Ulta Lab Tests

Cory Ruth - Essential PCOS Panel with AMH

Blood
Blood Draw, Phlebotomist

The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

ANTI-MULLERIAN HORMONE

Estradiol

Estradiol (estradiol-17 beta, E2) is part of an estrogen that is a group of steroids that regulate the menstrual cycle and function as the main female sex hormones. Estrogens are responsible for the development of female sex organs and secondary sex characteristics and are tied to the menstrual cycle and pregnancy. They are considered the main sex hormones in women and are present in small quantities in men. Estradiol (E2) is the predominant form of estrogen and is produced primarily in the ovaries with additional amounts produced by the adrenal glands in women and in the testes and adrenal glands in men. Estradiol levels are used in evaluating ovarian function. Estradiol levels are increased in cases of early (precocious) puberty in girls and gynecomastia in men. Its main use has been in the differential diagnosis of amenorrhea – for example, to determine whether the cause is menopause, pregnancy, or a medical problem. In assisted reproductive technology (ART), serial measurements are used to monitor follicle development in the ovary in the days prior to in vitro fertilization. Estradiol is also sometimes used to monitor menopausal hormone replacement therapy.

Also known as: Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH), Follicle Stimulating Hormone and Luteinizing Hormone

Fsh

Lh

Glucose

A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.

Also known as: A1c, Glycated Hemoglobin, Glycohemoglobin, Glycosylated Hemoglobin, HA1c, HbA1c, Hemoglobin A1c, Hemoglobin A1c HgbA1C, Hgb A1c

Hemoglobin A1c

The A1c test evaluates the average amount of glucose in the blood over the last 2 to 3 months. It does this by measuring the concentration of glycated (also often called glycosylated) hemoglobin A1c. Hemoglobin is an oxygen-transporting protein found inside red blood cells (RBCs). There are several types of normal hemoglobin, but the predominant form – about 95-98% – is hemoglobin A. As glucose circulates in the blood, some of it spontaneously binds to hemoglobin A. The hemoglobin molecules with attached glucose are called glycated hemoglobin. The higher the concentration of glucose in the blood, the more glycated hemoglobin is formed. Once the glucose binds to the hemoglobin, it remains there for the life of the red blood cell – normally about 120 days. The predominant form of glycated hemoglobin is referred to as HbA1c or A1c. A1c is produced on a daily basis and slowly cleared from the blood as older RBCs die and younger RBCs (with non-glycated hemoglobin) take their place. This test is used to monitor treatment in someone who has been diagnosed with diabetes. It helps to evaluate how well their glucose levels have been controlled by treatment over time. This test may be used to screen for and diagnose diabetes or risk of developing diabetes. In 2010, clinical practice guidelines from the American Diabetes Association (ADA) stated that A1c may be added to fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT) as an option for diabetes screening and diagnosis. For monitoring purposes, an A1c of less than 7% indicates good glucose control and a lower risk of diabetic complications for the majority of diabetics. However, in 2012, the ADA and the European Association for the Study of Diabetes (EASD) issued a position statement recommending that the management of glucose control in type 2 diabetes be more "patient-centered." Data from recent studies have shown that low blood sugar (hypoglycemia) can cause complications and that people with risk of severe hypoglycemia, underlying health conditions, complications, and a limited life expectancy do not necessarily benefit from having a stringent goal of less than 7% for their A1c. The statement recommends that people work closely with their doctor to select a goal that reflects each person's individual health status and that balances risks and benefits.

Also known as: Free T3, FT3, T3 Free

T3, Free

This test measures the amount of triiodothyronine, or T3, in the blood.

Also known as: Free T4, FT4, T4 Free

T4, Free

The free T4 test is not affected by protein levels. Since free T4 is the active form of thyroxine, the free T4 test is may be a more accurate reflection of thyroid hormone function.

Also known as: Testosterone Free Dialysis and Total LCMSMS

Free Testosterone

In many cases, measurement of total testosterone provides the doctor with adequate information. However, in certain cases, for example when the level of SHBG is abnormal, a test for free or bioavailable testosterone may be performed as it may more accurately reflect the presence of a medical condition.

