Ulta Lab Tests

Fertility & Reproductive Health - Comprehensive Male Lab Panel

The Fertility & Reproductive Health Comprehensive Male Lab Panel includes 38 tests and 138 biomarkers to review male fertility, sperm health, testosterone availability, pituitary-testicular signaling, inhibin B, estradiol, DHT, adrenal hormones, thyroid function, insulin resistance, inflammation, iron status, nutrients, omega fatty acids, CoQ10, urine health, and metabolic wellness. Includes semen analysis, testosterone with SHBG, FSH/LH, prolactin, thyroid, vitamins, CBC & CMP.

Serum, Blood, Plasma-Unspecified Vial Pour, Varied, Random
Phlebotomist
Male Fertility Comprehensive Lab Panel, Comprehensive Male Reproductive Health Lab Panel, Male Fertility & Hormone Comprehensive Lab Panel, Sperm Health & Testosterone Comprehensive Lab Panel, Male Preconception Comprehensive Lab Panel,

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: Androstenedione LCMSMS

Androstenedione, LC/MS/MS

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: Copper Oxide, Wilson's Disease

Ceruloplasmin

Ceruloplasmin is a copper-containing protein. Lower-than-normal ceruloplasmin levels may be due to: chronic liver disease, intestinal malabsorption, malnutrition, nephrotic syndrome and Wilson's copper storage disease (rare). Higher-than-normal ceruloplasmin levels may be due to: acute and chronic infections, lymphoma, pregnancy, rheumatoid arthritis and use of birth control pills.

Also known as: CoQ10

Coenzyme Q10

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.

Copper

Also known as: Cortisol AM

Cortisol, A.M.

A cortisol level is a blood test that measures the amount of cortisol, a steroid hormone produced by the adrenal gland. The test is done to check for increased or decreased cortisol production. Cortisol is a steroid hormone released from the adrenal gland in response to ACTH, a hormone from the pituitary gland in the brain. Cortisol affects many different body systems. It plays a role in: bone, circulatory system, immune system. metabolism of fats, carbohydrates, and protein. ervous system and stress responses.

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,

Also known as: Estradiol Ultrasensitive LCMSMS

Estradiol, Ultrasensitive

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: Folate RBC, Folic Acid, Red Cell Folate

Folate, Rbc

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.

Inhibin B

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: Lipid Panel with Ratios (fasting), Lipid Profile with Ratios (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

LDL/HDL Ratio

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

Methylmalonic Acid

ARACHIDONIC ACID

ARACHIDONIC ACID/EPA

DHA

DPA

EPA

EPA+DPA+DHA

LINOLEIC ACID

OMEGA-3 TOTAL

OMEGA-6 TOTAL

OMEGA-6/OMEGA-3 RATIO

Also known as: Pregnenolone LCMSMS

Pregnenolone, LC/MS/MS

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.

Also known as: PSA

Psa, Total

PSA stands for prostate-specific antigen. It is a protein produced by prostate cells. The PSA test is done to help diagnose and follow prostate cancer in men.

Selenium

Also known as: Semen Analysis Strict Morphology

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 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.

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.

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: UA, with Reflex to Culture, Urinalysis Complete with Reflex to Culture, Urine Analysis, with Reflex to Culture

Amorphous Sediment (Only Reported If Detected)

Appearance

Bacteria

Bacteria are living things that have only one cell. Most bacteria won't hurt you - less than 1 percent of the different types make people sick. Many are helpful. Some bacteria help to digest food, destroy disease-causing cells, and give the body needed vitamins. But infectious bacteria can make you ill. They reproduce quickly in your body. Many give off chemicals called toxins, which can damage tissue and make you sick. Examples of bacteria that cause infections include Streptococcus, Staphylococcus, and E. coli.

Bilirubin

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.

Calcium Oxalate Crystals (Only Reported If Detected)

Calcium oxalate is a chemical compound that forms envelope-shaped crystals. A major constituent of human kidney stones.

