Ulta Lab Tests

Fertility & Reproductive Health - Comprehensive Female Lab Panel

The Fertility & Reproductive Health Comprehensive Female Lab Panel includes 31 tests, 97 biomarkers to review ovarian reserve, ovulation, reproductive hormones, thyroid function, androgen balance, insulin resistance, inflammation, nutrient status, blood type, immunity, and preconception wellness. Includes AMH, FSH/LH, estradiol, progesterone, prolactin, thyroid markers, testosterone, DHEA-S, insulin, A1c, vitamin D, B12, folate, iron, zinc, selenium, rubella, varicella, and ABO/Rh.

Serum, Blood, Plasma-Unspecified Vial Pour
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.

Also known as: 17Hydroxyprogesterone LCMSMS

17 Hydroxyprogesterone,

Also known as: ABO Grouping and Rh Typing, Blood Type, Type and Group

Abo Group

Rh Type

Also known as: Androstenedione LCMSMS

Androstenedione, LC/MS/MS

ANTI-MULLERIAN HORMONE

Also known as: CBC, CBC includes Differential and Platelets, CBC/PLT w/DIFF, Complete Blood Count (includes Differential and Platelets)

NOTE: Ulta Lab Tests provides CBC test results from Quest Diagnostics as they are reported. Often, different biomarker results are made available at different time intervals. When reporting the results, Ulta Lab Tests denotes those biomarkers not yet reported as 'pending' for every biomarker the test might report. Only biomarkers Quest Diagnostics observes are incorporated and represented in the final CBC test results provided by Ulta Lab Tests.

Absolute Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Absolute Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Absolute Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Absolute Eosinophils

Eosinophils (eos) respond to infections caused by parasites and play a role in allergic reactions (hypersensitivities)

Absolute Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Absolute Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Absolute Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

Absolute Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Absolute Neutrophils

Neutrophils (neu) normally make up the largest number of circulating WBCs. They move into an area of damaged or infected tissue, where they engulf and destroy bacteria or sometimes fungi. Young neutrophils, recently released into circulation, are called bands.

Absolute Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Absolute Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

Band Neutrophils (Only Reported If Detected)

Immature forms of neutrophils are called neutrophilic band cells. Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed. Large numbers of immature forms of neutrophils, called neutrophilic band cells, are produced by the bone marrow when the demand is high.

Basophils

Basophils normally constitute 1% or less of the total white blood cell count but may increase or decrease in certain diseases and are thought to be involved in allergic reactions.

Blasts (Only Reported If Detected)

Blasts are immature forms of white blood cells.

Eosinophils

Eosinophils are specialized white blood cells produced in the bone marrow and released into the bloodstream, where they normally make up only 0–6 % of circulating leukocytes. Their cytoplasm is packed with reddish‑orange granules that contain potent enzymes (e.g., major basic protein, eosinophil cationic protein) and inflammatory mediators. When the immune system detects large, multicellular invaders—such as helminth (worm) parasites—eosinophils migrate out of the blood and surround the pathogen, releasing these granule contents to damage the parasite’s outer surface and aid its destruction. Beyond parasite defense, eosinophils act as key orchestras of the allergic response. They accumulate in tissues exposed to allergens (airways in asthma, skin in eczema, GI tract in eosinophilic esophagitis) and secrete cytokines and lipid mediators that amplify inflammation, recruit additional immune cells, and contribute to symptoms like swelling, mucus production, and itching. Because of this pro‑inflammatory role, persistently elevated eosinophil counts—termed eosinophilia—can signal allergic disorders, drug hypersensitivity, or certain autoimmune and malignant conditions. Conversely, counts drop toward zero after glucocorticoid therapy or in acute stress states, reflecting the cells’ sensitivity to hormonal and immune regulation.

Hematocrit

Hematocrit is a blood test that measures the percentage of the volume of whole blood that is made up of red blood cells. This measurement depends on the number of red blood cells and the size of red blood cells.

Hemoglobin

Serum hemoglobin is a blood test that measures the level of free hemoglobin in the liquid part of the blood (the serum). Free hemoglobin is the hemoglobin outside of the red blood cells. Most of the hemoglobin is found inside the red blood cells, not in the serum.

Lymphocytes

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

MCH

Mean corpuscular hemoglobin (MCH) is a calculation of the average amount of oxygen-carrying hemoglobin inside a red blood cell.

MCHC

Mean corpuscular hemoglobin concentration (MCHC) is a calculation of the average percentage of hemoglobin inside a red cell.

MCV

Mean corpuscular volume (MCV) is a measurement of the average size of RBCs.

Metamyelocytes (Only Reported If Detected)

Metamyelocytes are immature forms of white blood cells.

Monocytes

Monocytes (mono), similar to neutrophils, move to an area of infection and engulf and destroy bacteria. They are associated more often with chronic rather than acute infections. They are also involved in tissue repair and other functions involving the immune system.

MPV

Mean Platelet Volume (MPV) - When it indicates average size of platelets are small; older platelets are generally smaller than younger ones and a low MPV may mean that a condition is affecting the production of platelets by the bone marrow. When it indicates a high number of larger, younger platelets in the blood; this may be due to the bone marrow producing and releasing platelets rapidly into circulation.

