🌸 The Ultimate Blood Work Guide for WOMEN: Hormonal Health Mastery
Women's health is more complex due to cyclical hormones, but that makes testing even more valuable for optimization.
🎯 Why Women Need Specialized Testing
Female physiology requires different approaches:
  • Cyclical hormone fluctuations
  • Iron deficiency risk (menstruation)
  • Thyroid issues 5x more common
  • Bone health considerations
  • Reproductive health tracking
🧪 The Complete Female Health Panel
Core Metabolic Health:
  1. Comprehensive Metabolic Panel (CMP) Same basics as men Pay attention to protein levels
  2. Complete Blood Count (CBC) Critical for women: Iron deficiency screening Hemoglobin, hematocrit, ferritin
  3. Lipid Panel Women's risk increases post-menopause HDL naturally higher in women (aim >60)
Female Hormone Panel:
  1. Reproductive Hormones (timing matters!): Estradiol (Day 3 or mid-luteal) Progesterone (Day 21 of 28-day cycle) FSH & LH (Day 3 for baseline) Testosterone (yes, women need this too!)
  2. Cycle-Independent Hormones: DHEA Sulfate (adrenal function) Prolactin (if irregular cycles) AMH (Anti-Müllerian Hormone for ovarian reserve)
  3. Thyroid Function (crucial for women): TSH, Free T4, Free T3 Thyroid antibodies (TPO, TgAb) Reverse T3 if symptoms present
Female-Specific Markers:
  1. Iron Studies (essential): Ferritin (storage iron) Iron, TIBC, transferrin saturation B12, folate (for red blood cell production)
  2. Bone Health (25+): Vitamin D3 (aim 40-60 ng/mL) Calcium, phosphorus Consider bone density scan if risk factors
💎 Female Optimization Targets
Reproductive Hormones (premenopausal):
  • Estradiol: 30-400 pg/mL (varies by cycle phase)
  • Progesterone: >10 ng/mL (luteal phase)
  • Testosterone: 15-70 ng/dL
  • Free Testosterone: 1-4 pg/mL
Critical for Women:
  • Ferritin: 50-150 ng/mL (many women <30)
  • Vitamin D: 40-60 ng/mL
  • TSH: 1-2.5 mIU/L (narrower range than labs suggest)
🌺 Common Female Issues & Solutions
Iron Deficiency:
  • Fatigue, poor exercise performance, restless legs
  • Solutions: Iron-rich foods, vitamin C, consider supplementation
Thyroid Dysfunction:
  • Weight gain, fatigue, hair loss, cold intolerance
  • Often missed: Normal TSH with low T3/T4
Hormonal Imbalances:
  • Irregular cycles, PMS, mood swings
  • Root causes: Stress, under-eating, over-exercising
Low Progesterone:
  • Sleep issues, anxiety, short luteal phase
  • Support: Stress management, adequate carbs, magnesium
📅 Testing Timing for Women
If Regular Cycles:
  • Day 3: Baseline FSH, LH, Estradiol
  • Day 21 (or 7 days post-ovulation): Progesterone
  • Anytime: Thyroid, metabolic markers, iron studies
If Irregular Cycles/PCOS:
  • Test anytime for baseline
  • May need multiple tests to establish patterns
  • Include insulin, glucose tolerance
Post-Menopause:
  • Timing less critical
  • Focus on bone health, cardiovascular risk
  • Monitor hormone replacement if applicable
💰 Budget-Friendly Approaches
Essential Female Panel ($150-250):
  • CBC with iron studies
  • Complete thyroid panel
  • Basic metabolic panel
  • Vitamin D
Comprehensive Female Panel ($300-500):
  • Add full hormone panel
  • Advanced thyroid markers
  • Inflammatory markers
Optimization Panel ($500-700):
  • Include specialized hormones (AMH, insulin)
  • Nutrient testing
  • Advanced cardiovascular markers
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21 comments
Derek Pruski
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🌸 The Ultimate Blood Work Guide for WOMEN: Hormonal Health Mastery
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