picardo.

Fertility panel Your hormones and pre-pregnancy checks, from one visit

22 tests Results in 2 to 3 days

The short answer

A blood test panel for women planning a pregnancy or having trouble getting pregnant. It checks your egg reserve and cycle hormones, looks for signs of PCOS, thyroid problems and diabetes, and checks your immunity and common infections before pregnancy, all from one visit.1,3

Who it’s for
Women who are planning a pregnancy or have been trying for a while, and want their hormones, egg reserve and pre-pregnancy checks done in one visit. It can’t predict your chance of getting pregnant naturally.[2]
What it costs
$429.45. That’s the whole cost, and it’s HSA and FSA eligible.
How it works
Fast for 12 hours, get a blood draw on day 2 to 4 of your cycle if you have periods, at a Labcorp location of your choice for free or at home for $75, and see most results in the Picardo app in 2 to 3 days.
Fertility panel
$429.45 · 22 tests, one draw
Order

What the panel tests

22 tests from one visit.

Egg reserve

A rough gauge of how many eggs you have left. It predicts how you’d respond to IVF, not your chance of conceiving naturally.1,2

  • AMH
    Anti-Müllerian hormone, which can be tested on any day of your cycle

Cycle hormones, from a day 2 to 4 draw

FSH and estradiol, measured together on day 2 to 4 of your cycle, add detail on egg reserve, mainly when AMH is very low.1,2 If your periods have stopped, they help show why.1 LH comes in the same test. US fertility specialists order it only for a specific reason, not as a routine fertility check.1

  • FSH and LH
    Follicle-stimulating and luteinizing hormones, which run your cycle
  • Estradiol
    The main estrogen, read alongside FSH

Androgens, for PCOS

High androgens are one of the signs used to diagnose PCOS, which US fertility specialists now call PMOS.1 To check for them, the PCOS guideline recommends total testosterone measured by mass spectrometry, and free testosterone, which can be calculated from total testosterone and SHBG. DHEA-S could be considered if testosterone isn’t raised, though it’s less specific.4

  • Total and free testosterone
    Total testosterone by mass spectrometry, and free testosterone by equilibrium ultrafiltration rather than a less accurate direct test
  • SHBG
    Sex hormone-binding globulin, the protein that holds most testosterone and sets how much is free
  • DHEA-S
    An androgen made mostly by the adrenal glands

Thyroid and blood sugar

Thyroid problems are a common cause of irregular periods.1 Guidelines differ on testing without symptoms. US fertility specialists test only when periods are irregular or there are signs of a thyroid problem,1 while US obstetricians say testing may be appropriate with risk factors such as infertility or a past pregnancy loss.3 US diabetes guidelines recommend a diabetes test before pregnancy if you have risk factors, and suggest considering one for anyone planning a pregnancy.5

  • Thyroid cascade
    TSH, with more thyroid tests added if it’s abnormal
  • HbA1c
    Your average blood sugar over three months

Immunity before pregnancy

US obstetricians recommend checking your immunity before pregnancy, so any vaccines you need can be given in time.3

  • Rubella IgG
    Immunity to rubella (German measles)
  • Varicella IgG
    Immunity to chickenpox

Infections

US guidelines recommend testing every adult at least once for hepatitis B and hepatitis C, and everyone aged 15 to 65 for HIV.6,7,8 Whether you need a syphilis test before pregnancy depends on your age and risk.3

  • HIV antigen/antibody
    HIV-1 and HIV-2, with a confirmation test if positive
  • Hepatitis B triple panel
    Shows current or past infection, or immunity from a vaccine
  • Hepatitis C antibody
    With a viral load test if positive
  • Syphilis (RPR)
    With follow-up tests if positive

Pregnancy test, blood type and lead

A pregnancy test, since pregnancy is the first thing to rule out when periods are irregular.1 The panel also records your blood type and checks your blood lead level.

  • hCG
    A pregnancy test
  • ABO and Rh blood type
    Your blood group and Rh factor
  • Lead
    The lead level in your blood

General health

A general check of your blood count, kidneys, liver, minerals, vitamin D and urine, from the same visit.

  • Complete blood count
    Red cells, white cells and platelets
  • Comprehensive metabolic panel
    Kidney and liver function, glucose and electrolytes
  • Magnesium
    A mineral your muscles and nerves need
  • Vitamin D
    25-hydroxy vitamin D
  • Urinalysis with reflex culture
    A urine check, with a culture if it suggests infection

What can a fertility blood test tell you?

AMH shows your egg reserve: roughly how many eggs you have left. Fertility clinics use it to predict how many eggs IVF would collect and to tailor treatment.1,2 FSH and estradiol, measured early in your cycle, add detail, especially when AMH is very low.2

When a woman is checked for infertility, US fertility specialists treat these egg reserve tests as standard, but keep LH, TSH and prolactin for a specific reason, such as irregular periods or signs of a thyroid problem.1 This panel includes LH and TSH because they add little to a draw you’re already having, and save a second one if they turn out to matter.

The androgen, thyroid and blood sugar tests look for treatable causes of irregular periods, such as PCOS or a thyroid problem, and for diabetes, which is best brought under control before pregnancy.1,3,4 If your periods are irregular, a clinician will usually add prolactin, and 17-OH progesterone if you have signs of high androgens. This panel doesn’t include them.1 The immunity and infection tests cover part of the usual review before any pregnancy.3

Blood tests can’t tell you how likely you are to get pregnant naturally. Egg reserve tests predict it poorly.1,2 If you haven’t had trouble conceiving, read AMH as a baseline for your egg reserve, which helps with planning egg freezing or IVF.2 Nor can blood tests check your fallopian tubes, your uterus or a partner’s sperm. A full fertility evaluation adds those. It checks whether you ovulate and looks at your uterus and tubes with imaging, and a male partner has a semen analysis.1

When should you see a fertility specialist?

