Ulta Lab Tests

Women’s Hormone Balance & Perimenopause - Advanced Lab Panel

The Women’s Hormone Balance & Perimenopause Advanced Lab Panel includes 36 tests and 136 biomarkers to support a deeper review of symptoms, hormone balance, cycle changes, thyroid function, androgen balance, adrenal stress, insulin resistance, inflammation, cardiometabolic risk, nutrients, kidney function, liver health, and brain fog. Includes estradiol, progesterone, FSH/LH, testosterone, DHEA-S, cortisol, thyroid markers, A1c, insulin, lipids, B12, vitamin D, and more.

Urine, Serum, Blood, Other, Random, Plasma-Unspecified Vial Pour
Phlebotomist
Perimenopause Advanced Panel, Women’s Hormone Balance Panel, Female Hormone Test Panel, Menopause Transition Panel, Perimenopause Blood Test, Women’s Hormone Wellness Panel, Advanced Female Hormone 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: Microalbumin Random Urine with Creatinine

Creatinine, Random Urine

Microalbumin

Microalbumin/Creatinine

Apolipoprotein A1

Apolipoprotein B

Apolipoprotein B/A1 Ratio

Also known as: Bilirubin Fractionated

Bilirubin, Direct

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.

Bilirubin, Indirect

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.

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.

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: 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.

CYSTATIN C

eGFR

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.

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: Gamma Glutamyl Transferase GGT, Gamma-Glutamyl Transferase, Gamma-Glutamyl Transpeptidase, Gamma-GT, GGTP, GTP

Ggt

Gamma-glutamyl transpeptidase (GGT) is a test to measure the amount of the enzyme GGT in the blood.

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: 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.

Also known as: Lipoprotein A, Lp (a), Lp(a)

Lipoprotein (A)

Lipoprotein-a, or Lp(a) are molecules made of proteins and fat. They carry cholesterol and similar substances through the blood. A high level of Lp(a) is considered a risk factor for heart disease. High levels of lipoproteins can increase the risk of heart disease. The test is done to check your risk of atherosclerosis, stroke, and heart attack.

Magnesium

Also known as: Magnesium RBC

Magnesium, Rbc

About half of the body's magnesium is found in bone. The other half is found inside cells of body tissues and organs. Magnesium is needed for nearly all chemical processes in the body. It helps maintain normal muscle and nerve function, and keeps the bones strong. Magnesium is also needed for the heart to function normally and to help regulate blood pressure. Magnesium also helps the body control blood sugar level and helps support the body's defense (immune) system.

Methylmalonic Acid

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.

Selenium

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: Serum Urate, UA

Uric Acid

Uric acid is a chemical created when the body breaks down substances called purines. Purines are found in some foods and drinks. These include liver, anchovies, mackerel, dried beans and peas, and beer. Most uric acid dissolves in blood and travels to the kidneys. From there, it passes out in urine. If your body produces too much uric acid or doesn't remove enough if it, you can get sick. A high level of uric acid in the blood is called hyperuricemia.

Also known as: UA, Complete, Urinalysis UA Complete, Urine Analysis, Complete

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

Leukocyte esterase is a urine test to look for white blood cells and other signs associated with infection.

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: B6, B6 Vitamin, Pyridoxal, Pyridoxal Phosphate, Pyridoxal Phosphate (PLP), Vitamin B6 Pyridoxal Phosphate

Vitamin B6

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 Women’s Hormone Balance & Perimenopause - Advanced Lab Panel panel contains 36 tests with 136 biomarkers .

Overview

The Women’s Hormone Balance & Perimenopause Advanced Lab Panel is designed for women who want a deeper lab-based review of biomarkers that may overlap with perimenopause symptoms, hormone changes, irregular cycles, mood changes, sleep disruption, hot flashes, night sweats, fatigue, brain fog, libido changes, weight changes, hair or skin changes, thyroid symptoms, and cardiometabolic wellness.

Perimenopause and hormone balance are not driven by one hormone alone. Symptoms may overlap with estrogen and progesterone changes, ovarian signaling, androgen balance, thyroid function, adrenal stress, blood sugar, insulin resistance, inflammation, iron status, B-vitamin status, kidney function, liver function, cardiovascular risk, and nutrient status.

This Advanced panel includes female hormone markers, thyroid markers, androgen and adrenal markers, cardiometabolic markers, inflammation markers, nutrient markers, kidney and urine markers, and liver/bile-flow markers to support a provider-guided review.

