{"product_id":"hormone-balance","title":"Home Female Hormone Blood Test UK - Metabolic Panel","description":"\u003cp\u003e\u003cmeta charset=\"utf-8\"\u003e \u003cmeta content=\"width=device-width, initial-scale=1\" name=\"viewport\"\u003e\u003cmeta content=\"Order a home female hormone blood test in the UK. UKAS accredited and CQC registered labs assess LH, FSH, testosterone, SHBG, HbA1c and vitamin D.\" name=\"description\"\u003e\u003c\/p\u003e\n\u003cstyle\u003e\n  .fhm_product {\n    --fhm_ink: #2f2a28;\n    --fhm_muted: #6f625d;\n    --fhm_taupe: #786863;\n    --fhm_taupe_dark: #5e4c46;\n    --fhm_cream: #f5eee3;\n    --fhm_line: #ded2c5;\n    --fhm_white: #ffffff;\n    --fhm_green_bg: #e8f3e9;\n    --fhm_green_text: #345f3f;\n    --fhm_amber_bg: #fff1cf;\n    --fhm_amber_text: #7b5715;\n    --fhm_orange_bg: #f9e7d7;\n    --fhm_orange_text: #8a4d2d;\n    --fhm_red_bg: #f8dfdf;\n    --fhm_red_text: #8f3535;\n    --fhm_blue_bg: #e8eef4;\n    --fhm_blue_text: #405c72;\n    color: var(--fhm_ink);\n    font-family: inherit;\n    font-size: 16px;\n    line-height: 1.7;\n    margin: 0 auto;\n    max-width: 1120px;\n  }\n\n  .fhm_product * { box-sizing: border-box; }\n\n  .fhm_product h2,\n  .fhm_product h3,\n  .fhm_product h4 {\n    color: var(--fhm_ink);\n    line-height: 1.2;\n    margin-top: 0;\n  }\n\n  .fhm_product h2 {\n    font-family: Georgia, \"Times New Roman\", serif;\n    font-size: clamp(32px, 5vw, 54px);\n    font-weight: 500;\n    margin-bottom: 18px;\n  }\n\n  .fhm_product h3 {\n    font-family: Georgia, \"Times New Roman\", serif;\n    font-size: clamp(25px, 3vw, 34px);\n    font-weight: 500;\n    margin-bottom: 16px;\n  }\n\n  .fhm_product h4 { font-size: 18px; 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}\n\n  .fhm_stat,\n  .fhm_method_item,\n  .fhm_trust_item,\n  .fhm_step {\n    background: rgba(255, 255, 255, 0.84);\n    border: 1px solid var(--fhm_line);\n    border-radius: 14px;\n    min-height: 112px;\n    padding: 17px;\n  }\n\n  .fhm_method_item,\n  .fhm_trust_item { background: #fbf8f3; }\n\n  .fhm_stat strong,\n  .fhm_method_item strong,\n  .fhm_trust_item strong {\n    display: block;\n    font-size: 15px;\n    margin-bottom: 6px;\n  }\n\n  .fhm_stat strong { font-size: 18px; }\n\n  .fhm_stat span,\n  .fhm_method_item span,\n  .fhm_trust_item span {\n    color: var(--fhm_muted);\n    font-size: 14px;\n    line-height: 1.55;\n  }\n\n  .fhm_section {\n    background: var(--fhm_white);\n    border: 1px solid var(--fhm_line);\n    border-radius: 18px;\n    margin-bottom: 24px;\n    padding: clamp(22px, 4vw, 38px);\n  }\n\n  .fhm_table_wrap {\n    overflow-x: auto;\n    width: 100%;\n  }\n\n  .fhm_table {\n    border-collapse: collapse;\n    margin: 18px 0 4px;\n    min-width: 720px;\n    width: 100%;\n  }\n\n  .fhm_table th,\n  .fhm_table td {\n    border-bottom: 1px solid var(--fhm_line);\n    padding: 15px 14px;\n    text-align: left;\n    vertical-align: top;\n  }\n\n  .fhm_table th {\n    background: var(--fhm_cream);\n    color: var(--fhm_taupe_dark);\n    font-size: 13px;\n    letter-spacing: 0.04em;\n    text-transform: uppercase;\n  }\n\n  .fhm_table tr:last-child td { border-bottom: 0; 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}\n\n  .fhm_faq details {\n    border-bottom: 1px solid var(--fhm_line);\n    padding: 14px 0;\n  }\n\n  .fhm_faq details:last-child { border-bottom: 0; }\n\n  .fhm_faq summary {\n    cursor: pointer;\n    font-weight: 700;\n  }\n\n  .fhm_faq details p { margin-top: 12px; }\n\n  .fhm_footer_note {\n    background: var(--fhm_taupe_dark);\n    border-radius: 16px;\n    color: #ffffff;\n    padding: 24px;\n  }\n\n  .fhm_footer_note h3,\n  .fhm_footer_note strong { color: #ffffff; }\n\n  @media (max-width: 900px) {\n    .fhm_grid,\n    .fhm_method_grid,\n    .fhm_trust_grid { grid-template-columns: repeat(2, minmax(0, 1fr)); }\n\n    .fhm_steps,\n    .fhm_review_grid { grid-template-columns: 1fr; }\n\n    .fhm_review_meta { grid-template-columns: 1fr; }\n  }\n\n  @media (max-width: 540px) {\n    .fhm_grid,\n    .fhm_method_grid,\n    .fhm_trust_grid { grid-template-columns: 1fr; }\n\n    .fhm_product { font-size: 15px; }\n\n    .fhm_biomarker summary {\n      font-size: 16px;\n      padding: 16px;\n    }\n\n    .fhm_biomarker_body { padding: 18px 15px 21px; }\n\n    .fhm_review_avatar {\n      flex-basis: 78px !important;\n      height: 78px !important;\n      max-height: 78px !important;\n      max-width: 78px !important;\n      min-height: 78px !important;\n      min-width: 78px !important;\n      width: 78px !important;\n    }\n  }\n\n  .fhm_review_avatar_laura {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/5W4A9892.jpg?v=1785070092\") !important;\n    background-position: 50% 15% !important;\n    background-size: 132% auto !important;\n  }\n\n  .fhm_review_avatar_rimas {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/rimas_geiga.png?v=1785071125\") !important;\n    background-position: 50% 18% !important;\n    background-size: 118% auto !important;\n  }\n\n  .fhm_review_avatar_veronika {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/Veronika_Matutyte_Doctor.jpg?v=1785075107\") !important;\n    background-position: 50% 18% !important;\n    background-size: 128% auto !important;\n  }\n\n  .fhm_review_avatar_giedre {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/Giedre_Narkiene.png?v=1785071017\") !important;\n    background-position: 50% 18% !important;\n    background-size: 132% auto !important;\n  }\n\n  .fhm_review_avatar_rimas {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/rimas_geiga.png?v=1785071125\") !important;\n    background-position: 50% 18% !important;\n    background-size: 118% auto !important;\n  }\n\n  .fhm_review_avatar_veronika {\n    background-image: url(\"https:\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/Veronika_Matutyte_Doctor.jpg?v=1785075107\") !important;\n    background-position: 50% 18% !important;\n    background-size: 128% auto !important;\n  }\n\u003c\/style\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003carticle class=\"fhm_product\"\u003e\n\u003csection class=\"fhm_hero\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eAt home female hormone and metabolic blood test\u003c\/p\u003e\n\u003ch2\u003eHome Female Hormone Blood Test UK | Metabolic Panel\u003c\/h2\u003e\n\u003cp class=\"fhm_lead\"\u003e\u003cstrong\u003eA seven marker home blood test combining female reproductive hormone context with HbA1c and vitamin D.