Designed around female physiology, not adapted from a men's panel. Estradiol, progesterone, testosterone, SHBG, FSH, LH, DHEA-S, prolactin, AM cortisol, full thyroid (TSH/FT3/FT4/TPO), metabolic panel, CBC, and iron/ferritin, the markers that explain energy, mood, weight, cycle health, and fertility. Atlas AI interprets results in the context of your cycle phase and gives you a personalized FitScore.
The Hormone Panel for Her measures female sex hormones, thyroid, metabolic and lipid markers, iron status, liver and kidney function, blood count, inflammation and key nutrients in one fasting blood draw. It is built for women who want objective data behind cycle changes, energy, sleep, mood, body composition or fertility questions.
Atlas, FitScript's AI health advisor, reads every marker against optimal ranges, and a licensed clinician interprets anything that needs follow up. This page is educational and is not medical advice.
It measures nine groups of markers from a single sample, covering the sex hormones that drive the menstrual cycle plus the thyroid, metabolic, iron and inflammation markers that shape how those hormones behave.
| Group | Markers | What they show |
|---|---|---|
| Female Hormones | Estradiol, Progesterone, Total Testosterone, Free Testosterone, SHBG, FSH, LH, DHEA-S, Prolactin, Cortisol (AM) | Ovarian and pituitary signalling, androgen status, how much testosterone is bound versus available, adrenal output and the morning stress hormone |
| Thyroid | TSH, Free T3, Free T4, TPO Antibodies | Thyroid signalling, circulating active and storage thyroid hormone, and whether an autoimmune process is part of the picture |
| Metabolic | Fasting Glucose, Fasting Insulin, HbA1c, HOMA-IR, Uric Acid | How the body is handling glucose now and over recent months, plus a calculated view of insulin resistance |
| Lipids | Total Cholesterol, LDL Cholesterol, HDL Cholesterol, Triglycerides | Circulating fats that labs regard as markers of long term cardiovascular risk |
| Iron & Ferritin | Iron, Ferritin, TIBC, Iron Saturation | Circulating iron, stored iron and transport capacity, a common thread behind fatigue in menstruating women |
| Liver | AST, ALT, GGT | Liver enzyme activity, which also affects how hormones are cleared |
| Kidney | BUN, Creatinine, eGFR | Filtration and waste clearance |
| Blood Count | WBC, RBC, Hemoglobin, Hematocrit, Platelets, MCV, Neutrophils, Lymphocytes | Red cell and immune cell status, including the red cell size that often shifts with iron or B12 availability |
| Inflammation & Nutrients | hs-CRP, Homocysteine, Vitamin D (25-OH), Vitamin B12, Folate, Magnesium (RBC) | Low grade inflammation and the nutrient inputs that energy, mood and methylation depend on |
| Hormones | IGF-1, AMH | Growth hormone axis activity and a marker of ovarian reserve |
Every group earns its place. One hormone value in isolation rarely explains a symptom, while the same value read beside thyroid function, insulin and iron status usually does far more work.
Because these systems talk to each other, and reading a single marker alone invites the wrong conclusion.
Estradiol and Progesterone move across the menstrual cycle, so their meaning depends heavily on which day the blood was drawn. Upstream of them, FSH and Luteinizing Hormone are the pituitary signals that drive the ovaries, and research describes rising FSH alongside falling estradiol as ovarian function declines through the menopause transition 1. AMH is run from the same sample, and a systematic review suggests it is informative for predicting the timing of menopause, although it is not a standalone verdict on fertility 2.
Androgens need three markers rather than one. Total testosterone reports the whole circulating pool, SHBG reports how much of that pool is bound up, and the free fraction reports what is actually available to tissue. That is why Testosterone Total and Testosterone Free can tell different stories in the same person, and why SHBG often explains the gap. DHEA-S adds the adrenal contribution to androgen supply.
Prolactin is included because it is associated with irregular or absent cycles when it sits well above the standard range, and morning Cortisol gives a snapshot of the stress axis at its daily peak. Sleep belongs in that conversation too, since research suggests sleep quality shifts across cycle phases and with premenstrual symptoms 34.
