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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.

$149
Flat price · HSA/FSA
Results in 5–7 days
Turnaround
Cycle-phase-timed venous draw
Sample method
  • No insurance required
  • HSA & FSA eligible
  • CLIA-accredited labs
Why this panel

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.

1 in 8
U.S. couples who experience infertility[1]
~1/3
Of cases are female-factor (another 1/3 male, 1/3 combined/unknown)[1]
8–10%
Of reproductive-age women have PCOS - most undiagnosed[2]
What we measure

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)

Reproductive Hormones & Fertility

Secreted by small antral follicles, AMH is the most stable and cycle-independent measure of ovarian reserve.

Unit ng/mL
Optimal 1.0–3.5 ng/mL (ages 20–35)
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hCG, Total

Pregnancy

Human chorionic gonadotropin produced by the placenta; quantitative levels track implantation and early pregnancy development.

Unit mIU/mL
Optimal <5 mIU/mL (non-pregnant)
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Androstenedione

Reproductive Hormones & Fertility

An androgen precursor produced by both adrenal glands and ovaries; elevated in PCOS and adrenal hyperplasia.

Unit ng/dL
Optimal 20–200 ng/dL
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17-Hydroxyprogesterone

Reproductive Hormones & Fertility

A progesterone precursor in the cortisol synthesis pathway; elevated levels signal congenital adrenal hyperplasia.

Unit ng/dL
Optimal <200 ng/dL (follicular phase)
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Estradiol

Reproductive Hormones & Fertility

The primary estrogen driving the menstrual cycle, bone density, and cardiovascular protection.

Unit pg/mL
Optimal 12–350 pg/mL (cycle-dependent)
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Prolactin

Reproductive Hormones & Fertility

Pituitary hormone primarily responsible for lactation; elevated levels outside pregnancy suppress ovulation and libido.

Unit ng/mL
Optimal 2–29 ng/mL
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TSH

Thyroid

TSH is the pituitary signal driving thyroid output; the most sensitive measure of overall thyroid axis status.

Unit mIU/L
Optimal 0.5–2.5 mIU/L (functional)
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Progesterone

Reproductive Hormones & Fertility

The calming, cycle-stabilizing hormone produced after ovulation; a direct readout of whether ovulation actually occurred.

Unit ng/mL
Optimal 5–20 ng/mL (luteal phase)
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Ferritin

Iron & Anemia

Ferritin is the intracellular iron storage protein; the most sensitive single marker of iron stores before anemia develops.

Unit ng/mL
Optimal 50–150 ng/mL
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Iron Binding Capacity

Iron & Anemia

TIBC measures the blood's capacity to transport iron, the indirect inverse marker of iron stores.

Unit mcg/dL
Optimal 250–370 mcg/dL
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FSH (Follicle Stimulating Hormone)

Reproductive Hormones & Fertility

Follicle stimulating hormone drives follicular development; elevated basal FSH signals diminished ovarian reserve.

Unit mIU/mL
Optimal 3–10 mIU/mL (early follicular)
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LH

Reproductive Hormones & Fertility

Luteinizing hormone triggers ovulation; the LH-to-FSH ratio is a key diagnostic ratio in PCOS evaluation.

Unit mIU/mL
Optimal 2–15 mIU/mL (follicular phase)
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White Blood Cell Count

CBC with Differential

Total count of white blood cells; the front-line defense of the immune system.

Unit K/µL
Optimal 3.5–10.5 K/µL
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Red Blood Cell Count

CBC with Differential

Total red blood cell count; used alongside hemoglobin and hematocrit to assess anemia.

Unit M/µL
Optimal 3.9–5.0 M/µL
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Hemoglobin

CBC with Differential

The oxygen-carrying protein in red blood cells; the primary measure of anemia severity.

Unit g/dL
Optimal 12.0–16.0 g/dL
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Hematocrit

CBC with Differential

The fraction of blood volume occupied by red blood cells.

Unit %
Optimal 36–46%
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MCV

CBC with Differential

Mean corpuscular volume — the average size of red blood cells; elevated in B12/folate deficiency, low in iron deficiency.

Unit fL
Optimal 80–100 fL
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MCH

CBC with Differential

Mean corpuscular hemoglobin — the average amount of hemoglobin per red cell; low MCH is an early signal of iron depletion.

Unit pg
Optimal 27–33 pg
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MCHC

CBC with Differential

Mean corpuscular hemoglobin concentration — classic for iron-deficiency anemia when low.

Unit g/dL
Optimal 32–36 g/dL
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RDW

CBC with Differential

Red cell distribution width — measures variability in red cell size; elevated RDW reflects oxidative stress and mixed deficiencies.

