Blood Testing in Germany
Blood Testing in Germany ranges from €8.23 to €15,900 across 18 providers in 6 cities. Panels test between 5 and 21 biomarkers, from basic screening to comprehensive longevity profiles. SYNLAB MVZ Labor München Zentrum offers panels from €8.23. The median price is €85.
Prices verified May 2026
136
STI-Test
Sexually transmitted infection panel covering HIV I/II, hepatitis B (HBs-Ag), hepatitis C (HCV), syphilis, and STI multiplex PCR. At €157.03 all-in, a comprehensive screen addressing the most clinically significant sexually transmitted pathogens.
Erschöpfungszustand (Chronic Fatigue & Exhaustion Panel)
Comprehensive fatigue diagnostic panel analyzing 10 biomarkers across multiple systems commonly causing chronic tiredness, exhaustion, low energy, and burnout. Venous blood sample with fasting preferred. Results within 3-5 days. Essential investigation when experiencing: persistent fatigue despite adequate sleep, morning exhaustion, inability to recover from exercise, brain fog, decreased motivation, burnout symptoms, unexplained weakness. Tests most common medical causes of fatigue. Biomarkers tested: Blood Count - large blood count (CBC with differential) detecting anemia (most common cause of fatigue - iron, B12, folate deficiency), chronic inflammation, infection, bone marrow disorders; Thyroid - TSH (thyroid stimulating hormone), hypothyroidism causes profound fatigue, weight gain, cold intolerance, depression, affects 5-10% of population especially women; Vitamins - vitamin D 25-OH (deficiency causes fatigue, muscle weakness, depression, immune dysfunction, extremely common in northern Europe with 40-80% population insufficient), holotranscobalamin (active B12, earliest marker of B12 deficiency causing fatigue, neurological symptoms, anemia, vegans/elderly at high risk), folate (vitamin B9, deficiency causes anemia, fatigue, poor concentration); Minerals - ferritin (iron stores, low ferritin causes fatigue even without anemia, women/vegetarians/athletes at risk), selenium (thyroid function, antioxidant, immune health, deficiency causes fatigue and susceptibility to illness); Hormones - cortisol (morning fasting sample ideal, low cortisol suggests adrenal insufficiency or HPA axis dysfunction from chronic stress, high cortisol indicates active stress response), parathyroid hormone (PTH, calcium/vitamin D metabolism, elevated with vitamin D deficiency causing fatigue and weakness); Metabolism - HbA1c (3-month glucose average, diabetes and prediabetes cause significant fatigue from poor glucose regulation). Comprehensive panel efficiently identifies treatable causes of fatigue: hypothyroidism (levothyroxine), vitamin D deficiency (supplementation), B12/folate deficiency (supplementation/injections), iron deficiency (supplementation, investigate cause), diabetes (lifestyle/medication). Most patients with chronic fatigue have 1-3 abnormal results providing actionable treatment. GOÄ 1.0 pricing; privately insured 1.15x. Recommend follow-up with GP or endocrinologist for treatment plan.
Chronische Müdigkeit
Fatigue investigation panel with broad metabolic, haematological, hormonal, and micronutrient coverage. Tests full CBC, liver function, electrolytes, cortisol, ferritin, glucose, selenium, TSH, vitamin B12, and protein electrophoresis. At €161.73 all-in, a systematic workup for persistent unexplained tiredness.
Blood Sugar Analysis / CGM
A 14-day continuous glucose monitoring programme using a CGM sensor applied to the upper arm. The device records blood sugar levels around the clock, capturing post-meal spikes, exercise effects, nocturnal dips, and stress-related patterns that a single lab measurement cannot detect. Includes physician analysis of the complete glucose dataset and personalised dietary guidance.
Sportler-Check Standard
Mid-tier sports panel adding full blood count, comprehensive metabolic markers, inflammation (CRP), and expanded micronutrients to the Basis check. At €171.65 (plus blood draw), suitable for serious amateur and competitive athletes.