Casts (Only Reported If Detected)

Urinary casts are cylindrical structures produced by the kidney and present in the urine in certain disease states. They form in the distal convoluted tubule and collecting ducts of nephrons, then dislodge and pass into the urine, where they can be detected by microscopy.

Color

Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

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.

Granular Cast (Only Reported If Detected)

The second-most common type of cast, granular casts can result either from the breakdown of cellular casts or the inclusion of aggregates of plasma proteins (e.g., albumin) or immunoglobulin light chains. Depending on the size of inclusions, they can be classified as fine or coarse, though the distinction has no diagnostic significance. Their appearance is generally more cigar-shaped and of a higher refractive index than hyaline casts. While most often indicative of chronic renal disease, these casts, as with hyaline casts, can also be seen for a short time following strenuous exercise

Hyaline Cast

Urinary casts are tiny tube-shaped particles. Urinary casts may be made up of white blood cells, red blood cells, kidney cells, or substances such as protein or fat. The most common type of cast, hyaline casts are solidified Tamm-Horsfall mucoprotein secreted from the tubular epithelial cells of individual nephrons. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts, and, as such, they may be seen in normal individuals in dehydration or vigorous exercise. Hyaline casts are cylindrical and clear, with a low refractive index,

Ketones

Ketones are substances produced in the liver when fat cells break down in the blood. A serum ketone test is a measurement of how many ketones are in the blood.

Leukocyte Esterase

Nitrite

Occult Blood

The test looks for hidden (occult) blood in a specimen sample. It can find blood even if you cannot see it yourself.

Ph

Level of acid

Protein

Body fluids contain many different proteins that serve diverse functions such as transport of nutrients, removal of toxins, control of metabolic processes, and defense against invaders. Protein electrophoresis is a method for separating these proteins based on their size and electrical charge. When body fluids are separated by electrophoresis, they form a characteristic pattern of bands of different widths and intensities, reflecting the mixture of proteins present. This pattern is divided into five fractions, called albumin, alpha 1, alpha 2, beta, and gamma. In some cases, the beta fraction is further divided into beta 1 and beta 2. Albumin, which is produced in the liver, accounts for about 60% of the protein in the blood. "Globulins" is a collective term used to refer to proteins other than albumin. With the exception of the immunoglobulins and some complement proteins, most of the globulins are also produced in the liver. Immunofixation electrophoresis (IFE) is a method used to identify abnormal bands seen on serum, urine, or CSF protein electrophoresis, as to which type of antibody (immunoglobulin) is present.

Rbc

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.

Reducing Substances (Only Reported If Detected)

Renal Epithelial Cells (Only Reported If Detected)

Specific Gravity

Squamous Epithelial Cells

Transitional Epithelial (Only Reported If Detected)

Triple Phosphate Crystals (Only Reported If Detected)

Struvite stones (triple phosphate/magnesium ammonium phosphate) - about 10–15% of urinary calculi are composed of struvite (ammonium magnesium phosphate, NH4MgPO4·6H2O).[44] Struvite stones (also known as "infection stones", urease or triple-phosphate stones), form most often in the presence of infection by urea-splitting bacteria

Uric Acid Crystals (Only Reported If Detected)

Abnormal crystals may appear in urine as a result of pathology or due to normal catabolism

WBC

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

YEAST (Only Reported If Detected)

Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. Usually, your immune system keeps yeast under control. If you are sick or taking antibiotics, it can multiply and cause an infection.

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: ,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.

Also known as: ZN, Plasma

Zinc

*Important Information on Lab Test Processing Times: Ulta Lab Tests is committed to informing you about the processing times for your lab tests processed through a national lab. Please note that the estimated processing time for each test, indicated in business days, is based on data from the past 30 days across the 13 laboratories for each test. These estimates are intended to serve as a guide and are not guarantees. Factors such as laboratory workload, weather conditions, holidays, and the need for additional testing or maintenance can influence actual processing times. We aim to offer estimates to help you plan accordingly. Please understand that these times may vary, and processing times are not guaranteed. Thank you for choosing Ulta Lab Tests for your laboratory needs.

The Fertility & Reproductive Health - Comprehensive Male Lab Panel panel contains 38 tests with 137 biomarkers .