This panel does not diagnose perimenopause by itself. Perimenopause is often reviewed using age, symptoms, menstrual-cycle changes, medical history, and clinical judgment. Hormone levels may fluctuate, so results should be interpreted with symptoms, cycle timing, menopause status, medications, supplements, hormone therapy use, and provider guidance.

Why Order This Panel?

The Women’s Hormone Balance & Perimenopause Advanced Lab Panel may be helpful for women who want more than a basic hormone panel and want deeper insight into the overlapping hormone, thyroid, metabolic, nutrient, inflammation, liver, kidney, and cardiovascular patterns that may affect how they feel.

This panel may help provide insight into:

  • Estradiol, progesterone, FSH, and LH patterns
  • Testosterone availability and SHBG
  • DHEA-S and adrenal androgen context
  • Prolactin and pituitary-related hormone patterns
  • Thyroid function and autoimmune thyroid patterns
  • Blood sugar, insulin, and metabolic wellness
  • Cholesterol, ApoA1, ApoB, Lipoprotein(a), and lipid ratios
  • Low-grade inflammation and cardiometabolic risk
  • Iron storage and iron availability
  • Vitamin B12, folate, MMA, homocysteine, vitamin B6, vitamin D, magnesium, zinc, and selenium status
  • Kidney filtration, urine albumin, and urinalysis patterns
  • Liver and bile-flow markers

This Panel May Be Helpful For Women With

  • Perimenopause symptoms
  • Irregular periods or cycle changes
  • Hot flashes or night sweats
  • Sleep disruption
  • Mood changes, irritability, or anxiety-like symptoms
  • Brain fog or poor focus
  • Fatigue or low energy
  • Weight gain or body composition changes
  • Low libido
  • Vaginal dryness or estrogen-related symptoms
  • Breast tenderness
  • Heavy bleeding or low iron concerns
  • Hair thinning, acne, oily skin, or unwanted hair growth
  • Thyroid symptoms
  • Cravings, belly fat, or insulin resistance concerns
  • High cholesterol or cardiometabolic risk
  • Stress, burnout, or poor resilience
  • Interest in a deeper women’s hormone and perimenopause baseline

What This Panel Helps Evaluate

This panel helps evaluate selected biomarkers related to:

  • Women’s hormone balance
  • Perimenopause and menopause-transition context
  • Estrogen and progesterone patterns
  • Ovarian feedback signaling
  • Androgen balance and testosterone availability
  • Adrenal hormone and stress-response markers
  • Thyroid function and thyroid autoimmunity
  • Blood sugar, insulin, and metabolic wellness
  • Cholesterol, ApoB, Lp(a), and cardiometabolic risk
  • Inflammation
  • Iron status and blood health
  • B-vitamin, methylation, and brain fog support
  • Vitamin D, magnesium, zinc, and selenium status
  • Kidney filtration and urine health
  • Liver processing and bile-flow context

Which Tier Is Right for Me?

Essential Lab Panel

The Women’s Hormone Balance & Perimenopause Essential Lab Panel is best for women who want a focused starting point. It reviews key female hormones, thyroid screening, iron status, blood sugar, inflammation, vitamin D, B12/folate, magnesium, CMP, CBC, lipid panel, and urinalysis.

Choose Essential if you want a practical first step for hormone balance, cycle changes, fatigue, thyroid symptoms, and perimenopause-related wellness.

Advanced Lab Panel

The Women’s Hormone Balance & Perimenopause Advanced Lab Panel is best for women who want deeper insight into androgen balance, adrenal stress, thyroid antibodies, insulin resistance, cardiometabolic risk, B-vitamin methylation, kidney/urine markers, liver/bile-flow markers, and deeper nutrient status.

Choose Advanced if symptoms are persistent or include sleep disruption, hot flashes, weight changes, energy crashes, thyroid symptoms, low libido, hair/skin changes, mood shifts, or cardiometabolic risk.

Comprehensive Lab Panel

The Women’s Hormone Balance & Perimenopause Comprehensive Lab Panel is the broadest option. It includes the Essential and Advanced categories and may add premium markers for ovarian reserve, specialty androgen pathways, pregnenolone, omega fatty acids, bone-mineral balance, and expanded cardiometabolic wellness.

Choose Comprehensive if you want the deepest review of perimenopause symptoms, hormone pathways, androgen balance, thyroid overlap, cardiometabolic risk, nutrients, bone-mineral health, inflammation, omega fatty acids, and kidney/liver wellness.