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe panel reports LH, FSH, total testosterone, SHBG, free androgen index, HbA1c and vitamin D. Cycle timing and hormone treatment can substantially affect interpretation, so the collection date, cycle day and medicines should be recorded.\u003c\/p\u003e\n\u003cdiv class=\"fhm_grid\"\u003e\n\u003cdiv class=\"fhm_stat\"\u003e\n\u003cstrong\u003e7 biomarkers\u003c\/strong\u003e\u003cspan\u003eLH, FSH, testosterone, SHBG, FAI, HbA1c and vitamin D\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_stat\"\u003e\n\u003cstrong\u003eHome collection\u003c\/strong\u003e\u003cspan\u003eCapillary blood collected into the supplied microtainer\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_stat\"\u003e\n\u003cstrong\u003eUK laboratory pathway\u003c\/strong\u003e\u003cspan\u003eUKAS accredited and CQC registered laboratory processing\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_stat\"\u003e\n\u003cstrong\u003eProduct code\u003c\/strong\u003e\u003cspan\u003eC1BLP22700\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_notice\"\u003e\n\u003cstrong\u003eHormone context, not a PCOS or fertility diagnosis\u003c\/strong\u003e\n\u003cp\u003eThis test cannot by itself diagnose or exclude PCOS, infertility, menopause, ovarian insufficiency, diabetes or another endocrine condition. It does not include oestradiol, progesterone, prolactin, thyroid markers, AMH, DHEAS, lipids or pelvic imaging.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_warning\"\u003e\n\u003cstrong\u003eUrgent symptoms should not wait for home testing\u003c\/strong\u003e\n\u003cp\u003eSeek urgent help for severe pelvic pain, heavy bleeding with dizziness or fainting, possible pregnancy with pain or bleeding, rapidly progressive voice change or virilisation, severe headache with visual changes, or acute symptoms of very high blood glucose.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eQuality and compliance\u003c\/p\u003e\n\u003ch3\u003eHome testing supported by UK clinical standards\u003c\/h3\u003e\n\u003cdiv class=\"fhm_trust_grid\"\u003e\n\u003cdiv class=\"fhm_trust_item\"\u003e\n\u003cstrong\u003eUKAS accredited laboratories\u003c\/strong\u003e \u003cspan\u003eMedical laboratory accreditation assesses quality, competence and analytical performance.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_trust_item\"\u003e\n\u003cstrong\u003eCQC registered services\u003c\/strong\u003e \u003cspan\u003eThe diagnostic pathway uses organisations registered with the Care Quality Commission.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_trust_item\"\u003e\n\u003cstrong\u003eCompliant collection equipment\u003c\/strong\u003e \u003cspan\u003eUKCA and CE marked equipment supported by an ISO 13485 quality management framework.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_trust_item\"\u003e\n\u003cstrong\u003eCycle aware reporting\u003c\/strong\u003e \u003cspan\u003eCycle day, menopause status and hormone treatment are incorporated into responsible interpretation.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eWhat this female hormone and metabolic panel measures\u003c\/h3\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eHealth area\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eBiomarkers\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat they may help show\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePituitary and ovarian signalling\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eLH and FSH\u003c\/td\u003e\n\u003ctd\u003eCycle stage, ovulatory hormone patterns and possible ovarian or hypothalamic context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAndrogen context\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eTotal testosterone, SHBG and FAI\u003c\/td\u003e\n\u003ctd\u003eBiochemical androgen availability relevant to symptoms such as acne, hirsutism or irregular cycles.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLonger term glucose\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eHbA1c\u003c\/td\u003e\n\u003ctd\u003eAverage glucose over approximately two to three months and risk of prediabetes or diabetes.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eVitamin status\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e25 hydroxyvitamin D\u003c\/td\u003e\n\u003ctd\u003eVitamin D status relevant to bone and muscle health.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eWho may consider this test?\u003c\/h3\u003e\n\u003cp\u003eThis panel may be considered by adults seeking selected hormone and metabolic information in the context of:\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eIrregular, absent or changing menstrual cycles\u003c\/li\u003e\n\u003cli\u003eAcne, unwanted facial or body hair, or scalp hair thinning\u003c\/li\u003e\n\u003cli\u003ePossible PCOS symptoms alongside clinical assessment\u003c\/li\u003e\n\u003cli\u003eFertility questions requiring an initial hormone discussion\u003c\/li\u003e\n\u003cli\u003ePossible perimenopause or early menopause symptoms\u003c\/li\u003e\n\u003cli\u003eA previous high risk glucose or vitamin D result\u003c\/li\u003e\n\u003cli\u003eMonitoring requested by a GP, gynaecologist, endocrinologist or fertility service\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eTiredness, weight change, low mood and skin changes are non specific and may have causes not measured by this panel.\u003c\/p\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eCycle timing and hormone treatment\u003c\/h3\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eSituation\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eHow to approach testing\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRegular menstrual cycles\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord the cycle day. For baseline LH and FSH, cycle days 2 to 5 are generally preferred.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eIrregular or absent periods\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eTesting can be completed on a convenient day, but record the last menstrual period and cycle pattern.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHormonal contraception\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eResults may reflect the medicine rather than the natural cycle. Do not stop contraception without advice.