Male Hormones
Comprehensive male hormone panel analyzing testosterone, DHEA-S, cortisol, SHBG, and related markers. Blood sample. Essential for men monitoring hormonal health, energy levels, muscle mass, libido, mood, and aging markers. Results within 48 hours. Biomarkers tested: Total Testosterone - primary male hormone affecting muscle mass, bone density, libido, energy, mood; Free Testosterone - bioavailable testosterone not bound to proteins; Free Testosterone Index - calculated ratio showing hormone availability; DHEA-S (Dehydroepiandrosterone Sulfate) - adrenal hormone, anti-aging marker, precursor to testosterone and estrogen; SHBG (Sex Hormone Binding Globulin) - protein that binds sex hormones, affects hormone availability; Albumin - protein levels affecting hormone transport; FSH (Follicle Stimulating Hormone) - regulates sperm production; LH (Luteinizing Hormone) - stimulates testosterone production; Prolactin - hormone affecting sexual function and reproduction; Estradiol (E2) - estrogen in men, important for bone health, brain function; TSH (Thyroid Stimulating Hormone) - thyroid function affects hormone metabolism; Free T3 and Free T4 - active thyroid hormones. AwarePro price: €139 (20% discount). Ideal for men experiencing low energy, decreased libido, difficulty building muscle, mood changes, or monitoring hormone optimization therapy.
Female Hormones
Comprehensive female hormone panel analyzing estrogen, progesterone, testosterone, thyroid, and reproductive hormones. Blood sample. Essential for women monitoring menstrual cycle, fertility, perimenopause/menopause, energy, mood, and hormonal balance. Results within 48 hours. Biomarkers tested: Estradiol (E2) - primary female hormone regulating menstrual cycle, bone density, cardiovascular health, mood; Progesterone - menstrual cycle regulation, pregnancy support, menopause indicator; FSH (Follicle Stimulating Hormone) - ovarian function, menopause status; LH (Luteinizing Hormone) - ovulation trigger, menstrual cycle regulation; Total and Free Testosterone - libido, muscle mass, energy, bone density; DHEA-S (Dehydroepiandrosterone Sulfate) - adrenal function, aging marker; SHBG (Sex Hormone Binding Globulin) - binds sex hormones, affects availability; Albumin - protein affecting hormone transport; Prolactin - reproductive function, breastfeeding; TSH (Thyroid Stimulating Hormone) - thyroid affects menstrual cycles and fertility; Free T3 and Free T4 - active thyroid hormones; Cortisol - stress hormone affecting reproductive health. AwarePro price: €139 (20% discount). Ideal for cycle tracking, fertility planning, perimenopause/menopause management, PCOS monitoring, or hormone replacement therapy tracking.
Männer Gesundheitscheck
Male hormone and prostate health panel covering testosterone, DHEA-S, FSH, LH, prolactin, PSA, SHBG, and TSH. At €175.03 all-in, a targeted screen for men experiencing fatigue, libido changes, or wanting proactive prostate and hormonal health monitoring.
Veggie-Check (Vegetarian/Vegan Nutrition Panel)
Specialized nutritional status screening for vegetarians and vegans analyzing 11 biomarkers commonly deficient in plant-based diets. Venous blood sample with fasting recommended. Results via patient portal within 3-5 days. Essential for anyone following plant-based diet to detect and prevent nutritional deficiencies affecting energy, immunity, cardiovascular and cognitive health. Biomarkers tested: Blood Count - small blood count (CBC) including RBC, WBC, hemoglobin, hematocrit, platelets detecting anemia from B12/iron deficiency; Minerals - calcium (bone health, nerve transmission, muscle function), iron (oxygen transport, energy production), ferritin (iron stores, most sensitive indicator of iron deficiency), selenium (antioxidant, immune function, thyroid health), zinc (immune function, wound healing, taste/smell, DNA synthesis); Vitamins - holotranscobalamin (active vitamin B12, earliest marker of B12 deficiency before anemia develops, critical for vegans), vitamin D 25-OH (bone health, immune function, mood - often low in northern climates regardless of diet); Cardiovascular/Energy - coenzyme Q10 (cellular energy production, antioxidant, heart health), omega-3 fatty acids (EPA+DHA levels, brain health, inflammation reduction - typically low in vegans without algae supplementation); Protein Status - total protein (adequate amino acid intake from plant sources). Comprehensive assessment addresses highest-risk nutrients in plant-based diets. Recommended annually or when experiencing fatigue, weakness, or starting plant-based diet. GOÄ 1.0 pricing; privately insured 1.15x.
