Reproductive Hormones

Measure your reproductive hormones that include Gonadotropin Releasing Hormone (GnRH), Luteinising Hormone (LH), Follicle Stimulating Hormone (FSH), Prolactin (PRL), Estradiol (E2), Progesterone (P4), and Testosterone (T) with Ulta Lab Tests and get your results in one to two days confidentially online.

Are you concerned about reproductive hormones imbalance? Read below to find out about the benefits of reproductive hormone lab tests!


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17-hydroxyprogesterone is elevated in patients with congenital adrenal hyperplasia (CAH). CAH is a group of autosomal recessive diseases characterized by a deficiency of cortisol and an excess of ACTH concentration. 17-hydroxyprogesterone is also useful in monitoring cortisol replacement therapy and in evaluating infertility and adrenal and ovarian neoplasms.

17-ketosteroids can be used as indicators of adrenal and testicular and to a lesser extent the ovarian function.

Determination of ACTH is useful in differentiating between primary and secondary adrenocortical hypo- and hyperfunctional disorders: Addison's disease, Cushing's syndrome, adrenal carcinoma, ectopic ACTH syndrome, and adrenal nodular hyperplasia.

Determination of aldosterone is useful in the diagnosis and evaluation of primary aldosteronism, selective hypoaldosteronism, edematous states, and other conditions of electrolyte imbalance

Approximately 1-2% of individuals with primary hypertension have primary hyperaldosteronism characterized by hypokalemia (low potassium) and low direct renin. Because serum aldosterone concentrations vary due to dietary sodium intake and body position, some physicians prefer measurement of 24-hour urine concentration for aldosterone.

The Aldosterone-renin ratio is used to screen for primary aldosteronism

Androstenedione is useful when evaluating patients with androgen excess and managing patients with Congenital Adrenal Hyperplasia (CAH).


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Cortisol is increased in Cushing's Disease and decreased in Addison's Disease (adrenal insufficiency). Patient needs to have the specimen collected between 7 a.m.-9 a.m.


Deoxycorticosterone (DOC) is a weak mineralocorticoid derived from 21-hydroxylation of progesterone in the adrenal cortex.

DHEA is a weakly androgenic steroid that is useful when congenital adrenal hyperplasia is suspected. It is also useful in determining the source of androgens in hyperandrogenic conditions, such as polycystic ovarian syndrome and adrenal tumors.

DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors. About 10% of hirsute women with polycystic ovarian syndrome (PCOS) have elevated DHEA-S but normal levels of other androgens.

DHEA-S is the sulfated form of DHEA and is the major androgen produced by the adrenal glands. This test is used in the differential diagnosis of hirsute or virilized female patients and for the diagnosis of isolated premature adrenarche and adrenal tumors. About 10% of hirsute women with Polycystic Ovarian Syndrome (PCOS) have elevated DHEA-S but normal levels of other androgens.


DHT is a potent androgen derived from testosterone via 5-alpha-reductase activity. 5-alpha-reductase deficiency results in incompletely virilized males (phenotypic females). This diagnosis is supported by an elevated ratio of testosterone to DHT.


Elevated levels of serum erythropoietin (EPO) occur in patients with anemias due to increased red cell destruction in hemolytic anemia and also in secondary polycythemias associated with impaired oxygen delivery to the tissues, impaired pulmonary oxygen exchange, abnormal hemoglobins with increased oxygen affinity, constriction of the renal vasculature, and inappropriate EPO secretion caused by certain renal and extrarenal tumors. Normal or depressed levels may occur in anemias due to increased oxygen delivery to tissues, in hypophosphatemia, and in polycythemia vera.

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Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.

IMPORTANT - Note this Estradiol test is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute in Estradiol, Ultrasensitive LC/MS/MS - #30289 at an additional charge of $34


Estradiol and Testosterone Total contains the following tests.

  • Estradiol
  • Testosterone, Total, LC/MS/MS

IMPORTANT - Note the Estradiol test included in this panel is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute Estradiol, Free, LC/MS/MS at an additional fee of $290.00


Much of Estradiol is bound to proteins. The unbound portion and Estradiol bound to proteins with low affinity reflect the Free concentration. The Free Estradiol may better correlate with medical conditions than the Total Estradiol concentrations.


Estradiol, FSH and Testosterone Free and Total panel contains the following test.

  • Estradiol
  • FSH (Follicle Stimulating Hormone)
  • Testosterone, Free (Dialysis) and Total LC/MS/MS

Estradiol, FSH, SHBG, Testosterone Free and Total Panel contains the following tests:

  • Estradiol
  • FSH (Follicle Stimulating Hormone)
  • Sex Hormone Binding Globulin (SHBG)
  • Testosterone, Free (Dialysis) and Total LC/MS/MS


Estrogens are a group of steroids that regulate the menstrual cycle and function as the main female sex hormones. The most common forms of estrogens tested are estrone (E1), estradiol (E2), and estriol (E3). 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. E1 and E2 are the two main estrogens in non-pregnant females.Estrone (E1) is derived from metabolites from the adrenal gland and is often made in adipose tissue (fat). Estrone can be converted into estrdiol or estriol when needed. Estrone is present in small amounts in children prior to puberty and then increases slightly at puberty for both males and females. While levels remain constant in adult males, it will increase and fluctuate for females during the menstrual cycle. After menopause, it becomes the major estrogen, with E2 and E3 levels diminishing greatly.Estradiol (E2) is the predominant form 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. In menstruating women, levels vary throughout the month, rising and falling in concert with FSH (follicle-stimulating hormone), LH (luteinizing hormone), and progesterone as follicles are stimulated in the ovaries, an egg is released, and the uterus prepares for a potential pregnancy. The level is lowest at the beginning of the menstrual cycle and rise to their highest level just before the release of an egg from the ovary (ovulation). Normal levels of estradiol provide for proper ovulation, fertilization of the egg (conception), and pregnancy, in addition to promoting healthy bone structure and regulating cholesterol levels.


