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Hormones

Women's Hormone Panel: Basic

A comprehensive blood test that measures five essential reproductive hormones to assess menstrual health, fertility, and hormonal balance in women.


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What this test measures

This panel measures five reproductive hormones that work together to regulate menstrual cycles, ovulation, and overall hormonal equilibrium: estradiol (the primary active estrogen), progesterone (essential for menstrual regulation and pregnancy support), testosterone (which influences energy, mood, and libido in women as well as men), follicle-stimulating hormone (FSH), and luteinizing hormone (LH). These hormones operate as part of the hypothalamic-pituitary-ovarian axis, a feedback system that coordinates ovarian function and reproductive timing.

Hormonal imbalances in women are common; research suggests that a substantial majority of women experience a clinically meaningful hormone shift at some point during their lives. Abnormal levels of these five markers may be associated with conditions including polycystic ovary syndrome (PCOS), irregular or absent menstrual periods, premature ovarian changes, fertility difficulties, and perimenopausal symptoms. The panel serves as a practical starting point for women experiencing irregular cycles, unexplained fatigue, mood fluctuations, weight changes, or concerns about fertility.

What's included

Estradiol (E2) - Primary form of estrogen
Progesterone - Hormone that prepares the uterus for pregnancy
Testosterone, Total - Androgen hormone affecting energy and mood
FSH (Follicle-Stimulating Hormone) - Stimulates egg development
LH (Luteinizing Hormone) - Triggers ovulation

Who should consider this test

You might consider this test if you are experiencing any of the following:

  • Women experiencing irregular menstrual cycles or missed periods
  • Those trying to conceive or having difficulty getting pregnant
  • Individuals with symptoms of PCOS such as excess hair growth, acne, or weight gain
  • Women approaching menopause or experiencing menopausal symptoms like hot flashes
  • Those with unexplained fatigue, mood changes, or weight fluctuations
  • Women seeking to understand their baseline hormone levels for optimal health

What to expect

Preparation

For most accurate results, individuals with regular menstrual cycles should schedule testing on cycle day 2, 3, or 4 (cycle day 1 is the first day of the period). No fasting is required for this hormone panel, though certain medications like hormone therapy, birth control pills, or steroids may affect results. Patients should consult with healthcare providers about temporarily discontinuing medications if appropriate.

Sample Type

Blood sample collected through a simple blood draw from a vein in the arm (venipuncture)

Collection

A trained phlebotomist will collect the blood sample at any Quest Diagnostics or LabCorp Patient Service Center. The collection process typically takes just a few minutes and no doctor visit required.

Turnaround

Results are typically available within 3-4 business days, though processing may take longer based on weather, holidays, or laboratory delays

Understanding your results

Reproductive hormone levels fluctuate substantially throughout the menstrual cycle, so the timing of the blood draw relative to cycle day significantly affects interpretation. Reference ranges are established for specific cycle phases (follicular, ovulatory, luteal) as well as for postmenopausal status, and the lab report will indicate which ranges apply. A result outside the expected range does not necessarily signal a disorder, since natural hormonal variation is wide. Healthcare providers interpret results in the context of symptoms, cycle timing, age, and overall health to determine whether further evaluation is warranted.

PopulationReference RangeNotes
Premenopausal Women (Follicular Phase)FSH: 3-9 mIU/ml, LH: 2-10 mIU/mlEarly cycle levels when hormones are at baseline
Premenopausal Women (General)Estradiol: 27-161 pg/ml (ideally <50 pg/ml), Progesterone: 5-20 ng/ml (day 21)Estradiol varies throughout cycle; progesterone measured mid-luteal phase
Adult WomenTotal Testosterone: 6.0-86 ng/dl, Free Testosterone: 0.7-3.6 pg/mlTestosterone levels are approximately one-tenth of male levels
Postmenopausal WomenFSH: >13 mIU/ml typically indicates menopauseElevated FSH levels reflect decreased ovarian function

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 hormone levels may suggest different underlying causes that warrant further evaluation. Low estradiol levels may indicate the start of menopause transition or hypothalamic amenorrhea commonly caused by excessive exercise, stress, or undereating. Low progesterone can cause irregular menstrual cycles, difficulty getting pregnant, early pregnancy loss, and symptoms similar to menopause like hot flashes, night sweats, and mood changes. Low testosterone may be caused by menopause, ovarian surgery, certain medical conditions like Addison's disease, malnutrition, and chronic stress. Low FSH or LH levels may indicate pituitary dysfunction or severe nutritional deficiencies.

What does a “High” result mean?

Elevated hormone levels may indicate various conditions depending on which hormones are affected. High FSH levels can indicate the beginning of menopause transition, while elevated LH may suggest menopause onset or hypothalamic amenorrhea due to excessive exercise, stress, or undereating. Higher than normal testosterone levels in females can lead to hyperandrogenism and may be related to PCOS, causing issues like excess facial and body hair growth. High progesterone levels are typically associated with successful ovulation or early pregnancy, though excessive levels may sometimes cause bloating or mood changes.

Privacy & confidentiality

All test orders are authorized and results reviewed by an independent, board-certified physician who is not the patient's personal doctor. Your hormone test results are completely confidential and protected by strict privacy measures. Unlike tests ordered by your personal physician, these results are <u>not sent to your doctor</u> unless you specifically choose to share them. The test results are <u>not added to your medical records</u> and will <u>not appear on insurance statements</u> or explanation of benefits (EOB), ensuring complete discretion about your health testing decisions. Your personal health information is never shared with employers, insurance companies, or third parties without your explicit consent. All results are securely delivered through an encrypted online portal accessible only with your unique login credentials. This direct-to-consumer approach gives you complete control over your health information, allowing you to seek hormone testing without concerns about privacy or unwanted disclosure to others who might have access to your medical records.

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Last reviewed: April 2026

CPT Code: 82670, 84144, 84402, 83001, 83002

This test may not be available in: NY, NJ, RI

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