Ulta Lab Tests

All Hormone and Adrenal Tests

Your endocrine system controls energy, stress response, mood, growth, fertility, and bone health. All Hormone and Adrenal Tests centralizes the most useful blood and urine tests for the thyroid, adrenals, pituitary, and reproductive hormones—plus metabolic markers that influence hormone balance.

A proactive plan often starts with TSH (thyroid), A1c/glucose, and electrolytes/CMP, then adds targeted testing based on symptoms: cortisol/ACTH and cosyntropin for suspected adrenal insufficiency, late-night salivary cortisol/1-mg dex for hypercortisolism, sex-hormone panels for cycle or libido concerns, prolactin and IGF-1 for pituitary clues, and PTH/vitamin D/calcium for bone-mineral axis. These labs support screening, diagnostic triage, and monitoring, but they do not replace a clinician’s evaluation, imaging when indicated, or urgent care for severe symptoms.

Signs, Symptoms & Related Situations

  • Energy & mood: persistent fatigue, brain fog, low mood, sleep changes

  • Weight & metabolism: weight gain/loss, belly fat, carb cravings, high triglycerides

  • Stress & blood pressure: dizziness on standing, salt craving (low BP), resistant hypertension, headache/palpitations “spells”

  • Cycles, fertility & libido: irregular or heavy periods, hot flashes, low libido/ED, infertility questions

  • Skin & hair: acne, unwanted hair growth, scalp hair thinning, dry skin

  • Growth & structure: slowed growth in children, larger hands/feet/jaw in adults (acromegaly signs)

  • Bone & mineral: fractures, low bone density, kidney stones
    Seek urgent care now for heavy bleeding with faintness, severe headache with vision changes, chest pain, shortness of breath, one-sided weakness, confusion, or shock-like symptoms.

Why These Tests Matter

What testing can do

  • Clarify causes of common symptoms (fatigue, weight change, cycle irregularity, low libido)

  • Differentiate endocrine axes (thyroid, adrenal, pituitary, reproductive) and guide the next diagnostic step

  • Monitor trends and safety once you and your clinician set a care plan

What testing cannot do

  • Provide a diagnosis or treatment plan from one number

  • Replace specialist dynamic tests or imaging (e.g., pituitary MRI, adrenal CT, pelvic ultrasound) when needed

  • Substitute for clinical judgment or emergency evaluation

What These Tests Measure (at a glance)

  • Thyroid axis: TSH, Free T4 (± Free T3), TPO/Tg antibodies for autoimmune patterns. Biotin can interfere—follow hold instructions.

  • Adrenal insufficiency pathway: 8 a.m. cortisol + ACTH, cosyntropin stimulation; electrolytes for sodium/potassium clues.

  • Cushing/hypercortisolism pathway: Late-night salivary cortisol (x2), 1-mg dexamethasone suppression test (DST), or 24-hr urinary free cortisol (x2); ACTH to classify cause.

  • Mineralocorticoids & BP: Renin and aldosterone (ARR) for primary aldosteronism; plasma/urine metanephrines for pheochromocytoma-type spells.

  • Pituitary signals: Prolactin, IGF-1 (growth hormone action), LH/FSH with testosterone or estradiol; Free T4/TSH for central hypothyroidism.

  • Reproductive hormones: Estradiol, progesterone (mid-luteal), total/free testosterone, DHEA-S, SHBG, AMH, hCG (pregnancy). 17-OHP screens for nonclassic CAH when indicated.

  • Calcium-bone axis: PTH, calcium (total/ionized), vitamin D (25-OH), phosphorus, magnesium.

  • Metabolic context: A1c/fasting glucose (± insulin), lipid panel (± ApoB), CMP (AST/ALT, creatinine/eGFR, electrolytes).

