Fertility & Reproductive Health
because 'regular cycle' isn't the same as fertile.
A complete reproductive workup - ovarian reserve, ovulation confirmation, PCOS markers, and thyroid/prolactin screening - timed correctly to your cycle phase. Useful whether you're trying, pausing, or just mapping the runway.
- No insurance required
- HSA & FSA eligible
- CLIA-accredited labs
A regular cycle doesn't guarantee ovulation - and ovulation is what actually makes you fertile that month.
Up to 1 in 8 U.S. couples experience infertility, and female-factor causes account for roughly one-third of cases. Anovulatory cycles rise silently through your 30s; AMH, mid-luteal progesterone, and day-3 FSH/LH catch patterns a standard workup skips.
The 65 biomarkers in this panel - and why each one.
Tap a marker to read the clinical note and the women-specific context.
Anti-Mullerian Hormone (AMH)
Secreted by small antral follicles, AMH is the most stable and cycle-independent measure of ovarian reserve.
hCG, Total
Human chorionic gonadotropin produced by the placenta; quantitative levels track implantation and early pregnancy development.
Androstenedione
An androgen precursor produced by both adrenal glands and ovaries; elevated in PCOS and adrenal hyperplasia.
17-Hydroxyprogesterone
A progesterone precursor in the cortisol synthesis pathway; elevated levels signal congenital adrenal hyperplasia.
Estradiol
The primary estrogen driving the menstrual cycle, bone density, and cardiovascular protection.
Prolactin
Pituitary hormone primarily responsible for lactation; elevated levels outside pregnancy suppress ovulation and libido.
TSH
TSH is the pituitary signal driving thyroid output; the most sensitive measure of overall thyroid axis status.
Progesterone
The calming, cycle-stabilizing hormone produced after ovulation; a direct readout of whether ovulation actually occurred.
Ferritin
Ferritin is the intracellular iron storage protein; the most sensitive single marker of iron stores before anemia develops.
Iron Binding Capacity
TIBC measures the blood's capacity to transport iron, the indirect inverse marker of iron stores.
FSH (Follicle Stimulating Hormone)
Follicle stimulating hormone drives follicular development; elevated basal FSH signals diminished ovarian reserve.
LH
Luteinizing hormone triggers ovulation; the LH-to-FSH ratio is a key diagnostic ratio in PCOS evaluation.
White Blood Cell Count
Total count of white blood cells; the front-line defense of the immune system.
Red Blood Cell Count
Total red blood cell count; used alongside hemoglobin and hematocrit to assess anemia.
Hemoglobin
The oxygen-carrying protein in red blood cells; the primary measure of anemia severity.
Hematocrit
The fraction of blood volume occupied by red blood cells.
MCV
Mean corpuscular volume — the average size of red blood cells; elevated in B12/folate deficiency, low in iron deficiency.
MCH
Mean corpuscular hemoglobin — the average amount of hemoglobin per red cell; low MCH is an early signal of iron depletion.
MCHC
Mean corpuscular hemoglobin concentration — classic for iron-deficiency anemia when low.
RDW
Red cell distribution width — measures variability in red cell size; elevated RDW reflects oxidative stress and mixed deficiencies.
Platelet Count
The circulating particles that initiate clotting; low counts increase bleeding risk, high counts can reflect inflammation or iron deficiency.
MPV
Mean platelet volume — larger platelets are more reactive; elevated MPV is associated with cardiovascular and thrombotic risk.
Absolute Neutrophils
Absolute count of neutrophils — the first responders to bacterial infection.
Absolute Band Neutrophils
Immature neutrophils (bands) — elevated counts (left shift) indicate acute bacterial infection or bone marrow stress.
Absolute Metamyelocytes
Immature granulocyte precursors; presence in blood indicates bone marrow stress or severe infection.
Absolute Myelocytes
Granulocyte precursors; circulating myelocytes indicate abnormal bone marrow release.
Absolute Promyelocytes
Very early granulocyte precursors; their presence in blood is abnormal and requires urgent evaluation.
Absolute Lymphocytes
Absolute count of lymphocytes — key mediators of adaptive immunity including T and B cells.
Absolute Monocytes
Absolute monocytes; these differentiate into macrophages and dendritic cells in tissue.
Absolute Eosinophils
Absolute eosinophils; respond to allergic reactions and parasitic infections.
Absolute Basophils
Absolute basophils — the rarest white cell, involved in allergic and inflammatory responses.
Absolute Blasts
Blast cells in peripheral blood; any presence is abnormal and requires immediate haematology referral.
Absolute Nucleated RBC
Nucleated red blood cells in peripheral blood; normally only present in foetal circulation and severe anaemia.
Neutrophils %
Percentage of neutrophils in the white cell differential; elevated in bacterial infection and stress.
Band Neutrophils %
Percentage of band (immature) neutrophils; elevated in acute bacterial infection.
