Ulta Lab Tests

All Pregnancy and Fertility Tests

All Pregnancy and Fertility Tests brings together the labs most people need from preconception through trying to conceive and prenatal care. These tests evaluate ovulation and ovarian reserve, male hormone balance, thyroid and prolactin, STI screening, and whole-health markers that affect conception and pregnancy (glucose, lipids, iron, liver/kidney function). During pregnancy, targeted labs help confirm maternal wellness, assess gestational diabetes, and monitor for preeclampsia/HELLP and infections that guide newborn care.

A proactive, stepwise plan typically starts with fertility hormones (AMH, day-3 FSH/LH/E2, mid-luteal progesterone), TSH/prolactin, and male hormones when indicated. Add STI screening, immunity titers, and carrier tests as guided by your clinician. In pregnancy, use baseline prenatal panels, glucose testing (24–28 weeks), and third-trimester assessments based on risk. These labs support screening, diagnostic triage, and monitoring, but they do not replace a clinician’s exam, ultrasound, tubal imaging, semen analysis, fetal testing, or urgent care when warning signs appear.

Signs, Symptoms & Related Situations

  • Fertility & cycle clues: irregular or absent periods, short/prolonged cycles, mid-cycle spotting, uncertainty about ovulation timing

  • Androgen/PCOS features: acne, unwanted hair growth, scalp hair thinning, weight gain, insulin resistance

  • Male sexual health: low libido, erectile difficulties, fewer morning erections, fatigue

  • Thyroid/prolactin hints: heat/cold intolerance, hair loss, galactorrhea, palpitations

  • Pregnancy care: anemia symptoms (fatigue, pallor), itching of palms/soles (bile acids), high blood-pressure symptoms, UTI symptoms

  • Infection risk: new STI exposure, incomplete vaccination/immunity

  • Seek urgent care now: severe pelvic or testicular pain, heavy bleeding, fever with pelvic pain, chest pain, shortness of breath, severe headache/vision changes, decreased fetal movement, or signs of ectopic pregnancy

All symptoms and risks should be evaluated by a qualified clinician.

Why These Tests Matter

What testing can do

  • Confirm ovulation and estimate ovarian reserve to guide timing and planning

  • Identify endocrine drivers of infertility (thyroid, prolactin, androgens/testosterone)

  • Detect silent infections that affect fertility and pregnancy outcomes

  • Establish baselines for pregnancy and monitor gestational diabetes and hypertensive disorders

  • Track trends to measure progress after lifestyle or clinical changes

What testing cannot do

  • Guarantee pregnancy or replace imaging for uterine/tubal or testicular/vascular problems

  • Diagnose endometriosis or tubal blockage from blood tests alone

  • Replace partner testing; a semen analysis is essential in a couple’s evaluation

  • Provide treatment or dosing advice—review results with your clinician

What These Tests Measure (at a glance)

  • Female fertility

    • Ovulation: Progesterone (mid-luteal)

    • Ovarian reserve: AMH; day-3 FSH/LH/Estradiol

    • Endocrine context: Prolactin, TSH ± Free T4

    • PCOS profile (as indicated): Total/Free Testosterone, DHEA-S, SHBG, 17-Hydroxyprogesterone

  • Male fertility (hormones)

    • Morning Total Testosterone, Free T/SHBG, LH/FSH, Prolactin (semen analysis is ordered separately)

  • Preconception & sexual health

    • STI screens: Chlamydia/Gonorrhea NAAT, Trichomonas NAAT, HIV 4th-gen, Syphilis, Hepatitis B/C

    • Immunity titers: Rubella IgG, Varicella IgG (clinician-guided)

    • Carrier tests (e.g., hemoglobinopathy, CFTR, SMA)—clinician-directed

  • Prenatal care (stage-specific)

    • Type & Screen (ABO/Rh) with Antibody Screen, CBC, Urine culture, iron studies for anemia

    • Gestational diabetes: clinician-directed screening at 24–28 weeks; A1c may provide context but does not replace OGTT

    • Preeclampsia/HELLP work-up: Platelets, AST/ALT, Creatinine, Urine protein/creatinine ratio (± LDH, Uric acid)

    • Cholestasis (ICP): Total bile acids when itching persists

Note: Group B Strep (GBS) screening at 36–37 weeks is a swab done by your clinician (not a blood test).

