MetabolicMarkers

Educational content only, not medical advice. We are not a medical provider; review your results with a licensed physician. Details

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PCOS Blood Test Panels: Hormone & Metabolic Markers

Hormone and metabolic panels that map the biomarkers most associated with PCOS, ordered online, reviewed with your doctor.

Affiliate disclosure: we earn a commission when you purchase lab tests through links on this site, at no extra cost to you. Learn more

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PCOS panels from $191.16 with the current promotion (regularly $238.95-$290.95); individual hormone tests from $16.76 at time of writing.

At a glance

PCOS blood testing measures the reproductive hormones, androgens, and metabolic markers associated with polycystic ovary syndrome, including LH, FSH, free and total testosterone, DHEA-S, SHBG, and A1c. It is designed for women with irregular cycles, acne, excess hair growth, or unexplained weight changes who want objective data to review with their clinician. Panels range from an 8-test screening profile to a 9-test panel with lipoprotein fractionation.

Best suited for

  • Women with irregular or missed periods, persistent acne, or excess facial and body hair growth
  • Anyone whose clinician has suggested checking hormone levels associated with PCOS
  • People tracking androgen, blood sugar, and lipid trends during lifestyle or therapy changes
  • Those researching fertility-related hormones such as LH, FSH, and AMH
  • Health-conscious adults who want a documented hormone and metabolic baseline to discuss at their next visit

What's included

PCOS (Polycystic Ovarian Syndrome) Risk Panel

8 tests, 21 biomarkers

Polycystic Ovary Syndrome (PCOS) Screening Panel

8 tests, 31 biomarkers

Polycystic Ovarian Syndrome (PCOS) Risk Panel with Lipoprotein Fractionation

9 tests, 42 biomarkers

LH Test

Luteinizing hormone, a pituitary signal that regulates ovulation

FSH Test

Follicle-stimulating hormone, used to assess ovarian function

Testosterone Free and Total Test

Total and bioavailable testosterone

Estrogen Panel 1 Baseline Blood Tests

4-test baseline estrogen profile

Sex Hormone Binding Globulin (SHBG) Test

Binding protein that determines active hormone levels

Androstenedione Test

Adrenal and ovarian androgen precursor

hCG Total Qualitative Test

Rules pregnancy in or out as a cause of a missed cycle

AMH Test (Female)

Anti-Mullerian hormone, a marker of ovarian reserve

Cortisol AM Test

Morning cortisol for adrenal function context

17-Hydroxyprogesterone Test

Adrenal marker clinicians use to distinguish look-alike conditions

TSH Test

Thyroid function screen for overlapping symptoms

Prolactin Test

Pituitary hormone linked to irregular cycles

IGF-1 Test

Growth-hormone-related endocrine marker

DHEA-S Test

Adrenal androgen associated with hair and skin symptoms

Lipid Panel Test

Cholesterol, HDL, LDL, and triglycerides

A1c Test

Average blood sugar over the past 2-3 months

Deep-dive the key markers: Total Testosterone, Estradiol, TSH, HbA1c, LDL-C, HDL-C, Triglycerides

Key biomarker ranges

Commonly used adult reference ranges for markers this panel measures, labs vary, so always interpret results against your lab's stated ranges and with your doctor.

Total Testosterone (ng/dL)

Adult male ranges shown; commonly used reference ranges run roughly 300–1,000 ng/dL, with morning draws the standard since levels peak early in the day.

Total Testosterone reference ranges (ng/dL)
ZoneRange
Low0300 ng/dL
Normal range3001000 ng/dL
High10001200 ng/dL
Estradiol (pg/mL)

Adult female follicular-phase ranges shown; estradiol varies widely across the cycle and drops after menopause, so cycle timing is essential to interpretation.

Estradiol reference ranges (pg/mL)
ZoneRange
Low030 pg/mL
Follicular range30150 pg/mL
High150250 pg/mL
TSH (µIU/mL)

Commonly used reference ranges run roughly 0.4–4.0 µIU/mL; TSH moves inversely to thyroid activity, and time of day, illness, and biotin can skew results.