Myelocytes (Only Reported If Detected)

Myelocytes are immature forms of white blood cells.

Neutrophils

Neutrophils are a type of white blood cell that is responsible for much of the body's protection against infection. Neutrophils are produced in the bone marrow and released into the bloodstream to travel to wherever they are needed.

Nucleated Rbc (Only Reported If Detected)

Nucleated Red Blood Cells (nRBC) ) the presence of NRBCs in the adult blood is usually associated with malignant neoplasms, bone marrow diseases, and other serious disorders.

Platelet Count

A platelet count is a test to measure how many platelets you have in your blood. Platelets help the blood clot. They are smaller than red or white blood cells.

Promyelocytes (Only Reported If Detected)

Promyelocytes are immature forms of white blood cells.

RDW

Red cell distribution width (RDW), which may be included in a CBC, is a calculation of the variation in the size of RBCs.

Reactive Lymphocytes (Only Reported If Detected)

Lymphocytes are white blood cells that exist in both the blood and the lymphatic system. They are divided into three types. The B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. The second type are T lymphocytes (T cells) some T cells help the body distinguish between "self" and "non-self" antigens while others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells. The third type are natural killer cells (NK cells) that directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

Red Blood Cell Count

An RBC count is a blood test that tells how many red blood cells (RBCs) you have. RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

White Blood Cell Count

A WBC count is a test to measure the number of white blood cells (WBCs) in the blood. WBCs help fight infections. They are also called leukocytes. There are five major types of white blood cells: basophils, eosinophils, lymphocytes (T cells and B cells), monocytes and neutrophils

Also known as: Chem 12, Chemistry Panel, Chemistry Screen, CMP, Complete Metabolic Panel, Comprehensive Metabolic Panel CMP, SMA 12, SMA 20

Albumin

Albumin is a protein made by the liver. A serum albumin test measures the amount of this protein in the clear liquid portion of the blood.

Albumin/Globulin Ratio

The ratio of albumin to globulin (A/G ratio) is calculated from measured albumin and calculated globulin (total protein - albumin). Normally, there is a little more albumin than globulins, giving a normal A/G ratio of slightly over 1. Because disease states affect the relative amounts of albumin and globulin, the A/G ratio may provide a clue as to the cause of the change in protein levels. A low A/G ratio may reflect overproduction of globulins, such as seen in multiple myeloma or autoimmune diseases, or underproduction of albumin, such as may occur with cirrhosis, or selective loss of albumin from the circulation, as may occur with kidney disease (nephrotic syndrome). A high A/G ratio suggests underproduction of immunoglobulins as may be seen in some genetic deficiencies and in some leukemias. More specific tests, such as liver enzyme tests and serum protein electrophoresis, must be performed to make an accurate diagnosis. With a low total protein that is due to plasma expansion (dilution of the blood), the A/G ratio will typically be normal because both albumin and globulin will be diluted to the same extent.

Alkaline Phosphatase

Alkaline phosphatase (ALP) is a protein found in all body tissues. Tissues with higher amounts of ALP include the liver, bile ducts, and bone.

Alt

Alanine transaminase (ALT) is an enzyme found in the highest amounts in the liver. Injury to the liver results in release of the substance into the blood.

AST

AST (aspartate aminotransferase) is an enzyme found in high amounts in liver, heart, and muscle cells. It is also found in lesser amounts in other tissues.

Bilirubin, Total

Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.

Bun/Creatinine Ratio

A ratio between a person’s BUN and blood creatinine to help determine what is causing these concentrations to be higher than normal. The ratio of BUN to creatinine is usually between 10:1 and 20:1. An increased ratio may be due to a condition that causes a decrease in the flow of blood to the kidneys, such as congestive heart failure or dehydration. It may also be seen with increased protein, from gastrointestinal bleeding, or increased protein in the diet. The ratio may be decreased with liver disease (due to decrease in the formation of urea) and malnutrition.

Calcium

You have more calcium in your body than any other mineral. Calcium has many important jobs. The body stores more than 99 percent of its calcium in the bones and teeth to help make and keep them strong. The rest is throughout the body in blood, muscle and the fluid between cells. Your body needs calcium to help muscles and blood vessels contract and expand, to secrete hormones and enzymes and to send messages through the nervous system.

Carbon Dioxide

CO2 is carbon dioxide. Measures the amount of carbon dioxide in the liquid part of your blood, called the serum. In the body, most of the CO2 is in the form of a substance called bicarbonate (HCO3-). Therefore, the CO2 blood test is really a measure of your blood bicarbonate level.

Chloride

Chloride is a type of electrolyte. It works with other electrolytes such as potassium, sodium, and carbon dioxide (CO2). These substances help keep the proper balance of body fluids and maintain the body's acid-base balance. This is a measure of the amount of chloride in the fluid portion (serum) of the blood.

Creatinine

The creatinine blood test measures the level of creatinine in the blood. This test is done to see how well your kidneys work.