Quick Build Guide

Goal / Scenario Start with Add if needed
Preconception readiness Type & Screen (clinician-directed) • CBC • Ferritin/Iron • TSH • Rubella/Varicella IgG • STI screen A1c • Vitamin D • Lipids • Urine culture
Trying to conceive—baseline AMH • Day-3 FSH/LH/E2 • Mid-luteal Progesterone • TSH • Prolactin A1c • Lipids • CBC/CMP • Vitamin D
Irregular cycles/PCOS suspected TSH • Prolactin • AMH Total/Free T • DHEA-S • SHBG • 17-OH-Progesterone • A1c/Insulin • Lipids
Male evaluation (hormones) AM Total T • Free T/SHBG • LH/FSH • Prolactin Estradiol (sensitive) • A1c • Lipids
Early prenatal baseline Type & Screen • CBC • HIV • Syphilis • HBsAg • HCV Ab • Urine culture Rubella/Varicella IgG • TSH (if history) • A1c (context)
24–28 week screen Clinician-directed gestational diabetes test CMP • A1c (context)
Preeclampsia concern Platelets • AST/ALT • Creatinine • Urine protein/Cr LDH • Uric acid
Itching in late pregnancy Total bile acids AST/ALT • Bilirubin

How the Testing Process Works

  1. Choose your path: fertility hormones, male hormone panel, STI/preconception labs, or prenatal panels by trimester.

  2. Time it right: AMH any day; day-3 FSH/LH/E2 on cycle day 3; progesterone ~7 days before your next period; male hormones in the morning. Follow clinician timing for pregnancy labs.

  3. Prepare as directed: most tests don’t require fasting. Fast only for ordered fasting glucose/insulin or lipids. Avoid urinating ≥1 hour before a urine NAAT.

  4. Provide samples: standard blood draw; urine or swabs for NAATs; urine for protein/creatinine when requested.

  5. Review & act: results post to your secure account. Discuss with your clinician to align labs with ultrasound, imaging, semen analysis, and monitoring.

Interpreting Results (General Guidance)

  • Progesterone pattern consistent with ovulation → confirms timing; consider repeating in variable cycles.

  • AMH with day-3 FSH/E2 → estimates ovarian reserve and likely response to stimulation; not a monthly conception predictor.

  • Elevated prolactin or abnormal TSH → can disrupt ovulation/sexual function; requires clinician evaluation.

  • Androgen elevations with metabolic changes → support a PCOS pattern; diagnosis uses clinical criteria and sometimes ultrasound.

  • Low morning testosterone (men) → repeat AM; interpret with LH/FSH; pair with semen analysis.

  • Prenatal panels → low Hb/ferritin suggest iron deficiency; abnormal platelets, AST/ALT, creatinine, or urine protein/Cr raise concern for preeclampsia/HELLP; elevated bile acids suggest ICP.
    Always interpret patterns with a qualified healthcare professional; trends and context matter more than a single value.

Choosing Panels vs. Individual Tests

  • Core fertility panel (female): AMH • Day-3 FSH/LH/E2 • Mid-luteal Progesterone • TSH • Prolactin

  • PCOS/irregular cycle add-ons: Total/Free Testosterone • SHBG • DHEA-S • 17-OH-Progesterone • A1c/Insulin • Lipids

  • Male hormone panel: AM Total T • Free T/SHBG • LH/FSH • Prolactin (semen analysis separate)

  • Preconception screen: STI panel • CBC • Ferritin/Iron • TSH • Rubella/Varicella IgG

  • Prenatal baselines: Type & Screen • CBC • HIV • Syphilis • HBsAg • HCV Ab • Urine culture

  • Pregnancy add-ons: Gestational diabetes testing • Platelets/AST/ALT/Creatinine/Urine protein/Cr • Bile acids
    Use bundled panels for efficiency, then add individual markers to answer specific questions and monitor progress.

