REVIVAL CLINIC BANGKOK,
Live Healthy. Live Longer. Live Happier
Female Hormone Test
This comprehensive blood test evaluates the balance of key reproductive and metabolic hormones in women. It helps assess menstrual irregularities, fertility issues, menopausal status, symptoms of hormonal imbalance, and response to hormone therapy.
Who Should Get Tested?
This panel is recommended for women who experience:
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Irregular or absent periods
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Infertility or difficulty conceiving
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Mood swings, anxiety, or depression
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Fatigue or low libido
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Weight gain or acne
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Hair thinning or excessive facial/body hair
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Menopausal symptoms (e.g., hot flashes, night sweats)
It is also useful for evaluating perimenopause, PCOS (polycystic ovary syndrome), or hormone replacement therapy response.
What is Premenopause?
Premenopause refers to the entire period in a woman's life before she reaches menopause. During this time, a woman still has regular menstrual cycles and is capable of becoming pregnant. Hormone levels, especially estrogen and progesterone, are generally stable—although subtle changes may begin in the years leading up to menopause.
When Does It Start?
Premenopause typically covers a woman’s reproductive years, beginning with the first period (menarche) and lasting until the early stages of hormonal fluctuation, usually around the late 30s to early 40s.
The transition phase that follows premenopause is called perimenopause, which can begin around age 35–45 and lasts until menopause is complete.
Why Hormonal Symptoms May Appear in Late Premenopause:
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Starting in the late 30s or early 40s, ovarian function begins to fluctuate.
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Progesterone is often the first hormone to decline, leading to an imbalance with estrogen.
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This hormonal shift may result in symptoms even while periods remain regular.
Common Symptoms That May Suggest Late Premenopause:
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Shorter or irregular menstrual cycles
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Heavier or lighter periods
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Breast tenderness
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Mood swings or irritability
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Sleep disturbances
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Fatigue
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Anxiety or depression
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Lower libido
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Bloating or weight changes
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Increased PMS symptoms
🩺 Perimenopausal Symptom Self-Check
Please rate each of the following symptoms based on how much they affect your daily life. Use the scale below to write your score next to each symptom:
0 = None | 1 = Mild | 2 = Moderate | 3 = Severe
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_____ Hot flashes or night sweats
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_____ Irregular or changing menstrual cycles
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_____ Trouble sleeping
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_____ Mood swings, anxiety, or irritability
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_____ Fatigue or low energy
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_____ Difficulty concentrating or forgetfulness
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_____ Vaginal dryness or discomfort
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_____ Decreased sexual desire
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_____ Joint or muscle aches
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_____ Breast tenderness or bloating
Total Score: ________
📝 How to interpret your score:
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0–5 points → Unlikely to be perimenopause
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6–15 points → Mild symptoms, monitor and consider lifestyle support
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16–25 points → Moderate symptoms, consider hormone testing
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26+ points → Likely significant hormonal changes — a full hormone panel is recommended
E2
Estradiol
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Function: Main estrogen hormone; supports menstrual cycle, skin, bones, mood, and vaginal health.
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Target Range (varies by cycle):
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Follicular: 30–120 pg/mL
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Mid-cycle peak: 130–370 pg/mL
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Luteal: 70–250 pg/mL
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High: Can occur in estrogen dominance, tumors, or certain hormone therapies; may cause bloating, breast tenderness, and mood swings.
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Low: Seen in menopause, amenorrhea, or overuse of aromatase inhibitors; symptoms include hot flashes, vaginal dryness, and low libido.
Progesterone
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Function: Maintains uterine lining, supports pregnancy, promotes sleep and mood stability.
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Target Range (luteal phase): 5–20 ng/mL
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High: Usually seen in pregnancy.
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Low: Linked to PMS, irregular cycles, fertility issues, and mood disturbances.
Testosterone
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Function: Supports libido, energy, bone health, and mood.
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Target Range (adult women): ~15–70 ng/dL
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High: Cause by PCOS, adrenal disorders, or tumors;
symptoms include acne, hair loss, and hirsutism.
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Low: May lead to fatigue, low libido, and reduced muscle tone.
Free Testosterone
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Function: The active form not bound to proteins, more reflective of symptom-causing imbalances.
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Target Range: ~1–6.4 pg/mL
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High: Similar to total T—linked with PCOS or androgen excess.
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Low: Associated with low libido, weakness, and poor mood.
SHBG
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Function: Binds testosterone and estrogen, regulating how much is available to cells.
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Target Range (women): 18–144 nmol/L
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High: May lead to low free testosterone; common in high-estrogen states or hyperthyroidism.
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Low: Seen in insulin resistance or PCOS; leads to more free androgens.
FSH
Follicle-Stimulating Hormone
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Function: Stimulates ovarian follicle development.
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Target Range (varies by cycle phase):
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Early follicular phase: 3.5–12.5 mIU/mL
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Postmenopause: >25 mIU/mL
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High: May indicate ovarian failure or menopause.
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Low: Can suggest hypothalamic or pituitary dysfunction.
LH
Luteinizing Hormone
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Function: Triggers ovulation and stimulates hormone production from ovaries.
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Target Range:
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Mid-cycle peak: 21.9–56.6 mIU/mL
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Follicular phase: 2.4–12.6 mIU/mL
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High: Common in PCOS or menopause.
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Low: Suggests pituitary or hypothalamic dysfunction.