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Hormone & Longevity
built around how your body actually works.

Map the full HPA–gonadal axis. Understand why your energy, libido and mood are drifting - and what your cycle is doing under the hood. Results are phase-timed, age-adjusted, and read against functional ranges that match your biology.

$149
Flat price · HSA/FSA
Results in 5–7 days
Turnaround
Venous draw · lab or at-home phlebotomist
Sample method
  • No insurance required
  • HSA & FSA eligible
  • CLIA-accredited labs
Why this panel

Standard panels miss how your hormones actually move.

Your sex hormones swing roughly 8-fold across a cycle; a single mid-month draw captures a fragment of the story. Free testosterone, SHBG and progesterone - the numbers that correlate with how you feel - are routinely skipped on primary-care requisitions.

~8×
Range of estradiol variation across one cycle[1]
~50%
Drop in female testosterone by age 40[2]
2–10 yrs
Average perimenopausal transition before diagnosis[3]
What we measure

The 61 biomarkers in this panel - and why each one.

Tap a marker to read the clinical note and the women-specific context.

Testosterone, Free

Reproductive Hormones & Fertility

The biologically active fraction of testosterone not bound to carrier proteins, reflecting true androgen status.

Unit pg/mL
Optimal 1.0–8.5 pg/mL
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Testosterone, Total

Reproductive Hormones & Fertility

Total testosterone including both protein-bound and free fractions; the standard initial androgen screen.

Unit ng/dL
Optimal 15–70 ng/dL (women)
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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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Cortisol AM

Adrenal & Stress

Morning cortisol captures the cortisol awakening response — the highest daily peak and the best index of HPA axis competence.

Unit mcg/dL
Optimal 10–20 mcg/dL
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SHBG

Reproductive Hormones & Fertility

Sex hormone binding globulin controls how much free testosterone and estradiol is biologically available to tissues.

Unit nmol/L
Optimal 18–144 nmol/L
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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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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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DHEA-S

Reproductive Hormones & Fertility

The most abundant adrenal hormone and key precursor to sex steroids; declines steadily after age 30.

Unit mcg/dL
Optimal 35–430 mcg/dL (age-dependent)
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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.

FatigueLow libidoMood changesWeight gain
  • 1Your energy, libido or mood has shifted but labs came back 'normal'
  • 2You're in the 35–55 transition and want a perimenopause baseline
  • 3You're on (or coming off) hormonal contraception and want clarity
  • 4You have PCOS, a family history of early menopause, or irregular cycles
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.

We time the draw to days 3–5 (follicular) or days 19–21 (luteal) depending on the question. You'll get specific instructions after checkout, tailored to your cycle.

Sources

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

  1. [1]
    Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation.
    Endotext / NCBI, 2018
  2. [2]
    Davison SL et al. Androgen levels in adult females: changes with age, menopause, and oophorectomy.
    JCEM, 2005
  3. [3]
    The North American Menopause Society: Menopause Practice Guidelines.
    NAMS, 2022
  4. [4]
    Endocrine Society Clinical Practice Guideline: Treatment of Symptoms of the Menopause.
    JCEM, 2015

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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