Quick Build Guide

Goal Start with Add if needed
General endocrine screen TSH • A1c/Glucose • CMP/Electrolytes • Lipids Vitamin D • CBC/Iron
Fatigue + dizziness/low BP (AI concern) 8 a.m. Cortisol + ACTH • Electrolytes Cosyntropin test • Renin/Aldosterone
Cushing-type features Choose one: LNSC (x2) • 1-mg DST • UFC (x2) ACTH to classify if positive
Men’s low libido/energy Total T (×2 AM) • SHBG/Free T • LH/FSH • Prolactin • TSH A1c/Lipids • CMP
Perimenopause/menopause FSH/LH • Estradiol • TSH • Lipids • A1c Vitamin D • CBC/Iron • hCG if cycles continue
PCOS-type symptoms Total & Free T • DHEA-S • SHBG • TSH • Prolactin 17-OHP • LH/FSH • A1c/Lipids
Resistant hypertension or “spells” Electrolytes • Creatinine/eGFR Renin/Aldosterone (ARR) • Metanephrines
Bone/kidney stone concerns Calcium • PTH • 25-OH Vitamin D • Phosphorus • Mg 24-hr urine calcium (stone work-up)

How the Testing Process Works

  1. Pick your starting panel using the Quick Build Guide.

  2. Prepare for accuracy: follow fasting or timing notes (e.g., morning cortisol/testosterone; cycle-timed estradiol/progesterone). List all meds/supplements—steroids, oral estrogen, biotin, and some psych meds can affect results. Do not stop prescriptions without guidance.

  3. Get your draw/collection: blood (± saliva or 24-hr urine) at a nearby patient service center.

  4. Review results securely: combine labs with symptoms and exam; your clinician may order dynamic tests or imaging if indicated.

  5. Set a cadence: repeat selected markers to track trends and safety, especially after changes to therapy or lifestyle.

Interpreting Results (General Guidance)

  • Use patterns, not single values. Example: low Free T4 with inappropriately normal/low TSH suggests central hypothyroidism.

  • Adrenal algorithms rely on timing. Very low a.m. cortisol plus ACTH informs the need for cosyntropin testing.

  • Cortisol screening needs repetition. Two abnormal tests strengthen a Cushing diagnosis; medications and sleep can confound results.

  • Sex-hormone interpretation depends on SHBG. Calculated free T refines low-T or hyperandrogenism assessments.

  • Mineral axis is integrated. PTH, calcium, and vitamin D must be read together; ionized calcium helps when albumin is abnormal.
    Always interpret results with a qualified healthcare professional.

Choosing Panels vs. Individual Tests

  • Starter set (most adults): TSH • A1c/Glucose • CMP/Electrolytes • Lipids

  • Adrenal focus: 8 a.m. Cortisol + ACTH (± Cosyntropin) or LNSC/DST/UFC for hypercortisolism; ARR or Metanephrines for selected BP patterns

  • Reproductive focus: FSH/LH + Estradiol/Progesterone (women, cycle-timed) or Total/Free T + LH/FSH (men) with Prolactin as needed

  • Pituitary screen: Prolactin • IGF-1 • Free T4/TSH • Cortisol/ACTH • LH/FSH + Sex hormone

  • Bone/mineral: PTH • Calcium (± Ionized) • 25-OH Vitamin D • Phosphorus • Mg

FAQs

Do I need to fast?
Often for glucose/insulin and sometimes lipids. Most hormone tests don’t require fasting—follow your order.

When should I draw hormone tests?
Morning for cortisol and testosterone; day-3 for FSH/LH/E2; mid-luteal for progesterone.

Can supplements or meds affect results?
Yes—biotin can distort some immunoassays; steroids, oral estrogen, thyroid meds, antipsychotics and others matter. List everything you take.

Are saliva cortisol tests valid?
Late-night salivary cortisol is guideline-supported for Cushing screening when done at specified times.

Do labs alone diagnose PCOS or low testosterone?
No. Labs support the diagnosis and help rule out mimics; symptoms and clinical evaluation are essential.

How often should I retest?
Commonly 3–6 months after changes, then periodically once stable—your clinician will tailor timing.