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHRT or testosterone treatment\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord the product, dose, route and timing because treatment can alter testosterone, SHBG, LH and FSH.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePossible pregnancy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eTake an appropriate pregnancy test and seek clinical advice where pregnancy is possible, particularly with pain or bleeding.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePostmenopause\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eUse postmenopausal reference intervals and interpret the result with age, symptoms and HRT status.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eHow the home female hormone test works\u003c\/h3\u003e\n\u003cdiv class=\"fhm_steps\"\u003e\n\u003cdiv class=\"fhm_step\"\u003e\n\u003cspan class=\"fhm_step_number\"\u003e1\u003c\/span\u003e\n\u003ch4\u003eRecord cycle and medicines\u003c\/h4\u003e\n\u003cp\u003eNote cycle day, last menstrual period, symptoms, contraception, HRT, supplements and relevant medical history.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_step\"\u003e\n\u003cspan class=\"fhm_step_number\"\u003e2\u003c\/span\u003e\n\u003ch4\u003eCollect and return\u003c\/h4\u003e\n\u003cp\u003eCollect capillary blood into the supplied microtainer and return it using the provided packaging.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_step\"\u003e\n\u003cspan class=\"fhm_step_number\"\u003e3\u003c\/span\u003e\n\u003ch4\u003eReview the complete pattern\u003c\/h4\u003e\n\u003cp\u003eInterpret hormone, HbA1c and vitamin D results with cycle stage, symptoms and clinical context.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003ePreparing for the test\u003c\/h3\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003ePreparation\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFasting\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFasting is not generally required for this panel. Follow any instructions supplied with the kit.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eCycle information\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord the first day of the last period, cycle day, usual cycle length and whether periods are regular.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePregnancy and menopause\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord possible pregnancy, recent birth, breastfeeding, perimenopause or postmenopause.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHormone medicines\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord contraception, HRT, fertility medicines, testosterone and anti androgen treatment. Do not stop prescribed products yourself.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eBiotin\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eHigh dose biotin can interfere with some hormone and vitamin D assays. Ask whether it should be paused.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eGlucose limitations\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eDeclare anaemia, haemoglobin variants, blood loss, transfusion, pregnancy and medicines such as steroids.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eVitamin supplements\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eRecord vitamin D, calcium and multivitamin products, including any recent loading dose.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRapid symptom changes\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eSeek clinical assessment rather than waiting for routine results where pain, bleeding or virilisation is severe or rapidly progressing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eCommon result patterns\u003c\/h3\u003e\n\u003cp\u003eThese simplified examples support discussion and are not diagnoses.\u003c\/p\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003ePattern\u003c\/th\u003e\n\u003cth scope=\"col\"\u003ePossible context\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eImportant limitation\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHigher FAI with low SHBG\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay support biochemical androgen excess and may be seen with PCOS or insulin resistance.\u003c\/td\u003e\n\u003ctd\u003ePCOS diagnosis also requires clinical history and exclusion of other causes.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHigher LH relative to FSH\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur in some people with PCOS or around ovulation.\u003c\/td\u003e\n\u003ctd\u003eThe ratio may be normal in PCOS and is not diagnostic.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHigh FSH outside the ovulatory surge\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with menopause or ovarian insufficiency depending on age and cycle stage.\u003c\/td\u003e\n\u003ctd\u003eOne result does not establish menopause or premature ovarian insufficiency.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHbA1c 42 to 47 mmol\/mol\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eIndicates increased risk of type 2 diabetes.\u003c\/td\u003e\n\u003ctd\u003ePregnancy and red blood cell conditions may require another test.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLow vitamin D\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect limited sunlight exposure, diet, darker skin, malabsorption or other risk factors.\u003c\/td\u003e\n\u003ctd\u003eSymptoms are non specific and treatment depends on the level and clinical context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eBiomarkers and result interpretation\u003c\/h3\u003e\n\u003cp\u003eSelect each marker to read what it measures, preparation guidance and how low, normal, high, undefined or urgent results may be considered.\u003c\/p\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eLuteinising hormone\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eLuteinising hormone, known as LH, is released by the pituitary gland. It helps regulate the menstrual cycle and triggers ovulation through a mid cycle surge.\u003c\/p\u003e\n\u003cp\u003eThe result depends strongly on cycle stage. LH can also change with pregnancy, menopause, hypothalamic suppression, ovarian insufficiency, PCOS, hormone treatment and pituitary conditions.