All Pregnancy and Fertility Tests

All Pregnancy and Fertility Tests brings together the labs most people need from preconception through trying to conceive and prenatal care. These tests evaluate ovulation and ovarian reserve, male hormone balance, thyroid and prolactin, STI screening, and whole-health markers that affect conception and pregnancy (glucose, lipids, iron, liver/kidney function). During pregnancy, targeted labs help confirm maternal wellness, assess gestational diabetes, and monitor for preeclampsia/HELLP and infections that guide newborn care.

A proactive, stepwise plan typically starts with fertility hormones (AMH, day-3 FSH/LH/E2, mid-luteal progesterone), TSH/prolactin, and male hormones when indicated. Add STI screening, immunity titers, and carrier tests as guided by your clinician. In pregnancy, use baseline prenatal panels, glucose testing (24–28 weeks), and third-trimester assessments based on risk. These labs support screening, diagnostic triage, and monitoring, but they do not replace a clinician’s exam, ultrasound, tubal imaging, semen analysis, fetal testing, or urgent care when warning signs appear.

Signs, Symptoms & Related Situations

• Fertility & cycle clues: irregular or absent periods, short/prolonged cycles, mid-cycle spotting, uncertainty about ovulation timing

• Androgen/PCOS features: acne, unwanted hair growth, scalp hair thinning, weight gain, insulin resistance

• Male sexual health: low libido, erectile difficulties, fewer morning erections, fatigue

• Thyroid/prolactin hints: heat/cold intolerance, hair loss, galactorrhea, palpitations

• Pregnancy care: anemia symptoms (fatigue, pallor), itching of palms/soles (bile acids), high blood-pressure symptoms, UTI symptoms

• Infection risk: new STI exposure, incomplete vaccination/immunity

• Seek urgent care now: severe pelvic or testicular pain, heavy bleeding, fever with pelvic pain, chest pain, shortness of breath, severe headache/vision changes, decreased fetal movement, or signs of ectopic pregnancy

All symptoms and risks should be evaluated by a qualified clinician.

Why These Tests Matter

What testing can do

• Confirm ovulation and estimate ovarian reserve to guide timing and planning

• Identify endocrine drivers of infertility (thyroid, prolactin, androgens/testosterone)

• Detect silent infections that affect fertility and pregnancy outcomes

• Establish baselines for pregnancy and monitor gestational diabetes and hypertensive disorders

• Track trends to measure progress after lifestyle or clinical changes

What testing cannot do

• Guarantee pregnancy or replace imaging for uterine/tubal or testicular/vascular problems

• Diagnose endometriosis or tubal blockage from blood tests alone

• Replace partner testing; a semen analysis is essential in a couple’s evaluation

• Provide treatment or dosing advice—review results with your clinician

What These Tests Measure (at a glance)

• Female fertility

  • Ovulation: Progesterone (mid-luteal)

  • Ovarian reserve: AMH; day-3 FSH/LH/Estradiol

  • Endocrine context: Prolactin, TSH ± Free T4

  • PCOS profile (as indicated): Total/Free Testosterone, DHEA-S, SHBG, 17-Hydroxyprogesterone

• Male fertility (hormones)

  • Morning Total Testosterone, Free T/SHBG, LH/FSH, Prolactin (semen analysis is ordered separately)

• Preconception & sexual health

  • STI screens: Chlamydia/Gonorrhea NAAT, Trichomonas NAAT, HIV 4th-gen, Syphilis, Hepatitis B/C

  • Immunity titers: Rubella IgG, Varicella IgG (clinician-guided)

  • Carrier tests (e.g., hemoglobinopathy, CFTR, SMA)—clinician-directed

• Prenatal care (stage-specific)

  • Type & Screen (ABO/Rh) with Antibody Screen, CBC, Urine culture, iron studies for anemia

  • Gestational diabetes: clinician-directed screening at 24–28 weeks; A1c may provide context but does not replace OGTT

  • Preeclampsia/HELLP work-up: Platelets, AST/ALT, Creatinine, Urine protein/creatinine ratio (± LDH, Uric acid)

  • Cholestasis (ICP): Total bile acids when itching persists

Note: Group B Strep (GBS) screening at 36–37 weeks is a swab done by your clinician (not a blood test).

Quick Build Guide

How the Testing Process Works

1. Choose your path: fertility hormones, male hormone panel, STI/preconception labs, or prenatal panels by trimester.

2. Time it right: AMH any day; day-3 FSH/LH/E2 on cycle day 3; progesterone ~7 days before your next period; male hormones in the morning. Follow clinician timing for pregnancy labs.

3. Prepare as directed: most tests don’t require fasting. Fast only for ordered fasting glucose/insulin or lipids. Avoid urinating ≥1 hour before a urine NAAT.

4. Provide samples: standard blood draw; urine or swabs for NAATs; urine for protein/creatinine when requested.

5. Review & act: results post to your secure account. Discuss with your clinician to align labs with ultrasound, imaging, semen analysis, and monitoring.