FAQs

When should fertility testing start?
If you’re <35, after 12 months of trying; if ≥35, after 6 months; sooner for irregular cycles or known risks.

Do I need to fast?
Fast only if your order includes fasting glucose/insulin or lipids.

Does AMH predict my exact chance of pregnancy?
No. AMH estimates ovarian reserve and likely response to stimulation, not month-to-month chances.

Can blood tests diagnose blocked tubes or endometriosis?
No. Those require imaging and sometimes laparoscopy.

Do male hormone tests replace a semen analysis?
No. Semen analysis is essential in a couple’s work-up.

What labs check for preeclampsia?
Platelets, AST/ALT, creatinine, and urine protein/creatinine ratio—with blood pressure and symptoms.

Is GBS screening a blood test?
No. It’s a vaginal/rectal swab at 36–37 weeks, performed by your clinician.

Related Categories & Key Tests

  • Pregnancy & Fertility Tests Hub

  • Reproductive Hormone Tests (Pregnancy & Fertility) • Women’s Infertility Tests • Male Infertility Tests • Prenatal Health Tests • Pregnancy Third Trimester Tests • Infection STD Tests • Gestational Diabetes

  • Key Tests: AMH • Day-3 FSH • LH • Estradiol • Mid-luteal Progesterone • Prolactin • TSH • Free T4 • Total Testosterone (AM) • Free Testosterone • SHBG • DHEA-S • 17-Hydroxyprogesterone • hCG (quant) • CBC • Ferritin • Iron/TIBC • HIV 4th-gen • Syphilis • Hepatitis B Surface Antigen • Hepatitis C Antibody • Chlamydia/Gonorrhea/Trichomonas NAAT • Rubella IgG • Varicella IgG • Type & Screen • Platelets • AST • ALT • Creatinine/eGFR • Urine Protein/Creatinine Ratio • Bile Acids • A1c • Fasting Glucose • Lipid Panel • CMP • Vitamin D

References

  • American College of Obstetricians and Gynecologists (ACOG) — Infertility evaluation and prenatal screening guidance.
  • American Society for Reproductive Medicine (ASRM) — Fertility evaluation; AMH and ovarian reserve guidance.
  • Endocrine Society — PCOS and testosterone deficiency clinical practice guidelines.
  • Society for Maternal-Fetal Medicine (SMFM) — Hypertensive disorders, cholestasis, and gestational diabetes resources.
  • Centers for Disease Control and Prevention (CDC) — STI screening in adults and pregnancy.
  • American Diabetes Association — Standards of Care in Diabetes: Pregnancy.
  • World Health Organization — Antenatal care recommendations.
  • Clinical reviews on mid-luteal progesterone timing, hCG trends, and interpretation of day-3 FSH/E2.

Available Tests & Panels

Your All Pregnancy and Fertility Tests menu is pre-populated in the Ulta Lab Tests system. Start with a core fertility or prenatal panel based on your goal, then use filters to add PCOS/androgen markers, male hormone tests, STI/preconception labs, or pregnancy monitoring (glucose, preeclampsia, bile acids). Follow timing instructions and review results with your clinician to coordinate imaging, semen analysis, and next steps.

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The 17-Hydroxyprogesterone (17-OHP) Test measures levels of 17-OHP, a hormone made by the adrenal glands, to help diagnose congenital adrenal hyperplasia (CAH) and other adrenal disorders. Elevated levels may indicate enzyme deficiencies affecting cortisol production, while low levels can suggest adrenal insufficiency. Doctors order this test for infants with ambiguous genitalia or adults with irregular periods, infertility, or abnormal androgen symptoms.

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Also Known As: 17-OHP Test, 17-OH Progesterone Test
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The Hemoglobin A1c (HbA1c) Test measures average blood glucose over 2–3 months by detecting sugar attached to hemoglobin in red blood cells. It is used to diagnose diabetes, identify prediabetes, and monitor long-term blood sugar control. Doctors rely on the HbA1c test to evaluate treatment effectiveness, guide adjustments, and assess risk for complications, making it essential for diabetes care and metabolic health screening.