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003ePCOS limitation\u003c\/strong\u003e\n\u003cp\u003eLH and the LH to FSH ratio are not required for PCOS diagnosis and may be normal in people who have PCOS.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord the first day of your last menstrual period, the cycle day, whether cycles are regular, pregnancy possibility, menopause status and all contraception, HRT or fertility medicines. For a baseline LH and FSH comparison, cycle days 2 to 5 are generally preferred.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur in the early follicular phase, pregnancy, hypothalamic suppression, pituitary disease or during hormone treatment.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with cycle stage, FSH, symptoms, medicines and pregnancy context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the reference interval for the recorded cycle stage or menopause status.\u003c\/td\u003e\n\u003ctd\u003eA normal LH does not exclude PCOS, ovulatory problems or another endocrine condition.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay represent the normal ovulatory surge, menopause, primary ovarian insufficiency or a pattern sometimes seen in PCOS.\u003c\/td\u003e\n\u003ctd\u003eReview the cycle day and the wider hormone pattern. Repeat baseline testing may be needed.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eFree androgen index\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eFree androgen index, known as FAI, is calculated as total testosterone divided by SHBG and multiplied by 100. In women it is used as a marker of biochemical androgen availability.\u003c\/p\u003e\n\u003cp\u003eA high result may arise because testosterone is raised, SHBG is low or both. It can support investigation of acne, hirsutism or irregular periods but does not diagnose PCOS or an androgen producing condition by itself.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord the cycle day, oral contraception, HRT, testosterone products, anabolic steroids, anti androgen medicines, anticonvulsants and high dose biotin. Morning collection provides a more consistent comparison. Do not stop prescribed treatment yourself.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect lower testosterone, higher SHBG, oestrogen treatment, pregnancy or other factors.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with symptoms, medicines, cycle context and the individual testosterone and SHBG results.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eA normal result does not exclude PCOS where clinical signs or irregular ovulation are present.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_info\"\u003eUndefined\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eThe calculation was not reliable because testosterone or SHBG was outside the analytical range or another technical limitation applied.\u003c\/td\u003e\n\u003ctd\u003eFollow the laboratory advice and discuss repeat or alternative testing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect biochemical androgen excess associated with PCOS, medicines, low SHBG, insulin resistance or less common ovarian or adrenal conditions.\u003c\/td\u003e\n\u003ctd\u003eSeek clinical review, particularly with rapid hair growth, voice change, scalp hair loss or other virilisation.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eHbA1c\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eHaemoglobin A1c, known as HbA1c, reflects average blood glucose over approximately the previous two to three months.\u003c\/p\u003e\n\u003cp\u003eIt provides metabolic context because insulin resistance and type 2 diabetes risk may be increased in some people with PCOS. HbA1c does not show current glucose and may be unreliable in pregnancy or conditions affecting red blood cells.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eFasting is not required. Record pregnancy, recent birth, anaemia, haemoglobin variants, blood loss, transfusion, steroids and diabetes medicines.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay reflect low average glucose or shortened red blood cell survival caused by blood loss, haemolysis, transfusion or another condition.\u003c\/td\u003e\n\u003ctd\u003eDiscuss an unexpected low result with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eBelow high risk range\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eBelow 42 mmol\/mol is generally below the UK prediabetes range for someone without diagnosed diabetes.\u003c\/td\u003e\n\u003ctd\u003eSymptoms or very high clinical risk may still require glucose testing.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh risk range\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eAn HbA1c of 42 to 47 mmol\/mol indicates non diabetic hyperglycaemia, often called prediabetes.\u003c\/td\u003e\n\u003ctd\u003eArrange GP review for risk assessment, support and monitoring.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eDiabetes range\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eAn HbA1c of 48 mmol\/mol or above is within the diagnostic range when HbA1c is suitable for diagnosis.\u003c\/td\u003e\n\u003ctd\u003eSeek prompt clinical review. An asymptomatic person usually needs confirmation with a second test.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_critical\"\u003eUrgent clinical context\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eA very high result suggests sustained hyperglycaemia but cannot show current glucose or ketones.\u003c\/td\u003e\n\u003ctd\u003eSeek urgent help for vomiting, abdominal pain, deep breathing, dehydration, confusion or drowsiness.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eVitamin D (25 hydroxyvitamin D)\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003e25 hydroxyvitamin D is the standard blood marker used to assess vitamin D status. Vitamin D supports calcium regulation, bones and muscle function.\u003c\/p\u003e\n\u003cp\u003eLow levels are common in the UK, but routine testing is not recommended for everyone. The result should be interpreted with symptoms, risk factors, supplements, calcium and relevant medical history.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord vitamin D and calcium supplements, high dose loading courses, kidney disease, stones, sarcoidosis, parathyroid disease and pregnancy.