Metamyelocytes %
Percentage of metamyelocytes; should be absent from normal peripheral blood.
Myelocytes %
Percentage of myelocytes; absent from normal blood.
Promyelocytes %
Percentage of promyelocytes; absent from normal blood.
Lymphocytes %
Percentage of lymphocytes in the white cell differential; reflects adaptive immunity.
Reactive Lymphocytes %
Atypical (reactive) lymphocytes; elevated in viral infections such as EBV and CMV.
Monocytes %
Percentage of monocytes; elevated in chronic infections and inflammatory conditions.
Eosinophils %
Percentage of eosinophils; elevated in allergic and parasitic conditions.
Basophils %
Percentage of basophils; mildly elevated counts can accompany allergic inflammation or thyroid disease.
Blasts %
Percentage of blasts; absent from normal blood. Any presence requires urgent evaluation.
Nucleated RBC %
Nucleated RBCs per 100 WBCs; should be absent in normal adults.
CBC Comment
Pathologist or automated comment on peripheral blood findings.
Glucose
Fasting serum glucose — the primary screen for diabetes and metabolic dysfunction.
Urea Nitrogen (BUN)
Blood urea nitrogen — a kidney filtration marker; elevated with dehydration or renal impairment.
Creatinine
Muscle waste product filtered by the kidneys; used to estimate GFR.
eGFR
Estimated glomerular filtration rate — the best single-number indicator of kidney function, calculated from creatinine using CKD-EPI.
BUN/Creatinine Ratio
The ratio of BUN to creatinine; helps distinguish pre-renal from intrinsic kidney causes of elevated BUN.
Sodium
Primary extracellular cation; regulates fluid balance and nerve/muscle function.
Potassium
Primary intracellular cation; critical for heart rhythm, muscle contraction, and nerve signalling.
Chloride
The main anion that balances sodium; used to evaluate acid-base and electrolyte status.
Carbon Dioxide (CO₂)
Serum bicarbonate reflecting the body's acid-base reserve; low values can indicate metabolic acidosis.
Calcium
Total serum calcium; critical for bone density, muscle contraction, and nerve signalling.
Protein, Total
Total serum protein (albumin + globulins); reflects overall nutritional status and liver and immune function.
Albumin
The most abundant serum protein; reflects liver synthetic function, nutrition, and systemic inflammation.
Globulin
Calculated globulin fraction (total protein minus albumin); includes immunoglobulins, clotting factors, and transport proteins.
Albumin/Globulin Ratio
The A/G ratio; a low ratio (reversed) can indicate autoimmune disease, liver disease, or malignancy.
Bilirubin, Total
The breakdown product of haemoglobin; elevated in liver disease, haemolysis, or bile duct obstruction.
Alkaline Phosphatase
Enzyme produced in liver and bone; elevated in cholestasis, bone disease, and pregnancy.
AST
Aspartate aminotransferase — liver and muscle enzyme; elevated with hepatocellular damage or intense exercise.
ALT
Alanine aminotransferase — the most specific liver enzyme; elevated in hepatitis, fatty liver, and medication toxicity.
hs-CRP
High-sensitivity C-reactive protein — the most sensitive blood measure of systemic low-grade inflammation.
Order this panel if any of these fit.
- 1You're planning to conceive in the next 1–3 years
- 2You have irregular cycles, suspected PCOS, or a family history of early menopause
- 3You're considering egg freezing or want an ovarian-reserve baseline
- 4You've had recurrent miscarriage or a delayed conception
Three steps, no waiting room.
Choose your panel and complete a 2-minute intake. We schedule your lab visit or at-home phlebotomy appointment right after checkout.
Choose a Quest Diagnostics lab visit or have a certified phlebotomist come to you (available in select ZIP codes at checkout). Draws take about 8 minutes.
Results in 5–7 days - a plain-language report with research-backed ranges for women and flags on anything that warrants follow-up. Share with your own clinician for interpretation.
Things people ask before ordering.
AMH is a proxy for egg quantity (ovarian reserve), not egg quality. A low AMH at 28 is clinically meaningful; a low AMH at 42 is biology. Very high AMH (>6 ng/mL) is a PCOS hallmark.
Claims on this page are grounded in peer-reviewed research and society guidelines.
- [1]CDC: National Survey of Family Growth - Infertility in the United States.CDC NCHS
- [2]Teede HJ et al. International Evidence-Based Guideline for the Assessment and Management of PCOS.Fertil Steril, 2018
- [3]ACOG Committee Opinion: Female Age-Related Fertility Decline.ACOG, 2014 (reaffirmed 2022)
- [4]Practice Committee of ASRM: Testing and Interpreting Measures of Ovarian Reserve.Fertil Steril, 2020
EllaDx panels are not a substitute for medical diagnosis. All results are reviewed by a licensed physician. Always consult a qualified clinician about changes to your care.