The placenta converts DHEA-S produced by the fetal adrenals to Estriol and other estrogens. Estriol is useful in assessing the fetal adrenals and placenta during pregnancy. More commonly, Estriol is one of the maternal serum biochemical markers used to screen for common chromosomal trisomies, especially Down syndrome.


Did you know that your reproductive hormones affect more than your fertility? Did you know that they can cause balding, abnormal hair growth, mood swings, and more?

If you're experiencing odd symptoms like these, you may need to get a reproductive hormone lab test to test the levels of your reproductive hormones. Getting tests for reproductive hormones can help you determine if you need to go on hormone replacement. Even if you aren't looking to conceive anytime soon, it's important to make sure that you have the right balance of hormones in your body.

To learn more about reproductive hormones and how they affect your body, keep reading. It may be time for you to get a reproductive hormone test.

What Is a Reproductive Hormone Imbalance?

Reproductive hormone imbalance sounds exactly what it's like. It's an imbalance of the reproductive hormones in your body. These include estrogen, testosterone, luteinizing hormone, follicle-stimulating hormone, and more.

There are many different kinds of reproductive hormone imbalances, and each condition causes different symptoms with different outcomes. However, there are four main kinds of reproductive hormone imbalances that we'll focus on for now:

  1. Ovarian insufficiency
  2. Menopausal symptoms
  3. Polycystic Ovarian Syndrome
  4. Low testosterone in men

Hormone imbalances can happen in men and women.

What Are the Risk Factors for a Reproductive Hormone Imbalance?

Since physicians don't know much about the causes of hormone imbalances, it's hard to say what kind of things put people at a greater risk for developing them. However, researchers have noticed a few trends in the population of those with hormone imbalances.

Here are some of the commonalities researchers and physicians found in those with hormone imbalances:

  • Older ages
  • Higher weights
  • Poor diets
  • Little to no exercise
  • High stress
  • Presence of toxins in their diets

We should note that these risk factors do not determine whether someone has a hormone imbalance. These are simply trends in the patient population. So, if you believe that you may have a hormone imbalance, you should talk to your doctor even if these qualities don't describe you.

What Causes a Reproductive Hormone Imbalance?

Since there are different kinds of reproductive hormone imbalances, each kind of imbalance comes about differently. Although, every imbalance starts with the endocrine system. And most causes are unknown.

Some researchers believe that hormone imbalances are autoimmune in nature, while others think that diet and environment affect hormones.

With the current research on the subject, it's hard to pinpoint a specific cause.

What Are the Signs and Symptoms of a Reproductive Hormone Imbalance?

There is a multitude of symptoms that can come from a hormone imbalance. Because the imbalance could lead to too much or too little of a hormone, patients are sitting at both ends of the spectrum when it comes to symptoms.

This means that some patients may have chills while others have hot flashes. Some could be hungry all the time, while others are never hungry. It depends on the condition that they have.

Ovarian insufficiency happens when the ovaries don't develop properly. This could be because of an autoimmune problem or a lack of proper endocrine signaling. Because of the fertility problems that come with this, this condition is also known as premature menopause.

The ovaries can also become damaged due to chemotherapy or radiation. This is why many women who go through this kind of cancer cannot have children after they receive treatments.

The damaged ovaries can cause an imbalance of progesterone and estrogen in the system. This leads to a myriad of symptoms like night sweats, vaginal dryness, and hot flashes.

Menopause is another kind of hormonal imbalance, although it's completely normal to go through this kind of hormonal imbalance. During this time, the levels of estrogen and progesterone in the body are low.

However, hormone replacement therapy may help some women avoid the symptoms that come with menopause.

Polycystic ovarian syndrome (PCOS) is a hormonal imbalance that refers to high testosterone production in the female body. The introduction of too many male hormones can cause irregular periods, fatigue, mood swings, abnormal hair growth, and more.

Furthermore, the condition can lead to insulin resistance, diabetes, and cardiovascular disease.

Some people believe that PCOS is an autoimmune condition of the endocrine system. However, this has not been proven.

Lastly, low testosterone in men may affect fertility, strength, energy, and metabolism. Over time, the imbalance can lead to low bone density then osteoporosis.

Like hormone imbalances in women, hormone imbalances in men should be caught and treated as soon as possible. 

What Are the Lab Tests to Diagnose a Reproductive Hormone Imbalance?

To determine whether or not you have a hormone imbalance, you have to do some lab work. Luckily, our team here at Ulta Lab Tests offers a wide variety of lab tests to determine whether or not you have enough of each reproductive hormone.

Our reproductive hormone tests look at estrogen, testosterone, progesterone, and more. By measuring the levels of each, we can help you determine whether or not you have a hormone imbalance.

If you determine that you do have a hormone imbalance, you can start talking to your doctor about a treatment plan that's right for you. If your lab tests come back normal, you may need to discuss your symptoms with your physician to see if something else is going on.

Testing Your Reproductive Hormones

What are you waiting for? If you're showing signs of unbalanced reproductive hormones, you need to act fast. If left untreated, your hormone levels will only get worse.

Ulta Lab Tests offers tests that are highly accurate and reliable so you can make informed decisions about your health. Here are a few great things to love about Ulta Lab Tests:

  • You'll get secure and confidential results
  • You don't need health insurance
  • You don't need a physician's referral
  • You'll get affordable pricing
  • We offer a 100% satisfaction guarantee 

Order your hormone lab tests today and your results will be provided to you securely and confidentially online in 24 to 48 hours for most tests.

Take control with Ulta Lab Tests today!