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eDeficient\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eBelow 25 nmol\/L is classified as deficient in many UK pathways.\u003c\/td\u003e\n\u003ctd\u003eDiscuss treatment, possible causes and whether calcium or other investigations are needed.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eInsufficient\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003e25 to 50 nmol\/L may be insufficient for some people, particularly where risk factors or symptoms are present.\u003c\/td\u003e\n\u003ctd\u003eReview diet, safe sunlight exposure and supplementation with a clinician or pharmacist.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eAdequate\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eAbove 50 nmol\/L is sufficient for most adults according to many UK pathways.\u003c\/td\u003e\n\u003ctd\u003eAvoid assuming that ever higher levels provide additional benefit.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eA high result is commonly related to supplementation and may require review of dose and calcium status.\u003c\/td\u003e\n\u003ctd\u003eStop non prescribed high dose products and seek clinical advice.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_critical\"\u003eConsider toxicity\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eVery high vitamin D can cause hypercalcaemia, leading to thirst, frequent urination, vomiting, constipation, weakness or confusion.\u003c\/td\u003e\n\u003ctd\u003eArrange prompt medical assessment.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eSex hormone binding globulin\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eSex hormone binding globulin, known as SHBG, is produced mainly by the liver and binds testosterone and oestradiol in the circulation.\u003c\/p\u003e\n\u003cp\u003eSHBG affects how total testosterone relates to biologically available androgen. Hormonal contraception, pregnancy, thyroid status, liver health, body weight, insulin resistance and medicines can alter the result.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord the cycle day, oral contraception, HRT, testosterone products, anabolic steroids, anti androgen medicines, anticonvulsants and high dose biotin. Morning collection provides a more consistent comparison. Do not stop prescribed treatment yourself.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with insulin resistance, obesity, hypothyroidism, PCOS, androgen exposure or some liver and medicine factors.\u003c\/td\u003e\n\u003ctd\u003eInterpret testosterone and FAI in the wider metabolic and clinical context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eUse it with total testosterone and symptoms rather than as an isolated health marker.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with pregnancy, oral oestrogen, combined contraception, hyperthyroidism, liver disease, low body weight or some anticonvulsants.\u003c\/td\u003e\n\u003ctd\u003eReview medicines, thyroid and liver context with a clinician.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\"\u003e\n\u003csummary\u003eTotal testosterone\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eTotal testosterone measures testosterone circulating in protein bound and unbound forms. In women it is used when investigating clinical androgen excess such as hirsutism, acne, scalp hair loss or irregular cycles.\u003c\/p\u003e\n\u003cp\u003eA normal result does not exclude PCOS, and a raised result does not establish the cause. Marked elevation or rapidly progressive virilisation requires prompt investigation for less common ovarian or adrenal causes.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord the cycle day, oral contraception, HRT, testosterone products, anabolic steroids, anti androgen medicines, anticonvulsants and high dose biotin. Morning collection provides a more consistent comparison. Do not stop prescribed treatment yourself.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with ovarian or adrenal factors, oestrogen treatment, illness, low body weight or assay variation.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with symptoms, SHBG, FAI and treatment context.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the laboratory interval.\u003c\/td\u003e\n\u003ctd\u003eA normal result does not exclude PCOS or another cause of symptoms.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur with PCOS, medicines, testosterone exposure, congenital adrenal conditions or less common ovarian or adrenal tumours.\u003c\/td\u003e\n\u003ctd\u003eDiscuss the result with a GP. Prompt endocrine assessment is important when symptoms progress rapidly.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003cdetails class=\"fhm_biomarker\" open=\"\"\u003e\n\u003csummary\u003eFollicle stimulating hormone\u003c\/summary\u003e\n\u003cdiv class=\"fhm_biomarker_body\"\u003e\n\u003cp\u003eFollicle stimulating hormone, known as FSH, is released by the pituitary gland and supports follicle development in the ovaries.\u003c\/p\u003e\n\u003cp\u003eThe level changes with cycle stage and rises after menopause. It may help investigate absent periods or possible ovarian insufficiency, but one result does not measure overall fertility or egg quality.\u003c\/p\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eMenopause and fertility limitation\u003c\/strong\u003e\n\u003cp\u003eFSH is not a direct egg count. Menopause is usually diagnosed clinically in people over 45 with typical symptoms, while suspected premature ovarian insufficiency requires appropriate repeat testing and review.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_subnote\"\u003e\n\u003cstrong\u003eBefore testing\u003c\/strong\u003e\n\u003cp\u003eRecord the first day of your last menstrual period, the cycle day, whether cycles are regular, pregnancy possibility, menopause status and all contraception, HRT or fertility medicines. For a baseline LH and FSH comparison, cycle days 2 to 5 are generally preferred.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003ch4\u003eHow to understand this result\u003c\/h4\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eResult\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat it may mean\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhat to do\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_low\"\u003eLow\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur in the early cycle, pregnancy, hypothalamic suppression, pituitary disease or during hormone treatment.