Quick Facts
- Sample: Blood sample collected via standard blood draw
- Fasting: No fasting required
- Turn-around: 1-2 business days. May take longer based on weather, holiday, or lab delays.
Benefits
- No doctor referral needed - Order directly and take control of your reproductive health
- Comprehensive hormone insights - Measures two critical reproductive hormones in one test
- Convenient nationwide access - Thousands of collection centers available
- Affordable alternative - Cost-effective compared to traditional medical visits
- Complete confidentiality - Private, secure results through online portal
- Early detection power - Identify potential fertility issues before they become major concerns
Who Is This Test For?
- Women experiencing difficulty conceiving or irregular menstrual cycles
- Men with low sperm count, decreased libido, or fertility concerns
- Individuals investigating potential PCOS or other reproductive disorders
- Those monitoring ovulation cycles for natural family planning
- People with symptoms of early or delayed puberty
- Anyone evaluating menopause or perimenopause onset
How It Works – Just 3 Steps
- Order Online - Purchase your test with no doctor's referral required
- Visit Collection Center - Get your blood drawn at one of thousands of convenient locations
- Review Results - Access secure results online within 1-2 business days
FAQ
What hormones does this test measure? This panel measures follicle-stimulating hormone (FSH) and luteinizing hormone (LH), two reproductive hormones produced by your pituitary gland that control sexual development and fertility.
Do I need to prepare for this test? No special preparation is required. Continue normal eating and drinking, but inform your provider about medications or supplements you're taking.
How accurate are the results? Our tests use the same laboratory standards as hospitals and clinics, with CAP accreditation and CLIA certification ensuring reliable, accurate results.
When will I get my results? Results are typically available within 1-3 business days through your secure online portal.
Can men take this test too? Yes, this test evaluates reproductive hormone function in both men and women, helping assess fertility and hormonal balance.
What if my results are abnormal? Abnormal results may indicate various conditions requiring follow-up testing. Consider consulting with a healthcare provider to interpret your specific results.
More Details
What is the purpose of this test?
FSH and LH testing evaluates reproductive hormone function to diagnose fertility issues, menstrual abnormalities, early or delayed puberty, and conditions like PCOS (Cleveland Clinic, 2025). In women, FSH stimulates ovarian follicle growth while LH triggers ovulation. In men, these hormones stimulate testosterone production and sperm development. The test can also confirm menopause in women and assess testicular function in men, providing critical insights into your reproductive health and hormone balance.
Who would benefit from this test?
Women experiencing infertility, irregular or absent periods, or menopausal symptoms would benefit significantly from this testing (University of Rochester Medical Center, 2025). Men with low sperm count, decreased libido, or fertility concerns can gain valuable insights into their reproductive health. Children showing signs of early or delayed puberty, and individuals with suspected pituitary disorders, should also consider this comprehensive hormone assessment. The test is particularly valuable for those investigating PCOS, which affects 6-13% of reproductive-aged women but remains undiagnosed in up to 70% of cases (WHO, 2025).
When should I order Follicle-stimulating Hormone (FSH) and Luteinizing Hormone tests?
Consider ordering these tests if you've been trying to conceive for over a year without success, experience irregular or absent menstrual cycles, or suspect menopause (Testing.com, 2024). Men should consider testing if experiencing decreased libido, low energy, or fertility concerns. Parents should order testing if children show signs of early or delayed puberty. Additionally, those with symptoms of pituitary disorders or family history of reproductive issues should consider this assessment to establish baseline hormone levels.
How do I interpret the results?
Results vary significantly by gender, age, and reproductive stage. For women, hormone levels fluctuate throughout the menstrual cycle, with surges during ovulation.
Women
- Elevated FSH may indicate: Primary ovarian insufficiency, menopause, PCOS, Turner syndrome
- Elevated LH may indicate: Anovulation, PCOS, perimenopause, ovulation surge
Men
- Elevated FSH may indicate: Testicular failure, pituitary disorders, aging
- Elevated LH may indicate: Testicular dysfunction, pituitary disorders
PCOS affects an estimated 9.2% of women globally, with diagnosis criteria varying between 5.5-11.5% depending on guidelines used (PubMed, 2024).
Disclaimer: Reference ranges may vary by laboratory. Listed ranges are general guidelines and may differ from those used by the performing lab. Always consult your healthcare provider for interpretation.
Pre-test preparation
Usually, no special preparation is required for FSH and LH testing (Testing.com, 2024). Continue normal eating and drinking unless specifically instructed otherwise. However, inform your provider about all medications and supplements you're taking, as some may need temporary discontinuation. For women tracking cycles, note your last menstrual period date, as hormone levels fluctuate throughout the cycle. The test requires only a simple blood draw with no fasting necessary.
How often should I get tested?
Testing frequency depends on your specific health situation and symptoms:
- Fertility evaluation: Once initially, repeat as directed by healthcare provider
- PCOS monitoring: Every 6–12 months or as symptoms change
- Menopause confirmation: Single test, repeat in 6 months if needed
- Puberty concerns: Every 3–6 months until normal development
- Treatment monitoring: As directed by healthcare provider
Why early detection matters
Early detection of hormonal imbalances can prevent long-term complications and improve treatment outcomes. PCOS alone costs an estimated $8 billion annually in the United States, with $4.3 billion for long-term health effects (Journal of Clinical Endocrinology & Metabolism, 2021). Despite its significant impact, PCOS is frequently misunderstood or overlooked by clinicians. Early identification allows for timely intervention, lifestyle modifications, and treatment strategies that can significantly improve quality of life and reproductive outcomes.
Related tests you may consider
Hormone #2 Essential Blood Test Panel, Men - Checks important hormones like testosterone, thyroid hormones, and prostate health markers to help men understand how their hormones and overall health are working.
Growth Hormone Blood Test Panel - Measures HGH and IGF-1 levels in the blood to help diagnose growth hormone disorders and monitor GH treatment effectiveness.
Thyroid #4 Comprehensive Blood Test Panel - Since thyroid disorders can mimic reproductive hormone symptoms and affect fertility, thyroid testing often complements FSH/LH evaluation for complete hormonal assessment.