Tests Included and Why They Matter

Female Hormones, Cycle Changes & Perimenopause Context

This group evaluates key reproductive hormones and pituitary-ovarian signaling markers. These tests may provide context for cycle changes, perimenopause symptoms, estrogen-progesterone balance, ovulation patterns, hot flashes, sleep, mood, libido, and menopause-transition discussions.

Estradiol

Estradiol is a major form of estrogen.

This test is included because estradiol may provide context for hot flashes, night sweats, sleep disruption, mood changes, vaginal dryness, libido changes, breast tenderness, cycle changes, and bone-health discussions. Estradiol levels can fluctuate during perimenopause, so results should be interpreted with cycle timing, symptoms, medication use, and provider guidance.

Progesterone, Immunoassay

Progesterone is a reproductive hormone that rises after ovulation during the luteal phase.

This test is included because progesterone may provide context for ovulation patterns, luteal-phase hormone support, irregular cycles, PMS-like symptoms, sleep changes, mood changes, breast tenderness, and estrogen-progesterone balance. Timing matters because progesterone varies significantly during the menstrual cycle.

FSH and LH

FSH and LH are pituitary hormones that help regulate ovarian hormone production and ovulation.

These tests are included because they may provide context for ovarian feedback, cycle changes, reproductive hormone signaling, and menopause-transition patterns. During perimenopause, FSH and LH may fluctuate, so results should be reviewed with age, symptoms, menstrual history, and provider guidance.

Prolactin

Prolactin is a pituitary hormone involved in reproductive and breast physiology.

This test is included because prolactin may provide context for irregular or missed periods, breast symptoms, low libido, headaches, pituitary-related hormone patterns, or reproductive hormone disruption. Prolactin can be influenced by stress, sleep, medications, pregnancy, breastfeeding, and timing of collection.

Androgen Balance, Hair/Skin, Libido & Energy

This group evaluates androgen-related markers that may influence libido, energy, mood, muscle tone, body composition, acne, oily skin, hair thinning, unwanted hair growth, and hormone therapy discussions.

Testosterone, Total and Free and Sex Hormone Binding Globulin

This test evaluates total testosterone, free testosterone, and SHBG.

It is included because testosterone availability may provide context for libido, energy, mood, motivation, muscle tone, body composition, acne, hair growth, or hair thinning. SHBG helps interpret how much testosterone is available for use by the body, which can be important because total testosterone alone may not explain symptoms.

DHEA Sulfate, Immunoassay

DHEA-S is an adrenal androgen marker.

This test is included because DHEA-S may provide context for adrenal androgen patterns, stress physiology, energy, libido, acne, hair changes, DHEA supplementation, and broader hormone balance.

Adrenal Stress, Resilience & Sleep-Wake Context

Stress, sleep disruption, cortisol rhythm, and burnout symptoms can overlap with perimenopause and hormone imbalance symptoms. This group helps provide adrenal and stress-response context.

Cortisol, A.M.

Morning cortisol provides a snapshot of cortisol during the time of day when cortisol is typically expected to be higher.

This test is included because cortisol may provide stress-response and sleep-wake rhythm context. It may be useful when symptoms include fatigue, poor resilience, stress eating, sleep disruption, mood changes, or burnout-like symptoms.

Thyroid Function & Autoimmune Thyroid Context

Thyroid symptoms can overlap strongly with perimenopause symptoms. Fatigue, weight changes, mood shifts, brain fog, hair changes, skin changes, temperature sensitivity, and bowel changes may be related to thyroid function, sex hormones, or both.

TSH

TSH is a key thyroid screening marker.

This test is included because thyroid function may influence energy, metabolism, body temperature, mood, weight, hair, skin, bowel patterns, cycle patterns, and hormone therapy response.

T4, Free

Free T4 measures the available form of thyroxine, a thyroid hormone.

This test is included because Free T4 provides thyroid hormone production context when reviewed with TSH and symptoms. It may be useful when fatigue, weight changes, cold intolerance, constipation, or low energy suggest thyroid involvement.

T3, Free

Free T3 measures the active thyroid hormone available in the bloodstream.

This test is included because Free T3 may provide context for energy output, metabolism, body temperature, and weight-related symptoms. It adds depth to thyroid interpretation in an advanced hormone and perimenopause panel.

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 and symptoms such as fatigue, brain fog, weight changes, hair shedding, mood changes, and cold intolerance.