Overview

The Fertility & Reproductive Health Comprehensive Male Lab Panel is designed for men who want the most complete lab-based review of male fertility, sperm health, reproductive hormone balance, thyroid function, metabolic wellness, nutrient status, inflammation, and preconception health.

This Comprehensive Male panel expands beyond semen analysis and basic hormone testing by evaluating sperm count, motility, strict morphology, testosterone availability, FSH and LH signaling, prolactin, inhibin B, estradiol, DHT, adrenal and androgen pathway markers, thyroid hormones and thyroid antibodies, insulin resistance, inflammation, iron status, omega fatty acid status, CoQ10, B-vitamin and methylation markers, minerals, urine health, blood health, liver function, kidney function, and lipid patterns.

Male fertility can be influenced by sperm production, sperm movement, sperm shape, testosterone balance, pituitary-testicular signaling, thyroid function, metabolic health, oxidative stress, inflammation, nutrient status, medications, alcohol use, smoking, heat exposure, illness, and overall wellness.

This panel does not diagnose male infertility or determine whether pregnancy will occur. Results should be interpreted with semen collection conditions, reproductive history, symptoms, medications, lifestyle factors, prior semen analysis results, and provider guidance.

Why Order This Panel?

The Fertility & Reproductive Health Comprehensive Male Lab Panel may be helpful for men who want the broadest view of fertility-related biomarkers before trying to conceive, starting a fertility evaluation, or reviewing reproductive health concerns.

This panel may help provide insight into:

  • Semen volume, sperm concentration, motility, and strict morphology
  • Testosterone availability
  • FSH and LH pituitary-testicular signaling
  • Inhibin B and sperm-production context
  • Prolactin patterns
  • Estradiol balance in men
  • DHT and androgen metabolism
  • DHEA-S, androstenedione, pregnenolone, cortisol, and 17-hydroxyprogesterone patterns
  • Thyroid function and autoimmune thyroid patterns
  • Blood sugar and insulin resistance patterns
  • Inflammation
  • Iron storage and iron availability
  • Vitamin D, B12, folate, zinc, selenium, magnesium, copper, and ceruloplasmin status
  • Coenzyme Q10 and omega fatty acid status
  • Lipid and cardiometabolic wellness
  • Urine health and possible urinary findings
  • Blood count, liver, kidney, electrolyte, and metabolic wellness

This panel is a strong option for men who want the deepest fertility and reproductive health review while keeping infectious disease and STI-related preconception screening available as a separate add-on.

This Panel May Be Helpful For Men Who Want To

  • Review male fertility-related biomarkers
  • Evaluate semen analysis results
  • Check sperm count, motility, and strict morphology
  • Review testosterone availability
  • Evaluate FSH and LH reproductive hormone signaling
  • Review inhibin B as a sperm-production support marker
  • Check prolactin, estradiol, DHT, DHEA-S, pregnenolone, and androgen pathway markers
  • Review thyroid hormones and thyroid antibodies
  • Check insulin resistance and blood sugar markers
  • Evaluate inflammation, iron status, nutrient status, and omega fatty acid balance
  • Review CoQ10 and mitochondrial energy-related context
  • Establish a comprehensive male fertility baseline before meeting with a provider
  • Support a preconception wellness discussion

Common Symptoms or Situations This Panel May Help Evaluate

This panel may be useful for men experiencing or planning around:

  • Difficulty conceiving with a partner
  • Fertility planning
  • Preconception wellness
  • Prior abnormal semen analysis
  • Low sperm count, motility, or morphology concerns
  • Low libido
  • Erectile function concerns
  • Low energy or fatigue
  • Possible low testosterone symptoms
  • Weight gain or metabolic concerns
  • Blood sugar or insulin resistance concerns
  • Inflammation concerns
  • Thyroid-related symptoms
  • Hair thinning or androgen-related concerns
  • Low vitamin D, B12, folate, zinc, selenium, magnesium, copper, or omega fatty acid concerns
  • Desire to establish a comprehensive male fertility baseline

