The short answer on at-home hormone tests for women
Female hormones move through the month, so a hormone test is only as good as its timing. Test FSH, LH and estradiol on cycle days 2 to 5 (day 1 is the first day of your period) and progesterone about 7 days before your next period, which is day 21 of a 28-day cycle. SiPhox Hormone Focus covers FSH, LH, estradiol, progesterone, total and free testosterone, SHBG, the free androgen index, prolactin, DHEA-S and cortisol for $124 plus $25 shipping from an upper-arm draw. It does not measure AMH, the main ovarian reserve marker, so fertility planning needs a different test.
Which cycle day to test each hormone
| Hormone | Best time to test | Why |
|---|---|---|
| FSH | Cycle day 2 to 5 | Baseline ovarian signal before a follicle takes over; high levels suggest reduced ovarian reserve or perimenopause |
| LH | Cycle day 2 to 5 | Read with FSH; a high LH:FSH ratio is common in PCOS |
| Estradiol | Cycle day 2 to 5 | Should be low early in the cycle; a high early level can mask a high FSH |
| Progesterone | About 7 days before your expected period | Rises after ovulation; ACOG uses this mid-luteal level to confirm ovulation |
| Testosterone, SHBG, DHEA-S, prolactin | Any day, morning preferred | Less cycle-dependent; morning is more consistent |
| AMH | Any day | Fairly stable across the cycle (not on SiPhox) |
Quest's own progesterone test page gives the same 7-days-before-your-period rule. If your cycles are irregular, testing progesterone at the right time is hard; your doctor may repeat it or use other methods.
Source: ARUP Laboratories test directory (LH and FSH). IU/L and mIU/mL are the same number. Ranges vary by lab, so read yours against the range on your report.
The chart shows why cycle day matters. A follicular FSH of 12 IU/L sits at the top of the normal range; the same 12 in the luteal phase would be well above it, and after menopause FSH runs roughly ten times higher. The same is true for LH, which ARUP lists at 2.4 to 12.6 IU/L in the follicular phase but up to 95.6 IU/L during the mid-cycle surge.
Say your cycle runs 32 days and your period starts on a Monday, which is day 1. Days 2 to 5 fall Tuesday to Friday, so you collect for FSH, LH and estradiol on Tuesday, Wednesday or Thursday to meet the Monday to Thursday shipping rule. Progesterone belongs about 7 days before your next period: 32 minus 7 is day 25, which lands on a Thursday three weeks and three days later (day 21 on a 28-day cycle). One draw cannot be both day 3 and day 25, so answering both questions takes two tests: $124 for the first SiPhox Hormone Focus and $149 for the second, $273 in total. If you only need to confirm ovulation, the day-25 draw alone is enough.
SiPhox kits must be dropped at a staffed FedEx location Monday to Thursday before 4 p.m. If your day 3 falls on a Friday or weekend, collect on the nearest weekday inside days 2 to 5. Have the kit at home before your period starts.
On hormonal birth control? The pill, patch, ring and hormonal IUDs change these hormones, so results will not reflect your natural cycle. Talk to your doctor before testing for fertility or perimenopause while on them.
Pick a panel by your goal
Perimenopause
Irregular periods, hot flashes and sleep changes in your 40s are the usual signs. MedlinePlus notes that FSH naturally rises in perimenopause and testing is usually not needed for women 45 and over with irregular periods, because FSH swings from month to month. Testing is more useful under 45, or under 40 when early menopause is a question. A panel with FSH, LH, estradiol and TSH helps rule out other causes such as thyroid problems.
Fertility
ACOG lists a cycle day 3 FSH, a mid-luteal progesterone to confirm ovulation, and ovarian reserve tests such as AMH. SiPhox gives you the first two but not AMH. MedlinePlus notes AMH estimates egg supply, not whether you will get pregnant. If you are trying to conceive and have been for 12 months (6 if you are 35 or over), see a fertility specialist rather than relying on home tests.
PCOS
The 2023 international PCOS guideline diagnoses PCOS from two of three features: irregular cycles, high androgens (on symptoms or blood tests), and polycystic ovaries on ultrasound or a high AMH in adults. For blood tests it recommends calculated free testosterone, the free androgen index or bioavailable testosterone, with DHEA-S and prolactin to rule out other causes and TSH to exclude thyroid disease. SiPhox Hormone Focus measures total and free testosterone, SHBG, the free androgen index, LH:FSH, DHEA-S and prolactin. A diagnosis still needs a clinician.