Related Categories & Key Tests

  • Hormone Tests Hub

  • Endocrine Tests • Adrenal Insufficiency & Addison Disease • Cushing Syndrome • Thyroid Testing • Pituitary Disorders • Growth Hormone Tests • Men’s Hormone Tests • Women’s Hormone Tests • PCOS Tests • Parathyroid (PTH) • Metabolic Tests

  • Key Tests: TSH • Free T4/Free T3 • TPO/Tg Ab • 8 a.m. Cortisol • ACTH • Cosyntropin Test • Late-Night Salivary Cortisol • 1-mg DST • 24-hr UFC • Renin/Aldosterone (ARR) • Plasma/Urine Metanephrines • Prolactin • IGF-1 • LH/FSH • Total/Free Testosterone • Estradiol • Progesterone • DHEA-S • SHBG • 17-OHP • AMH • hCG • PTH • Calcium (Total/Ionized) • Vitamin D (25-OH) • Phosphorus • Magnesium • A1c/Glucose (± Insulin) • Lipid Panel • CMP

References

  • Endocrine Society — Clinical guidelines on adrenal insufficiency, Cushing syndrome, hypogonadism, hypopituitarism, and menopause.
  • American Thyroid Association — Thyroid testing and autoimmune thyroid disease guidance.
  • American Association of Clinical Endocrinology — Best practices across endocrine evaluation.
  • Pituitary Society — Consensus on acromegaly and prolactin disorders.
  • North American Menopause Society — Midlife assessment and hormone therapy monitoring.
  • Androgen Excess & PCOS Society — Hyperandrogenism and PCOS evaluation recommendations.
  • KDIGO — CKD-mineral bone disorder guidance (PTH, calcium, phosphorus).
  • American Diabetes Association — Standards of Care in Diabetes (A1c/glucose testing).

Available Tests & Panels

Your All Hormone and Adrenal Tests menu is pre-populated in the Ulta Lab Tests system. Use filters to:

  • build a starter panel (TSH, A1c/glucose, CMP, lipids),

  • add adrenal pathways (cortisol/ACTH, cosyntropin, LNSC/DST/UFC, ARR, metanephrines),

  • select reproductive or pituitary markers (FSH/LH, estradiol/progesterone or testosterone/SHBG, prolactin, IGF-1), and

  • include bone/mineral tests (PTH, calcium, vitamin D) as needed.
    Follow timing/fasting instructions and review results with your clinician to plan next steps and monitoring.

See the links below for lab testing for conditions influenced by hormone changes.

 

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The Dihydrotestosterone (DHT) Test measures levels of DHT, a potent androgen derived from testosterone, to evaluate hormone balance. Abnormal results may indicate hair loss, prostate disorders, infertility, or hormonal imbalance. Doctors order this test for men and women with symptoms such as hair thinning, acne, irregular periods, or low libido. It is also used to monitor treatment for prostate disease or hormone therapy, providing insight into reproductive and endocrine health.

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Also Known As: DHT Test
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The Dopamine Urine Test evaluates urinary dopamine levels to help identify abnormalities in catecholamine metabolism. Measuring dopamine excretion supports detection of adrenal gland disorders, neuroendocrine tumors such as pheochromocytomas, and conditions affecting nervous system regulation. This test offers key information about neurotransmitter activity, aiding in the assessment of dopamine-related disorders and underlying metabolic or endocrine imbalances.

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The Erythropoietin (EPO) Test measures levels of erythropoietin, a hormone made by the kidneys that stimulates red blood cell production. Abnormal levels may indicate anemia, chronic kidney disease, or bone marrow disorders. Elevated EPO can also occur with low oxygen levels or tumors. Doctors order this test for patients with unexplained fatigue, shortness of breath, or abnormal blood counts. Results help guide diagnosis, treatment, and monitoring of anemia-related conditions.

Blood
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Also Known As: Erythropoietin Test
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The Estradiol and Estrone Test measures two primary forms of estrogen to assess hormonal balance, ovarian function, and endocrine health. Estradiol, the most active estrogen, and estrone, the predominant form after menopause, provide insight into reproductive health, fertility, and menopausal transition. This test aids in evaluating estrogen-related disorders, hormone therapy monitoring, and overall endocrine function.

