• Irregular cycles: variable length or unpredictable timing.
• Anovulation: absent or inconsistent ovulation patterns.
• Luteal concerns: short luteal phases or spotting between cycles.
• Ovulatory timing: uncertainty about mid-cycle progression.
• Possible ovarian insufficiency: signs of reduced ovarian activity.
• Possible luteal phase deficiency: lower progesterone in the mid-luteal window.
• Possible polycystic ovarian syndrome: androgen-related symptoms or cycle irregularity.
• Thyroid dysfunction: concerns relating to temperature sensitivity or metabolic changes.
• Adrenal imbalance: stress-related menstrual changes.
• Preconception planning: assessing hormone balance prior to attempting conception.
• Weight-related hormone concerns: changes linked to body composition.
• Shift-work effects: disrupted circadian rhythms influencing cycle patterns.

The Fertility Panel (Comprehensive Female Profile 2 + FSH and LH) test measures reproductive, adrenal and thyroid hormones using bloodspot and saliva samples. It assesses oestradiol, progesterone, testosterone, SHBG, DHEA-S, LH, FSH, TSH, free T3, free T4 and TPO antibodies, alongside a four-point salivary cortisol rhythm. These markers are collected in the mid-luteal phase to capture the hormonal window commonly evaluated in cycle-related assessments.

This combination of markers helps outline patterns associated with cycle timing, ovulation, luteal phase balance, androgen-related concerns and thyroid-related symptoms. The inclusion of a cortisol rhythm adds context where stress-related influences may be relevant. These insights give practitioners a broader view of hormone relationships across the cycle.

Practitioners often integrate these findings with cycle history, dietary habits, lifestyle patterns and overall context shared by clients. This supports a broader understanding of how reproductive, thyroid and adrenal influences may relate to individual goals.

Test type:

Hormonal: fertility

Sample required:

Bloodspot & saliva

Average processing time:

14 days

This test is a combination panel that consists of Comprehensive Female II (Saliva: Cx4) (Blood Spot: E2, Pg, T, SHBG, DS, TSH, fT3, fT4, TPOab) & LH & FSH (Bloodspot) - please refer to the individual kits for full information.