\u003c\/td\u003e\n\u003ctd\u003eInterpret it with LH, cycle history, weight change, exercise, stress and medicines.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_normal\"\u003eNormal\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eFalls within the reference interval for the recorded cycle stage.\u003c\/td\u003e\n\u003ctd\u003eA normal FSH does not guarantee normal ovulation, ovarian reserve or fertility.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cspan class=\"fhm_status fhm_high\"\u003eHigh\u003c\/span\u003e\u003c\/td\u003e\n\u003ctd\u003eMay occur around menopause or with primary ovarian insufficiency, depending on age and cycle stage.\u003c\/td\u003e\n\u003ctd\u003eA repeat result and additional assessment may be required, particularly in people under 45.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section\"\u003e\n\u003ch3\u003eWhat this panel does not include\u003c\/h3\u003e\n\u003cdiv class=\"fhm_table_wrap\"\u003e\n\u003ctable class=\"fhm_table\"\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth scope=\"col\"\u003eNot included\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eWhy it may matter\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOestradiol and progesterone\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay be required for cycle stage, ovarian function or ovulation assessment.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProlactin and thyroid tests\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eImportant alternative causes of absent or irregular periods and fertility symptoms.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAMH\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eProvides selected ovarian reserve context but does not measure egg quality or guarantee fertility.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eDHEAS, androstenedione and 17 hydroxyprogesterone\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay be requested where testosterone is markedly raised or symptoms progress rapidly.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLipids or fasting glucose\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay be required for a broader cardiometabolic assessment in PCOS.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePelvic ultrasound\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMay form part of PCOS, pelvic pain or fertility assessment where clinically appropriate.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection id=\"content-standards\" class=\"fhm_section\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eEvidence and content standards\u003c\/p\u003e\n\u003ch3\u003eHow this product information was prepared\u003c\/h3\u003e\n\u003cp\u003eThis page was prepared from the supplied seven marker Hormone Balance and Metabolic specification and checked against current UK guidance on female hormone testing, cycle timing, PCOS limitations, HbA1c diagnosis and vitamin D interpretation.\u003c\/p\u003e\n\u003cdiv class=\"fhm_method_grid\"\u003e\n\u003cdiv class=\"fhm_method_item\"\u003e\n\u003cstrong\u003eProduct specification checked\u003c\/strong\u003e \u003cspan\u003eProduct type, capillary specimen, seven biomarkers, cycle guidance and product code.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_method_item\"\u003e\n\u003cstrong\u003eUK clinical evidence checked\u003c\/strong\u003e \u003cspan\u003eNHS and NICE sources used for PCOS, cycle stage, diabetes thresholds and vitamin D categories.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_method_item\"\u003e\n\u003cstrong\u003eDiagnostic claims restricted\u003c\/strong\u003e \u003cspan\u003eThe panel is not presented as a standalone diagnosis of PCOS, infertility, menopause or diabetes.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_method_item\"\u003e\n\u003cstrong\u003eReview cycle\u003c\/strong\u003e \u003cspan\u003eReview at least annually and earlier when laboratory methods or UK guidance changes.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\u003csection id=\"medical-review\" class=\"fhm_section\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eClinical accountability\u003c\/p\u003e\n\u003ch3\u003eHormone, metabolic and quality review\u003c\/h3\u003e\n\u003cp\u003eThe review roles are separated across female hormone and skin manifestations, metabolic evidence, and laboratory governance. The reviewers are not presented as consultant endocrinologists, gynaecologists or fertility specialists.\u003c\/p\u003e\n\u003cdiv class=\"fhm_review_grid\"\u003e\n\u003carticle class=\"fhm_review_card\"\u003e\n\u003cdiv class=\"fhm_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"fhm_review_avatar fhm_review_avatar_giedre\" aria-label=\"Portrait of Dr Giedre Narkiene\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"fhm_review_label\"\u003eFemale hormone and skin context reviewed by\u003c\/span\u003e\n\u003ch4 class=\"fhm_review_name\"\u003eDr Giedre Narkiene\u003c\/h4\u003e\n\u003cp class=\"fhm_review_title\"\u003eMedical Doctor and Board Certified Dermatologist\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fhm_review_scope\"\u003eReviewed androgen related acne, hirsutism and hair change context, rapid virilisation warnings, patient communication and the limits of hormone testing.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/dr-giedre-narkiene-medical-doctor-and-board-certified-dermatologist\" class=\"fhm_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003carticle class=\"fhm_review_card\"\u003e\n\u003cdiv class=\"fhm_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"fhm_review_avatar fhm_review_avatar_rimas\" aria-label=\"Portrait of Dr Rimas Geiga\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"fhm_review_label\"\u003eMetabolic and nutritional evidence reviewed by\u003c\/span\u003e\n\u003ch4 class=\"fhm_review_name\"\u003eDr Rimas Geiga\u003c\/h4\u003e\n\u003cp class=\"fhm_review_title\"\u003eMedical Doctor, Nutritional Sciences Adviser and Healthy Ageing Expert\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fhm_review_scope\"\u003eReviewed HbA1c, insulin resistance and vitamin D context, responsible lifestyle information and the separation of metabolic risk from diagnosis.