Egfr African American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

Egfr Non-Afr. American

Glomerular filtration rate (GFR) is a test used to check how well the kidneys are working. Specifically, it estimates how much blood passes through the glomeruli each minute. Glomeruli are the tiny filters in the kidneys that filter waste from the blood.

GFR-AFRICAN AMERICAN

GFR-NON AFRICAN AMERICAN

Globulin

Globulins is the collective term for most blood proteins other than albumin. Identifying the types of globulins can help diagnose certain disorders. Globulins are roughly divided into three groups: alpha, beta, and gamma globulins. Gamma globulines include various types of antibodies such as immunoglobulins (Ig) M, G, and A.

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.

Potassium

Potassium is a mineral that the body needs to work normally. It helps nerves and muscles communicate. It also helps move nutrients into cells and waste products out of cells. A diet rich in potassium helps to offset some of sodium's harmful effects on blood pressure.

Protein, Total

The total protein is the total amount of two classes of proteins, albumin and globulin that are found in the fluid portion of your blood. Proteins are important parts of all cells and tissues. Your albumin helps prevent fluid from leaking out of blood vessels and your globulins are an important part of your immune system.

Sodium

Sodium is a substance that the body needs to work properly it is vital to normal body processes, including nerve and muscle function

Urea Nitrogen (Bun)

BUN stands for blood urea nitrogen. Urea nitrogen is what forms when protein breaks down. BUN measures the amount of urea nitrogen in the blood.

Also known as: Dehydroepiandrosterone Sulfate, DHEA SO4, DHEA Sulfate Immunoassay, DHEAS, Transdehydroandrosterone

DHEA SULFATE

DHEA-sulfate test measures the amount of DHEA-sulfate in the blood. DHEA-sulfate is a weak male hormone (androgen) produced by the adrenal gland in both men and women.

Also known as: DHT, Dihydrotestosterone, Dihydrotestosterone (DHT), Dihydrotestosterone DHT LCMSMS

Dihydrotestosterone,

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.

Ferritin

Ferritin is a protein found inside cells that stores iron so your body can use it later. A ferritin test indirectly measures the amount of iron in your blood. The amount of ferritin in your blood (serum ferritin level) is directly related to the amount of iron stored in your body.

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

Fsh

Lh

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: Homocysteine, Homocysteine Cardiovascular

HOMOCYSTEINE,

Also known as: C-Reactive Protein, Cardio CRP, Cardio hs-CRP, CRP, High Sensitivity CRP, High-sensitivity C-reactive Protein, High-sensitivity CRP, Highly Sensitive CRP, hsCRP, Ultra-sensitive CRP

Hs Crp

A high-sensitivity CRP (hs-CRP) test may be used by itself, in combination with other cardiac risk markers, or in combination with a lipoprotein-associated phospholipase A2 (Lp-PLA2) test that evaluates vascular inflammation. The hs-CRP test accurately detects low concentrations of C-reactive protein to help predict a healthy person's risk of cardiovascular disease (CVD). High-sensitivity CRP is promoted by some as a test for determining a person's risk level for CVD, heart attacks, and strokes. The current thinking is that hs-CRP can play a role in the evaluation process before a person develops one of these health problems.

Also known as: Insulin (fasting)

Insulin

Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is vital for the transportation and storage of glucose at the cellular level, helps regulate blood glucose levels, and has a role in lipid metabolism. When blood glucose levels rise after a meal, insulin is released to allow glucose to move into tissue cells, especially muscle and adipose (fat) cells, where is it is used for energy production. Insulin then prompts the liver to either store the remaining excess blood glucose as glycogen for short-term energy storage and/or to use it to produce fatty acids. The fatty acids are eventually used by adipose tissue to synthesize triglycerides to form the basis of a longer term, more concentrated form of energy storage. Without insulin, glucose cannot reach most of the body's cells. Without glucose, the cells starve and blood glucose levels rise to unhealthy levels. This can cause disturbances in normal metabolic processes that result in various disorders, including kidney disease, cardiovascular disease, and vision and neurological problems. Thus, diabetes, a disorder associated with decreased insulin effects, is eventually a life-threatening condition.

Also known as: Iron and TIBC, Iron and Total Iron Binding Capacity TIBC, TIBC

% Saturation

Iron Binding Capacity

Total iron binding capacity (TIBC) is a blood test to see if you may have too much or too little iron in the blood. Iron moves through the blood attached to a protein called transferrin. This test helps your doctor know how well that protein can carry iron in the blood.

Iron, Total

Iron is a mineral that our bodies need for many functions. For example, iron is part of hemoglobin, a protein which carries oxygen from our lungs throughout our bodies. It helps our muscles store and use oxygen. Iron is also part of many other proteins and enzymes. Your body needs the right amount of iron. If you have too little iron, you may develop iron deficiency anemia. Causes of low iron levels include blood loss, poor diet, or an inability to absorb enough iron from foods. People at higher risk of having too little iron are young children and women who are pregnant or have periods.

