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Ultimate Female Fertility Blood Test

Type

Blood Testing

Biomarkers

55

Duration

30 min

Results

4 days

Comprehensive blood test analyzing biomarkers crucial for ovulation, conception, and pregnancy sustainment.

This panel examines biomarkers vital for healthy ovulation, successful conception, and maintaining pregnancy. It helps identify issues affecting reproductive success. The test measures hormones, vitamins, micronutrients, and assesses liver and kidney function. Results are provided in a secure PDF and uploaded to our Health Dashboard for tracking progress over time.

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

Testosterone (total and/or free)
Estradiol (E2)
Sex hormone-binding globulin (SHBG)
Cortisol
DHEA-S
FSH and LH (gonadotropins)
Progesterone (if female panel)
Prolactin (if comprehensive)

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

55
White Blood Cell Count × 10⁹/L

Measures the total number of white blood cells, your body's primary defense against infection. Elevated levels may indicate infection, inflammation, or immune disorders, while low levels can signal bone marrow problems or autoimmune conditions.

Red Blood Cell Count × 10¹²/L

Measures the number of red blood cells in your blood. Red blood cells carry oxygen from your lungs to every cell in your body. Abnormal levels can indicate anemia, dehydration, or bone marrow disorders.

Haemoglobin (HGB) g/dL

The iron-rich protein in red blood cells responsible for carrying oxygen throughout your body and returning carbon dioxide to the lungs. Low haemoglobin is the primary marker for anemia and can cause fatigue, weakness, and shortness of breath.

MCV (Mean Corpuscular Volume) fL

The average size of your red blood cells. Small cells (microcytic) suggest iron deficiency, while large cells (macrocytic) may indicate vitamin B12 or folate deficiency. Normal-sized cells with low count suggest chronic disease.

MCH (Mean Corpuscular Hemoglobin) pg

The average amount of hemoglobin in each red blood cell. Low MCH indicates that red blood cells carry less oxygen than normal, commonly seen in iron-deficiency anemia.

RDW (Red Cell Distribution Width) %

Measures the variation in size among your red blood cells. A high RDW means your red blood cells vary significantly in size, which can help distinguish between different types of anemia.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

Monocytes (MON) × 10⁹/L

Measures monocytes, large white blood cells that mature into macrophages. They play a crucial role in the immune response by engulfing pathogens, dead cells, and debris.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

FSH (Follicle-Stimulating Hormone) mIU/mL

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.

LH (Luteinizing Hormone) mIU/mL

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.

Prolactin ng/mL

A hormone primarily known for stimulating breast milk production. Elevated prolactin in non-pregnant individuals can indicate pituitary tumors, medication side effects, or hypothyroidism. High levels can suppress reproductive hormones.

SHBG (Sex Hormone-Binding Globulin) nmol/L

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.

Albumin g/dL

The most abundant protein in blood, produced by the liver. Albumin maintains blood volume and pressure, and transports hormones, vitamins, and drugs. Low levels indicate liver disease, kidney disease, malnutrition, or chronic inflammation.

Testosterone (Total) ng/dL

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.

Cortisol µg/dL

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.

Estradiol (E2) pg/mL

The 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.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

Anti-Müllerian Hormone (AMH) pmol/L

Reflects the number of developing follicles in the ovaries. A higher AMH level generally indicates a greater quantity of eggs, whereas a lower AMH level suggests a diminished ovarian reserve.

Vitamin B12 pg/mL

Essential for nerve function, DNA synthesis, and red blood cell formation. B12 deficiency can cause anemia, neuropathy, fatigue, and cognitive impairment. Common in vegans, vegetarians, older adults, and those taking metformin or acid-reducing medications.

B9 ng/mL

Vitamin B9 (Folate) is crucial for DNA synthesis and repair. Low levels can lead to anemia and other health issues.

Vitamin D (25-OHD) ng/mL

The best indicator of overall vitamin D status. Vitamin D is essential for calcium absorption, bone health, immune function, and mood regulation. Deficiency is extremely common, especially in northern latitudes, and linked to increased disease risk.

Ferritin ng/mL

The primary iron storage protein. Ferritin reflects total body iron stores and is the first marker to drop in iron deficiency. However, ferritin also rises with inflammation, infection, and liver disease, which can mask true iron deficiency.

Iron (Fe) µg/dL

A mineral essential for oxygen transport (in hemoglobin), energy production, and immune function. Serum iron measures the amount circulating in blood, but ferritin and TIBC provide a more complete picture of iron status.

Transferrin mg/dL

Transferrin is a protein that binds and transports iron in the blood. Abnormal levels can indicate iron metabolism disorders.

Zinc µg/dL

An essential trace mineral involved in immune function, wound healing, DNA synthesis, and testosterone production. Zinc deficiency impairs immune response, delays wound healing, and can cause hair loss and taste changes.

Magnesium mg/dL

Involved in over 300 enzymatic reactions including energy production, muscle function, and nerve signaling. Magnesium deficiency is common and associated with muscle cramps, anxiety, insomnia, and increased cardiovascular risk.

Free T3 (Triiodothyronine) pg/mL

The active form of thyroid hormone responsible for regulating metabolism, energy, and body temperature. Free T3 is converted from T4 in tissues and is three to four times more potent than T4.