Frauen Gesundheitscheck
Female hormone panel covering estradiol, DHEA-S, FSH, LH, prolactin, SHBG, testosterone, and TSH. At €178.48 all-in, a targeted screen for women with cycle irregularities, fertility concerns, perimenopause symptoms, or hormonal imbalance investigation.
Mikronährstoffprofil Basis (Basic Micronutrient Profile)
Comprehensive micronutrient screening analyzing 15 essential vitamins, minerals, and metabolic markers for nutritional adequacy, disease prevention, and optimal health. Venous blood sample, fasting recommended for accurate amino acid profile. Results within 3-5 days. Essential for: fatigue, weakness, immune dysfunction, poor wound healing, neurological symptoms, hair loss, skin problems, vegetarian/vegan diets, malabsorption disorders, pregnancy/breastfeeding, elderly, chronic disease, athletic performance optimization. Identifies subclinical deficiencies before overt disease develops. Biomarkers tested: Iron Status - ferritin (iron stores, earliest marker of iron deficiency causing fatigue, weakness, anemia, immune dysfunction, impaired cognition), vitamin B12 (cobalamin, essential for red blood cell formation, neurological function, DNA synthesis, deficiency causes anemia, neuropathy, cognitive decline, vegans/elderly at high risk); Bone & Cardiovascular Health - vitamin D (25-OH-D, hormone regulating calcium, bone density, immune function, mood, optimal levels 40-60 ng/mL, 40-80% population deficient especially winter/northern climates), calcium (bone health, muscle contraction, nerve transmission, heart rhythm), vitamin K1/K2 (K1 for blood clotting, K2 for bone mineralization and preventing arterial calcification, deficiency causes osteoporosis and cardiovascular disease), homocysteine (amino acid, elevated levels (>10 µmol/L) indicate B vitamin deficiency and cardiovascular/cognitive risk, lowered with folate/B12/B6 supplementation); Cardiovascular & Nerve Health - magnesium (300+ enzymatic reactions, muscle relaxation, blood pressure regulation, glucose metabolism, deficiency causes cramps, arrhythmias, hypertension); Antioxidant Vitamins - vitamin A (immune function, vision, skin health, reproduction), vitamin C (collagen synthesis, immune function, iron absorption, antioxidant), vitamin E (fat-soluble antioxidant protecting cell membranes, cardiovascular/cognitive health); B Vitamins - vitamin B1/thiamine (energy metabolism, nerve function, deficiency causes beriberi and Wernicke-Korsakoff syndrome), vitamin B2/riboflavin (energy production, antioxidant regeneration, migraine prevention), vitamin B6/pyridoxine (amino acid metabolism, neurotransmitter synthesis, immune function, homocysteine metabolism); Trace Minerals - zinc (immune function, wound healing, taste/smell, testosterone production, DNA synthesis, 300+ enzymes), selenium (thyroid hormone conversion, antioxidant, immune function, cancer prevention); Protein Status - plasma amino acids (complete profile of 20+ amino acids, detects protein malnutrition, absorption issues, metabolic disorders, guides protein intake adequacy). Comprehensive panel efficiently identifies: vitamin D insufficiency (extremely common), iron deficiency (women, vegetarians, athletes), B12 deficiency (vegans, elderly, metformin users, PPI users), magnesium deficiency (stress, diabetes, GI disorders), elevated homocysteine (B vitamin deficiency, cardiovascular risk), zinc/selenium deficiency (immune/thyroid dysfunction). Results guide targeted supplementation avoiding dangerous megadosing. Recommended annually for health monitoring, every 6 months if deficiency risk factors. GOÄ pricing €180.96.