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/dr-rimas-geiga-medical-doctor-nutritional-sciences-adviser-and-healthy-ageing-expert\" class=\"fhm_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003carticle class=\"fhm_review_card\"\u003e\n\u003cdiv class=\"fhm_review_card_top\"\u003e\n\u003cdiv role=\"img\" class=\"fhm_review_avatar fhm_review_avatar_veronika\" aria-label=\"Portrait of Veronika Matutyte\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cspan class=\"fhm_review_label\"\u003eQuality and patient safety assurance\u003c\/span\u003e\n\u003ch4 class=\"fhm_review_name\"\u003eVeronika Matutyte\u003c\/h4\u003e\n\u003cp class=\"fhm_review_title\"\u003eMedical Doctor and Healthcare Management Expert\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fhm_review_scope\"\u003eReviewed cycle recording, laboratory pathway wording, pregnancy and urgent symptom safeguards, diagnostic boundaries and appropriate clinical escalation.\u003c\/p\u003e\n\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/veronika-matutyte-medical-doctor-and-healthcare-management-expert\" class=\"fhm_review_link\"\u003eView professional profile\u003c\/a\u003e\u003c\/article\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fhm_review_meta\"\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eEvidence checked\u003c\/strong\u003e \u003cspan\u003e26 July 2026\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eClinical review date\u003c\/strong\u003e \u003cspan\u003e26 July 2026\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cstrong\u003eNext scheduled review\u003c\/strong\u003e \u003cspan\u003eBy 26 July 2027 or earlier when UK guidance changes\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fhm_board_link\"\u003e\u003ca href=\"https:\/\/ht10f0-c0.myshopify.com\/pages\/medical-advisory-board\"\u003eMeet the Grace Belgravia Medical Advisory Board\u003c\/a\u003e\u003c\/p\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section fhm_sources\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eAuthoritative references\u003c\/p\u003e\n\u003ch3\u003eUK female hormone, PCOS and metabolic information\u003c\/h3\u003e\n\u003cdetails\u003e\n\u003csummary\u003eView NHS and NICE sources\u003c\/summary\u003e\n\u003cdiv class=\"fhm_sources_body\"\u003e\n\u003cul\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.leedsth.nhs.uk\/patients\/resources\/polycystic-ovary-syndrome\/\"\u003eNHS PCOS diagnostic features and investigation context\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.rightdecisions.scot.nhs.uk\/borders-ref-help-toolkit\/gynaecology\/polycystic-ovary-syndrome\/\"\u003eNHS Scotland PCOS hormone test limitations\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.gloshospitals.nhs.uk\/our-services\/services-we-offer\/pathology\/tests-and-investigations\/lh-and-fsh-gonadotrophins\/\"\u003eNHS LH and FSH cycle and PCOS interpretation\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.southtees.nhs.uk\/services\/pathology\/tests\/sex-hormone-binding-globulin\/\"\u003eNHS SHBG interpretation\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.nice.org.uk\/guidance\/ph38\/chapter\/recommendations\"\u003eNICE type 2 diabetes prevention and HbA1c high risk range\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/cks.nice.org.uk\/topics\/diabetes-type-2\/diagnosis\/diagnosis-in-adults\/\"\u003eNICE adult diabetes diagnosis and HbA1c limitations\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/swlimo.southwestlondon.icb.nhs.uk\/wp-content\/uploads\/SWL-Vitamin-D-Guidelines-for-Adults-and-Children.pdf\"\u003eSouth West London NHS vitamin D guidance\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.ukas.com\/accreditation\/standards\/medical-laboratory-accreditation\/\"\u003eUKAS medical laboratory accreditation\u003c\/a\u003e\u003c\/li\u003e\n\u003cli\u003e\u003ca href=\"https:\/\/www.cqc.org.uk\/guidance-regulation\/providers\/registration\/scope-registration\/regulated-activities\/diagnostic-and-screening-procedures\"\u003eCQC diagnostic and screening services guidance\u003c\/a\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_section fhm_faq\"\u003e\n\u003cp class=\"fhm_eyebrow\"\u003eSearch led questions\u003c\/p\u003e\n\u003ch3\u003eHome female hormone and metabolic test FAQs\u003c\/h3\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan I take a female hormone blood test at home?\u003c\/summary\u003e\n\u003cp\u003eYes. This kit uses a capillary blood sample collected at home and returned for laboratory analysis. It provides selected hormone and metabolic information rather than an instant diagnosis.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat does this female hormone test check?\u003c\/summary\u003e\n\u003cp\u003eThe panel reports LH, FSH, total testosterone, SHBG, free androgen index, HbA1c and vitamin D. It does not include oestradiol, progesterone, prolactin, thyroid hormones, AMH or a pelvic ultrasound.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat day of my cycle should I take a hormone blood test?\u003c\/summary\u003e\n\u003cp\u003eRecord the cycle day whenever you test. If the main aim is to assess baseline LH and FSH, collection during cycle days 2 to 5 is generally preferred. Day 1 is the first day of full menstrual bleeding.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan I take the test outside cycle days 2 to 5?\u003c\/summary\u003e\n\u003cp\u003eYes. Results can still be reported using the relevant cycle stage, provided the cycle day and last menstrual period are recorded. Repeat early follicular testing may be recommended if a baseline comparison is needed.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eIs LH highest on day 3 of the menstrual cycle?\u003c\/summary\u003e\n\u003cp\u003eNo. Day 2 to 5 testing is used to obtain an early follicular baseline. LH normally rises sharply around ovulation rather than being expected to peak on day 3.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan this blood test diagnose PCOS?\u003c\/summary\u003e\n\u003cp\u003eNo. PCOS is diagnosed from clinical history and examination, evidence of irregular or absent ovulation, clinical or biochemical androgen excess, and ovarian imaging where required, after other causes have been excluded.