Hormonstatus Mann (Male Hormone Panel)
Type
Blood Testing
Biomarkers
8
Duration
30 min
Results
4 days
Comprehensive male hormone panel analyzing 7 key hormones regulating energy, libido, muscle mass, mood, fertility, and metabolic health. Venous blood sample collected morning (7-10 AM) when testosterone peaks. Results within 2-3 days. Essential for: low energy/fatigue, decreased libido, erectile dysfunction, difficulty building muscle, increased body fat, mood disorders, infertility, age over 40. Testosterone declines ~1% annually after age 30; symptomatic hypogonadism affects 20% men over 60. Biomarkers tested: Testosterone (total) - primary male sex hormone, normal range 300-1000 ng/dL, levels <300 ng/dL diagnostic for hypogonadism, affects muscle mass, bone density, libido, mood, energy, cognition, cardiovascular health, fat distribution, erythropoiesis; SHBG (sex hormone-binding globulin) - protein binding testosterone in blood, only unbound "free" testosterone bioavailable to tissues, high SHBG (from aging, hyperthyroidism, liver disease) reduces free testosterone despite normal total testosterone, low SHBG (obesity, hypothyroidism, insulin resistance) increases free testosterone, free testosterone calculated from total testosterone + SHBG using formula; FSH (follicle-stimulating hormone) - in men stimulates spermatogenesis (sperm production) in Sertoli cells of testes, elevated FSH with low testosterone indicates primary testicular failure (testes not responding to pituitary signals), normal/low FSH with low testosterone suggests secondary hypogonadism (pituitary/hypothalamic dysfunction); LH (luteinizing hormone) - stimulates testosterone production by testicular Leydig cells, interpretation parallels FSH (high LH+low testosterone = primary testicular problem, low LH+low testosterone = central hypogonadism from pituitary/hypothalamic causes); Prolactin - pituitary hormone, elevated prolactin (>20 ng/mL) suppresses GnRH release reducing LH/FSH and testosterone, causes hypogonadism, erectile dysfunction, gynecomastia, galactorrhea, caused by prolactinoma (pituitary tumor), medications (antipsychotics, metoclopramide), hypothyroidism; TSH (thyroid stimulating hormone) - hypothyroidism causes low testosterone, fatigue, weight gain, erectile dysfunction mimicking hypogonadism, hyperthyroidism increases SHBG reducing free testosterone; DHEA-S (dehydroepiandrosterone sulfate) - adrenal androgen precursor providing additional androgens beyond testicular testosterone, declines with age, low DHEA-S suggests adrenal insufficiency, provides substrate for peripheral testosterone conversion. Panel distinguishes: primary hypogonadism (testicular failure - high LH/FSH, low testosterone, causes: aging, chemotherapy, trauma, infection, genetic), secondary hypogonadism (pituitary/hypothalamic - low LH/FSH, low testosterone, causes: obesity, opioids, pituitary tumor, Kallmann syndrome), hyperprolactinemia (high prolactin suppressing axis), thyroid dysfunction. Results guide: testosterone replacement therapy (TRT) evaluation (if total testosterone <300 ng/dL with symptoms), fertility assessment (FSH/LH elevated suggests poor sperm production), thyroid treatment (if TSH abnormal), prolactinoma investigation (MRI if prolactin >50), lifestyle modifications (weight loss, sleep, stress, alcohol reduction increase testosterone). Important: TRT contraindicated if fertility desired (suppresses FSH/LH/spermatogenesis), prostate cancer, severe BPH, uncontrolled heart failure. Recommended: baseline age 40, annually if symptomatic or on TRT, repeat 3-6 months after TRT initiation to verify response and adjust dose. GOÄ pricing €150.82.
A hormone panel measures the chemical messengers that regulate virtually every function in your body — from energy and mood to metabolism, sleep, reproduction, and muscle growth. Hormones fluctuate with age, stress, sleep quality, and lifestyle, and imbalances can cause symptoms that are often attributed to "just getting older." Common markers include testosterone and estradiol (sex hormones), cortisol (the stress hormone), DHEA-S (an adrenal precursor), thyroid hormones, and gonadotropins like FSH and LH that regulate reproductive function. Men typically see testosterone decline after 30, while women experience significant hormonal shifts during perimenopause and menopause. Testing provides objective data to distinguish hormonal issues from other causes.
Key Details
- Biomarkers
- 4–12 hormone markers
- Fasting Required
- Not required, but morning draw recommended
- Sample Type
- Blood draw
- Turnaround
- 2–5 business days
- Timing Note
- Morning draw for accurate testosterone/cortisol
Who Is This For?
Men over 30 experiencing low energy, reduced libido, difficulty building muscle, or mood changes. Women with irregular periods, fertility concerns, or perimenopausal symptoms. Anyone experiencing unexplained fatigue, weight gain, sleep disruption, or mood swings. Athletes interested in optimizing recovery and performance through hormonal insights.
What's Included
Preparation Required
Fasting for 10–12 hours before your appointment is recommended for accurate results (water is fine). Avoid alcohol for 24 hours and intense exercise for 12 hours before the blood draw. Morning appointments are ideal for consistent hormone and glucose readings. The blood draw typically takes 5–10 minutes.
Biomarkers Tested
8The most potent and prevalent form of estrogen. In women, estradiol regulates the menstrual cycle, fertility, and bone density. In men, it's produced from testosterone and plays roles in bone health and libido. Levels vary significantly with age and menstrual cycle.
A protein that binds and transports sex hormones (testosterone, estrogen) in the blood. High SHBG reduces the amount of free, active hormones available. SHBG increases with age, thyroid hormones, and estrogen; decreases with obesity and insulin resistance.
The primary stress hormone, produced by the adrenal glands. Cortisol regulates metabolism, immune response, blood pressure, and the sleep-wake cycle. Chronically elevated cortisol from stress contributes to weight gain, immune suppression, and metabolic dysfunction.
The sulfated, stable form of DHEA with a long half-life, making it the preferred test for adrenal androgen production. DHEA-S is the most abundant circulating steroid hormone and a key longevity biomarker.
The primary male sex hormone, also important in women at lower levels. Testosterone regulates muscle mass, bone density, fat distribution, libido, and mood. Levels decline naturally with age in both sexes.
The unbound, biologically active fraction of testosterone (typically 1–3% of total). Free testosterone is the form that can enter cells and exert effects. More clinically relevant than total testosterone for assessing hormonal status.
Regulates reproductive function in both sexes. In women, FSH stimulates egg development; elevated levels indicate declining ovarian reserve or menopause. In men, FSH stimulates sperm production.
Works with FSH to regulate reproductive function. In women, an LH surge triggers ovulation. In men, LH stimulates testosterone production. Abnormal levels can indicate pituitary or gonadal disorders.
- Category
- Diagnostic
- Sample Type
- Blood draw
- Duration
- 30 min
- Results
- 4 days
Labor 28 Berlin
Medical laboratory in Berlin-Wilmersdorf offering direct-to-consumer blood testing via Mein Direktlabor platform with transparent GOÄ pricing, physician consultations, same-day results, and comprehensive preventive health packages from basic check-ups to specialized hormone and micronutrient testing.