Sport Check-up (Athletic Performance & Recovery Panel)
Comprehensive athletic performance optimization panel analyzing 20+ biomarkers for energy production, muscle function, recovery capacity, and nutritional adequacy. Venous blood sample, fasting recommended. Results within 2-3 days. Essential for: competitive athletes, endurance training, strength training, masters athletes, performance plateaus, slow recovery, recurring injuries, fatigue despite training. Identifies limiting factors preventing optimal performance and adaptation. Biomarkers tested: Blood Count - complete CBC detecting sports anemia (dilutional or iron deficiency), overtraining syndrome (altered WBC differential), adequate oxygen carrying capacity (hemoglobin/hematocrit); Energy Metabolism - glucose (fuel availability), lipid panel (total cholesterol, HDL, LDL, triglycerides - athletes should have optimal lipids despite high caloric intake, abnormal values suggest metabolic dysfunction or dietary issues); Liver - liver enzymes (GPT, GOT, elevated with overtraining or muscle damage, chronically high suggests inadequate recovery); Kidney - creatinine (filtration, muscle breakdown marker especially in strength athletes); Inflammation - CRP (C-reactive protein, acute training stress increases CRP, chronically elevated suggests inadequate recovery or overtraining); Thyroid - TSH (thyroid stimulating hormone, hypothyroidism causes fatigue, weight gain, poor performance, common in athletes especially female with low energy availability/RED-S); Minerals Essential for Performance - magnesium (muscle contraction, energy production, 300+ enzymatic reactions, deficiency causes cramps, fatigue, impaired recovery), calcium (muscle contraction, bone health, neurotransmission), zinc (immune function, testosterone production, wound healing, taste/appetite - low in athletes from sweat losses), selenium (antioxidant, immune function, thyroid conversion); Iron Status - ferritin (iron stores, most sensitive marker of iron deficiency before anemia develops, athletes especially endurance/female at high risk from increased needs, GI losses, foot strike hemolysis, low ferritin causes fatigue, reduced endurance, impaired adaptation to training); Vitamins - vitamin D (bone health, immune function, muscle function, testosterone production, 40-60% athletes deficient especially winter/indoor sports, optimal levels 40-60 ng/mL for performance), amino acids (building blocks for muscle protein synthesis, recovery, neurotransmitter production, imbalances suggest inadequate protein intake or absorption). Panel provides: nutritional deficiency identification (correct before supplementing), overtraining detection (elevated CRP, altered hormones/blood counts), thyroid dysfunction screening (common in athletes), iron status assessment (prevent/treat sports anemia), metabolic health verification. Results guide: targeted supplementation (iron, vitamin D, magnesium based on actual deficiency), training load adjustment (reduce if inflammatory markers high), nutrition optimization (adequate protein, micronutrients), injury risk reduction. Recommended: baseline before training season, every 6 months during heavy training, when performance plateaus or declines unexpectedly. GOÄ pricing €188.34.
Gesund & Aktiv Check-Up
A twenty-one-biomarker general health panel providing a broad metabolic, haematological, and organ function overview. Covers a complete blood count, liver and kidney markers, lipid profile, thyroid function, iron stores, inflammatory markers, and key vitamins — designed as a thorough annual health baseline for active individuals.