Also known as: Cholesterol, HDL,Fasting Lipids,Cholesterol, LDL, Fasting Lipids, Lipid Panel (fasting), Lipid Profile (fasting), Lipids

Chol/HDLC Ratio

Cholesterol, Total

Cholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body. Your body needs some cholesterol to work properly. But if you have too much in your blood, it can combine with other substances in the blood and stick to the walls of your arteries. This is called plaque. Plaque can narrow your arteries or even block them. High levels of cholesterol in the blood can increase your risk of heart disease. Your cholesterol levels tend to rise as you get older. There are usually no signs or symptoms that you have high blood cholesterol, but it can be detected with a blood test. You are likely to have high cholesterol if members of your family have it, if you are overweight or if you eat a lot of fatty foods. You can lower your cholesterol by exercising more and eating more fruits and vegetables. You also may need to take medicine to lower your cholesterol.

HDL Cholesterol

LDL-Cholesterol

Non HDL Cholesterol

Triglycerides

Triglycerides are a form of fat and a major source of energy for the body. This test measures the amount of triglycerides in the blood. Most triglycerides are found in fat (adipose) tissue, but some triglycerides circulate in the blood to provide fuel for muscles to work. After a person eats, an increased level of triglycerides is found in the blood as the body converts the energy not needed right away into fat. Triglycerides move via the blood from the gut to adipose tissue for storage. In between meals, triglycerides are released from fat tissue to be used as an energy source for the body. Most triglycerides are carried in the blood by lipoproteins called very low density lipoproteins (VLDL). High levels of triglycerides in the blood are associated with an increased risk of developing cardiovascular disease (CVD), although the reason for this is not well understood. Certain factors can contribute to high triglyceride levels and to risk of CVD, including lack of exercise, being overweight, smoking cigarettes, consuming excess alcohol, and medical conditions such as diabetes and kidney disease.

Magnesium

Also known as: Progesterone Immunoassay

Progesterone

Serum progesterone is a test to measure the amount of progesterone in the blood. Progesterone is a hormone produced mainly in the ovaries. In women, progesterone plays a vital role in pregnancy. After an egg is released by the ovaries (ovulation), progesterone helps make the uterus ready for implantation of a fertilized egg. It prepares the womb (uterus) for pregnancy and the breasts for milk production. Men produce some amount of progesterone, but it probably has no normal function except to help produce other steroid hormones.

Also known as: PRL

Prolactin

Prolactin is a hormone produced by the anterior portion of the pituitary gland, a grape-sized organ found at the base of the brain. Prolactin secretion is regulated and inhibited by the brain chemical dopamine. Normally present in low amounts in men and non-pregnant women, prolactin's primary role is to promote lactation (breast milk production). Prolactin levels are usually high throughout pregnancy and just after childbirth. During pregnancy, the hormones prolactin, estrogen, and progesterone stimulate breast milk development. Following childbirth, prolactin helps initiate and maintain the breast milk supply. If a woman does not breastfeed, her prolactin level soon drops back to pre-pregnancy levels. If she does nurse, suckling by the infant plays an important role in the release of prolactin. There is a feedback mechanism between how often the baby nurses and the amount of prolactin secreted by the pituitary as well as the amount of milk produced. Another common cause of elevated prolactin levels is a prolactinoma, a prolactin-producing tumor of the pituitary gland. Prolactinomas are the most common type of pituitary tumor and are usually benign. They develop more frequently in women but are also found in men. Problems resulting from them can arise both from the unintended effects of excess prolactin, such as milk production in the non-pregnant woman (and rarely, man) and from the size and location of the tumor. If the anterior pituitary gland and/or the tumor enlarge significantly, it can put pressure on the optic nerve, causing headaches and visual disturbances, and it can interfere with the other hormones that the pituitary gland produces. In women, prolactinomas can cause infertility and irregularities in menstruation; in men, these tumors can cause a gradual loss in sexual function and libido. If left untreated, prolactinomas may eventually damage the tissues around them.

Vitamin D, 25-Oh, D2

Vitamin D2 ((ergocalciferol,) is found in fortified foods and in most vitamin preparations and supplements. 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 D2 form is found in fortified foods and in most vitamin preparations and supplements. Vitamin D2 is effective when it is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

Vitamin D, 25-Oh, D3

Vitamin D3 (cholecalcifero) which comes from animals. 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. Vitamin D3 is the form produced in the body and is also used in some supplements. Vitamin D3 are is converted by the liver and the kidney into the active form, 1,25-dihydroxyvitamin D.

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.

Rubella Antibody (IgG)

Selenium

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 Total And Free And Sex Hormone Binding Globulin

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.

Sex Hormone Binding

The sex hormone binding globulin (SHBG) test measures the concentration of SHBG in the blood. SHBG is a protein that is produced by the liver and binds tightly to testosterone, dihydrotestosterone (DHT), and estradiol (an estrogen). In this bound state, it transports them in the blood as an inactive form. The amount of SHBG in circulation is affected by age and sex, by decreased or increased testosterone or estrogen production and can be affected by certain diseases and conditions such as liver disease, hyperthyroidism or hypothyroidism, and obesity. Changes in SHBG levels can affect the amount of testosterone that is available to be used by the body's tissues. A total testosterone test does not distinguish between bound and unbound testosterone but determines the overall quantity of testosterone. If a person's SHBG level is not normal, then the total testosterone may not be an accurate representation of the amount of testosterone that is available to the person's tissues.