Thyroid markers sit next to the sex hormones for a practical reason. TSH, Free T3, Free T4 and TPO antibodies describe thyroid signalling, circulating thyroid hormone and autoimmune activity, and thyroid status influences SHBG, cycle regularity and energy. Fasting insulin and HOMA-IR matter for the same reason, since insulin resistance is associated with lower SHBG and a higher free androgen fraction. Lipids round the picture out, because estrogen is associated with the lipid profile and vascular function across a woman's life 5.
Iron studies and the blood count complete it. Menstrual blood loss is a routine drain on iron stores, and ferritin often falls before hemoglobin does, which is why fatigue can appear while a basic blood count still looks ordinary.
It is most often chosen by women who have a question they want data for, not by women who are told they need a test.
That includes people tracking cycle changes in their late thirties and forties, people with premenstrual symptoms that disrupt work or sleep, since reviews note that premenstrual syndrome is common and variable in presentation 6, and people who want a baseline before making a serious training or nutrition change. Others come with fatigue that has not improved with better sleep, hair thinning, low libido, stubborn body composition changes, or an interest in ovarian reserve before planning a family.
Family history is another reason. In people with a family pattern of thyroid autoimmunity, early menopause, diabetes or cardiovascular disease, a broad baseline gives a clinician more context than a single marker ordered reactively. None of these situations mean something is wrong. They are reasons to look.
You order the panel online, the lab requisition is emailed to you, and you take it to a Quest or partner lab location for the blood draw.
Fast for 12 hours before the draw so that glucose, insulin, HOMA-IR and triglycerides are interpretable. Results come back in 3 to 5 business days. Atlas reads every marker against optimal ranges and builds your FitScript from what the numbers show, flagging which results deserve a conversation with a licensed clinician and which look unremarkable. If you want extra coverage, add-on panels can be run from the same sample rather than requiring a second visit.
Prepare by fasting for 12 hours, drinking water, timing the draw sensibly and telling the lab what you are taking.
Water is allowed and encouraged during the fast, since being well hydrated makes the draw easier and keeps some markers from drifting. Morning draws suit this panel because cortisol is measured at its daily peak and the reference expectations assume a morning sample. If you cycle regularly, note the day of your cycle, because estradiol, progesterone, FSH and LH are read against the phase you were in. Many clinicians prefer early follicular timing for a baseline, though the right day depends on the question being asked, so ask before you book.
Supplements matter more than people expect. High dose biotin can interfere with several immunoassays, including thyroid and hormone assays, so most labs ask that it be paused before testing. Hormonal contraception, thyroid medication and hormone therapy all change what these numbers look like, and that is useful information rather than a reason to skip the test. Keep taking any prescribed medication unless your own clinician tells you otherwise, and note on the day what you are taking so results are read in context.
Read each value twice, once against the standard laboratory reference range and once against the optimal range, then read the whole panel as one picture.
A standard reference range describes where most results from a reference population fall, and it varies by laboratory, assay, age and sex. Optimal ranges are narrower targets used for optimization rather than diagnostic cut-offs, and they are not a verdict about disease. A result inside the standard range but outside the optimal range is best described as suboptimal, which means it is worth a conversation and not a cause for alarm. A result well outside the standard range is worth discussing with a clinician promptly.
The useful sequence is observation, then possible meaning, then next step. A low ferritin alongside a low normal hemoglobin and heavy periods is an observation that may reflect iron depletion, and the next step is a clinician deciding whether to confirm or look further. Nothing on a panel diagnoses anything by itself.
One draw is also a snapshot. Hormones move across the day and across the cycle, and a single estradiol or cortisol value captures one moment. Retesting is how a snapshot becomes a trend, and the right interval depends on what changed, so your clinician should set it. If hormone therapy is ever part of the discussion, that decision belongs to a licensed provider who evaluates whether it is appropriate, weighing the benefits and risks described in the current literature 7, including how different formulations compare 8.
It cannot diagnose a condition, and it cannot see anything that blood does not carry.
Blood work describes chemistry at one moment. It does not visualise the ovaries, uterus or thyroid gland, so imaging may still be needed for questions about cysts, fibroids, endometrial thickness or nodules. It does not measure bone density, it does not assess the pelvic floor, and it does not replace a physical examination or a cervical screening. Patterns on this panel can raise a question about conditions such as thyroid autoimmunity or insulin resistance, but confirming any of them requires clinical judgement, often repeat testing and sometimes further investigation.