Goal, markers and test at a glance
| If you want | Test | Choose |
|---|---|---|
| Ovarian reserve before planning a pregnancy | AMH, plus day 3 FSH | A lab or your doctor; SiPhox has no AMH |
| Trying for 12 months (6 if 35 or over) | A full fertility workup | A fertility specialist, per ACOG |
| To check thyroid first | TSH, free T4, antibodies | SiPhox Thyroid Focus or your doctor |
| A perimenopause picture under 45 | FSH, LH, estradiol on days 2 to 5, plus TSH | SiPhox Hormone Focus, TSH on another panel |
| To confirm ovulation | Progesterone about 7 days before your period | SiPhox Hormone Focus |
| Androgen blood tests for PCOS | Free testosterone or FAI, SHBG, DHEA-S, prolactin | SiPhox Hormone Focus, $149 with shipping |
What SiPhox covers for women
Two SiPhox panels include female hormones, both at $124 a test:
| Marker | Hormone Focus | Longevity Essentials |
|---|---|---|
| FSH | Yes | Yes |
| LH | Yes | Yes |
| Estradiol | Yes | Yes |
| Progesterone | Yes | No |
| Total testosterone | Yes | Men only |
| SHBG | Yes | Men only |
| Free androgen index | Yes | No |
| Prolactin | Yes | No |
| DHEA-S | Yes | Yes |
| Cortisol | Yes | Yes |
| TSH | No | Yes |
| Ferritin | No | Yes |
| ApoB | No | Yes |
| AMH | No | No |
Hormone Focus is the one for cycle, PCOS and perimenopause questions. Longevity Essentials has fewer hormones but adds heart markers, ferritin (low iron stores are common with heavy periods), vitamin D and HbA1c. Ultimate 360 covers both plus the full thyroid set.

Hormone Focus
Sex hormones for men and women, including PSA for men and progesterone for women.
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Longevity Essentials
The default panel: heart, metabolic, hormone and inflammation markers in one draw.
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Ultimate 360
Everything on the four core panels plus iron studies, B12 and folate, GGT and PSA.
Check priceSiPhox uses a sensitive estradiol assay on both panels. That matters after menopause and for women with very low estrogen, where standard estradiol tests can struggle to measure low values accurately. It also reports LH:FSH as a ratio, which saves you the arithmetic when PCOS is the question.
Other at-home hormone kits for women
| Test | Price | Markers | Collection |
|---|---|---|---|
| SiPhox Hormone Focus | $124 + $25 | 14 incl. progesterone, FAI, prolactin; no AMH | Upper arm, at home |
| Everlywell Women's Health Test | See Everlywell | FSH, LH, estradiol, progesterone, testosterone, DHEA-S, cortisol x4, TSH, free T4, TPO | Mail-in kit |
| Everlywell Perimenopause Test | See Everlywell | Estradiol, LH, FSH | Mail-in kit |
| Everlywell Women's Fertility Test | See Everlywell | FSH, LH, estradiol, testosterone, TSH | Mail-in kit |
| Rythm Health | $79 + shipping | Progesterone, estradiol, testosterone, SHBG, cortisol, free T3, free T4 and 15+ more | At home |
| Quest Women's Hormone Panel | $225 basic, $289 expanded | See Quest | Quest lab |
Prices checked September 29, 2026. Everlywell's Women's Health Test adds a four-point cortisol curve and thyroid antibodies, which SiPhox Hormone Focus does not. SiPhox adds prolactin, SHBG and the free androgen index, which matter most for PCOS. Rythm is the only one here that also includes heart markers such as ApoB in the same test; with SiPhox you get the same effect by alternating Hormone Focus with Longevity Essentials.
Our arithmetic from prices checked 29 Sep 2026. SiPhox includes $25 shipping; Rythm is about $100 all-in. Everlywell hormone kit prices were not listed in our check, so they are left out.
Per marker, SiPhox Hormone Focus works out at $149 / 14 = $10.64, the highest of SiPhox's panels per marker. Ultimate 360 carries every Hormone Focus marker plus the full thyroid set, iron studies and heart markers for $274, or $4.42 per marker (our arithmetic).
