Hormon-Profil Erweitert (Comprehensive Hormones)

An extended hormone panel covering reproductive, thyroid, and metabolic axes. Includes all markers from the female hormone profile plus testosterone, SHBG (sex hormone-binding globulin), cortisol, insulin, TSH, fT3, and fT4. This comprehensive assessment reveals how hormonal systems interact — thyroid function affects sex hormone metabolism, cortisol influences insulin sensitivity, and SHBG modulates bioavailable testosterone and oestrogen.

Hormones do not operate in isolation. Thyroid dysfunction alters sex hormone-binding globulin levels, changing the bioavailability of testosterone and oestrogen even when total levels appear normal. Chronic cortisol elevation from stress suppresses TSH and disrupts the hypothalamic-pituitary-gonadal axis, causing cycle irregularity or reduced testosterone. Insulin resistance drives ovarian androgen production and lowers SHBG, creating a hormonal environment that promotes weight gain, acne, and hair loss. This extended panel is designed to capture these cross-system interactions in a single assessment. Beyond the core reproductive hormones (oestradiol, progesterone, FSH, LH, prolactin, DHEA-S), it adds testosterone and SHBG to calculate the free androgen index — critical for diagnosing androgen excess in women or hypogonadism in men. Cortisol provides a snapshot of adrenal stress response, while fasting insulin reveals metabolic insulin sensitivity before glucose levels become abnormal. The thyroid triad (TSH, fT3, fT4) completes the picture, since subclinical thyroid disease is a common hidden driver of fatigue, weight changes, and mood disturbance. At SYNLAB München Zentrum, all markers are drawn from a single morning blood sample. Morning collection is important for cortisol accuracy, as levels follow a diurnal rhythm peaking between 06:00 and 08:00. Results are typically available within two to three working days.