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: Anti-TPO, Antithyroid Antibodies, TgAb, Thyroglobulin Antibodies TgAb, Thyroglobulin Antibody (TgAb), Thyroid Antibodies, Thyroid Autoantibodies, Thyroid Peroxidase Antibody (TPOAb), Thyroid Stimulating Immunoglobulin, Thyroperoxidase Antibody, Thyrotropin Receptor Antibodies, TPOAb, TSH Receptor Antibody, TSI

Thyroglobulin Antibodies

Measurement of thyroglobulin antibodies is useful in the diagnosis and management of a variety of thyroid disorders including Hashimoto's thyroiditis, Graves Disease and certain types of goiter.

Also known as: Anti-Thyroid Microsomal Antibody, Anti-TPO, Thyroid Peroxidase Antibodies TPO, TPO

Thyroid Peroxidase

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: Chicken Pox, Herpes Zoster, Shingles, VaricellaZoster Virus Antibody IgG

Varicella Zoster Virus

Also known as: Cobalamin, Folic Acid, Vitamin B 12, Vitamin B 12 and Folic Acid, Vitamin B12 Cobalamin and Folate Panel Serum, Vitamin B12/Folic Acid

Folate, Serum

Folate is part of the B complex of vitamins and is measures the levels of folate in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Folate is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis.. A deficiency inr folate can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow.

Vitamin B12

Vitamin B12 is part of the B complex of vitamins and measurea the levels of vitamin B12 in the liquid portion of the blood, the serum or plasma, to detect deficiencies. Cobalamine, or vitamin B12, is found in animal products such as red meat, fish, poultry, milk, yogurt, and eggs and is not produced in the human body. In recent years, fortified cereals, breads, and other grain products have also become important dietary sources of B12. Vitamin B12 is necessary for normal RBC formation, tissue and cellular repair, and DNA synthesis. B12 is important for nerve health. A deficiency in B12 can lead to macrocytic anemia. Megaloblastic anemia, a type of macrocytic anemia, is characterized by the production of fewer but larger RBCs called macrocytes, in addition to some cellular changes in the bone marrow. B12 deficiency can lead to varying degrees of neuropathy, nerve damage that can cause tingling and numbness in the affected person's hands and feet.

Also known as: ZN, Plasma

Zinc

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The Fertility & Reproductive Health - Comprehensive Female Lab Panel panel contains 31 tests with 97 biomarkers .

Overview

The Fertility & Reproductive Health Comprehensive Female Lab Panel is designed for women who want a deeper look at lab markers that may be useful in a fertility, reproductive health, or preconception wellness discussion.

This comprehensive panel evaluates biomarkers related to ovarian reserve, ovulation, pituitary-ovarian signaling, estrogen and progesterone status, prolactin, thyroid function, autoimmune thyroid patterns, androgen balance, insulin resistance, inflammation, nutrient status, blood type/Rh status, and immunity to rubella and varicella.

Fertility and reproductive health are influenced by multiple systems, including ovarian hormones, thyroid function, adrenal hormones, blood sugar and insulin patterns, nutrient status, immune status, inflammation, and overall metabolic health. ASRM notes that fertility evaluation is typically individualized and guided by history, exam, and targeted testing; ovarian reserve markers such as AMH, FSH, and estradiol can provide useful context when interpreted appropriately. 

This panel does not diagnose infertility or confirm whether pregnancy will occur. Instead, it helps identify lab patterns that may be worth reviewing with a licensed healthcare provider.

Why Order This Panel?

The Fertility & Reproductive Health Comprehensive Lab Panel may be helpful for women who want a broader lab-based view of reproductive health before or during fertility planning.

This panel may be useful for reviewing:

  • Ovarian reserve and reproductive hormone patterns
  • Ovulation and luteal phase hormone context
  • Thyroid function and thyroid autoimmunity
  • PCOS-style androgen and insulin-related patterns
  • Blood sugar and metabolic health
  • Iron, B12, folate, vitamin D, zinc, selenium, and magnesium status
  • Blood type and Rh factor
  • Rubella and varicella immunity
  • General preconception wellness markers

ACOG lists several routine early pregnancy lab areas, including CBC, blood type/Rh factor, urinalysis, urine culture, rubella testing, and infectious disease screening. While this panel is not a prenatal-care replacement, it includes several markers that are commonly relevant to preconception and reproductive health discussions. 

