal, but significant reductions in younger individuals may warrant further investigation.
What does a “High” result mean?
Elevated FSH levels may indicate diminished ovarian reserve, making pregnancy more difficult. High baseline LH levels can suggest polycystic ovary syndrome (PCOS). Elevated early-cycle estradiol may indicate reduced ovarian reserve or the presence of ovarian cysts. High AMH levels may be associated with PCOS. Elevated prolactin can interfere with ovulation, cause irregular periods, and lead to infertility. These patterns often require further evaluation by a reproductive health specialist.
Privacy & confidentiality
All test orders are authorized and results reviewed by an independent, board-certified physician who is not the patient's personal doctor. This fertility testing is conducted with complete confidentiality and discretion. Test results are <u>not reported to your personal doctor</u> unless specifically requested, ensuring privacy around reproductive health decisions. Results are <u>not part of your medical records</u> and are <u>not included on insurance statements</u> or EOBs, protecting sensitive fertility information from appearing in insurance documentation. The testing process is designed to give individuals control over their reproductive health information, with results provided directly through a secure online portal. No doctor visit is required for this comprehensive hormone panel, making fertility assessment accessible and private. All testing follows strict privacy protocols, and results are never shared with employers, insurance companies, or other third parties without explicit consent.
Frequently asked questions
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Last reviewed: April 2026
CPT Code: 83001, 83002, 82670, 82397, 84146
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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LevelPanel has no business or affiliate relationship with Quest or LabCorp. These links are provided as a public service.
Lab testing services linked from this site are not available to residents of Alaska, Arizona, or Hawaii, unless otherwise noted on the lab's own website.
This publication is not intended to solicit the purchase of laboratory testing from any individual consumer.
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