Fertility Assessment

Fertility is influenced by hormones that fluctuate throughout the menstrual cycle. For many women, questions about reproductive health arise when planning for the future or when cycles become irregular. This test measures hormones that are commonly associated with ovarian reserve and cycle regulation, providing data that may be discussed with a healthcare provider.

This test may be relevant for women who:

• Are curious about markers associated with ovarian reserve
• Experience irregular menstrual cycles
• Are considering family planning in the coming years
• Want a baseline measurement of reproductive hormones

This panel measures four hormones involved in reproductive function:

• AMH (Anti-Mullerian Hormone): a marker often associated with the number of remaining egg cells (ovarian reserve)
• FSH (Follicle Stimulating Hormone): involved in the development of follicles in the ovaries each cycle
• LH (Luteinizing Hormone): plays a role in triggering ovulation; the ratio of LH to FSH may provide additional context
• Estradiol (E2): the primary form of estrogen, involved in uterine lining growth and cycle regulation

Together, these markers may offer insight into ovarian reserve and hormonal balance. AMH is frequently used as an indicator of the remaining egg supply, while FSH and LH levels can reflect how the brain communicates with the ovaries. Estradiol provides context about estrogen activity during the cycle. Results may help inform conversations with a healthcare provider about reproductive health and planning.

The test requires a blood draw at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. After placing your order, you can select a convenient location and schedule your visit. The blood draw is performed by trained professionals.

This test may be considered when:

• You are thinking about family planning and want to understand your hormonal baseline
• Your menstrual cycles have become irregular or have changed
• You would like data to discuss reproductive health with your doctor
• You are curious about markers commonly associated with ovarian reserve

Each marker is presented with your value alongside the reference range. AMH levels that fall below the expected range for your age may suggest a lower ovarian reserve, while elevated LH relative to FSH may be associated with conditions such as PCOS. Estradiol values can vary depending on the day of your cycle. It is worth noting that hormone levels represent a snapshot and can fluctuate. Results are intended to be discussed with a healthcare provider for proper interpretation.

For FSH, LH, and Estradiol, it is recommended to have your blood drawn on cycle day 2 to 5 (day 1 being the first day of your period). AMH can be measured at any point in the cycle. No fasting is required.

Your results are typically available within a few working days. Each biomarker is shown with your value, the reference range, and a clear explanation. These results can serve as a starting point for a conversation with your healthcare provider, who can place them in the context of your personal health history and goals.