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Comprehensive fertility and hormone assessment, cycle-timed for accuracy
Women's hormone testing requires precision timing and comprehensive markers: AMH (anti-Mullerian hormone, the fertility crystal ball revealing ovarian reserve), FSH, LH, estradiol, progesterone (must be tested luteal phase, day 19-21 of cycle), prolactin, DHEA-S, testosterone (yes, women need this too), complete thyroid panel (thyroid dysfunction is a top cause of infertility), ferritin (iron deficiency sabotages fertility), and fasting insulin (the PCOS connection).
Women's hormones are cyclical, yet conventional testing ignores timing and context. Testing progesterone on day 5 of your cycle is useless. Testing AMH never happens until you're struggling to conceive, when it could have been measured at 25 to inform life planning. PCOS affects 1 in 10 women but remains massively underdiagnosed because doctors check testosterone once, call it normal, and move on while insulin resistance quietly destroys ovarian function.
AMH is the fertility metric most women never measure until they're in a fertility clinic at 38 wondering why it's taking so long. It should be baseline data at 25, informing major life decisions. Progesterone tested at the wrong time is garbage data. Low progesterone explains recurrent miscarriage that conventional medicine never investigates until after three losses. Ferritin at 20 means your eggs aren't getting the oxygen and nutrients they need. High insulin with normal glucose is the PCOS smoking gun that goes undetected for years while cysts grow and cycles disappear. Gabriel maps the full picture, times tests correctly, and connects thyroid, iron, insulin, and sex hormones into one unified fertility roadmap.
Timing matters. For menstruating women: day 3 testing (FSH, LH, estradiol, AMH, thyroid, testosterone, DHEA-S) and day 19-21 testing (progesterone, repeat estradiol). If cycles are irregular or absent, test anytime but interpretation differs. Fasting morning blood draw, 10-12 hours fasting. Results arrive in 3-5 business days. Upload both sets to Gabriel for cycle-aware interpretation and fertility optimization protocols.
Conventional practitioners read these results through a disease-focused lens — looking for what's broken. Gabriel reads them through a holistic lens — looking for what's out of balance and how to restore it. We see optimal ranges, not just "normal" ranges. We connect findings across all your diagnostics to reveal patterns that siloed specialists miss.
Tell Gabriel your symptoms and health goals. Get personalized diagnostic recommendations backed by evidence, not guesswork.