What This Panel Helps Evaluate

This panel helps evaluate selected biomarkers related to:

  • Semen volume, sperm concentration, motility, and morphology
  • Testosterone availability
  • FSH and LH pituitary-testicular signaling
  • Inhibin B and sperm-production context
  • Prolactin
  • Estradiol balance
  • DHT and androgen metabolism
  • Adrenal and steroid hormone pathway patterns
  • Thyroid function and autoimmune thyroid patterns
  • Blood sugar and insulin patterns
  • Lipid and cardiometabolic patterns
  • Inflammation
  • Iron storage and iron availability
  • B12, folate, methylation, and functional B12 status
  • Vitamin D, magnesium, zinc, selenium, copper, and ceruloplasmin status
  • CoQ10 and omega fatty acid status
  • Blood count patterns
  • Liver and kidney function
  • Urinalysis findings
  • General male reproductive 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

Semen Analysis & Sperm Health

Semen Analysis, Strict Morphology

Semen analysis is one of the most important tests in a male fertility evaluation. This test evaluates semen and sperm-related markers such as semen volume, sperm concentration, sperm count, motility, and morphology.

Strict morphology evaluates the shape and structure of sperm using detailed criteria. This test is included because sperm number, movement, and structure may provide useful context when discussing male fertility, reproductive planning, or difficulty conceiving with a healthcare provider.

Semen analysis results can vary from sample to sample. Collection timing, abstinence period, illness, fever, heat exposure, medications, supplements, alcohol use, smoking, and recent lifestyle factors may affect results.

Inhibin B

Inhibin B is a hormone produced by cells in the testes and is often discussed in relation to sperm production and Sertoli cell function. This test is included because inhibin B may provide additional context when reviewing sperm production patterns, semen analysis results, and pituitary-testicular signaling.

Inhibin B should be interpreted with semen analysis, FSH, LH, testosterone, testicular history, medications, and provider guidance.

Testosterone Availability & Pituitary-Testicular Signaling

Testosterone, Total and Free and Sex Hormone Binding Globulin

This test evaluates total testosterone, free testosterone, and SHBG. Total testosterone measures the overall amount of testosterone in the blood, while free testosterone helps estimate the portion available for use by the body. SHBG helps provide context for hormone availability.

This test is included because testosterone availability may influence libido, energy, erectile function, sperm production, muscle mass, mood, body composition, and reproductive wellness.

FSH and LH

FSH and LH are pituitary hormones that help regulate testicular function. FSH is involved in sperm production signaling, while LH helps signal testosterone production.

This test is included because FSH and LH patterns may provide context for pituitary-testicular signaling, testosterone production, sperm production concerns, and male reproductive hormone balance.

Prolactin

Prolactin is a pituitary hormone that can affect the reproductive hormone axis. This test is included because abnormal prolactin patterns may be associated with low libido, erectile concerns, low testosterone patterns, fertility concerns, or pituitary hormone signaling issues.

Prolactin can be influenced by stress, sleep, medications, illness, and timing of collection.

Estradiol, DHT & Androgen Pathway Markers

Estradiol, Ultrasensitive LC/MS/MS

Estradiol is a major form of estrogen. In men, estradiol balance may influence libido, mood, body composition, fertility hormone interpretation, breast tenderness, and testosterone-related symptoms.

This ultrasensitive LC/MS/MS test is included because men typically have lower estradiol levels than women, and a sensitive method may provide more appropriate hormone context for male reproductive health discussions.

Dihydrotestosterone, DHT, LC/MS/MS

DHT is a potent androgen made from testosterone. This test is included because DHT may provide context for androgen activity, libido, hair thinning, skin changes, prostate-related discussions, and testosterone metabolism.

Androstenedione, LC/MS/MS

Androstenedione is an androgen precursor involved in testosterone and estrogen pathways. This test is included because it may provide additional context for androgen production, hormone balance, body composition, libido, and male reproductive hormone patterns.

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 hormone pathway review when evaluating androgen patterns, reproductive hormones, or broader steroid hormone balance.