Selenium

Selenium is an essential mineral involved in thyroid and antioxidant pathways.

This test is included because selenium may provide thyroid-support and oxidative-stress context. It is especially useful in this panel because thyroid markers and thyroid antibodies are included.

Blood Sugar, Insulin Resistance & Metabolic Shifts

Perimenopause can overlap with changes in body composition, belly fat, cravings, glucose regulation, and insulin sensitivity. This group helps evaluate blood sugar patterns and metabolic risk.

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 provide context for insulin resistance, cravings, energy crashes, weight changes, prediabetes risk, and metabolic wellness.

Insulin

Insulin helps move glucose from the bloodstream into cells.

This test is included because fasting insulin may provide context for insulin resistance, belly fat, cravings, energy crashes, and metabolic shifts that may occur during the perimenopause transition.

Comprehensive Metabolic Panel, CMP

The CMP evaluates glucose, liver function, kidney function, electrolytes, calcium, albumin, total protein, and metabolic markers.

This test is included because women’s hormone and metabolic review benefits from a broad organ-function baseline. CMP findings may provide context for glucose, liver enzymes, kidney markers, electrolytes, hydration, calcium, albumin, and protein status.

Cardiovascular Risk, Lipids & Inflammation

Cardiometabolic risk can become more important during and after the menopause transition. This group evaluates standard lipids, advanced apolipoproteins, inherited risk, and inflammation-related cardiovascular context.

Lipid Panel with Ratios

The Lipid Panel with Ratios evaluates total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, and cholesterol ratios.

This test is included because cholesterol and triglyceride patterns may shift with age, hormone changes, thyroid function, insulin resistance, and menopause transition.

Apolipoprotein A1 + B

Apolipoprotein B reflects the number of atherogenic cholesterol-carrying particles. ApoA1 is the main protein associated with HDL particles.

This test is included because ApoB may provide deeper cardiometabolic risk context than LDL cholesterol alone, while ApoA1 adds HDL-related transport context.

Lipoprotein(a)

Lipoprotein(a), or Lp(a), is an inherited cholesterol-related marker.

This test is included because Lp(a) may provide cardiovascular risk context that is not captured by a standard lipid panel. It is especially useful as a baseline inherited risk marker.

hs-CRP

High-sensitivity C-reactive protein is a marker of low-grade inflammation.

This test is included because inflammation may provide cardiometabolic risk context and may overlap with fatigue, weight changes, insulin resistance, and hormone-related symptoms.

Uric Acid

Uric acid is a metabolic waste product.

This test is included because uric acid may provide context for metabolic syndrome, insulin resistance, gout risk, kidney stone risk, high blood pressure, and cardiometabolic stress.

Blood Health, Iron Status & Heavy-Bleeding Context

Perimenopause may include heavier or irregular bleeding for some women. Iron status is important when fatigue, hair shedding, dizziness, low stamina, or restless legs are present.

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 clues, immune patterns, platelet changes, inflammation, fatigue, and general blood health.

Ferritin

Ferritin measures stored iron.

This test is included because ferritin may provide context for fatigue, heavy bleeding, hair shedding, low stamina, dizziness, restless legs, inflammation, and iron storage patterns.

Iron and Total Iron Binding Capacity, TIBC

Iron and TIBC help evaluate circulating iron and iron transport capacity.

This test is included because iron availability is important for oxygen delivery, energy, stamina, and anemia-related interpretation. It helps interpret ferritin and CBC patterns.

B Vitamins, Methylation, Mood & Brain Fog Support

B vitamins and methylation-related markers may influence fatigue, mood, brain fog, nerve function, red blood cell production, and cardiovascular wellness.

Vitamin B12 and Folate Panel, Serum

This panel measures vitamin B12 and folate.

These nutrients support red blood cell production, nerve function, DNA synthesis, methylation, and general wellness. They may provide context for fatigue, brain fog, numbness, tingling, mood changes, and anemia-related patterns.

Methylmalonic Acid

Methylmalonic acid, or MMA, is a functional marker related to vitamin B12 status.

This test is included because MMA may provide deeper B12 interpretation, especially when serum B12 is borderline or symptoms suggest B12-related issues.

Homocysteine

Homocysteine is influenced by vitamin B12, folate, vitamin B6, methylation pathways, kidney function, and vascular health.

This test is included because it provides B-vitamin, methylation, vascular, and cognitive wellness context.