TSH reference ranges (µIU/mL)
ZoneRange
Low00.4 µIU/mL
Normal range0.44 µIU/mL
Mildly elevated46 µIU/mL
High610 µIU/mL

The importance of testing

The hormonal picture behind PCOS-type symptoms is rarely captured by a single number. These panels measure the pituitary signals that regulate the menstrual cycle (LH and FSH), the androgens linked to acne and hirsutism (free and total testosterone, DHEA-S, androstenedione), and SHBG, the binding protein that determines how much of those hormones is biologically active. Together they give you and your doctor a structured view of the markers most associated with PCOS.

Because PCOS-type symptoms overlap with several other hormonal patterns, the broader test menu also covers TSH for thyroid function, prolactin, cortisol, and 17-hydroxyprogesterone, markers clinicians commonly review to distinguish look-alike causes of irregular periods. An hCG test can rule out pregnancy as the reason for a missed cycle, and AMH adds context on ovarian reserve.

PCOS is also strongly associated with metabolic markers, which is why the panels include an A1c test for average blood sugar and a lipid panel for cholesterol and triglycerides. Tracking these values over time helps you see whether lifestyle changes or a care plan you have agreed with your doctor is moving your numbers in the right direction.

None of these tests confirms PCOS on its own. Their value is in establishing a baseline, flagging results outside the reference range to review with your clinician, and giving you repeatable data points to trend across cycles and seasons of therapy.

Promo code

ULTAPCOS

Save 20% with code ULTAPCOS, current promotion; confirm final pricing on the partner page.

Ready to get your numbers? Order online, visit a nearby draw site, and receive private results to review with your doctor.

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Frequently asked questions

What blood tests measure markers associated with PCOS?

The core tests are LH, FSH, free and total testosterone, DHEA-S, androstenedione, SHBG, and AMH, often alongside metabolic markers like A1c and a lipid panel. Clinicians also commonly review TSH, prolactin, cortisol, and 17-hydroxyprogesterone to distinguish other causes of similar symptoms. The bundled panels on this page combine these into 8- or 9-test profiles covering 21 to 42 biomarkers.

Do I need a doctor's visit to order PCOS testing?

No separate doctor's appointment is needed to order, the partner page lets you purchase these tests directly online and visit a local lab for the blood draw. Results are delivered confidentially and securely online, usually within a few days. You can then bring the numbers to your own clinician for interpretation and next steps.

Is this testing available in every US state?

No, direct-to-consumer lab testing is restricted or prohibited in New York, New Jersey, and Rhode Island, so residents of those states may be blocked at the partner's checkout. If you live elsewhere in the US, you can typically order online and test at a nearby lab location. Check the partner site for the most current state availability.

What is the difference between the three PCOS panels?

The main differences are biomarker depth and lipid detail. The PCOS Risk Panel includes 8 tests covering 21 biomarkers, the PCOS Screening Panel includes 8 tests covering 31 biomarkers, and the Risk Panel with Lipoprotein Fractionation adds a 9th test for a total of 42 biomarkers, including a more detailed breakdown of cholesterol particles. If metabolic and cardiovascular markers are a priority, the lipoprotein fractionation version provides the most granular lipid data.

Can these tests confirm PCOS?

No, no single blood test can confirm PCOS, and these panels are not a substitute for a clinical evaluation. They measure hormone and metabolic markers associated with the condition, which a clinician interprets together with your symptoms and history. Use the results as structured data to review with your doctor.

Does the timing of my cycle affect hormone test results?

Yes, several of these hormones, particularly LH, FSH, and estrogen, naturally rise and fall across the menstrual cycle, so timing can influence results. Many clinicians suggest testing early in the cycle when possible, and morning collection matters for cortisol. Ask your doctor what timing makes sense for your situation, and keep timing consistent when you retest to make trends comparable.