Adrenal, Stress & Steroid Hormone Context

DHEA Sulfate, Immunoassay

DHEA-S is an adrenal androgen marker. This test is included because adrenal hormone patterns may provide context for energy, libido, stress response, hormone balance, aging-related patterns, and reproductive wellness.

DHEA-S should be interpreted with testosterone, estradiol, symptoms, medications, and provider guidance.

Pregnenolone, LC/MS/MS

Pregnenolone is a hormone precursor involved in steroid hormone pathways. This test is included because it may provide additional context for adrenal and sex hormone production, stress physiology, and hormone balance discussions.

Cortisol, A.M.

Morning cortisol helps evaluate cortisol levels during the time of day when cortisol is commonly expected to be higher. This test is included because cortisol may provide context for stress response, sleep-wake rhythm, energy, blood sugar regulation, and overall hormone balance.

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 energy, metabolism, libido, erectile function, mood, weight regulation, and overall reproductive wellness.

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.

T3, Free

Free T3 measures the active form of thyroid hormone available in the bloodstream. This test is included because thyroid hormone activity may influence metabolism, energy, body temperature, mood, heart rate, and reproductive wellness.

Thyroid Peroxidase and Thyroglobulin Antibodies

These antibodies help evaluate autoimmune thyroid patterns. This test is included because autoimmune thyroid activity may contribute to thyroid dysfunction, fatigue, mood changes, weight changes, and symptoms that overlap with reproductive and metabolic concerns.

Blood Sugar, 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 testosterone balance, erectile function, sperm health discussions, energy, weight changes, and metabolic wellness.

Insulin

Insulin helps move glucose from the bloodstream into cells. This test is included because elevated fasting insulin may suggest insulin resistance, which can overlap with low testosterone patterns, weight gain, cardiometabolic risk, energy changes, and reproductive wellness.

Lipid Panel with Ratios

The Lipid Panel with Ratios evaluates cholesterol, triglycerides, and cholesterol ratios. This test is included because lipid patterns may provide cardiometabolic context that can overlap with testosterone balance, erectile function, insulin resistance, inflammation, and long-term wellness.

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, electrolyte, and general wellness status.

Inflammation, Iron Status & Blood Health

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation. This test is included because inflammation may provide useful context for metabolic health, cardiometabolic risk, recovery, fertility wellness, and general health.

Ferritin

Ferritin measures stored iron. This test is included because iron status may provide context for fatigue, inflammation, liver patterns, and overall wellness. Ferritin can rise with inflammation and should be interpreted with other markers.

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, iron overload, or abnormal iron availability may contribute to fatigue, weakness, poor stamina, and general wellness concerns.

CBC, includes Differential and Platelets

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

B Vitamins, Methylation & Functional Nutrient Status

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 general wellness.

B12 and folate may provide useful context for fatigue, neurologic symptoms, restricted diets, vegetarian or vegan diets, methylation, and preconception wellness.

Folate, RBC

RBC folate may provide longer-term folate status context than serum folate alone. This test is included because folate is important for methylation, red blood cell formation, DNA synthesis, and reproductive wellness.

Methylmalonic Acid

Methylmalonic acid, or MMA, is a functional marker related to vitamin B12 status. This test is included because MMA may provide additional context when evaluating possible B12 deficiency, especially when symptoms include fatigue, numbness, tingling, weakness, or brain fog.

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, methylation, vascular, and reproductive wellness context.

Vitamins, Minerals, Omega Fatty Acids & Mitochondrial Support

Vitamin D, 25-Hydroxy, Total, Immunoassay

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, hormone wellness, and general male reproductive health discussions.

Magnesium

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

Zinc

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

Selenium

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

Copper

Copper is involved in iron metabolism, nervous system function, connective tissue health, and antioxidant pathways. This test is included because copper status helps provide additional mineral balance context, especially when reviewed with zinc, ceruloplasmin, and iron markers.

Ceruloplasmin

Ceruloplasmin is a copper-carrying protein. This test is included because it helps interpret copper status and copper transport, especially when copper results are high, low, or clinically unclear.

