Hormone & Fertility Test
Get clarity into what’s going on inside your body with our award-winning, at-home test.
- Comprehensive online health assessment
- Government-regulated and approved at-home blood collection kit
- Your own personal gynaecologist to analyse your results
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Whether you're thinking about having babies now, later or never, we've got you.
"We have spent years researching reproductive health and hormones to create a clinically validated diagnostic solution powered by a unique set of algorithms to provide answers for every person, no matter what stage they’re at."
Dr Helen O'Neill
BSc (Hons) MSc PhD
CEO, Founder
Lecturer in Reproductive and Molecular Genetics
How it works
Online Health Assessment
30 questions
We ensure every symptom is listened to, combined with your medical history, lifestyle & periods.
26%
Of users get a potential diagnosis at this point by calculating their risk profile for 18 potential health conditions, such as PCOS.
Personalised Hormone Panel
247
Risk factors are taken into account by our algorithm to create a hormone panel personalised to you.
Up to 10
Hormones tested from hormones that regulate your periods to those which screen for reproductive and thyroid conditions.
Blood collection tube
Your hormones and fertility demystified, in one tiny tube.
Lancets
No needles necessary, just a quick finger-prick using our lancets.
Seamless Blood Collection
Easy to use
Blood collection kit with everything you need to collect your sample.
3-5 days
Business days to receive your kit. No more additional appointments, waiting lists and lengthy commutes.
Doctor-Written Report
Thousands
Of variables have been considered to make the report the most accurate diagnostic tool for reproductive health conditions.
44%
Of people received results indicative of a diagnosis. Whether you need a scan or referral for fertility treatments, book with the right specialist the next day.
What we test
We test a specific combination of between 3 and 10 hormones (depending on factors such as your form of contraceptive) to get you the answers you're looking for.
Luteinising hormone (LH)
Menstruation, Ovulation
LH is produced by the brain. It surges mid cycle, which triggers ovulation. This is why it is vital for a healthy menstrual cycle and for your fertility. Testing it at the beginning of your cycle can help us understand if there is an imbalance in your menstrual cycle-associated hormones which may later affect ovulation. This can help screen for any underlying reproductive health conditions which disrupt ovulation such as PCOS and pituitary disorders.
Tests for
Egg quantity, polycystic ovaries
why?
AMH is produced by your follicles—little sacs within your ovaries where your eggs are matured before they’re released during ovulation. Since the number of eggs we have decreases with age, so does AMH, which is why testing your AMH levels can give a good indication of your egg quantity at a given point in time. It can also help signal some reproductive health conditions like polycystic ovaries.
Tests for
Menstruation, egg maturation, menopause
why?
FSH is produced by the brain and helps a chosen set of eggs in your ovaries to mature during the first half of every cycle, so one can eventually be released during ovulation. The lower your egg quantity, the more FSH your brain produces to compensate for having less eggs to mature, which is why monitoring it can help you understand the health of your ovaries and can signpost some reproductive health conditions like premature ovarian insufficiency (POI) and menopause.
Tests for
Menstruation, Ovulation
why?
LH is produced by the brain. It surges mid cycle, which triggers ovulation. This is why it is vital for a healthy menstrual cycle and for your fertility. Testing it at the beginning of your cycle can help us understand if there is an imbalance in your menstrual cycle-associated hormones which may later affect ovulation. This can help screen for any underlying reproductive health conditions which disrupt ovulation such as PCOS and pituitary disorders.
Tests for
Egg maturation, menstruation, skin and hair health, libido, bone health, heart health, mood
why?
The main source of E2 is your ovaries, so monitoring its levels gives a good indication of how well your ovaries and menstrual cycle are working. E2 also has a big impact on your overall health and an imbalance can lead to symptoms like dry skin and hair, vaginal dryness and hot flushes. When your ovaries stop working, your levels of E2 drop significantly, which is why it can also signpost menopause and POI.
Tests for
Menstruation, ovulation, breast health
why?
Prolactin is best known for stimulating milk production during breastfeeding, however it also has a critical role in regulating your menstrual cycle. Too much prolactin can stop the production of FSH and LH, which can then stop ovulation and your periods. Testing prolactin levels can therefore help us to understand if your menstrual cycle is working smoothly and if you are likely to be ovulating normally. It can also help us interpret why your FSH or LH levels might be out of range, as well as symptoms such as irregular or absent periods.
Tests for
Ovulation, muscle growth and repair, metabolism, skin health, libido and mood
why?
Testosterone is produced by various different tissues in the female body, including the ovaries, and has a role in maintaining your levels of E2, as well as the growth and maintenance of various tissues. Monitoring our testosterone levels can help to identify the causes of symptoms such as oily skin and acne, excessive body hair, and irregular periods. High testosterone levels are useful for signposting PCOS, which is commonly associated with these symptoms.
Tests for
Hormone modulation
why?
SHBG is a protein that helps regulate testosterone and oestrogen levels, so monitoring it helps us to interpret those hormone results, particularly if they are abnormal.
Tests for
Metabolism, weight, fatigue, skin and hair health, heart health, digestion, nervous system, ovulation
why?
TSH is produced in the brain and has the crucial role of stimulating your thyroid to produce thyroxine (T4) which has indirect effects on the rest of the body. Monitoring it helps to screen for an overactive or underactive thyroid, which can impact your overall health including your weight, fatigue levels, mood, periods and ovulation.