This Panel May Be Helpful For Women Who Want To

  • Review fertility-related hormone patterns
  • Evaluate ovarian reserve context
  • Better understand menstrual cycle changes
  • Review possible ovulation-related markers
  • Evaluate thyroid markers related to reproductive health
  • Review androgen markers often discussed with PCOS-like symptoms
  • Check insulin and blood sugar markers that may affect reproductive wellness
  • Evaluate nutrient status before pregnancy planning
  • Review rubella and varicella immunity
  • Check blood type and Rh factor
  • Establish a more complete reproductive health baseline

Common Symptoms or Situations This Panel May Help Evaluate

This panel may be helpful for women experiencing or planning around:

  • Irregular menstrual cycles
  • Missed periods
  • Difficulty conceiving
  • Fertility planning
  • Preconception wellness
  • Suspected PCOS-style symptoms
  • Acne or unwanted hair growth
  • Hair thinning or androgen-related symptoms
  • Heavy periods or possible low iron
  • Fatigue or low energy
  • Thyroid symptoms
  • Weight changes
  • Blood sugar or insulin resistance concerns
  • Prior low vitamin D, B12, folate, or iron
  • Desire to check rubella or varicella immunity before pregnancy

What This Panel Helps Evaluate

This panel helps evaluate selected biomarkers related to:

  • Ovarian reserve
  • Ovulation and reproductive hormone signaling
  • Estrogen and progesterone status
  • Prolactin
  • Thyroid function
  • Autoimmune thyroid patterns
  • Androgen and adrenal hormone patterns
  • Insulin resistance and blood sugar
  • Inflammation
  • Iron status and blood count patterns
  • B12, folate, vitamin D, magnesium, zinc, and selenium status
  • Blood type and Rh factor
  • Rubella immunity
  • Varicella immunity
  • Liver, kidney, electrolyte, and metabolic wellness

Available Add-On Panel

Fertility & Reproductive Health — Infectious Disease & STI Preconception Screening Panel

For a more complete preconception review, customers may also consider the Fertility & Reproductive Health — Infectious Disease & STI Preconception Screening Panel.

This add-on panel is designed to complement fertility and reproductive health testing by evaluating selected infectious disease and STI-related markers that may be relevant before pregnancy or fertility treatment. It may be especially useful for customers who want additional screening before trying to conceive, starting fertility care, or discussing reproductive health with a provider.

Tests Included and Why They Matter

Ovarian Reserve, Ovulation & Reproductive Hormone Signaling

Anti-Müllerian Hormone, AMH, Female

AMH is a hormone produced by ovarian follicles and is commonly used as a marker related to ovarian reserve. This test is included because AMH may provide useful context in fertility planning and reproductive health discussions. AMH should be interpreted with age, menstrual history, symptoms, other hormones, and provider guidance.

FSH and LH

FSH and LH are pituitary hormones that help regulate ovarian function and ovulation. This test is included because FSH and LH patterns may provide context for ovarian signaling, menstrual cycle changes, ovulation patterns, and perimenopause or reproductive transition discussions.

Estradiol

Estradiol is a major form of estrogen. This test is included because estradiol helps provide context for ovarian hormone activity, menstrual cycle patterns, endometrial support, hot flashes, cycle changes, and reproductive hormone balance.

Progesterone, Immunoassay

Progesterone is a key hormone involved in ovulation and luteal phase function. This test is included because progesterone levels may help provide context for whether ovulation may have occurred, depending on timing in the menstrual cycle. Timing is especially important for interpreting progesterone results.

Prolactin

Prolactin is a pituitary hormone involved in reproductive and breast physiology. This test is included because abnormal prolactin patterns may be associated with irregular cycles, missed periods, ovulation concerns, breast discharge, libido changes, or pituitary hormone signaling concerns.

Thyroid Function & Autoimmune Thyroid Patterns

TSH

TSH, or thyroid-stimulating hormone, is a key thyroid screening marker. This test is included because thyroid function may influence menstrual cycles, ovulation, fertility discussions, pregnancy planning, energy, metabolism, mood, and weight regulation.

T4, Free

Free T4 measures the available form of thyroxine, a thyroid hormone. This test is included because Free T4 provides additional thyroid function context when reviewed with TSH and symptoms.

Thyroid Peroxidase Antibodies, TPO

TPO antibodies help evaluate autoimmune thyroid patterns. This test is included because autoimmune thyroid activity may be relevant to thyroid function, fertility discussions, pregnancy planning, fatigue, weight changes, and menstrual cycle concerns.

Thyroglobulin Antibodies, TgAb

Thyroglobulin antibodies provide additional autoimmune thyroid context. This test is included because TgAb may help identify autoimmune thyroid patterns that could be useful to review alongside TSH, Free T4, TPO antibodies, and symptoms.

Androgen, Adrenal & PCOS-Style Hormone Patterns

Testosterone, Total and Free and Sex Hormone Binding Globulin

This test evaluates total testosterone, free testosterone, and SHBG. It is included because androgen balance and testosterone availability may provide useful context for irregular cycles, acne, unwanted hair growth, hair thinning, PCOS-style symptoms, libido, and metabolic hormone patterns.

DHEA Sulfate, Immunoassay

DHEA-S is an adrenal androgen marker. This test is included because adrenal androgen patterns may provide context for acne, hair growth changes, androgen-related symptoms, cycle irregularity, and PCOS-style evaluations.