Coenzyme Q10

Coenzyme Q10 is involved in mitochondrial energy production and antioxidant support. This test is included because CoQ10 may provide context for sperm health discussions, energy production, statin use, muscle symptoms, and recovery.

OMEGACHECK™

OMEGACHECK™ evaluates omega fatty acid status. This test is included because omega-3 and omega-6 fatty acid patterns may provide insight into inflammation, cardiovascular wellness, nutrition, and reproductive wellness.

Prostate & Urine Health Context

PSA Total

PSA total is a prostate-related blood marker. This test is included because PSA may provide useful prostate screening context, especially for men of appropriate age or risk profile and for physician-guided discussions involving testosterone therapy or reproductive/urologic health.

Urinalysis, Complete, with Reflex to Culture

A complete urinalysis evaluates urine markers such as protein, blood, glucose, ketones, specific gravity, pH, and other findings. This test is included because urine findings may provide useful context for kidney health, glucose handling, hydration, and urinary symptoms.

Reflex Testing Notice: This test may reflex to a urine culture if certain urine findings suggest that additional testing is needed. If reflex testing is performed by the laboratory, additional charges may apply.

Related Biomarker Patterns This Panel May Help Identify

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

  • Semen volume, sperm concentration, motility, and morphology
  • Inhibin B and sperm-production context
  • Testosterone availability
  • SHBG-related hormone availability
  • FSH and LH reproductive hormone signaling
  • Prolactin patterns
  • Estradiol balance in men
  • DHT and androgen metabolism
  • DHEA-S, androstenedione, pregnenolone, cortisol, and 17-hydroxyprogesterone patterns
  • Thyroid hormone and autoimmune thyroid patterns
  • Blood sugar imbalance
  • Insulin resistance
  • Lipid and cardiometabolic patterns
  • Inflammation
  • Iron storage or iron availability concerns
  • Vitamin D, B12, folate, magnesium, zinc, selenium, copper, or omega fatty acid status
  • CoQ10 and mitochondrial energy context
  • Homocysteine and methylation context
  • PSA and prostate screening context
  • Blood count patterns
  • Liver function changes
  • Kidney function changes
  • Urine health findings
  • General male reproductive wellness

Professional Reflex Testing and Additional Charge Notice

Some tests may include reflex testing. Reflex testing means the laboratory may automatically perform an additional test when an initial result is abnormal, positive, indeterminate, or otherwise requires confirmation.

Reflex testing helps provide a more complete interpretation of certain results. If the laboratory performs reflex testing, additional charges may apply. Reflex charges only apply when the additional test is actually run by the laboratory.

In this panel, reflex testing may apply to:

  • Urinalysis, Complete, with Reflex to Culture

If urine findings meet the laboratory’s criteria, a urine culture may be performed to help evaluate possible bacterial growth.

How to Prepare for This Panel

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

  • Follow semen collection instructions carefully.
  • Semen analysis usually requires a specific abstinence period before collection. Follow the instructions provided with your order.
  • Avoid collecting a semen sample too soon after fever, illness, heat exposure, sauna/hot tub use, or intense lifestyle changes unless your provider advises otherwise.
  • Morning collection may be preferred for testosterone, estradiol, cortisol, prolactin, and other hormone markers.
  • Fasting may be recommended because this panel includes insulin, glucose-related markers, and lipid testing.
  • Avoid unusually intense exercise before testing if your provider advises, especially when interpreting hormone, inflammation, or metabolic markers.
  • Continue medications unless your healthcare provider tells you otherwise.
  • Testosterone therapy, hormone medications, fertility medications, supplements, recent illness, alcohol use, smoking, heat exposure, prostate medications, and collection timing may affect interpretation.
  • Bring or keep a list of medications, supplements, fertility history, symptoms, lifestyle factors, and prior semen analysis results 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 male reproductive health findings into areas such as semen parameters, inhibin B, testosterone availability, FSH and LH signaling, prolactin, estradiol, DHT, adrenal and androgen pathways, thyroid function, blood sugar, insulin, inflammation, iron status, B-vitamin and methylation status, omega fatty acids, CoQ10, mineral balance, PSA, urine findings, liver function, kidney function, and metabolic wellness.

