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.

The Frauen Gesundheitscheck is an endocrine panel designed to evaluate the hypothalamic-pituitary-ovarian axis — the hormonal cascade that governs menstrual cycle regulation, fertility, bone density, cardiovascular protection, and a wide range of symptoms that women commonly attribute to stress or ageing. Estradiol is the primary oestrogen produced by the ovaries. Its interpretation depends heavily on cycle timing: in premenopausal women, estradiol should be measured in the early follicular phase (days 2-5) for baseline assessment. Persistently low estradiol with elevated FSH indicates ovarian reserve depletion — the hallmark of perimenopause. In postmenopausal women, estradiol levels are consistently low and FSH consistently elevated. FSH and LH are the pituitary hormones that drive ovarian function. The FSH:LH ratio and their absolute levels help distinguish several conditions. Elevated FSH with normal LH suggests diminished ovarian reserve. An inverted LH:FSH ratio (LH significantly higher than FSH) is characteristic of polycystic ovary syndrome (PCOS), which affects 8-13% of women of reproductive age. Both elevated together suggest primary ovarian insufficiency. Prolactin screening rules out hyperprolactinaemia, which can cause amenorrhoea, galactorrhoea, and infertility. The most common pathological cause is a pituitary adenoma, but medications (particularly antipsychotics and some antidepressants), hypothyroidism, and stress can also elevate prolactin. SHBG and testosterone together assess androgen status. Women produce testosterone in small quantities from the ovaries and adrenal glands. Excess androgens — from elevated production or low SHBG (which increases free testosterone) — drive acne, hirsutism, hair loss, and contribute to the metabolic features of PCOS. Conversely, very low testosterone can contribute to low libido and fatigue. DHEA-S reflects adrenal androgen production specifically. An isolated elevation of DHEA-S with normal ovarian androgens points to an adrenal source of androgen excess, which has different diagnostic and treatment implications from ovarian androgen excess. TSH is essential in any female hormonal workup because thyroid dysfunction directly impacts menstrual regularity, fertility, and can mimic or exacerbate virtually every symptom of ovarian hormone imbalance. Subclinical hypothyroidism is particularly common in women and can cause anovulation and early pregnancy loss. Timing matters: premenopausal women should schedule this blood draw on cycle days 2-5 for the most interpretable results. Postmenopausal women and those on hormonal contraception can draw at any time.