- Podmiot leczniczy, nr księgi RPWDL 000000229528
- 700 punktów pobrań krwi, badań diagnostycznych i konsultacji specjalistycznych
- Badania i konsultacje realizujemy samodzielnie oraz przez podwykonawców
- Wynik online, bez skierowania
- Działamy od 2020 r., kontynuacja pierwszego w Polsce internetowego sklepu z badaniami (sklep.etermed.pl, od 2013)
Original price was: 292,00 zł.245,00 złCurrent price is: 245,00 zł. Oszczędzasz 16%!
Najniższa cena z 30 dni przed obniżką: 292,00 zł
The panel includes: TSH, prolactin, FSH, LH, oestradiol, progesterone
PLEASE NOTE! Individual tests within the panel cannot be performed on different dates.
Drodzy Pacjenci! W związku z częstymi pytaniami informujemy, iż prezentowane w portalu ceny obowiązują jedynie przy dokonaniu płatności przelewem. Poszczególne placówki mogą mieć te same usługi w innych cenach! Prosimy także o każdorazowe okazywanie aktualnego dokumentu tożsamości podczas realizacji wykupionych usług.
Opis produktu
What this panel is for
Six hormones measured in one sample that together assess the pituitary–ovarian axis and two of the most common factors disrupting the menstrual cycle: FSH and LH (pituitary hormones that control the ovaries), oestradiol (the main oestrogen), progesterone (the hormone of the second phase of the cycle), prolactin (excess levels suppress ovulation) and TSH (hypothyroidism disrupts the cycle and raises prolactin). This is a basic panel for irregular periods, difficulty conceiving and suspected PCOS or declining ovarian function.
When to consider this test
- irregular periods, cycles longer than 35 days or shorter than 21, or no period for more than 3 months (after pregnancy has been excluded),
- trying to conceive without success for more than 12 months (more than 6 months after age 35), or miscarriages,
- milk discharge from the breasts, headaches or visual disturbances (suspected hyperprolactinaemia),
- acne, excessive hair growth or weight gain (suspected PCOS; the doctor also requests androgen tests),
- hot flushes or periods stopping before age 45 (premature ovarian insufficiency),
- before ovulation stimulation and fertility treatment.
How to prepare
- Attend in the morning after fasting for 8–12 hours and a good night’s sleep. Prolactin rises after stress, exercise, sexual intercourse and nipple stimulation: avoid these the day before and sit and rest for 15–20 minutes before sample collection.
- Cycle timing: days 2–5 (counted from the first day of bleeding). If you do not have periods, testing can be performed on any day; inform your doctor.
- Hormonal contraception and HRT distort the results; stop high-dose biotin for 2–3 days.
- Tell your doctor about medicines that raise prolactin: antipsychotics, antidepressants, antiemetics (metoclopramide) and some blood pressure medicines.
Understanding your result
Reference ranges depend on the day of the cycle and the laboratory (see the report). Typical patterns:
| Pattern | What it usually means |
|---|---|
| FSH, LH and oestradiol within the follicular phase ranges; TSH and prolactin within range | the pituitary–ovarian axis is functioning; if cycles are irregular, the doctor investigates further (androgens, AMH, ultrasound) |
| LH markedly higher than FSH (ratio above 2), normal oestradiol | a pattern common in PCOS; diagnosis requires clinical symptoms, androgen assessment and ultrasound |
| raised prolactin | stress, medicines, hypothyroidism or a pituitary adenoma; repeat testing under restful conditions, then macroprolactin and MRI if levels remain high |
| raised TSH | hypothyroidism; the cycle often returns to normal after treatment |
| high FSH (usually above 25–40 IU/l), low oestradiol | declining ovarian function: menopause, or premature ovarian insufficiency before age 40; the doctor also requests AMH |
| low FSH, LH and oestradiol | a pituitary or hypothalamic problem: severe stress, intensive exercise, malnutrition or pituitary disease |
| progesterone (from a sample collected on days 2–5) | physiologically low; to assess ovulation, a separate measurement on days 21–23 is needed; a level above 3 ng/ml confirms ovulation |
Other tests to consider
For suspected PCOS: testosterone, SHBG, DHEA-S, androstenedione, insulin and glucose; to assess ovarian reserve, AMH; for high prolactin, macroprolactin. Read more: Badania-Medyczne.pl.
Frequently asked questions
On which day of my cycle should I have this panel?
All tests use one sample, so a single day must be chosen. The standard timing for cycle and fertility investigations is days 2–5 of the cycle (FSH, LH, oestradiol, prolactin and TSH provide meaningful results then). Progesterone in this sample will be low because this is the follicular phase; if the doctor wants to assess ovulation, progesterone is repeated separately on days 21–23.
Why does the panel include TSH and prolactin?
Because hypothyroidism and hyperprolactinaemia are two of the most common causes of cycle disorders and infertility that are unrelated to ovarian disease and are readily treatable. Without these tests, the FSH/LH/oestradiol pattern may be misinterpreted.
Is this panel useful while using hormonal contraception?
No. Pills, patches and the vaginal ring suppress FSH and LH and alter oestradiol and prolactin. The results reflect the medicine’s effects, not your ovarian function. Agree with your doctor when to stop contraception before testing (usually 1–3 cycles).
Sources: ALAB laboratoria, Extended female hormone panel (preparation, interpretation: PCOS, hyperprolactinaemia, ovarian insufficiency, thyroid); Mayo Clinic Laboratories, Follicle-Stimulating Hormone, Serum (FSH ranges by cycle phase, usually >40 IU/L after menopause). For information only; does not replace medical advice.
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