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Also Known As: Hemoglobin A1c Test, HbA1c Test, Glycated Hemoglobin Test
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The ABO Group and Rh Type Test identifies a person’s blood type by determining ABO group (A, B, AB, or O) and Rh factor (positive or negative). This test is essential before blood transfusions, organ transplants, or pregnancy care, where compatibility is critical. Doctors use it to prevent transfusion reactions, manage Rh incompatibility in pregnancy, and ensure safe medical procedures. Results provide vital insight into blood type and overall health management.

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Also Known As: Blood Type Test
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The ACTH Test measures adrenocorticotropic hormone in blood to evaluate pituitary and adrenal gland function. Abnormal ACTH levels may indicate Cushing’s syndrome, Addison’s disease, adrenal tumors, or pituitary disorders. Doctors order this test to investigate symptoms such as fatigue, weight changes, weakness, or high blood pressure. Results provide vital insight into endocrine health, cortisol regulation, and adrenal-pituitary balance.

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Also Known As: Adrenocorticotropic Hormone Test, Corticotropin Test
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The Advanced Methylation Precision Panel is Ulta Lab Tests’ most comprehensive evaluation of methylation-related health. This panel organizes laboratory testing across core methylation pathways, integrating nutrient status, functional biomarkers, genetic factors, inflammation, oxidative stress, and metabolic context.

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Panel Contains Test: MTHFR and Methylation Test, Genetic Methylation Pathway Panel, Folate, B-Vitamins & Genetics Test, Intermediate Epigenetic Health Panel, Genetic & Enzymatic Methylation Panel, Folate–B12–MTHFR Pathway Panel
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The Alpha Fetoprotein (AFP) Tumor Marker Test measures AFP levels in blood to help detect and monitor cancers such as liver cancer, testicular cancer, and certain ovarian tumors. Elevated AFP may also be seen with liver disease, cirrhosis, or hepatitis. Doctors order this test for patients at risk of or being treated for cancer. Results provide essential insight for diagnosis, monitoring treatment response, and tracking cancer recurrence or progression.

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Also Known As: Alpha-Fetoprotein Test, AFP Tumor Marker Test
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The Aldosterone 24 Hour Urine Test evaluates adrenal hormone output across 24 hours, offering information about blood pressure regulation, fluid balance, and electrolyte control. Elevated or low levels may suggest primary aldosteronism, adrenal tumors, or secondary hypertension. This test supports assessment of kidney function, cardiovascular health, and endocrine disorders linked to aldosterone imbalance.

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The Aldosterone and Plasma Renin Activity Ratio Test measures levels of aldosterone and renin to assess adrenal and kidney function. An elevated ratio may indicate primary aldosteronism, a common cause of secondary hypertension. Doctors use this test to evaluate patients with high blood pressure, low potassium, or suspected adrenal disorders. Results help diagnose conditions like Conn’s syndrome, guide treatment, and reduce cardiovascular risks from uncontrolled hypertension.

Also Known As: Aldosterone/Plasma Renin Activity Ratio Test, Aldosterone and Renin Activity Test
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The Aldosterone Test measures levels of aldosterone, a hormone produced by the adrenal glands that helps regulate blood pressure, sodium, and potassium balance. Abnormal levels may indicate primary aldosteronism, adrenal tumors, kidney disease, or secondary hypertension. Doctors use this blood test to investigate high blood pressure, electrolyte imbalances, or suspected adrenal disorders, helping guide diagnosis, treatment, and long-term patient management.

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Also Known As: Aldosterone Plasma Test
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The Alpha-Fetoprotein (AFP) and AFP-L3 Test measures total AFP and the AFP-L3 fraction, which is more specific for liver cancer risk. Elevated AFP may indicate liver disease, germ cell tumors, or hepatitis, while AFP-L3 is strongly associated with hepatocellular carcinoma (HCC). Doctors order this test to assess liver function, screen high-risk patients, and monitor cancer treatment. Results provide critical insight into liver health and cancer detection.