TESTOSTERONE, TOTAL,

A testosterone test measures the amount of the male hormone, testosterone, in the blood. Both men and women produce this hormone. In males, the testicles produce most of the testosterone in the body. Levels are most often checked to evaluate signs of low testosterone: In boys -- early or late puberty and in men -- impotence, low level of sexual interest, infertility, thinning of the bones In females, the ovaries produce most of the testosterone and levels are most often checked to evaluate signs of higher testosterone levels, such as: decreased breast size, excess hair growth, increased size of the clitoris. irregular or absent menstrual periods and male-pattern baldness or hair thinning.

Also known as: Thyroid Stimulating Hormone Test, Thyrotropin Test

TSH

A TSH test is a lab test that measures the amount of thyroid stimulating hormone (TSH) in your blood. TSH is produced by the pituitary gland. It tells the thyroid gland to make and release thyroid hormones into the blood.

Also known as: ,25-Hydroxyvitamin D2, 25-Hydroxycholecalciferol (25OHD3), 25-OH-D2,D3 Vitamin, D2 Vitamin,25-Hydroxyvitamin D3,25-OH-D3, QuestAssureD 25Hydroxyvitamin D D2 D3 LCMSMS, Vitamin D, Vitamin D, 25-Hydroxy, Vitamin D2, 25-hydroxy,25-Hydroxyergocalciferol (25OHD2),Vitamin D3, 25-hydroxy

Vitamin D, 25-Oh, Total

Vitamin D comes from two sources: endogenous, which is produced in the skin on exposure to sunlight, and exogenous, which is ingested in foods and supplements. The chemical structures of the types of vitamin D are slightly different, and they are named vitamin D2 (ergocalciferol, which comes from plants) and vitamin D3 (cholecalciferol, which comes from animals). The D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D2 and D3 are equally effective when they are converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.
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The Cory Ruth - Essential PCOS Panel with AMH panel contains 10 tests with 12 biomarkers .

Cory Ruth – Essential PCOS Panel with AMH: In-Depth Test Description

Introduction
Polycystic Ovary Syndrome (PCOS) affects numerous aspects of a woman’s health, including hormonal balance, ovarian function, metabolism, and overall well-being. Identifying these imbalances through comprehensive lab tests is crucial for proper diagnosis and effective management. The Cory Ruth – Essential PCOS Panel with AMH offers a thorough look at key biomarkers associated with PCOS—now enhanced by the addition of Anti-Mullerian Hormone (AMH) to assess ovarian reserve. By opting for testing through Ulta Lab Tests, you’ll benefit from significant cost savings, transparent pricing, and a convenient testing experience that empowers you to take charge of your health.

Recognizing PCOS Symptoms

  • Irregular menstrual cycles (prolonged, absent, or unpredictable)
  • Excess hair growth (hirsutism) on the face, chest, or back
  • Acne or persistent skin issues
  • Weight gain or difficulty losing weight
  • Thinning hair on the scalp
  • Fatigue and low energy levels
  • Mood changes (anxiety or depression)

Awareness of these common PCOS symptoms is the first step in seeking appropriate diagnostic testing and tailored management strategies.

Test Categories and Their Importance

1. Reproductive Hormones & Ovarian Function

These tests reveal vital information about hormone balance, ovarian health, and fertility potential—key concerns for women with PCOS.

  • Estradiol

    • Detection & Diagnosis: Estradiol is the primary form of estrogen in premenopausal women. Abnormally high or low levels can disrupt ovulation and menstrual regularity.
    • Monitoring: Helps track response to treatments aimed at cycle regulation and symptom management.

  • FSH (Follicle-Stimulating Hormone) and LH (Luteinizing Hormone)

    • Detection & Diagnosis: Evaluates ovarian function and the hypothalamic-pituitary-gonadal axis. PCOS often features an elevated LH-to-FSH ratio, impacting ovulation.
    • Monitoring: Assesses the effectiveness of medical or lifestyle interventions on restoring normal ovulatory function.