Nährstoffmangel-Check
Comprehensive nutrient deficiency screening identifying vitamin, mineral, and trace element imbalances causing fatigue, weakness, and immune dysfunction. Venous blood sample with 12-hour fasting required. Results within 7-10 days. Particularly valuable for vegans, vegetarians, pregnant women, athletes, individuals with digestive disorders, or those experiencing unexplained fatigue. Biomarkers tested: Hematology - Small Blood Count (kleines Blutbild) baseline assessment for nutrient-related anemia; Iron Status - Ferritin measuring iron stores, low levels cause fatigue, hair loss, cold sensitivity, impaired cognitive function; B Vitamins - Folate (Vitamin B9) essential for DNA synthesis, cell division, pregnancy health, nervous system; Active Vitamin B12 (Holotranscobalamin) measuring bioavailable B12 (not total B12), crucial for energy, red blood cell formation, neurological function, often deficient in vegans; Fat-Soluble Vitamins - Vitamin D3 (25-OH) for bone health, immune function, mood regulation, muscle strength, extremely common deficiency in Northern Europe October-March; Calcium for bone density, muscle contraction, nerve transmission, works synergistically with vitamin D; Trace Elements - Zinc for immune function, wound healing, protein synthesis, taste/smell, testosterone production, often deficient in vegetarians; Selenium antioxidant supporting thyroid function, immune system, fertility, cognitive function; Magnesium for 300+ enzymatic reactions, energy metabolism, muscle relaxation, stress response, sleep quality. Price includes blood draw and 19% VAT. Results help optimize supplementation strategy, dietary modifications, address root causes of chronic fatigue, frequent infections, poor recovery. Recommended testing 2-4 times yearly to track improvements.
Sport-Check — Athletic Performance Panel
Comprehensive sports panel with 20+ markers: CBC, HbA1c, amino acids, CRP, iron, ferritin, vitamin D, zinc, TSH, liver values, and apolipoprotein B. At €200.00, one of the most thorough athletic health screens available in Saxony.
STI Screening (Comprehensive)
A comprehensive sexually transmitted infection screening covering HIV, chlamydia (PCR urine), gonorrhoea (PCR urine), syphilis (TPPA), hepatitis C antibody, and hepatitis B (complete panel). PCR-based chlamydia and gonorrhoea testing provides higher sensitivity than culture methods. Blood and urine samples are collected in a single visit with same-day results for most markers.
Hair Loss Panel
A targeted panel investigating the most common metabolic and hormonal causes of hair loss through 12 biomarkers: TSH, ferritin, zinc, selenium, vitamin B12, folic acid, LH, FSH, DHEA-S, estradiol, testosterone, and a blood count. Covers thyroid dysfunction, iron deficiency, nutritional gaps, and hormonal imbalances — the treatable factors behind the majority of non-genetic hair thinning.
Haarausfall (Hair Loss Assessment Panel)
Specialized diagnostic panel for hair loss (alopecia) analyzing 12 biomarkers across thyroid, hormones, nutrients, and inflammation affecting hair growth. Venous blood sample, no fasting required though morning collection preferred for hormones. Results within 3-5 days. Essential investigating: increased hair shedding, thinning hair, bald patches, hair texture changes, slow growth. Hair loss causes: androgenetic alopecia (genetic), telogen effluvium (stress/illness), thyroid disease, iron deficiency, hormonal imbalances, nutritional deficiencies, autoimmune (alopecia areata). Biomarkers tested: Blood Count - small blood count (CBC, anemia associated with hair loss, especially iron deficiency anemia); Inflammation - CRP (C-reactive protein, acute/chronic inflammation, autoimmune conditions causing hair loss including alopecia areata); Thyroid - TSH (thyroid stimulating hormone, both hypothyroidism and hyperthyroidism cause diffuse hair loss, brittle hair, altered texture, thyroid disease very common especially women); Minerals - ferritin (iron stores, low ferritin (<40 