Hormonal assessments

Hormonal assessments are carried out, often as part of women’s health screening, to check for imbalances that can cause symptoms including weight gain, lack of energy, and decreased libido. Hormone blood tests are also carried out at the Agora as part of fertility screening and to discover whether you are entering the menopause. Hormones that we check for include:

  • Follicle-stimulating hormone (FSH) – this hormone helps control the menstrual cycle and production of eggs by the ovaries. FSH is at its highest level in the first few days after menstruation and the test can help assess a woman’s egg reserve or whether she is entering the menopause. We advise the test to be done on day 2 or 3 after bleeding starts
  • Luteinising hormone (LH) – essential for fertility, this hormone regulates the ovaries in women and testes in men. It is needed to produce oestradiol and is also responsible for ovulation after which it stimulates the production of progesterone if an egg is fertilised. High levels of LH can be associated with polycystic ovary syndrome (PCOS)
  • Oestradiol – essential for ovulation, as well as for the thickening of the lining of the womb (endometrium) so that an egg can attach to it if it is fertilised. Oestradiol is made by the ovaries and levels decrease with age, particularly during the menopause
  • Prolactin – produced by the pituitary gland, this hormone enables milk production as well as other functions including playing an essential role in the metabolism and regulating the immune system. Very high levels can decrease the production of oestrogen and affect the menstrual cycle
  • Thyroid – this gland produces hormones that affect the activity of all your cells as well as controlling your metabolism and the balance of other hormones in the body. The test checks for an underactive or overactive thyroid; both conditions can be treated
  • Testosterone – this test is offered to men who have a low sperm count. Low levels of the hormone suggest that they have decreased fertility
  • Anti-mullerian hormone (AMH) – testing for this hormone can help to estimate the remaining egg supply (or ovarian reserve)
  • Progesterone – produced in the ovaries, this hormone helps the body to prepare for conception and pregnancy, as well as regulating periods