Androstenedione, LC/MS/MS

Androstenedione is an androgen precursor produced by the ovaries and adrenal glands. This test is included because it may provide additional androgen pathway context when symptoms include acne, unwanted hair growth, hair thinning, or irregular cycles.

17-Hydroxyprogesterone, LC/MS/MS

17-hydroxyprogesterone is involved in adrenal steroid hormone pathways. This test is included because it may provide context for adrenal androgen pathway review, especially when irregular cycles or androgen-related symptoms are present.

Dihydrotestosterone, DHT, LC/MS/MS

DHT is a potent androgen made from testosterone. This test is included because it may provide additional context for androgen-related symptoms such as hair thinning, acne, oily skin, or unwanted hair growth.

Metabolic, Insulin & Cardiometabolic Fertility Context

Hemoglobin A1c

Hemoglobin A1c measures average blood sugar over approximately the past two to three months. This test is included because blood sugar patterns may be relevant to reproductive wellness, metabolic health, PCOS-style symptoms, pregnancy planning, energy, and weight changes.

Insulin

Insulin helps move glucose from the bloodstream into cells. This test is included because elevated fasting insulin may suggest insulin resistance, which can be associated with PCOS-style patterns, weight changes, sugar cravings, energy crashes, and reproductive metabolic health concerns.

Lipid Panel

The Lipid Panel measures total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. This test is included because lipid patterns provide cardiometabolic context and may be useful when reproductive health concerns overlap with insulin resistance, weight changes, or metabolic risk.

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation. This test is included because inflammation may provide useful context when reviewing metabolic health, cardiometabolic patterns, ferritin interpretation, and overall wellness.

Blood Health, Iron Status & Oxygen-Carrying Support

CBC, includes Differential and Platelets

The CBC evaluates red blood cells, white blood cells, hemoglobin, hematocrit, platelets, and white blood cell types. This test is included because blood count patterns may provide context for anemia, infection, inflammation, immune activity, heavy periods, fatigue, and preconception wellness.

Ferritin

Ferritin measures stored iron. This test is included because low iron stores may contribute to fatigue, weakness, low stamina, dizziness, hair shedding, and poor exercise tolerance. Ferritin can be especially useful for women with heavy menstrual bleeding or a history of low iron.

Iron and Total Iron Binding Capacity, TIBC

Iron and TIBC help evaluate circulating iron and iron transport capacity. This test is included because iron deficiency, poor iron availability, or abnormal iron patterns may contribute to fatigue, weakness, dizziness, and anemia-related concerns.

Vitamins, Minerals & Preconception Nutrient Support

Vitamin B12 and Folate Panel, Serum

This panel measures vitamin B12 and folate. These nutrients are important for red blood cell formation, nerve function, DNA synthesis, methylation, and reproductive wellness. Folate status is especially important in preconception planning.

Homocysteine

Homocysteine is an amino acid influenced by vitamin B12, folate, vitamin B6, methylation pathways, kidney function, and cardiovascular health. This test is included because it provides additional B-vitamin and methylation context for reproductive and preconception wellness discussions.

QuestAssureD™ 25-Hydroxyvitamin D, D2, D3, LC/MS/MS

Vitamin D testing measures vitamin D status. This test is included because vitamin D may be relevant to bone health, immune health, muscle function, inflammation, reproductive wellness, and general health.

Magnesium

Magnesium is involved in muscle function, nerve signaling, glucose metabolism, sleep, and energy production. This test is included because magnesium status may provide useful context for fatigue, muscle symptoms, blood sugar regulation, and general wellness.

Zinc

Zinc is an essential mineral involved in immune function, wound healing, hormone pathways, thyroid support, and reproductive wellness. This test is included because zinc status may provide useful context for fertility, immune health, skin health, and hormone-related wellness.

Selenium

Selenium is an essential mineral involved in thyroid function and antioxidant pathways. This test is included because selenium status may provide useful context for thyroid wellness, immune function, and reproductive health.

Blood Type, Rh Status & Immunity Markers

ABO Group and Rh Type

ABO Group and Rh Type identifies blood type and Rh status. This test is included because blood type and Rh factor are commonly relevant in pregnancy planning and early pregnancy care. ACOG lists blood type and Rh factor among routine early pregnancy tests. 

Rubella Immune Status

Rubella immune status helps evaluate whether a person has immunity to rubella. This test is included because rubella immunity is commonly reviewed in reproductive and preconception health discussions. ACOG lists rubella testing among routine early pregnancy testing. 

Varicella-Zoster Virus Antibody, IgG

Varicella-Zoster IgG helps evaluate immunity to varicella, commonly known as chickenpox. This test is included because varicella immunity may be important to review before pregnancy or during preconception planning.

General Metabolic, Liver, Kidney & Electrolyte Context

Comprehensive Metabolic Panel, CMP

The CMP evaluates glucose, liver function, kidney function, electrolytes, calcium, albumin, total protein, and other metabolic markers. This test is included because reproductive health and preconception wellness can overlap with metabolic, liver, kidney, hydration, and electrolyte status.

