Health Assessment Report
ExampleFemale hormone panel · 8 biomarkers
Patient details
- Name
- Fleur Jansen
- Gender
- Female
- Age
- 38 years
- Date of birth
- 22-01-1988
Test details
- Test Date
- 09-06-2026
- Report date
- 12-06-2026
- Location
- Utrecht Oost
- Laboratory
- Star-SHL
8
Total Markers
6
In Range
2
Needs Attention
Overall Assessment
This blood was drawn on cycle day 3, and every reference range below is the follicular one that goes with it. Without that cycle day a hormone result cannot be interpreted, so it is stated explicitly throughout.
Six of the eight values are within range. Your AMH is low for your age and your ferritin is low. Neither is worrying, but both are relevant enough to discuss.
Key Findings
AMH low (8.2 pmol/L)
AttentionBelow the 9.0 lower limit. AMH is a measure of ovarian reserve and declines with age. This value says something about the number of eggs, not their quality, and on its own does not predict whether you can conceive.
Ferritin low (16 µg/L)
AttentionBelow the 20 lower limit. In menstruating women this is one of the most common causes of persistent fatigue, even without anaemia.
FSH, LH and estradiol consistent with cycle day 3
GoodFSH 7.1 U/L, LH 5.4 U/L and estradiol 142 pmol/L all sit within the follicular ranges. An FSH under 10 on day 3 is favourable.
Prolactin and thyroid normal
GoodProlactin 412 mU/L and TSH 2.6 mU/L. These are the two values routinely screened for when there are cycle complaints, and both are normal.
Detailed Analysis
Hormones
AttentionYour FSH is 7.1 U/L and your LH 5.4 U/L, both within the follicular range. An FSH under 10 on cycle day 3 indicates normal pituitary signalling to the ovaries.
Your estradiol of 142 pmol/L and progesterone of 1.4 nmol/L fit the early follicular phase — progesterone is supposed to be low at this point and only rises after ovulation.
Your AMH is 8.2 pmol/L, just below the lower limit. AMH reflects the remaining egg reserve. It declines gradually over the years and a value like this is not unusual at 38. Worth knowing: AMH says nothing about egg quality and is not on its own a predictor of the chance of pregnancy.
Thyroid
NormalYour TSH is 2.6 mU/L, within range. Disturbed thyroid function is a common and readily treatable cause of cycle disturbance; it is excluded here.
Minerals
AttentionYour ferritin is 16 µg/L, below the 20 lower limit. Ferritin is the storage form of iron and depletes before hemoglobin falls. In menstruating women, monthly blood loss is the usual explanation.
At a ferritin in this range, fatigue, breathlessness on exertion and hair loss are recognised complaints, even when the blood count is still normal.
Recommendations
Read the AMH in context, not as a standalone number
If you are trying to conceive, discuss this value with a gynaecologist alongside your age, your cycle and any relevant history. A single AMH is one piece of the picture, not a conclusion.
Address the iron stores
Red meat, lentils, tofu and dark leafy greens, combined with vitamin C at the meal. Talk to your GP before taking an iron supplement, and if menstrual blood loss is heavy have your hemoglobin measured too.
Repeat hormone tests on cycle day 3 again
Only measurements taken on the same cycle day are comparable with each other. Schedule any follow-up for day 2 to 5 of the cycle.
Next Steps
Start with the ferritin and have it measured again in three months, together with your hemoglobin.
Contact your GP or gynaecologist if you are trying to conceive, or if symptoms persist. This report does not replace a consultation.
Your Test Results
Hormones
6What It Measures
FSH is a hormone from the pituitary gland, a small gland under your brain. It tells the ovaries to ripen eggs and the testes to make sperm.
Lifestyle Tips
Do you have periods? Test on day 2 to 5 of your cycle. The pill makes the result unreliable.
What It Measures
LH is a hormone from the pituitary gland, a small gland under your brain. In women it triggers ovulation. In men it tells the testicles to make testosterone.
Lifestyle Tips
If you have periods, have your blood taken on day 2 to 5 of your cycle. In the middle of the cycle LH peaks for a day.
What It Measures
Estradiol is the main female sex hormone. It is made in the ovaries and controls the menstrual cycle. Men also make a small amount.
Lifestyle Tips
If you have periods, the result depends on the day of your cycle. Write down the first day of your last period, so you can compare results.
What It Measures
Progesterone is a hormone made by your ovaries after ovulation, when an egg is released. It prepares your womb for a pregnancy.
Lifestyle Tips
Have your blood taken about 7 days before you expect your next period. Only then can the result show whether you ovulated.
What It Measures
AMH is a hormone made by the small follicles in your ovaries, where egg cells grow. It gives an idea of how many egg cells you still have.
When Levels Are Low
This is normal as you get older.
The most common ones:
- Your age. AMH goes down year by year.
- Smoking, or an operation on your ovaries.
- The pill or other hormonal contraception. This lowers AMH a little.
What should you do?
- You don't want children now: you don't need to do anything. A low AMH says little about your chance of getting pregnant naturally.
- You want children and you are 35 or older: make an appointment with your GP.
- Your periods stopped before you turned 40: make an appointment with your GP.
Lifestyle Tips
You can have your blood taken on any day of your cycle. Mention it if you use the pill, because it lowers AMH a little.
What It Measures
Prolactin is a hormone made by the pituitary gland, a small gland under your brain. It makes the breasts produce milk after a birth.
Lifestyle Tips
Sit quietly for 15 minutes before the draw. Stress and touching the nipples raise prolactin.
Minerals
1What It Measures
Ferritin shows how much iron your body has in storage. You need iron to make red blood cells, which carry oxygen through your body.
When Levels Are Low
This means your iron stores are low. It is common and can be treated well.
The most common ones:
- Heavy or long periods.
- Pregnancy, or giving blood regularly.
- Eating little meat, fish or other food with iron.
Less common:
- Blood loss through your bowel, which you often don't notice.
- A bowel disease that makes you absorb less iron, such as coeliac disease.
What should you do?
- You are a man, or a woman after menopause: make an appointment with your GP. They will look for the cause.
- You have heavy periods or give blood: iron tablets usually help. Discuss the dose with your GP.
- You are very tired, short of breath or pale: make an appointment with your GP.
Lifestyle Tips
Take iron tablets with a glass of orange juice, not with tea, coffee or milk. Vitamin C helps your body absorb iron.
Thyroid
1What It Measures
TSH is a signal from a small gland under your brain to your thyroid, a gland in your neck that sets your energy use. A high TSH means your thyroid works too slowly, a low TSH too fast.
Lifestyle Tips
Stop biotin 2 days before the test. If you take thyroid tablets, take them after the blood draw, and test at about the same time of day each time.
Assessed by a BIG-registered doctor
This report was prepared by a BIG-registered doctor. It does not replace a personal medical consultation. Always consult your general practitioner if you have questions.