Women's Health Blood Test: Hormones, Fertility, and Wellness Panel

Women's hormonal health is complex, dynamic, and profoundly affects quality of life at every stage — from reproductive years through perimenopause and beyond. In Sweden, women have excellent access to healthcare, yet many hormonal imbalances go undetected because symptoms are normalised or dismissed.

Irregular cycles are often attributed to stress, persistent fatigue is blamed on a busy lifestyle, and mood changes are accepted as part of being a woman rather than being investigated as potential hormonal disruptions. Many women come to us in their forties and say they do not feel like themselves. The truth is that a targeted blood test can provide concrete answers where guesswork fails.

Whether you are trying to understand irregular periods, assess your fertility timeline, investigate suspected PCOS, navigate the transition into perimenopause, or simply want a baseline understanding of your hormonal health, blood testing gives you the data you need. Swedish fertility trends show that the average age at first birth continues to rise, making proactive fertility awareness through biomarkers like AMH increasingly valuable.

A comprehensive women's health panel measures the interplay between multiple hormones rather than looking at any single marker in isolation. At Wellth, our panels are processed by accredited Swedish laboratories with ISO 15189 certification, and every result is set out in a report that takes account of cycle timing and age-related changes.

We provide context, not just numbers — helping you understand what your results mean for your specific situation and what options are available.

Key Biomarkers for Women's Health

Oestradiol

Estradiol (E2) is the primary form of oestrogen, essential for reproductive function, bone health, skin elasticity, cardiovascular protection, and mood regulation. Levels fluctuate significantly throughout the menstrual cycle and decline markedly during perimenopause and menopause.

Progesterone

Progesterone is produced after ovulation and is critical for menstrual regularity and supporting early pregnancy. Low progesterone relative to oestrogen can cause heavy periods, PMS, and difficulty maintaining pregnancy.

FSH and LH

FSH (Follicle-Stimulating Hormone) and LH (Luteinising Hormone) are pituitary hormones that regulate the menstrual cycle and ovulation. Rising FSH is one of the earliest indicators of declining ovarian reserve and approaching menopause.

AMH

AMH (Anti-Müllerian Hormone) reflects your ovarian reserve — the number of remaining egg-containing follicles. AMH is particularly valuable for women considering future fertility because it provides an estimate of your reproductive timeline.

DHEA-S, prolactin and testosterone

DHEA-S is an adrenal androgen that can be elevated in PCOS and plays a role in energy, libido, and immune function. Prolactin, when elevated, can suppress ovulation and cause irregular or absent periods. Testosterone, present in small amounts in women, influences libido, energy, and muscle tone — both excess and deficiency can cause symptoms.

Women's Health Panel →Hormone Test →AMH Test (Ovarian Reserve) →

Signs You Should Get a Women's Health Blood Test

  • Irregular menstrual cycles — too long, too short, or unpredictable
  • Heavy or painful periods that interfere with daily life
  • Hot flashes, night sweats, or sleep disruptions
  • Mood swings, anxiety, or depression linked to your cycle
  • Difficulty getting pregnant or concerns about fertility
  • Unexplained weight gain or difficulty losing weight
  • Acne, excess facial hair, or hair thinning (possible PCOS signs)
  • Low libido or vaginal dryness
  • Persistent fatigue not explained by sleep or lifestyle
  • Approaching or experiencing perimenopause symptoms after age 40

What Your Results Might Show

The menopause

If your FSH is elevated above 25 IU/L and your estradiol is low, this pattern is consistent with declining ovarian function and approaching or established menopause. During perimenopause, hormone levels often fluctuate unpredictably, so a single test captures just one moment — repeat testing may be helpful.

Low AMH

If your AMH is low for your age, this suggests a reduced ovarian reserve and may be relevant for family planning decisions. A low AMH does not mean you cannot conceive, but it may indicate a narrower fertility window.

Signs of PCOS

If your testosterone and DHEA-S are elevated alongside irregular cycles, this pattern may suggest polycystic ovary syndrome (PCOS), particularly if accompanied by acne or excess hair growth.

Low progesterone

If your progesterone is consistently low in the luteal phase, this may contribute to PMS, irregular bleeding, or early pregnancy loss.

Iron

Heavy periods are one of the most common reasons women run low on iron, and the tiredness that follows is easy to put down to something else. It is often one of the first things we look at when a woman tells us she has less energy than before.

Your report

Your Wellth report explains each marker in the context of your age, cycle timing, and symptoms, with clear guidance on next steps.

Order a Women's Health Panel

Frequently Asked Questions

When in my menstrual cycle should I do this blood test?
For the most informative results, we recommend testing on day 2 to 5 of your menstrual cycle (day 1 is the first day of your period) for FSH, LH, estradiol, AMH, testosterone, and DHEA-S. If progesterone is included, a separate sample on day 21 (or 7 days after ovulation) provides the most useful reading. If your cycles are irregular or absent, you can test at any time — just note the date of your last period when ordering.
What does a low AMH mean for my fertility?
AMH reflects the number of remaining follicles in your ovaries, so a lower AMH suggests a smaller ovarian reserve. However, AMH does not measure egg quality, only quantity. Women with low AMH can and do conceive naturally, but they may have fewer years of fertility remaining and may respond less to fertility treatments like IVF. If your AMH is low and you are considering future pregnancy, discussing your timeline with a fertility specialist sooner rather than later is advisable.
Can blood tests diagnose PCOS?
Blood tests are an important part of diagnosing PCOS but are not sufficient alone. PCOS is diagnosed using the Rotterdam criteria, which require two of the following three features: irregular or absent ovulation, clinical or biochemical signs of excess androgens (elevated testosterone or DHEA-S, acne, hirsutism), and polycystic ovaries on ultrasound. Blood tests revealing elevated testosterone, high LH-to-FSH ratio, or elevated DHEA-S support the diagnosis when combined with clinical findings.
How do I know if I am in perimenopause?
Perimenopause typically begins in the mid-40s but can start earlier. Symptoms include irregular cycles, hot flashes, sleep disruption, mood changes, and vaginal dryness. Blood tests showing rising FSH (above 10 to 15 IU/L) with fluctuating estradiol levels are consistent with perimenopause. However, because hormone levels vary widely during this transition, a single blood test cannot definitively confirm or rule out perimenopause — the clinical picture and symptom pattern are equally important.
Can a blood test show if I am in the menopause?
Partly. A raised FSH on two occasions, together with periods that have stopped, supports that you have reached the menopause. During perimenopause, hormone levels swing from month to month, so a single test can look normal and your symptoms matter more. Blood tests are still useful to rule out other causes, such as thyroid problems or low iron.
Is PCOS hereditary?
PCOS often runs in families. If your mother or sister has it, your own risk is higher. Genes are only part of it, and insulin resistance and weight also affect how strongly PCOS shows.
NW

Reviewed by

Wellth Team

Wellth

Our content is written and reviewed by Wellth, and fact-checked against peer-reviewed research and current Swedish clinical guidelines.

Learn more about our team →

Important to know

Wellth does not diagnose or treat disease. We work with diet, lifestyle and preventive health, alongside the care you already have.

Our reports and sessions do not replace medical advice, and a test result should not be read as a diagnosis. We use both standard healthcare reference ranges and optimal ranges. A value can therefore be normal by healthcare standards and still fall outside the range associated with good health. That does not mean disease, but it can be a chance to act early.

Supplements are only recommended by a nutritional therapist as part of a consultation, never automatically from a test result.

If anything in your results needs to be looked at by a doctor, we will tell you clearly. Contact your healthcare provider if you are worried about your health. Call 1177 for advice, or 112 in an emergency.