Vitamin B6, Pyridoxal Phosphate

Vitamin B6 is involved in neurotransmitter pathways, methylation, amino acid metabolism, immune function, and nervous system health.

This test is included because B6 may provide context for mood, PMS-like symptoms, methylation, brain fog, and supplement-safety review.

Magnesium, Vitamin D & Nutrient Support

Nutrient status may influence mood, sleep, energy, muscle symptoms, thyroid function, immune resilience, and overall perimenopause wellness.

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

Vitamin D testing measures vitamin D status.

This test is included because vitamin D supports bone health, muscle function, immune health, mood, inflammation balance, and calcium regulation.

Magnesium

Magnesium supports muscle function, nerve signaling, sleep, glucose metabolism, blood pressure regulation, and energy production.

This test is included because magnesium may provide context for sleep quality, cramps, mood, stress, blood pressure, glucose metabolism, and nervous system wellness.

Magnesium, RBC

RBC magnesium may provide additional magnesium status context compared with serum magnesium alone.

This test is included because deeper magnesium evaluation may be useful when sleep disruption, fatigue, cramps, stress symptoms, or nervous system symptoms are present.

Zinc

Zinc supports immune function, thyroid pathways, hair and skin wellness, hormone pathways, wound healing, and nutrient balance.

This test is included because zinc may provide context for hair/skin concerns, thyroid support, hormone balance, and immune resilience.

Kidney, Urine, Liver & Bile-Flow Context

Kidney, urine, liver, and bile-flow markers provide broader wellness and safety context, especially when hormone therapy, supplements, metabolic risk, or blood pressure concerns are part of the review.

Cystatin C with eGFR

Cystatin C with eGFR provides kidney filtration context beyond creatinine alone.

This test is included because kidney function may be relevant to metabolic health, blood pressure, medication use, supplement use, and general wellness.

Albumin, Random Urine with Creatinine

This urine test evaluates albumin relative to creatinine.

It is included because urine albumin may provide early kidney and vascular risk context, especially when insulin resistance, blood pressure, or cardiometabolic concerns are present.

Urinalysis, UA, Complete

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 context for hydration, kidney health, glucose handling, ketones, urinary findings, blood, and protein in urine.

Gamma Glutamyl Transferase, GGT

GGT is a liver and bile duct enzyme.

This test is included because GGT may provide liver, bile-flow, fatty liver, alcohol, medication, supplement, and metabolic liver context.

Bilirubin, Fractionated

Bilirubin, Fractionated measures total, direct, and indirect bilirubin.

This test is included because bilirubin patterns provide liver processing and bile-flow context beyond standard liver enzymes alone.

Related Biomarker Patterns This Panel May Help Identify

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

  • Estradiol and progesterone patterns
  • FSH and LH ovarian feedback patterns
  • Testosterone, DHEA-S, and androgen availability
  • Prolactin patterns
  • Cortisol and stress-response context
  • Thyroid dysfunction or autoimmune thyroid patterns
  • Blood sugar imbalance or insulin resistance
  • Lipid and cardiometabolic risk patterns
  • Low-grade inflammation
  • Heavy bleeding, low ferritin, or iron imbalance
  • B12, folate, MMA, homocysteine, and B6 patterns
  • Vitamin D, magnesium, zinc, and selenium status
  • Kidney filtration or urine albumin changes
  • Liver and bile-flow patterns

Professional Safety and Interpretation Notice

This panel is designed to support women’s hormone balance and perimenopause-related wellness review. It does notdiagnose perimenopause, menopause, infertility, thyroid disease, hormone imbalance, PCOS, adrenal disease, cardiovascular disease, kidney disease, or any condition by itself.

Results should be interpreted with a licensed healthcare provider and reviewed alongside symptoms, age, menstrual-cycle history, menopause status, hormone therapy use, medications, supplements, personal health history, family history, and health goals.

Do not stop or change any prescribed medication, hormone therapy, or supplement without guidance from your healthcare provider.

How to Prepare for This Panel

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

  • Timing may matter for estradiol, progesterone, FSH, LH, testosterone, and other hormone markers.
  • Morning collection may be preferred for cortisol and testosterone.
  • Fasting may be recommended because glucose, insulin, and lipid markers are included.
  • Bring a list of medications, supplements, hormone products, thyroid medications, and doses.
  • Note menstrual cycle timing, last menstrual period, cycle regularity, perimenopause symptoms, menopause status, and hormone therapy use.
  • Note symptoms such as hot flashes, night sweats, sleep changes, mood changes, brain fog, libido changes, weight changes, fatigue, heavy bleeding, acne, or hair thinning.
  • Drink water normally unless instructed otherwise.
  • 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 findings into areas such as estrogen and progesterone patterns, ovarian signaling, androgen balance, thyroid function, adrenal stress, blood sugar, insulin resistance, cardiometabolic risk, inflammation, iron status, B-vitamin status, magnesium and nutrient balance, kidney function, urine health, and liver/bile-flow context.