Which markers to test for which symptoms
Many symptoms women put down to hormones have more than one cause, and some of the likeliest are not sex hormones at all. This is a starting map, not a diagnosis:
| Symptom | Markers worth checking | SiPhox panel |
|---|---|---|
| Irregular or missed periods | FSH, LH, estradiol, prolactin, testosterone, TSH | Hormone Focus, plus TSH on another panel |
| Acne, excess hair growth, scalp hair thinning | Total and free testosterone, SHBG, free androgen index, DHEA-S | Hormone Focus |
| Hot flashes, night sweats in your 40s | FSH, estradiol (often not needed over 45) | Hormone Focus or Longevity Essentials |
| Fatigue, heavy periods | Ferritin, hemoglobin, TSH | Longevity Essentials |
| Fatigue, feeling cold, weight gain | TSH, free T4, thyroid antibodies | Thyroid Focus |
| Trying to confirm ovulation | Progesterone about 7 days before your period | Hormone Focus |
Thyroid problems and low iron stores are common in women and cause symptoms that overlap with hormonal ones, so check them before assuming the cause is estrogen or progesterone. See our at-home thyroid test guide.
How to take an at-home hormone test
- Count your cycle. Mark day 1 (first day of full bleeding). Work out which weekday your target day falls on, remembering SiPhox kits ship back Monday to Thursday only.
- Order ahead. Kits take about 3 days to ship and 3 to 5 days to arrive, so order at least a week before your target day.
- Collect in the morning. Morning collection gives the most consistent readings for testosterone, DHEA-S and cortisol. Hydrate with about 16 oz of water, warm up, and use the heat pack for 4 minutes before the EasyDraw draw.
- Write down the cycle day. Hormone ranges on your report depend on the phase you were in; your doctor will need the day to interpret them.
- Ship the same day from a staffed FedEx location before 4 p.m. with the cold pack.
When your results arrive, read estradiol, progesterone, FSH and LH against the range for your cycle phase. MedlinePlus notes that these hormones change across the month and with age and pregnancy, so labs often print separate follicular, mid-cycle, luteal and postmenopausal ranges.
What an at-home hormone test cannot tell you
- It cannot diagnose menopause, PCOS or infertility on its own. Those are clinical diagnoses that use your history, symptoms and often ultrasound.
- One reading is a snapshot. Hormones vary cycle to cycle, so repeat an unexpected result in a later cycle.
- Saliva and urine hormone tests are a different technology; this guide covers blood tests only.
- A normal result does not rule out a problem if your symptoms continue. Tell your doctor; conditions such as endometriosis do not show up on hormone blood tests.
Take abnormal results to your doctor or gynecologist. Our broader at-home blood test for women guide covers iron, thyroid and heart markers too.
Frequently asked questions
What day of my cycle should I take a hormone test?
FSH, LH and estradiol on days 2 to 5, counting the first day of your period as day 1. Progesterone about 7 days before your next expected period, which is day 21 of a 28-day cycle.
Can an at-home test tell me if I am in perimenopause?
It can support the picture, but not diagnose it. FSH swings from month to month in perimenopause, and MedlinePlus notes testing is often not needed for women 45 and over with irregular periods. It is most useful under 45 or when early menopause is a question.
Does SiPhox test AMH?
No. None of SiPhox's current consumer panels include AMH. For an ovarian reserve test you need a separate AMH test through a lab or your doctor.
Can I take a hormone test while on birth control?
You can, but hormonal contraception changes FSH, LH, estradiol and progesterone, so the results will not reflect your natural cycle. Ask your doctor before testing for fertility or menopause questions.
Which hormones should be tested for PCOS?
The 2023 international guideline recommends calculated free testosterone or the free androgen index, with DHEA-S, prolactin and TSH to rule out other causes. SiPhox Hormone Focus includes all of these except TSH, which is on its other panels.
Sources
- MedlinePlus: Follicle-stimulating hormone (FSH) levels test
- MedlinePlus: Luteinizing hormone (LH) levels test
- ARUP Laboratories Test Directory: Luteinizing hormone and follicle stimulating hormone
- MedlinePlus: Estrogen levels test
- MedlinePlus: Progesterone test
- MedlinePlus: Anti-Mullerian hormone test
- Quest: Progesterone test (timing and price)
- ACOG: Evaluating infertility (FAQ)
- 2023 International evidence-based guideline for polycystic ovary syndrome, Fertil Steril
- Everlywell knowledge base: biomarkers included in each panel
- Rythm Health: biomarkers tested (checked 29 Sep 2026)
- Quest: popular tests and prices (checked 29 Sep 2026)
- SiPhox Health: Hormone Focus panel (checked 29 Sep 2026)
- SiPhox Health: Longevity Essentials panel (checked 29 Sep 2026)
- SiPhox Health: EasyDraw collection instructions