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 The Estradiol and Testosterone Free and Total Panel is a specialized blood test that evaluates key hormones involved in reproductive health, sexual development, and overall well-being. This panel measures levels of estradiol, a primary form of estrogen, as well as both free and total testosterone, which are critical for understanding hormonal balance in both men and women. Hormonal imbalances can lead to a wide range of symptoms and health issues, making this panel an essential tool for diagnosing and managing conditions related to endocrine function. By assessing these hormones, healthcare professionals can gain valuable insights into a patient’s hormonal health and identify potential underlying causes of symptoms such as infertility, low libido, or abnormal menstrual cycles.
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 The Estradiol and Testosterone Total Test is a diagnostic blood test that measures the levels of two key hormones in the body: estradiol and total testosterone. These hormones play crucial roles in various physiological processes, particularly in reproductive and sexual health, making this test important for assessing hormone balance.
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 The Estradiol and Testosterone Total (Male) test is a specialized blood test designed to measure the levels of two crucial hormones in the male body: estradiol, a form of estrogen, and testosterone. While testosterone is the primary male sex hormone responsible for the development of male reproductive tissues and the manifestation of male secondary sexual characteristics, estradiol, albeit present in lower quantities in males than females, still plays a vital role in modulating libido, erectile function, and the production of sperm.
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The Estradiol Free Test measures unbound estradiol, the biologically active form of estrogen, to evaluate hormonal balance. Free estradiol plays a critical role in reproductive health, menstrual regulation, bone strength, and cardiovascular function. Abnormal levels may indicate conditions such as infertility, polycystic ovary syndrome, menopausal transition, or estrogen-related endocrine disorders, aiding diagnostic and treatment decisions.

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The Estradiol (E2) Test measures levels of estradiol, the primary form of estrogen, to evaluate reproductive and hormonal health. It helps assess menstrual irregularities, fertility issues, menopause status, and estrogen-producing disorders. In men, it aids in diagnosing hormonal imbalances. Doctors use the estradiol test to monitor hormone therapy, ovarian function, and conditions affecting puberty, bone health, and overall endocrine balance.

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Also Known As: E2 Test, Estrogen 2 Test
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The Estradiol Ultrasensitive Test measures very low levels of estradiol (E2), the primary form of estrogen, to evaluate reproductive and endocrine health. It is especially useful for men, children, postmenopausal women, and patients on hormone therapy. Doctors use this test to assess fertility issues, menstrual irregularities, delayed or early puberty, and monitor treatment for hormone-sensitive cancers or endocrine disorders.

Also Known As: Ultrasensitive E2 Test, Ultrasensitive Estrogen 2 Test
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The Estradiol, FSH, and Testosterone Free and Total panel is a comprehensive hormonal assessment designed to evaluate the balance and levels of key sex hormones in the body. This panel includes tests for Estradiol, a form of estrogen that plays a crucial role in the reproductive system and overall health; FSH, which is pivotal in the regulation of the reproductive process; and Testosterone Free and Total, which are vital for various bodily functions beyond the reproductive system.

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 The Estradiol, FSH, SHBG, Testosterone Free and Total Panel is a comprehensive hormonal assessment used to evaluate a person's reproductive health, hormonal balance, and overall endocrine function. This panel provides crucial insights into the levels of key hormones that play significant roles in bodily functions, including development and maintenance of reproductive tissues, sexual function, bone health, and muscle mass. It is particularly useful in diagnosing various hormonal disorders and conditions related to the reproductive system, metabolism, and more.
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The Estriol (E3) Test checks blood levels of estriol, an estrogen hormone important in pregnancy. It is commonly included in the second-trimester triple or quad screen to detect chromosomal disorders such as Down syndrome and assess placental function. Estriol testing helps monitor fetal growth and maternal hormone health. Low or abnormal levels may signal pregnancy complications, guiding further testing and prenatal care decisions.

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Also Known As: E3 Test, Estrogen 3 Test
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The Fractionated Estrogens Test measures individual estrogen hormones, including estrone (E1), estradiol (E2), and estriol (E3), to evaluate reproductive and endocrine health. Abnormal levels may indicate menopause, infertility, ovarian disorders, or pregnancy complications. Doctors use this test to assess hormonal balance, investigate irregular cycles, and guide treatment decisions. It is also valuable for monitoring hormone therapy and evaluating estrogen-related conditions.