ng/mL) strongly associated with hair loss even without anemia, women/vegetarians/heavy periods at risk, most common correctable cause), zinc (essential for hair follicle function, protein synthesis, cell division, deficiency causes hair loss, slow growth, brittle hair), selenium (antioxidant, thyroid function, hair health, both deficiency and excess can cause hair loss); Female Hormones - LH (luteinizing hormone), FSH (follicle-stimulating hormone), estradiol (E2, primary estrogen), progesterone (reproductive hormones, imbalances cause hair loss - menopause, PCOS, perimenopause, high androgens in PCOS cause male-pattern hair loss in women); Androgens - DHEA-S (dehydroepiandrosterone sulfate, adrenal androgen precursor, elevated in PCOS associated with androgenetic hair loss), testosterone (in women, elevated testosterone/DHEA-S suggest PCOS or other androgen excess causing male-pattern hair loss, miniaturized hair follicles). Panel identifies most common treatable causes: iron deficiency (supplement iron, investigate source of loss), thyroid dysfunction (levothyroxine for hypothyroidism), PCOS/androgen excess (spironolactone, metformin, oral contraceptives), zinc/selenium deficiency (supplementation). Combined interpretation critical - for example, woman with elevated LH:FSH ratio (>2:1), elevated DHEA-S/testosterone, suggests PCOS; low ferritin alone explains diffuse shedding. Recommended for any unexplained hair loss before expensive treatments (minoxidil, finasteride). Note: panel designed for female hormone assessment; male hair loss typically androgenetic (genetic DHT sensitivity) requiring different evaluation (see Male Hormone Panel). Results guide: iron supplementation (if ferritin <40), thyroid medication (if TSH abnormal), PCOS treatment (if androgens elevated), nutritional correction (zinc, selenium). Hair regrowth takes 3-6 months after correcting deficiency. Follow-up testing recommended 3-6 months post-treatment. GOÄ pricing €211.81.
Vegan/Vegetarian Panel
A nutritional screening designed for plant-based diets, measuring 10 biomarkers at highest risk of depletion. Uses holotranscobalamin (active B12) rather than total B12 for earlier and more reliable detection of functional B12 deficiency. Also covers ferritin, selenium, zinc, vitamin B2, vitamin D3, calcium, creatinine, iodine, and a blood count.
Vegan/Vegetarier-Check -- Vegan Panel
Comprehensive panel designed for plant-based diets, covering the nutrients most at risk of depletion in vegans and vegetarians: holotranscobalamin (active B12), ferritin, selenium, zinc, vitamin B2, vitamin D3, calcium, iodine, creatinine, and a small blood count. At approximately EUR 223 under GOAe 1.0x rates -- substantially more expensive than equivalent panels in Poland due to trace element assay costs under the GOAe fee schedule.
Nutrient Deficiency Panel
A broad micronutrient screen measuring 11 markers: ferritin, vitamin D3, vitamin B12, folic acid, iodine, zinc, selenium, vitamin B2, copper, calcium, and a blood count. Covers the minerals and vitamins most frequently deficient in central European diets. The inclusion of iodine and selenium distinguishes this panel from typical nutrient screens, as both are critical for thyroid function yet rarely tested in standard panels.
Naehrstoffmangel-Check -- Nutrient Deficiency Panel
Comprehensive micronutrient panel measuring 11 markers including ferritin, vitamin D3, vitamin B12, folic acid, selenium, zinc, iodine, copper, vitamin B2, calcium, and a small blood count. Identifies the most clinically relevant nutritional deficiencies in a single draw. At approximately EUR 225 under GOAe 1.0x rates -- reflects the higher cost of trace element assays (iodine, selenium, B2).
Sportler-Check Plus
Premium sports performance panel with the most comprehensive biomarker set. At €239.86 (plus blood draw), adds hormones, amino acid profile, and advanced metabolic markers to the Standard panel. The amino acid analysis is a distinctive feature rarely offered at this price point.