Free T4 (Thyroxine) ng/dL

The unbound, active form of the main thyroid hormone T4. Free T4 directly reflects thyroid gland output and is used alongside TSH to diagnose and monitor thyroid disorders.

TSH (Thyroid-Stimulating Hormone) mIU/L

The primary screening test for thyroid function. TSH is produced by the pituitary gland to regulate thyroid hormone production. High TSH indicates an underactive thyroid (hypothyroidism), while low TSH suggests an overactive thyroid (hyperthyroidism).

HbA1c (Glycated Haemoglobin) %

Reflects your average blood sugar over the past 2–3 months by measuring the percentage of hemoglobin with attached glucose. HbA1c is the gold standard for diagnosing and monitoring diabetes, unaffected by daily fluctuations.

Albumin g/dL

The most abundant protein in blood, produced by the liver. Albumin maintains blood volume and pressure, and transports hormones, vitamins, and drugs. Low levels indicate liver disease, kidney disease, malnutrition, or chronic inflammation.

Globulin g/dL

A group of proteins in blood including antibodies (immunoglobulins), transport proteins, and enzymes. Elevated globulin can indicate chronic infection, inflammation, or blood cancers. Calculated by subtracting albumin from total protein.

Total Protein g/dL

Measures the combined amount of albumin and globulin proteins in your blood. These proteins are essential for fighting infections, blood clotting, and transporting substances throughout the body.

Bilirubin mg/dL

Bilirubin is a substance produced during the normal breakdown of red blood cells. High levels can lead to jaundice and indicate liver or bile duct problems.

ALT (Alanine Aminotransferase) U/L

A liver enzyme that helps convert proteins into energy. ALT is found primarily in the liver, making it a highly specific marker for liver damage. Elevated levels may indicate hepatitis, fatty liver disease, or medication-related liver injury.

Alkaline Phosphatase (ALP) U/L

An enzyme found in the liver, bones, kidneys, and digestive system. Elevated ALP can indicate bile duct obstruction, liver disease, or bone disorders. It's normally higher in children and during pregnancy due to bone growth.

AST (Aspartate Aminotransferase) U/L

An enzyme found in the liver, heart, and muscles. While less liver-specific than ALT, elevated AST can indicate liver damage, heart attack, or muscle injury. The AST/ALT ratio helps distinguish between different liver conditions.

GGT (Gamma-Glutamyl Transferase) U/L

A liver enzyme sensitive to alcohol use and bile duct problems. GGT is often the first liver enzyme to rise when bile ducts are blocked. Combined with ALP, it helps determine whether elevated ALP is from liver or bone.

Sodium mEq/L

The primary electrolyte regulating fluid balance and blood pressure. Sodium is essential for nerve impulses and muscle contractions. Abnormal levels can cause confusion, seizures, and cardiac arrhythmias.

Urea mg/dL

A waste product from protein breakdown, processed by the liver and excreted by the kidneys. Elevated urea levels can indicate kidney dysfunction, dehydration, high-protein diet, or gastrointestinal bleeding.

Creatinine mg/dL

A waste product from normal muscle metabolism, filtered by the kidneys. Blood creatinine levels reflect kidney filtration capacity. Elevated levels may indicate impaired kidney function, dehydration, or excessive muscle breakdown.

Estimated Glomerular Filtration Rate (eGFR) mL/min/1.73m²

An estimated measure of how well your kidneys filter waste from the blood. It's calculated from creatinine levels, age, sex, and race. eGFR is the primary marker used to stage chronic kidney disease.

Homocysteine µmol/L

An amino acid produced during protein metabolism. Elevated homocysteine is an independent risk factor for cardiovascular disease, stroke, and cognitive decline. Levels are lowered by adequate B12, folate, and B6 intake.

Haematocrit (HCT) %

The percentage of your blood volume occupied by red blood cells. It reflects the balance between red blood cell production and loss, helping diagnose anemia, dehydration, and polycythemia.

MCHC (Mean Corpuscular Hemoglobin Concentration) g/dL

The average concentration of hemoglobin within each red blood cell. It helps differentiate types of anemia — low MCHC points to iron deficiency, while high MCHC can indicate spherocytosis.

Platelet Count × 10⁹/L

Measures the number of platelets, small cell fragments essential for blood clotting. Low platelets increase bleeding risk, while high platelets may increase clot risk. Important for monitoring clotting disorders and medication effects.

Lymphocytes absolute × 10⁹/L

Measures the number of lymphocytes, including B cells and T cells that drive adaptive immunity. Elevated levels may indicate viral infections, while low levels can signal immune deficiency or HIV.

Neutrophils absolute × 10⁹/L

The most abundant type of white blood cell, forming the first line of defense against bacterial and fungal infections. Elevated neutrophils typically indicate active infection or inflammation.

Eosinophils absolute × 10⁹/L

Measures eosinophils, white blood cells involved in fighting parasitic infections and mediating allergic responses. Elevated levels are associated with allergies, asthma, parasitic infections, and certain autoimmune conditions.

Basophils absolute × 10⁹/L

The rarest type of white blood cell, involved in allergic reactions and inflammatory responses. Basophils release histamine and heparin, contributing to immediate hypersensitivity reactions.

Dehydroepiandrosterone sulfate (DHEA-S) µg/dL

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.

Free Testosterone pg/mL

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.

Price
£350.00
Category
Diagnostic
Sample Type
Blood draw
Duration
30 min
Results
4 days
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