Unit %
Optimal <14%
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Platelet Count

CBC with Differential

The circulating particles that initiate clotting; low counts increase bleeding risk, high counts can reflect inflammation or iron deficiency.

Unit K/µL
Optimal 150–400 K/µL
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MPV

CBC with Differential

Mean platelet volume — larger platelets are more reactive; elevated MPV is associated with cardiovascular and thrombotic risk.

Unit fL
Optimal 7.5–12.5 fL
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Absolute Neutrophils

CBC with Differential

Absolute count of neutrophils — the first responders to bacterial infection.

Unit K/µL
Optimal 1.8–7.7 K/µL
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Absolute Band Neutrophils

CBC with Differential

Immature neutrophils (bands) — elevated counts (left shift) indicate acute bacterial infection or bone marrow stress.

Unit K/µL
Optimal 0–0.7 K/µL
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Absolute Metamyelocytes

CBC with Differential

Immature granulocyte precursors; presence in blood indicates bone marrow stress or severe infection.

Unit K/µL
Optimal 0 K/µL
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Absolute Myelocytes

CBC with Differential

Granulocyte precursors; circulating myelocytes indicate abnormal bone marrow release.

Unit K/µL
Optimal 0 K/µL
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Absolute Promyelocytes

CBC with Differential

Very early granulocyte precursors; their presence in blood is abnormal and requires urgent evaluation.

Unit K/µL
Optimal 0 K/µL
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Absolute Lymphocytes

CBC with Differential

Absolute count of lymphocytes — key mediators of adaptive immunity including T and B cells.

Unit K/µL
Optimal 1.0–4.8 K/µL
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Absolute Monocytes

CBC with Differential

Absolute monocytes; these differentiate into macrophages and dendritic cells in tissue.

Unit K/µL
Optimal 0.2–0.95 K/µL
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Absolute Eosinophils

CBC with Differential

Absolute eosinophils; respond to allergic reactions and parasitic infections.

Unit K/µL
Optimal 0.05–0.5 K/µL
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Absolute Basophils

CBC with Differential

Absolute basophils — the rarest white cell, involved in allergic and inflammatory responses.

Unit K/µL
Optimal 0–0.1 K/µL
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Absolute Blasts

CBC with Differential

Blast cells in peripheral blood; any presence is abnormal and requires immediate haematology referral.

Unit K/µL
Optimal 0 K/µL
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Absolute Nucleated RBC

CBC with Differential

Nucleated red blood cells in peripheral blood; normally only present in foetal circulation and severe anaemia.

Unit K/µL
Optimal 0 K/µL
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Neutrophils %

CBC with Differential

Percentage of neutrophils in the white cell differential; elevated in bacterial infection and stress.

Unit %
Optimal 40–74%
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Band Neutrophils %

CBC with Differential

Percentage of band (immature) neutrophils; elevated in acute bacterial infection.

Unit %
Optimal 0–7%
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Metamyelocytes %

CBC with Differential

Percentage of metamyelocytes; should be absent from normal peripheral blood.

Unit %
Optimal 0%
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Myelocytes %

CBC with Differential

Percentage of myelocytes; absent from normal blood.

Unit %
Optimal 0%
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Promyelocytes %

CBC with Differential

Percentage of promyelocytes; absent from normal blood.

Unit %
Optimal 0%
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Lymphocytes %

CBC with Differential

Percentage of lymphocytes in the white cell differential; reflects adaptive immunity.

Unit %
Optimal 20–44%
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Reactive Lymphocytes %

CBC with Differential

Atypical (reactive) lymphocytes; elevated in viral infections such as EBV and CMV.

Unit %
Optimal 0–5%
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Monocytes %

CBC with Differential

Percentage of monocytes; elevated in chronic infections and inflammatory conditions.

Unit %
Optimal 4–11%
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Eosinophils %

CBC with Differential

Percentage of eosinophils; elevated in allergic and parasitic conditions.

Unit %
Optimal 0–5%
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Basophils %

CBC with Differential

Percentage of basophils; mildly elevated counts can accompany allergic inflammation or thyroid disease.

Unit %
Optimal 0–1%
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Blasts %

CBC with Differential

Percentage of blasts; absent from normal blood. Any presence requires urgent evaluation.

Unit %
Optimal 0%
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Nucleated RBC %

CBC with Differential

Nucleated RBCs per 100 WBCs; should be absent in normal adults.

Unit per 100 WBC
Optimal 0
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CBC Comment

CBC with Differential

Pathologist or automated comment on peripheral blood findings.

Unit
Optimal
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Glucose

Comprehensive Metabolic Panel

Fasting serum glucose — the primary screen for diabetes and metabolic dysfunction.