Related Biomarker Patterns This Panel May Help Identify

This panel may help identify or rule out lab patterns related to:

  • Ovarian reserve context
  • Ovulation and luteal phase hormone patterns
  • Estrogen and progesterone status
  • Prolactin patterns
  • Thyroid function and autoimmune thyroid patterns
  • Androgen excess or PCOS-style patterns
  • Adrenal androgen pathway patterns
  • Blood sugar imbalance
  • Insulin resistance
  • Inflammation
  • Iron deficiency or low iron stores
  • B12, folate, vitamin D, magnesium, zinc, or selenium status
  • Blood type and Rh status
  • Rubella immunity
  • Varicella immunity
  • General metabolic, liver, kidney, and electrolyte wellness

How to Prepare for This Panel

Preparation may vary depending on the specific tests included and the instructions provided with your order. In general:

  • Hormone timing may matter. Estradiol, FSH, LH, progesterone, and some androgen markers may be interpreted differently depending on cycle day.
  • Progesterone is often most useful when collected at the appropriate time in the luteal phase for women with regular cycles.
  • Fasting may be recommended because this panel includes insulin, glucose-related markers, and lipid testing.
  • Morning collection may be preferred for some hormone markers.
  • Continue medications unless your healthcare provider tells you otherwise.
  • Bring or keep a list of medications, supplements, birth control, hormone therapy, menstrual cycle details, symptoms, and fertility history to discuss during your physician consultation.
  • Follow all lab collection instructions provided with your order.

What Happens After You Receive Your Results?

After your results are available, your biomarkers can help organize reproductive health findings into areas such as ovarian reserve, ovulation-related hormones, thyroid function, androgen patterns, insulin resistance, nutrient status, inflammation, iron status, immunity, blood type, and general wellness.

During the physician consultation, you can discuss what your results may mean, how cycle timing may affect interpretation, whether follow-up testing is appropriate, and what next steps may be useful based on your symptoms, reproductive goals, age, cycle history, and medical history.

Related Lab Panels

Customers interested in this panel may also consider:

  • Fertility & Reproductive Health — Infectious Disease & STI Preconception Screening Panel
  • Women’s Hormone Balance & Perimenopause Lab Panel
  • Thyroid & Metabolism Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Prediabetes & Insulin Resistance Lab Panel
  • Stress, Cortisol, Sleep & Burnout Lab Panel
  • Hair Loss, Skin Health & Nutrient Lab Panel

Frequently Asked Questions

What is the Fertility & Reproductive Health Comprehensive Lab Panel?

The Fertility & Reproductive Health Comprehensive Lab Panel is a broad blood test panel that evaluates selected biomarkers related to ovarian reserve, reproductive hormones, thyroid function, androgen balance, insulin resistance, inflammation, nutrient status, blood type/Rh status, rubella immunity, varicella immunity, and preconception wellness.

Does this panel test ovarian reserve?

Yes. This panel includes Anti-Müllerian Hormone, AMH, along with FSH, LH, and estradiol, which may provide useful reproductive health and ovarian signaling context.

Does this panel help evaluate ovulation?

This panel includes progesterone, which may provide ovulation and luteal phase context depending on when it is collected in the menstrual cycle. Timing is important for interpreting progesterone.

Does this panel include thyroid testing?

Yes. It includes TSH, Free T4, TPO antibodies, and thyroglobulin antibodies to provide thyroid function and autoimmune thyroid context.

Does this panel include PCOS-related markers?

This panel includes several markers often reviewed in PCOS-style evaluations, including testosterone with SHBG, DHEA-S, androstenedione, DHT, 17-hydroxyprogesterone, insulin, Hemoglobin A1c, and lipid panel.

Why are rubella and varicella included?

Rubella and varicella immunity may be important to review before pregnancy or in early pregnancy care. This panel includes rubella immune status and varicella-zoster IgG to provide immunity context.

Why is ABO Group and Rh Type included?

ABO Group and Rh Type is included because blood type and Rh status are commonly relevant in pregnancy planning and early pregnancy care.

Does this panel include infectious disease or STI testing?

This panel focuses on fertility hormones, metabolic health, thyroid markers, nutrients, immunity, and preconception wellness. A separate Fertility & Reproductive Health — Infectious Disease & STI Preconception Screening Panel is available as an add-on for customers who want additional infectious disease and STI-related screening.

Can this panel diagnose infertility?

No. This panel does not diagnose infertility or determine whether pregnancy will occur. It helps evaluate selected lab markers that may be useful to review with a healthcare provider as part of a broader fertility or reproductive health discussion.

Should I stop birth control or hormone therapy before testing?

Do not stop any medication unless your healthcare provider tells you to. Birth control, hormone therapy, fertility medications, supplements, and cycle timing may affect interpretation of some results.

Important Note

This lab panel is designed to help evaluate selected biomarkers that may be related to fertility, reproductive health, thyroid function, androgen balance, insulin patterns, nutrient status, inflammation, immunity, blood type, and preconception wellness. It is not intended to diagnose infertility, confirm ovulation, predict pregnancy, treat, cure, or prevent disease by itself. Results should be reviewed with a licensed healthcare provider.

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