  • Anti-Mullerian Hormone (AMH), Female

    • Detection & Diagnosis: Produced by the ovarian follicles, AMH is a reliable marker of ovarian reserve. Women with PCOS often have elevated AMH levels, reflecting a higher number of follicles.
    • Monitoring: Provides insights into overall ovarian function, aiding in fertility planning and tracking changes over time.

  • Testosterone, Free (Dialysis) and Total (MS)

    • Detection & Diagnosis: PCOS commonly features elevated testosterone, which contributes to symptoms like excess facial/body hair, acne, and hair thinning on the scalp. Free testosterone measured by dialysis is particularly accurate, while total testosterone offers a broader view of androgen excess.
    • Monitoring: Gauges improvement or worsening of androgen-related symptoms in response to medical treatments or lifestyle modifications.

2. Thyroid Function

Thyroid disorders can mimic or exacerbate PCOS symptoms, making these assessments crucial.

  • TSH (Thyroid Stimulating Hormone)

    • Detection & Diagnosis: Screens for hypo- or hyperthyroidism, conditions that can alter menstrual cycles, weight, and energy levels.
    • Monitoring: Ensures thyroid levels remain balanced, guiding medication adjustments or lifestyle changes if necessary.

  • T3, Free

    • Detection & Diagnosis: Measures the unbound, active form of triiodothyronine (T3), affecting metabolism, energy, and weight regulation.
    • Monitoring: Tracks any improvements or declines in thyroid function to refine individualized treatment plans.

  • T4, Free

    • Detection & Diagnosis: Evaluates the unbound, active form of thyroxine (T4). Fluctuations can influence metabolic rate and overall energy.
    • Monitoring: Supports fine-tuning of medications or lifestyle interventions to maintain optimal thyroid levels.

3. Metabolic Markers

Insulin resistance and metabolic disturbances are common in PCOS, making glucose control and related tests essential.

  • Glucose

    • Detection & Diagnosis: A fasting blood sugar test to identify elevated glucose levels associated with insulin resistance or prediabetes—often seen in PCOS.
    • Monitoring: Provides a snapshot of how interventions (diet, exercise, medications) are affecting blood sugar control.

  • Hemoglobin A1c (HgbA1C)

    • Detection & Diagnosis: Reflects average blood glucose over the prior two to three months. Elevated levels point to prediabetes or diabetes.
    • Monitoring: Evaluates the long-term success of lifestyle modifications or therapy in maintaining stable blood sugar.

4. Nutrient Status

Nutrient imbalances can worsen PCOS symptoms and undermine overall health.

  • Vitamin D, 25-Hydroxy, Total, Immunoassay
    • Detection & Diagnosis: Low vitamin D levels are linked to insulin resistance, poor mood, and compromised fertility—all relevant in PCOS.
    • Monitoring: Ensures adequate supplementation or lifestyle interventions to achieve and maintain healthy vitamin D levels, which supports bone, immune, and metabolic health.

Relation to the Endocrine Panel

Together, these tests form a comprehensive endocrine panel. They provide a panoramic view of your hormonal, metabolic, and nutrient status, enabling your healthcare provider to detect, diagnose, and monitor PCOS more accurately. By examining these markers collectively, you can identify the underlying causes of symptoms, track the effectiveness of interventions, and optimize your PCOS management strategy.

Conclusion
Regular lab testing is central to effectively managing PCOS. The Cory Ruth – Essential PCOS Panel with AMH enables you to dive deeper into ovarian function, hormone balances, and metabolic health, offering actionable insights to tailor interventions and improve quality of life.

When you choose Ulta Lab Tests, you’ll benefit from:

  • Significant cost savings and transparent pricing
  • Convenient testing at numerous partner labs
  • Fast, confidential results accessible online
  • No insurance requirements and no hidden fees

Seize this opportunity to gain an in-depth understanding of your PCOS profile. With the right data in hand, you and your healthcare provider can develop a precise, personalized plan to guide you toward better health and hormonal balance.

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