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Also Known As: AFP Test, Total AFP Test, Alpha-Fetoprotein Tumor Markers, Alpha-Fetoprotein Test
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The Female Anti-Mullerian Hormone (AMH) Test measures AMH levels in blood to evaluate ovarian reserve and fertility potential. AMH reflects the number of eggs remaining and helps predict response to fertility treatments such as IVF. Doctors use this test to assess reproductive lifespan, investigate irregular cycles, or diagnose conditions like polycystic ovary syndrome (PCOS). Results provide key insight into fertility, ovarian health, and reproductive planning.

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Also Known As: Anti-Mullerian Hormone Test, Mullerian-Inhibiting Hormone Test
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The Androstenedione Test measures levels of this steroid hormone, produced by the adrenal glands and ovaries or testes, which converts into testosterone and estrogen. Abnormal results may indicate PCOS, adrenal tumors, congenital adrenal hyperplasia, or ovarian/testicular disorders. Doctors order this test for irregular periods, infertility, excess hair growth, or early puberty. Results provide key insight into hormone balance, adrenal function, and reproductive health.

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Also Known As: AD Test
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The Antibody Screen RBC with Reflex to Identification detects unexpected antibodies in red blood cells that may cause transfusion reactions or pregnancy complications. If antibodies are found, reflex testing identifies their specificity. Doctors use this test to ensure safe blood transfusions, evaluate prenatal risks of hemolytic disease of the newborn, and guide compatibility testing, helping protect patients during transfusion and pregnancy care.

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The Bilirubin Direct Test measures conjugated bilirubin in the blood to assess liver function and bile duct health. Elevated levels may indicate hepatitis, cirrhosis, gallstones, or bile duct obstruction, while low levels are generally normal. Doctors order this test for patients with jaundice, fatigue, or suspected liver disease. Results help diagnose and monitor liver disorders, guide treatment decisions, and evaluate overall hepatic and biliary health.

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Also Known As: Direct Bilirubin Test
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The C-Reactive Protein (CRP) Test measures CRP levels in blood to detect inflammation in the body. Elevated CRP may indicate infections, autoimmune disorders, or chronic diseases such as arthritis, cardiovascular disease, or inflammatory bowel disease. Doctors use this test to assess acute illness, monitor treatment response, and evaluate risk for heart disease. The CRP test provides key insight into inflammation, immune health, and overall wellness.

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Also Known As: CRP Test, Inflammation Test
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The Complete Blood Count with Differential and Platelets Test is a comprehensive blood test that checks red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. The differential analyzes types of white blood cells to detect infections, anemia, clotting abnormalities, immune conditions, and certain cancers. This essential test is often ordered for routine health exams, diagnosis, and monitoring treatment progress.

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Also Known As: CBC Test, CBC with Differential and Platelets Test, CBC w/Diff and Platelets Test, Full Blood Count Test, Complete Blood Count Test
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The Comprehensive Metabolic Panel (CMP) Test measures 21 markers to assess metabolic health, liver and kidney function, and electrolyte balance. It includes glucose, calcium, sodium, potassium, chloride, CO2, albumin, globulin, A/G ratio, total protein, bilirubin, ALP, AST, ALT, BUN, creatinine, BUN/creatinine ratio, and eGFR. The CMP helps detect diabetes, liver or kidney disease, and supports routine screening and chronic condition monitoring.

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Also Known As: CMP Test, Chemistry Panel Test, Chem Test, Chem 21 Test, Chem 14 Test 
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The Cortisol AM Test measures morning cortisol levels in blood to evaluate adrenal gland function and stress response. Cortisol peaks in the morning, making this test critical for detecting adrenal insufficiency (Addison’s disease), Cushing’s syndrome, or other hormone imbalances. Doctors also use it to investigate fatigue, weight changes, or high blood pressure. This test provides important insight into endocrine health, metabolism, and long-term stress regulation.

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Also Known As: Morning Cortisol Test
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The Cortisol Total Test measures cortisol levels in blood to assess adrenal gland and pituitary function. Cortisol regulates stress response, metabolism, and immune health. Abnormal results may indicate Cushing’s syndrome, Addison’s disease, or other hormone disorders. Doctors order this test to evaluate symptoms like fatigue, weight changes, weakness, or high blood pressure and to monitor treatment. It provides essential insight into hormone balance and endocrine health.

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Also Known As: Cortisol Blood Test
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