During the physician consultation, you can discuss whether your results suggest the need for follow-up testing, hormone timing review, thyroid review, metabolic care, nutrient support, medication review, lifestyle changes, or additional clinical evaluation.

Additional Panels to Consider

Customers interested in the Women’s Hormone Balance & Perimenopause Advanced Lab Panel may also consider:

  • Women’s Hormone Balance & Perimenopause Essential Lab Panel
  • Women’s Hormone Balance & Perimenopause Comprehensive Lab Panel
  • Menopause & Postmenopause Wellness Lab Panel
  • Female Hormone Therapy Safety Lab Panel
  • Fertility & Reproductive Health Lab Panel
  • Thyroid & Metabolism Lab Panel
  • Fatigue, Low Energy & Brain Fog Lab Panel
  • Weight Loss Resistance & Metabolism Lab Panel
  • Heart Health & Cholesterol Lab Panel
  • Vitamin, Mineral & Nutrient Deficiency Lab Panel
  • Stress, Cortisol, Sleep & Burnout Lab Panel
  • Hair Loss, Skin Health & Nutrient Lab Panel

FAQ: Women’s Hormone Balance & Perimenopause Advanced Lab Panel

What is the Women’s Hormone Balance & Perimenopause Advanced Lab Panel?

The Women’s Hormone Balance & Perimenopause Advanced Lab Panel is a blood and urine test panel that evaluates female hormones, ovarian signaling, androgen balance, adrenal stress markers, thyroid function, blood sugar, insulin resistance, cardiovascular risk, inflammation, iron status, nutrient status, kidney function, urine health, and liver/bile-flow markers.

Can this panel diagnose perimenopause?

No. This panel does not diagnose perimenopause by itself. Perimenopause is usually reviewed using symptoms, age, menstrual-cycle changes, medical history, and clinical judgment. Lab results can provide helpful biomarker context but should not be interpreted alone.

What hormone tests are included for perimenopause?

This panel includes estradiol, progesterone, FSH and LH, prolactin, testosterone with SHBG, DHEA-S, and morning cortisol.

Why are thyroid tests included?

Thyroid symptoms can overlap with perimenopause symptoms, including fatigue, weight changes, mood shifts, hair changes, temperature sensitivity, sleep problems, and brain fog. This panel includes TSH, Free T4, Free T3, and thyroid antibodies.

Why are insulin and A1c included?

Insulin and A1c help evaluate blood sugar and insulin resistance patterns. These may be relevant when perimenopause symptoms overlap with weight changes, cravings, belly fat, fatigue, and energy crashes.

Why are ApoA1+B and Lipoprotein(a) included?

These advanced cardiovascular markers provide added cardiometabolic context. Cardiovascular risk becomes increasingly important during and after the menopause transition.

Why are ferritin and iron/TIBC included?

Ferritin and iron/TIBC help evaluate iron storage and iron availability. They may be useful when fatigue, hair shedding, heavy periods, dizziness, restless legs, or low stamina are present.

Why are B12, folate, MMA, homocysteine, and B6 included?

These markers help evaluate B-vitamin status, methylation, nerve function, brain fog, mood, and anemia-related patterns.

Should I choose Essential, Advanced, or Comprehensive?

Choose Essential for a focused hormone, thyroid, iron, metabolic, inflammation, nutrient, and urine baseline. Choose Advanced for deeper androgen, adrenal, thyroid antibody, cardiometabolic, B-vitamin, kidney, and liver markers. Choose Comprehensive for the broadest review of perimenopause symptoms, hormone pathways, bone-mineral health, omega fatty acids, and advanced wellness markers.

Important Note

This panel is designed to help evaluate selected biomarkers that may be related to women’s hormone balance, perimenopause symptoms, thyroid function, androgen balance, adrenal stress, metabolic health, inflammation, iron status, nutrient status, kidney function, liver function, and general wellness. It is not intended to diagnose, treat, cure, or prevent disease by itself. Results should be reviewed with a licensed healthcare provider.

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