Tests for
Metabolism, weight, fatigue, skin and hair health, heart health, digestion, nervous system, ovulation
why?
T4 is a hormone that is produced by your thyroid and eventually gets converted to T3, which is used by various body parts to help them function. Monitoring your T4 levels helps to screen for an overactive or underactive thyroid, which can impact your overall health including your weight, fatigue levels, mood, periods and ovulation.
Tests for
Sex hormone modulation, metabolism, skin health, libido and mood
why?
Dehydroepiandrosterone sulphate (DHEAS) is a different form of the steroid hormone dehydroepiandrosterone (DHEA). It's created in the adrenal glands and helps make other hormones, such as oestrogen and testosterone. We test DHEAS to investigate the causes of symptoms such as excess facial and body hair (hirsutism), acne, hair loss, irregular periods, and fertility problems.
Whatever your results, we've got answers
Telemedicine
Our dedicated team of Doctors, Hormone and Fertility Advisors, Nutritionists and Fertility Counsellors are here to support you every step of the way.
Scanning
From a PCOS diagnosis to detecting early menopause, get fast-tracked access to testing & pelvic ultrasounds.
Referrals
Our team can refer you to vetted partner clinics for treatments such as IVF, IUI and egg freezing to continue your fertility journey.
Join our community of women getting to know their bodies.
All of our services are fully compliant with all regulatory bodies and we are government approved.
Knowledge Centre
When it comes to your own biology, you shouldn’t need a degree or a doctorate. Get fertility fluent with our easy to read articles, written by our research team.
Still got a question?
Can I test if I’m on hormonal contraception?
+Yes, you can still test whilst using hormonal contraception. We’ll ask you about your current contraception in your Online Health Assessment.
If you're on hormonal contraception we can still test for Anti-Mullerian Hormone (AMH), Thyroid Stimulating Hormone (TSH) and Free Thyroxine (T4) which will give you an insight into your ovarian (egg) reserve and general hormone health although it’s important to be aware that your AMH levels might be temporarily lowered if you’re on hormonal contraception. We may also test more hormones such as testosterone and prolactin, depending on your online health assessment answers. However, as hormonal contraception affects ovulation and influences some hormones, we cannot test for LH, FSH, Oestradiol as your results would be inaccurate.
If you want to test for LH, FSH & Oestradiol, we recommend coming off your hormonal contraception and testing on your 3rd cycle (or 3 months if your cycle has not returned). This allows your hormones to revert back to their natural levels and allows us to get an accurate measurement.
The bespoke panel of hormones which you will be tested for will be displayed prior to checkout after you complete your online health assessment. Please note that if you purchase a Hormone & Fertility Test, collect your sample and receive your results, we are then unable to provide a refund if you claim to not have understood which hormones we were able to test you for.
How much blood do you need to collect?
+When does my kit expire?
+Our at-home blood collection kits have a shelf-life of 1 year. The kit expiry date is on the bottom of the box.
Which day of my cycle should I test?
+Your answers to the Online Health Assessment determine which hormones to test and on what day of your cycle. But whichever day you test, it’s always best to test in the morning, within 3-4 hours of waking up after fasting for at least 8 hours. Some hormones also fluctuate throughout the day - so collecting your sample first thing gives the most accurate readings.
We usually recommend testing on the third day of your period. This is because whilst hormones such as Anti-Müllerian Hormone (AMH), Thyroid-stimulating hormone (TSH) and Prolactin can be tested any day, some hormones such as Follicle-stimulating hormone (FSH), Luteinising hormone (LH), and Oestradiol (E2) fluctuate throughout your cycle.
Since different hormones fluctuate throughout your cycle, if you are not on hormonal contraception and your cycles are regular, you must collect your sample on day 3 of your menstrual cycle. This is when your fluctuating hormones are at a baseline and therefore we get the most accurate results. But, if you use hormonal contraception you can test on any day. This is because we don’t test your cycling hormones (LH, E2, FSH) that need to be tested on day 3 of your cycle as these hormones are affected by your contraception.
If you have short periods, please test on Day 3 of your cycle. You don’t need to be bleeding as testing does not depend on flow. If your cycles are shorter than 21 days, please test on Day 2 of your cycle instead.
If you have irregular periods we generally advise you to test on your next day 3, rest assured you can wait, you just need to use before the expiry date stated on the back of the kit. However, if your cycle is longer than 45 days, we advise you to test on any day, as it can be difficult to identify what’s causing your irregularities and means you can get the information you deserve, sooner.
When should I return a sample?
+In the UK? Pop your sample in the prepaid envelope (no need to get a stamp) and post it back on the same day it was taken, using any Royal Mail post box in the UK.
If you’re in Ireland, you’ll need to return your sample to us using a post office on the same day you took your sample. This is so you can get your tracking details.
Testing on a weekend? Saturdays should have postal collections so collect a sample and post as planned, just be sure to post it before the last collection time! If your testing day falls on a Sunday, collect a sample as planned then keep the sample at room temperature (this stops your sample from ageing) and post it first thing on Monday. Please check the postal website for more information on your local services.
I couldn’t fill the collection tube, what should I do?
+If you have managed to fill the tube to the first line (0.5ml), please return your sample to the lab. They will be able to confirm if there is enough blood to test. If there isn’t enough then we will contact you and arrange for a free replacement if this is your first blood collection kit. If you can’t collect enough blood to reach the first line, please email us on info@hertilityhealth.com and we can help you organise next steps.