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The Estrogen Total Test measures all forms of estrogen in blood, including estradiol, estrone, and estriol, to assess reproductive and hormonal health. Abnormal levels may indicate menstrual irregularities, menopause status, infertility, or hormone-related disorders. Doctors order this test to evaluate fertility, monitor hormone therapy, and investigate symptoms such as hot flashes, irregular cycles, or abnormal bleeding. It provides key insight into endocrine and reproductive function.

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Also Known As: Total Estrogen Test, Estrogen Serum Test
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The Estrone (E1) Test measures estrone, one of the three main estrogen hormones, to assess reproductive and hormonal health. It helps evaluate ovarian function, menstrual irregularities, menopause status, and estrogen-related disorders. In men, estrone testing may detect hormonal imbalances or excess estrogen. Doctors use this test to monitor hormone therapy, fertility treatments, and conditions affecting bone health, metabolism, and overall endocrine balance.

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Also Known As: E1 Test, Estrogen 1 Test
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 The Female Basic Hormone Panel Blood Test is a fundamental diagnostic tool designed to assess the levels of key hormones that play crucial roles in a woman's reproductive health, metabolism, and overall well-being. This panel typically includes tests for DHEA Sulfate, Estradiol, Progesterone, and both Free and Total Testosterone. By evaluating these hormone levels, healthcare providers can gain insights into a woman's hormonal balance, which is essential for diagnosing and managing various health conditions.
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An Overview of Hormone Imbalance Testing

Studies show that millions of people suffering from hormonal imbalance are unaware of the condition because they do not recognize the symptoms. Hormonal imbalance is a condition that affects more than 80% of women in the United States. The imbalance in men often manifests in a decrease in testosterone levels. 

Thankfully, health researchers and practitioners conduct lab tests to help develop hormonal treatment, therapy, and management. Below is a guide to help you learn more about this condition and hormone lab tests. 

What Is a Hormonal Imbalance? 

To understand what hormone imbalance is, you should start with understanding what hormones are. The body creates hormones, tiny chemical messengers tasked with telling different organs and tissues what to do. The body produces hormones in the endocrine glands. 

Hormones are vital to how the body systems function, such as metabolism and reproduction. that is why even the slightest change in the hormonal levels in the body can result in issues that significantly impact the entire body. 

When a person is diagnosed with a hormonal imbalance, their body might have too little or too much of a particular hormone. 

What Medical Conditions Affect Hormones? 

Many different conditions can affect hormone balance, including:

  • Thyroid complications
  •  Diabetes
  • Pituitary tumors
  • Autoimmune diseases like Hashimoto's thyroiditis and Grave's disease
  • Ovarian cysts
  • PCOS

Furthermore, increased production of the growth hormone in the pituitary gland causes gigantism (acromegaly) in children. 

Risk Factors for a Hormonal Imbalance 

Studies show that lifestyle factors and increased toxin intakes are the leading causes of increased hormonal imbalance complications. Some of the other prevalent factors for this condition include: 

  • Unhealthy eating and poor diets 
  • Excess stress and depression 
  • Old age 
  • Lack of enough exercise 
  • Obesity or being overweight 
  • Consumption of toxins found in artificial food products 

Causes of a Hormonal Imbalance 

Hormone imbalance can be triggered by various things depending on the type of hormones and glands affected. Research associated such outcomes to issues like: 

  • Stress 
  • Certain medications 
  • Trauma or injury 
  • Pituitary gland tumors 
  • Eating disorders 
  • Cancerous or benign tumors 
  • Hormone replacement therapy 
  • Cancer treatments like chemotherapy 

Congenital disorders can trigger a decrease in certain hormones. Some of these disorders include complications such as: 

  • Diabetes 
  • Addison's disease 
  • Thyroiditis 
  • Hypothyroidism 
  • Thyroid nodules 
  • Hyperthyroidism 

Polycystic Ovarian Syndrome (PCOS) is the most common hormone imbalance condition in females of reproductive age. Pregnancy, breastfeeding, and menopause have also been found to trigger the imbalance in some women. 