Interpreting Results (General Guidance)

• Progesterone pattern consistent with ovulation → confirms timing; consider repeating in variable cycles.

• AMH with day-3 FSH/E2 → estimates ovarian reserve and likely response to stimulation; not a monthly conception predictor.

• Elevated prolactin or abnormal TSH → can disrupt ovulation/sexual function; requires clinician evaluation.

• Androgen elevations with metabolic changes → support a PCOS pattern; diagnosis uses clinical criteria and sometimes ultrasound.

• Low morning testosterone (men) → repeat AM; interpret with LH/FSH; pair with semen analysis.

• Prenatal panels → low Hb/ferritin suggest iron deficiency; abnormal platelets, AST/ALT, creatinine, or urine protein/Cr raise concern for preeclampsia/HELLP; elevated bile acids suggest ICP.
  Always interpret patterns with a qualified healthcare professional; trends and context matter more than a single value.

Choosing Panels vs. Individual Tests

• Core fertility panel (female): AMH • Day-3 FSH/LH/E2 • Mid-luteal Progesterone • TSH • Prolactin

• PCOS/irregular cycle add-ons: Total/Free Testosterone • SHBG • DHEA-S • 17-OH-Progesterone • A1c/Insulin • Lipids

• Male hormone panel: AM Total T • Free T/SHBG • LH/FSH • Prolactin (semen analysis separate)

• Preconception screen: STI panel • CBC • Ferritin/Iron • TSH • Rubella/Varicella IgG

• Prenatal baselines: Type & Screen • CBC • HIV • Syphilis • HBsAg • HCV Ab • Urine culture

• Pregnancy add-ons: Gestational diabetes testing • Platelets/AST/ALT/Creatinine/Urine protein/Cr • Bile acids
  Use bundled panels for efficiency, then add individual markers to answer specific questions and monitor progress.

FAQs

When should fertility testing start?
If you’re <35, after 12 months of trying; if ≥35, after 6 months; sooner for irregular cycles or known risks.

Do I need to fast?
Fast only if your order includes fasting glucose/insulin or lipids.

Does AMH predict my exact chance of pregnancy?
No. AMH estimates ovarian reserve and likely response to stimulation, not month-to-month chances.

Can blood tests diagnose blocked tubes or endometriosis?
No. Those require imaging and sometimes laparoscopy.

Do male hormone tests replace a semen analysis?
No. Semen analysis is essential in a couple’s work-up.

What labs check for preeclampsia?
Platelets, AST/ALT, creatinine, and urine protein/creatinine ratio—with blood pressure and symptoms.

Is GBS screening a blood test?
No. It’s a vaginal/rectal swab at 36–37 weeks, performed by your clinician.

Related Categories & Key Tests

• Pregnancy & Fertility Tests Hub

• Reproductive Hormone Tests (Pregnancy & Fertility) • Women’s Infertility Tests • Male Infertility Tests • Prenatal Health Tests • Pregnancy Third Trimester Tests • Infection STD Tests • Gestational Diabetes

• Key Tests: AMH • Day-3 FSH • LH • Estradiol • Mid-luteal Progesterone • Prolactin • TSH • Free T4 • Total Testosterone (AM) • Free Testosterone • SHBG • DHEA-S • 17-Hydroxyprogesterone • hCG (quant) • CBC • Ferritin • Iron/TIBC • HIV 4th-gen • Syphilis • Hepatitis B Surface Antigen • Hepatitis C Antibody • Chlamydia/Gonorrhea/Trichomonas NAAT • Rubella IgG • Varicella IgG • Type & Screen • Platelets • AST • ALT • Creatinine/eGFR • Urine Protein/Creatinine Ratio • Bile Acids • A1c • Fasting Glucose • Lipid Panel • CMP • Vitamin D

References

• American College of Obstetricians and Gynecologists (ACOG) — Infertility evaluation and prenatal screening guidance.
• American Society for Reproductive Medicine (ASRM) — Fertility evaluation; AMH and ovarian reserve guidance.
• Endocrine Society — PCOS and testosterone deficiency clinical practice guidelines.
• Society for Maternal-Fetal Medicine (SMFM) — Hypertensive disorders, cholestasis, and gestational diabetes resources.
• Centers for Disease Control and Prevention (CDC) — STI screening in adults and pregnancy.
• American Diabetes Association — Standards of Care in Diabetes: Pregnancy.
• World Health Organization — Antenatal care recommendations.
• Clinical reviews on mid-luteal progesterone timing, hCG trends, and interpretation of day-3 FSH/E2.

Available Tests & Panels

Your All Pregnancy and Fertility Tests menu is pre-populated in the Ulta Lab Tests system. Start with a core fertility or prenatal panel based on your goal, then use filters to add PCOS/androgen markers, male hormone tests, STI/preconception labs, or pregnancy monitoring (glucose, preeclampsia, bile acids). Follow timing instructions and review results with your clinician to coordinate imaging, semen analysis, and next steps.