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eDoes a high LH to FSH ratio mean I have PCOS?\u003c\/summary\u003e\n\u003cp\u003eNo. LH or the LH to FSH ratio can be raised in some people with PCOS but may also be normal. The ratio is not required for diagnosis and should not be used alone.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat is free androgen index?\u003c\/summary\u003e\n\u003cp\u003eFree androgen index is calculated as total testosterone divided by SHBG and multiplied by 100. In women it can provide context on biochemical androgen excess, particularly when SHBG changes the interpretation of total testosterone.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat can cause a high free androgen index in women?\u003c\/summary\u003e\n\u003cp\u003eA high FAI may reflect higher testosterone, lower SHBG or both. Possible contexts include PCOS, medicines, insulin resistance and less common ovarian or adrenal causes. Rapidly progressing symptoms require medical assessment.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat do LH and FSH show in women?\u003c\/summary\u003e\n\u003cp\u003eLH and FSH are pituitary hormones involved in follicle development, ovulation and ovarian hormone production. Interpretation depends on age, cycle stage, pregnancy, menopause status and hormone treatment.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan FSH diagnose menopause?\u003c\/summary\u003e\n\u003cp\u003eIn people aged over 45 with typical symptoms, menopause is usually diagnosed clinically rather than from one blood test. FSH may be useful in selected younger people or where the diagnosis is uncertain.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan this test assess fertility?\u003c\/summary\u003e\n\u003cp\u003eIt provides selected hormone context but cannot measure ovarian reserve, confirm ovulation, assess the fallopian tubes or determine overall fertility. AMH, progesterone, ultrasound and partner testing may be required.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan I test while taking the contraceptive pill?\u003c\/summary\u003e\n\u003cp\u003eYou can collect a sample, but hormonal contraception can alter LH, FSH, SHBG and testosterone and may prevent meaningful comparison with a natural cycle. Do not stop contraception without medical advice.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan HRT affect the results?\u003c\/summary\u003e\n\u003cp\u003eYes. Oestrogen, progestogen and testosterone treatment can alter reproductive hormone and SHBG results. Record the product, route, dose and timing and do not stop prescribed HRT without advice.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eDo I need to fast for this test?\u003c\/summary\u003e\n\u003cp\u003eFasting is not generally required for HbA1c, vitamin D, LH, FSH, testosterone or SHBG. Follow the kit instructions, and use a consistent morning collection where practical.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat does HbA1c measure?\u003c\/summary\u003e\n\u003cp\u003eHbA1c reflects average blood glucose over approximately two to three months. It does not show the glucose level at the exact moment of collection.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat HbA1c result indicates prediabetes or diabetes?\u003c\/summary\u003e\n\u003cp\u003eIn the UK, 42 to 47 mmol\/mol indicates high risk or prediabetes, while 48 mmol\/mol or above is in the diabetes diagnostic range. An asymptomatic person usually needs a second qualifying test before diagnosis.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan pregnancy or anaemia affect HbA1c?\u003c\/summary\u003e\n\u003cp\u003eYes. Pregnancy, recent birth, anaemia, haemoglobin variants, major blood loss or transfusion can make HbA1c unsuitable or misleading. A clinician may use glucose based tests instead.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat vitamin D level is considered deficient in the UK?\u003c\/summary\u003e\n\u003cp\u003eMany UK pathways use below 25 nmol\/L as deficient, 25 to 50 nmol\/L as insufficient for some people, and above 50 nmol\/L as sufficient for most adults.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eCan vitamin D levels be too high?\u003c\/summary\u003e\n\u003cp\u003eYes. Very high vitamin D is most often associated with excessive supplementation and can lead to high calcium. Do not take high dose vitamin D solely from a home result without clinical advice.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eWhat symptoms need urgent medical assessment?\u003c\/summary\u003e\n\u003cp\u003eSeek urgent help for severe pelvic pain, heavy bleeding with dizziness or fainting, possible pregnancy with pain or bleeding, rapidly progressing virilisation, severe headache with visual changes, or acute diabetes symptoms.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003cdetails\u003e\n\u003csummary\u003eAre the laboratories UKAS accredited and CQC registered?\u003c\/summary\u003e\n\u003cp\u003eSamples are processed through UKAS accredited laboratories within a CQC registered diagnostic pathway. Collection equipment is UKCA and CE marked and supported by an ISO 13485 quality management framework.\u003c\/p\u003e\n\u003c\/details\u003e\n\u003c\/section\u003e\n\u003csection class=\"fhm_footer_note\"\u003e\n\u003ch3\u003eMedical guidance\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eThis panel provides selected hormone and metabolic context and is not a standalone diagnosis.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eSeek urgent medical help for severe pelvic pain, heavy bleeding with dizziness or fainting, possible pregnancy with pain or bleeding, rapidly progressive virilisation, severe headache with visual changes, or acute symptoms of very high blood glucose.\u003c\/p\u003e\n\u003cp\u003eShare persistent, high, low or cycle discordant results with a GP, gynaecology, endocrinology or fertility professional as appropriate.\u003c\/p\u003e\n\u003c\/section\u003e\n\u003c\/article\u003e","brand":"My Store","offers":[{"title":"Default Title","offer_id":54410317234515,"sku":"483-hormone-balance","price":139.0,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1088\/7918\/4211\/files\/Home_Female_Hormone_Blood_Test_UK_-_Metabolic_Panel.png?v=1785162562","url":"https:\/\/gracebelgravia.com\/products\/hormone-balance","provider":"Grace Belgravia","version":"1.0","type":"link"}