It also cannot predict an individual outcome. Associations describe groups of people, and an association is not a forecast for one person. What the panel does well is give a clinician specific, current numbers to work from instead of guesswork.
It sits between a symptom focused panel and a full annual baseline.
The Perimenopause Panel narrows in on the hormonal transition itself and is aimed at women whose main question is about changing cycles and the symptoms that come with them. The FitScript Complete for Her is the broader annual option for people who want the widest possible baseline across every system at once, and FitScript membership includes 150+ biomarkers tested per year. The Hormone Panel for Her covers the female hormone axis in depth while still including thyroid, metabolic, lipid, iron, liver, kidney, blood count, inflammation and nutrient markers. Which one fits depends on the question you are trying to answer, and any of them can be discussed with a clinician before ordering.
The panel is $229.
It is HSA and FSA eligible, so it can usually be paid for with those funds. That price covers the requisition, the draw at a Quest or partner lab location, the full marker list and the Atlas interpretation of every result against optimal ranges.
Days 19-22 of your cycle (about a week after ovulation) captures your progesterone peak and gives the most useful hormone snapshot. If you're in menopause, have irregular cycles, or are on birth control, any day works. Atlas AI factors cycle timing into your results.
Yes. Your results will reflect your current hormonal state, which is still valuable. If you want to see your natural baseline, test after being off hormonal birth control for at least one full cycle. Atlas AI notes active medications in your analysis.
Iron deficiency is the most common nutritional deficiency in women, especially those with heavy periods. Low ferritin causes fatigue, brain fog, hair loss, and exercise intolerance, often before it shows up as anemia on a standard CBC. This panel catches it early with iron, ferritin, TIBC, and saturation.
It includes the key PCOS markers: testosterone, free testosterone, SHBG, DHEA-S, fasting insulin, and HOMA-IR. Elevated androgens combined with insulin resistance is a classic PCOS pattern that Atlas AI can identify and explain in your results.
A female hormone panel usually includes estradiol, progesterone, total and free testosterone, SHBG, FSH, LH, DHEA-S, prolactin and morning cortisol. This one adds thyroid markers, metabolic and lipid markers, iron studies, liver and kidney function, blood count, inflammation markers, key nutrients, IGF-1 and AMH from the same sample.
A hormone blood test for women is accurate at any point, but the interpretation changes with cycle day. Estradiol, progesterone, FSH and LH shift across the cycle, so note which day you were on. Many clinicians prefer an early follicular draw for a baseline, depending on the question being asked.
Most clinicians time a women's hormone test to the early follicular phase for a general baseline, and to the mid luteal phase when progesterone and ovulation are the question. Draw in the morning so cortisol is measured at its daily peak. Ask your clinician which timing matches your specific question.
Yes. Fast for 12 hours before the draw so fasting glucose, fasting insulin, HOMA-IR and triglycerides can be interpreted properly. Water is fine and helps the draw go smoothly. Keep taking prescribed medication unless your own clinician tells you otherwise, and mention any supplements you take regularly.
Results come back in 3 to 5 business days. Atlas, FitScript's AI health advisor, reads every marker against optimal ranges and highlights what is worth attention. A licensed clinician interprets the findings and decides on any further testing or care. Nothing on a lab report is a diagnosis by itself.
No. The panel can show patterns that raise a question, such as a high free androgen fraction, thyroid antibodies or a rising FSH, but diagnosis requires clinical assessment, often repeat testing, and sometimes imaging. Use the results as a starting point for a conversation with a clinician rather than a conclusion.
Yes. The panel is $229 and is HSA and FSA eligible, so those funds can usually be used to pay for it. That covers the emailed requisition, the draw at a Quest or partner lab location, the full marker list and the interpretation of every result against optimal ranges.
Yes. Add-on panels can be run from the same sample, so you do not need to book a second visit or give blood twice. Choose any add-ons before you go to the lab so the requisition is complete. If you are unsure what to add, ask a clinician first.