Unit mg/dL
Optimal 70–99 mg/dL (fasting)
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Urea Nitrogen (BUN)

Comprehensive Metabolic Panel

Blood urea nitrogen — a kidney filtration marker; elevated with dehydration or renal impairment.

Unit mg/dL
Optimal 7–20 mg/dL
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Creatinine

Comprehensive Metabolic Panel

Muscle waste product filtered by the kidneys; used to estimate GFR.

Unit mg/dL
Optimal 0.5–0.9 mg/dL
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eGFR

Comprehensive Metabolic Panel

Estimated glomerular filtration rate — the best single-number indicator of kidney function, calculated from creatinine using CKD-EPI.

Unit mL/min/1.73m²
Optimal >60 mL/min/1.73m²
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BUN/Creatinine Ratio

Comprehensive Metabolic Panel

The ratio of BUN to creatinine; helps distinguish pre-renal from intrinsic kidney causes of elevated BUN.

Unit ratio
Optimal 10–20
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Sodium

Comprehensive Metabolic Panel

Primary extracellular cation; regulates fluid balance and nerve/muscle function.

Unit mEq/L
Optimal 136–145 mEq/L
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Potassium

Comprehensive Metabolic Panel

Primary intracellular cation; critical for heart rhythm, muscle contraction, and nerve signalling.

Unit mEq/L
Optimal 3.5–5.0 mEq/L
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Chloride

Comprehensive Metabolic Panel

The main anion that balances sodium; used to evaluate acid-base and electrolyte status.

Unit mEq/L
Optimal 98–107 mEq/L
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Carbon Dioxide (CO₂)

Comprehensive Metabolic Panel

Serum bicarbonate reflecting the body's acid-base reserve; low values can indicate metabolic acidosis.

Unit mEq/L
Optimal 22–29 mEq/L
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Calcium

Comprehensive Metabolic Panel

Total serum calcium; critical for bone density, muscle contraction, and nerve signalling.

Unit mg/dL
Optimal 8.5–10.2 mg/dL
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Protein, Total

Comprehensive Metabolic Panel

Total serum protein (albumin + globulins); reflects overall nutritional status and liver and immune function.

Unit g/dL
Optimal 6.0–8.3 g/dL
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Albumin

Comprehensive Metabolic Panel

The most abundant serum protein; reflects liver synthetic function, nutrition, and systemic inflammation.

Unit g/dL
Optimal 3.5–5.0 g/dL
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Globulin

Comprehensive Metabolic Panel

Calculated globulin fraction (total protein minus albumin); includes immunoglobulins, clotting factors, and transport proteins.

Unit g/dL
Optimal 2.0–3.5 g/dL
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Albumin/Globulin Ratio

Comprehensive Metabolic Panel

The A/G ratio; a low ratio (reversed) can indicate autoimmune disease, liver disease, or malignancy.

Unit ratio
Optimal >1.0
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Bilirubin, Total

Comprehensive Metabolic Panel

The breakdown product of haemoglobin; elevated in liver disease, haemolysis, or bile duct obstruction.

Unit mg/dL
Optimal 0.2–1.2 mg/dL
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Alkaline Phosphatase

Comprehensive Metabolic Panel

Enzyme produced in liver and bone; elevated in cholestasis, bone disease, and pregnancy.

Unit U/L
Optimal 30–100 U/L
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AST

Comprehensive Metabolic Panel

Aspartate aminotransferase — liver and muscle enzyme; elevated with hepatocellular damage or intense exercise.

Unit U/L
Optimal 10–35 U/L
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ALT

Comprehensive Metabolic Panel

Alanine aminotransferase — the most specific liver enzyme; elevated in hepatitis, fatty liver, and medication toxicity.

Unit U/L
Optimal 7–35 U/L
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hs-CRP

Inflammation

High-sensitivity C-reactive protein — the most sensitive blood measure of systemic low-grade inflammation.

Unit mg/L
Optimal <1.0 mg/L (low risk)
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Who this is for

Order this panel if any of these fit.

Irregular periodsPCOSFertility concernsCycle tracking
  • 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
How it works

Three steps, no waiting room.

01
Order online

Choose your panel and complete a 2-minute intake. We schedule your lab visit or at-home phlebotomy appointment right after checkout.

02
Visit a lab or book at-home phlebotomy

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.

03
Get reviewed results

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.

FAQ

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.

Sources

Claims on this page are grounded in peer-reviewed research and society guidelines.

  1. [1]
    CDC: National Survey of Family Growth - Infertility in the United States.
    CDC NCHS
  2. [2]
    Teede HJ et al. International Evidence-Based Guideline for the Assessment and Management of PCOS.
    Fertil Steril, 2018
  3. [3]
    ACOG Committee Opinion: Female Age-Related Fertility Decline.
    ACOG, 2014 (reaffirmed 2022)
  4. [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.

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