Signs And Symptoms of a Hormonal Imbalance 

The body needs hormones to function correctly, meaning hormones are an essential part of your health. Subsequently, you can experience various symptoms depending on the increase or decrease in the production of certain hormones. Nevertheless, men and women will share signs of hormonal imbalance, which include: 

  • Infertility 
  • Irregular heart rate 
  • Unexpected weight loss or gain 
  • Joint pain, swelling or and stiffness 
  • Muscle aches, tenderness, and stiffness 
  • Frequent urination 
  • Increased thirst 
  • Sweating and increased sensitivity to heat and col 
  • Muscle weakness and fatigue 
  • Depression, anxiety, or irritability 
  • Diarrhea 
  • Constipation 

Symptoms Of Hormonal Imbalance for Females 

The signs and symptoms of hormonal imbalance in women include: 

  • Acne on the face, chest, or back 
  • Headaches 
  • Hair loss 
  • Excessive hair on the chin, face, or other body parts 
  • Night sweat 
  • Vaginal dryness 
  • Heavy, irregular periods, or missed period 
  • Painful sex 

Symptoms Of Hormonal Imbalance for Males 

Some of the common signs and symptoms of hormonal imbalance in men include: 

  • Loss of muscle mass 
  • Erectile dysfunction 
  • Difficulty with concentration 
  • Decrease in body hair 
  • Development of breast tissue 
  • Breast tenderness 
  • Loss of bone 

Children with hormonal imbalance usually experience delays in puberty. Boys have a lack of development in muscle mass or a voice that doesn't deepen. Girls will have a lack of menstrual periods and breast development. 

Diagnosis of a Hormonal Imbalance 

It is best for persons who believe they have a hormonal imbalance or notice the signs and symptoms to check with their doctor. The doctor will inquire about their medical history, ask about the symptoms they are experiencing, and do a physical exam. 

Blood tests are often done to diagnose a hormonal condition in people. The doctor can recommend further testing depending on the symptoms the person is experiencing. 

Lab Tests for Hormonal Imbalances 

A hormonal lab test often starts with a baseline blood test panel for both men and women. It will include a cortisol test that measures the cortisol (a steroid hormone produced by the adrenal gland) concentration in the blood. A DHEA exam can also be done to measure the DHEA-sulfate count in the blood. 

Checking estradiol levels is also essential. It is a test that measures the sex hormones counts in women while also assessing ovarian function. 

Men's and women's hormone test panels can include checking the luteinizing hormone or LH and FSH level or follicle-stimulating hormone. They are hormones that play a crucial role in maintaining normal reproductive system functions in men and women. For instance, assessing the testosterone levels can help determine elevated levels in females and low testosterone levels in males. 

Experts also recommend checking the thyroid-stimulating hormone to determine if the thyroid is underactive or overactive. When testing patients ' blood sugar levels, checking blood glucose and insulin levels is done, especially when ascertaining their risk of developing diabetes. 

FAQS About Hormonal Imbalances 

Q: Which specialist is the best to consult about a hormonal imbalance?  

A: It is wise to start with your family doctor. The doctor can run tests and refer you to an endocrinologist if they find or suspect you have hormone complications. 

Q: Can hormones affect our mental health? 

A: Fluctuating progesterone and estrogen hormone levels in women can lead to issues like depression and erratic moods. 

Q: What is bioidentical hormone replacement therapy? 

A: A natural hormone therapy technique uses compounds with the same structures as those the body produces to help address a hormonal imbalance problem. 

Hormone Lab Tests with Ulta Lab Tests 

Ulta Lab Tests offers tests that are highly accurate and reliable. They are an ideal option if you want precise readings to help make informed decisions about your health. With Ulta Lab Tests, you will get the following benefits: 

  • Secure and confidential results 
  • No need for health insurance 
  • Affordable pricing 
  • No need for a doctor's referral 
  • A 100% satisfaction guarantee 

Order your hormone lab tests today and get results securely online within 24 to 48 hours for most tests. 

Shop with Ulta Lab Tests and start taking charge of your health today.