Hormonstatus Frau (Female Hormone Panel)
Comprehensive female reproductive hormone panel for women of childbearing age analyzing 10 hormones regulating menstrual cycles, fertility, ovulation, mood, metabolic health, and ovarian reserve. Venous blood sample with critical timing - ideally Day 3-5 of menstrual cycle for FSH/LH/estradiol/AMH (early follicular phase), Day 21 for progesterone (mid-luteal phase, or 7 days before expected period). Results within 3-5 days. Essential for: irregular periods, fertility issues, PCOS investigation, unexplained weight gain, mood disorders, low libido, PMS symptoms, perimenopause concerns, assessing ovarian reserve before fertility treatment. Biomarkers tested: FSH (follicle-stimulating hormone) - controls ovarian follicle maturation and egg development, Day 3 FSH levels predict ovarian reserve (low reserve if FSH >10-15 IU/L, approaching menopause if >25 IU/L), very high FSH (>40 IU/L) indicates ovarian failure/menopause, cyclic FSH rises select dominant follicle for ovulation; LH (luteinizing hormone) - triggers ovulation mid-cycle releasing mature egg, LH:FSH ratio diagnostic for PCOS (ratio >2:1 suggests PCOS with multiple small follicles and anovulation), absent LH surge indicates anovulation (no ovulation occurring); Estradiol (E2) - primary estrogen hormone, regulates menstrual cycle, maintains endometrium, bone density, cardiovascular health, brain function, libido, skin/hair quality, Day 3 levels should be low (<50-80 pg/mL for normal ovarian function, elevated Day 3 estradiol suggests diminished ovarian reserve or ovarian cyst), rises during follicular phase peaking just before ovulation, low estradiol causes irregular periods, hot flashes, vaginal dryness, bone loss; Progesterone - produced by corpus luteum after ovulation, maintains early pregnancy, balances estrogen, thickens endometrium for implantation, Day 21 progesterone confirms ovulation occurred (levels >10 ng/mL indicate ovulation, <10 ng/mL suggest anovulation or luteal phase defect causing infertility/miscarriage), low progesterone causes irregular bleeding, PMS, anxiety, insomnia; Testosterone - androgen affecting libido, energy, muscle mass, mood in women, mildly elevated testosterone common in PCOS (along with high LH:FSH ratio), very high testosterone suggests other androgen excess disorders; SHBG (sex hormone-binding globulin) - binds testosterone and estrogen, low SHBG (from insulin resistance, obesity, PCOS) increases free androgens worsening PCOS symptoms (acne, hirsutism, hair loss); Prolactin - elevated prolactin (>25 ng/mL) suppresses GnRH release causing anovulation, irregular periods, infertility, galactorrhea, caused by prolactinoma, medications, hypothyroidism, stress; TSH (thyroid stimulating hormone) - thyroid dysfunction causes menstrual irregularities, anovulation, infertility, both hypothyroidism (irregular heavy periods, weight gain) and hyperthyroidism (light/absent periods, weight loss) disrupt reproduction; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen, elevated DHEA-S suggests adrenal androgen excess vs ovarian source, helpful differentiating PCOS from adrenal disorders; AMH (anti-Müllerian hormone) - gold standard ovarian reserve marker, produced by small follicles in ovaries, directly correlates with remaining egg supply, levels <1.0 ng/mL indicate low reserve, <0.5 ng/mL severely diminished, undetectable AMH suggests menopause imminent, unlike FSH/estradiol AMH does not fluctuate with menstrual cycle providing stable reserve assessment. Panel identifies: PCOS (high LH:FSH ratio, high testosterone/DHEA-S, low SHBG, anovulation), diminished ovarian reserve (high FSH, low AMH, high Day 3 estradiol), hypothalamic amenorrhea (low all hormones from stress/low weight/overexercise), hyperprolactinemia (high prolactin), thyroid dysfunction (abnormal TSH), luteal phase defect (low progesterone). Results guide: fertility treatment planning (AMH/FSH predict IVF response), PCOS management (metformin, spironolactone, OCP), ovulation induction (clomiphene, letrozole if anovulatory), progesterone supplementation (luteal phase support), thyroid treatment, prolactinoma investigation. Recommended: baseline fertility assessment late 30s/early 40s, investigating irregular cycles/infertility, every 6-12 months monitoring PCOS, annually perimenopause transition. GOÄ pricing €248.03. Most comprehensive female hormone panel available.