US fertility specialists recommend an evaluation if you haven’t gotten pregnant after regular sex without contraception for:1

  • 12 months, if you’re under 35
  • 6 months, if you’re 35 or older

Over 40, an earlier evaluation may be warranted.1 Don’t wait at all if any of these apply:1

  • Your cycles are shorter than 25 days or longer than 35, or your periods have stopped
  • You have endometriosis, or a known problem with your uterus or tubes
  • You’ve had repeated miscarriages
  • A male partner has a known or suspected fertility problem
  • You’ve had chemotherapy or radiation

What to do before you try

  • Take folic acid. US guidelines recommend 0.4 to 0.8 mg a day for anyone who could become pregnant, starting at least 1 month before you conceive and continuing through the first 2 to 3 months of pregnancy.9 If you’ve had a pregnancy affected by a neural tube defect, ask about a higher dose.3
  • Get any vaccines you need early. Rubella and chickenpox vaccines should be given at least 28 days before pregnancy. Chickenpox needs two doses, so start about 2 months before you try.3
  • Get long-term conditions under control. Diabetes and thyroid disease, among others, should be well managed before pregnancy.3

Read the AMH guide

How it works

  1. 01

    Order online

    The price is the whole cost, and you can pay with an HSA or FSA card.

  2. 02

    Blood draw

    If you have periods, go on day 2 to 4 of your cycle, counting the first day of your period as day 1. Fast for 12 hours first: water is fine, but skip food, coffee and tea. Go to any Labcorp location for free, or have blood drawn at home for $75.

  3. 03

    Get your results

    Most results arrive in the Picardo app in 2 to 3 days. AMH and free testosterone go to specialty labs and can take longer. Each comes with a first explanation of what it means, and you can ask for a follow-up with a physician.

Questions people ask

Do I need to fast for the fertility panel?

Yes. Fast for at least 12 hours before your blood draw. Water is fine, but skip food and other drinks, including coffee and tea.

Which day of my cycle should I test?

If you have periods, day 2 to 4, counting the first day of your period as day 1. That’s when FSH and estradiol are measured; AMH can be tested on any day.1 If your periods have stopped, any day will do: FSH and estradiol on a random day can still help show why.1

Can I take the panel while on the pill?

Yes, but some results are harder to read. Hormonal contraception can lower AMH, so a low result needs caution.2 The day 2 to 4 timing is meant for a natural cycle, so ask a clinician how to read FSH, LH and estradiol taken on hormonal contraception. The pill also makes androgen results hard to interpret: if they’re essential for a PCOS diagnosis, the PCOS guideline says to stop the pill for at least 3 months first, using other contraception in the meantime.4

Does a normal result mean I’m fertile?

Not on its own. Your age is the single most important predictor of fertility, and AMH reflects how many eggs you have, not how good they are.1

How much does the fertility panel cost?

$429.45. That covers every test and a blood draw at Labcorp; a draw at home is $75 more. You can pay with an HSA or FSA card.

Should my partner be tested too?

If you have a male partner and you’re having trouble conceiving, yes. US guidelines say both partners should be evaluated at the same time, including at least one semen analysis, because male factors play a part in up to 40% of cases.1 This panel doesn’t include a semen analysis.

Sources

  1. 1 Practice Committee of the American Society for Reproductive Medicine. Fertility evaluation of infertile women: a committee opinion. Fertil Steril. Published online October 20, 2026. doi.org/10.1016/j.fertnstert.2026.08.686
  2. 2 Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve: a committee opinion. Fertil Steril. 2020;114(6):1151–1157. doi.org/10.1016/j.fertnstert.2020.09.134
  3. 3 American College of Obstetricians and Gynecologists. Prepregnancy counseling. ACOG Committee Opinion No. 762. Obstet Gynecol. 2019;133(1):e78–e89. Reaffirmed 2024. doi.org/10.1097/AOG.0000000000003013
  4. 4 Teede HJ, Tay CT, Laven JJE, et al. Recommendations from the 2023 international evidence-based guideline for the assessment and management of polycystic ovary syndrome. J Clin Endocrinol Metab. 2023;108(10):2447–2469. doi.org/10.1210/clinem/dgad463
  5. 5 American Diabetes Association Professional Practice Committee for Diabetes. 2. Diagnosis and classification of diabetes: Standards of Care in Diabetes—2026. Diabetes Care. 2026;49(Suppl 1):S27–S49. doi.org/10.2337/dc26-S002
  6. 6 Conners EE, Panagiotakopoulos L, Hofmeister MG, et al. Screening and testing for hepatitis B virus infection: CDC recommendations—United States, 2023. MMWR Recomm Rep. 2023;72(1):1–25. doi.org/10.15585/mmwr.rr7201a1
  7. 7 Schillie S, Wester C, Osborne M, et al. CDC recommendations for hepatitis C screening among adults—United States, 2020. MMWR Recomm Rep. 2020;69(2):1–17. doi.org/10.15585/mmwr.rr6902a1
  8. 8 US Preventive Services Task Force. Screening for HIV infection: US Preventive Services Task Force recommendation statement. JAMA. 2019;321(23):2326–2336. doi.org/10.1001/jama.2019.6587
  9. 9 US Preventive Services Task Force. Folic acid supplementation to prevent neural tube defects: US Preventive Services Task Force reaffirmation recommendation statement. JAMA. 2023;330(5):454–459. doi.org/10.1001/jama.2023.12876

Updated 4 Nov 2026.

This is general health information, not medical advice: talk to your clinician about your results and before changing any treatment.