Potential Symptoms

Symptoms attributable to an imbalance of fertility-related hormones can include the following:

• Skin changes, including acne above normal levels

• Male-pattern hair growth

• Loss or thinning of hair

• Unexplained weight gain

• Breast tenderness

• Hot flashes

• Night sweats

• Reduced libido

• Mood changes

• Irregular or no periods

• Sleep difficulty

• Fatigue

• Infertility

What we measure

Reproductive Hormones • Blood Spot

The reproductive hormones – estradiol, progesterone, testosterone, sex hormone-binding globulin (SHBG), follicle-stimulating hormone (FSH), and luteinizing hormone (LH) – work synergistically to promote fertility and support a healthy pregnancy. When their levels are out of balance, fertility can be impeded.

Estradiol/Progesterone/Testosterone/SHBG/FSH/LH

Thyroid Hormones • Blood Spot

During pregnancy, a woman’s need is higher for thyroid hormones than when she is not pregnant, so healthy levels are important for a healthy pregnancy. An underactive thyroid gland can be one cause of menstrual cycle irregularities, while an overactive thyroid gland can interfere with normal levels of reproductive hormones.

TSH/Free T3/Free T4/TPOAbs

Adrenal Hormones • Blood Spot, Saliva

The two adrenal hormones – DHEA and cortisol – are in direct competition with one another, because the body makes DHEA and cortisol using the same hormone substrate – pregnenolone. Typically, stressors of any kind can result in imbalances. Too much or too little of either DHEA or cortisol can have a negative impact on fertility.

CortisolDHEA