During the physician consultation, you can discuss what your results may mean, whether semen analysis should be repeated, whether follow-up testing is appropriate, and what next steps may be useful based on fertility goals, symptoms, reproductive history, lifestyle factors, age, and health background.

Related Lab Panels

Customers interested in this panel may also consider:

  • Fertility & Reproductive Health Essential Male Lab Panel
  • Fertility & Reproductive Health Advanced Male Lab Panel
  • Fertility & Reproductive Health — Infectious Disease & STI Preconception Screening Panel
  • Men’s Testosterone, Energy & Vitality Lab Panel
  • Thyroid & Metabolism Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Prediabetes & Insulin Resistance Lab Panel
  • Athletic Performance & Recovery Lab Panel
  • Stress, Cortisol, Sleep & Burnout Lab Panel
  • Longevity & Healthy Aging Lab Panel

Frequently Asked Questions

What is the Fertility & Reproductive Health Comprehensive Male Lab Panel?

The Fertility & Reproductive Health Comprehensive Male Lab Panel is a broad lab panel that evaluates semen health, sperm morphology, testosterone availability, FSH and LH signaling, inhibin B, prolactin, estradiol, DHT, adrenal and androgen pathway markers, thyroid function, blood sugar, insulin, inflammation, iron status, nutrient status, omega fatty acids, CoQ10, urine health, blood health, liver function, kidney function, and metabolic wellness.

How is this different from the Advanced Male panel?

The Comprehensive Male panel includes all Advanced Male markers and adds 17-hydroxyprogesterone, androstenedione, ceruloplasmin, CoQ10, copper, cortisol AM, DHT, Folate RBC, Free T3, Free T4, homocysteine, methylmalonic acid, OMEGACHECK™, pregnenolone, PSA total, and thyroid antibodies.

Does this panel include semen analysis?

Yes. This panel includes Semen Analysis with Strict Morphology, which evaluates semen and sperm-related markers such as sperm count, concentration, motility, and morphology.

Why is strict morphology included?

Strict morphology evaluates sperm shape and structure using detailed criteria. It may provide useful context when reviewing male fertility and sperm quality with a healthcare provider.

Why is inhibin B included?

Inhibin B may provide additional context related to Sertoli cell function and sperm-production signaling. It is most useful when reviewed with semen analysis, FSH, LH, testosterone, and clinical history.

Does this panel test testosterone?

Yes. This panel includes Testosterone, Total and Free and Sex Hormone Binding Globulin, which provides context for testosterone availability.

Why are DHT and estradiol included?

DHT and estradiol are included because they provide additional context for androgen metabolism, estrogen balance, testosterone interpretation, libido, body composition, hair/skin patterns, and reproductive hormone balance.

Why are CoQ10 and OMEGACHECK™ included?

CoQ10 and OMEGACHECK™ are included because they may provide additional context for mitochondrial energy, antioxidant support, omega fatty acid balance, inflammation, nutrition, and reproductive wellness.

Why is PSA included?

PSA is included to provide prostate screening context, especially for men of appropriate age or risk profile and for physician-guided testosterone or urologic health discussions.

Does this panel include infectious disease or STI testing?

This panel focuses on semen analysis, reproductive hormones, thyroid markers, metabolic health, inflammation, nutrient status, urine health, prostate context, and general 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 male infertility?

No. This panel does not diagnose male 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 semen analysis be repeated?

Semen analysis can vary between samples. A healthcare provider may recommend repeat testing depending on results, collection conditions, abstinence timing, symptoms, and fertility goals.

Important Note

This lab panel is designed to help evaluate selected biomarkers that may be related to male fertility, semen health, reproductive hormone signaling, testosterone availability, estradiol balance, androgen metabolism, thyroid function, blood sugar, insulin patterns, inflammation, nutrient status, prostate screening context, urine health, blood health, liver function, kidney function, and metabolic wellness. It is not intended to diagnose infertility, predict pregnancy, treat, cure, or prevent disease by itself. Results should be reviewed with a licensed healthcare provider.

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