Your Fertility Window,Measured With Precision

Whether you are planning a family, considering egg freezing, or simply want to understand your reproductive baseline, this AMH-led panel gives you the clinical picture standard testing leaves out.

Book Your Ovarian Reserve Test

Panel

What's Covered

The EGA Hormone Health (Ovarian Reserve) panel is the female-specific extension of our Hormone Health test — with the addition of AMH (anti-Müllerian hormone), the most accurate available marker of ovarian reserve.

01Core Health Markers

Full blood count, liver function, kidney function, electrolytes. Hormonal health does not exist in isolation from general health. Liver function affects oestrogen metabolism and clearance. Anaemia — frequently caused by heavy periods — can masquerade as hormonal fatigue.

02AMH — Anti-Müllerian Hormone

AMH is the primary clinical marker of ovarian reserve — the size of your remaining egg supply. Produced by the small follicles in the ovaries, AMH reflects how many eggs you have left relative to your age. It is the most stable and most clinically reliable fertility marker available: unlike FSH and oestradiol, it does not fluctuate significantly across the menstrual cycle and can be tested at any point. AMH is used to assess ovarian reserve for natural conception planning, guide decisions about egg freezing, inform IVF consultations, identify premature ovarian insufficiency (POI), and provide baseline data for women who want to understand their reproductive timeline.

03Thyroid Function

TSH, fT4, fT3. Thyroid disorders are significantly more common in women than men and are one of the most frequent — and most frequently missed — causes of menstrual irregularity, cycle disruption, subfertility, and recurrent miscarriage.

04Thyroid Antibodies

Anti-Tg, Anti-TPO. Thyroid autoimmunity — particularly Hashimoto's thyroiditis — is associated with impaired fertility, increased miscarriage risk, and disrupted menstrual cycles, even in women whose TSH appears normal.

05Sex Hormones

Oestradiol, FSH, LH, progesterone, prolactin, testosterone, SHBG, Free Androgen Index (FAI). Oestradiol, FSH, and LH together map ovarian function and reveal where a woman is in the hormonal continuum from reproductive years through perimenopause to menopause. Progesterone (ideally tested 7 days after ovulation) confirms whether ovulation has occurred. Testosterone and FAI assess androgen status — directly relevant to PCOS, libido, energy, and body composition.

06Cortisol

Serum cortisol. Cortisol has a direct suppressive effect on the reproductive hormone axis. Chronic stress — even at levels that feel manageable — can disrupt the hypothalamic-pituitary-ovarian axis, causing cycle irregularity, anovulation, and impaired fertility.

07DHEA-S

A precursor to both oestrogen and testosterone, DHEA-S plays a supporting role in ovarian function and egg quality. There is growing evidence that DHEA supplementation — guided by measured levels — may improve ovarian response and egg quality in women with diminished ovarian reserve.

08Key Nutrients

Vitamin D, vitamin B12, folate, ferritin. Folate is critical for early embryonic development — deficiency before conception is a primary cause of neural tube defects. Vitamin D deficiency is associated with impaired fertility, PCOS, and poor IVF outcomes. Ferritin depletion, common in women with heavy periods, causes fatigue that is frequently misattributed to hormonal causes.

09Inflammation

hsCRP. Chronic inflammation disrupts the menstrual cycle, suppresses ovarian function, and is strongly implicated in endometriosis and PCOS — two of the most common causes of female subfertility.

Audience

Who It's For

This test is for you if you:

Are considering trying to conceive in the next one to three years and want to understand your fertility timeline
Are considering egg freezing and want to know your ovarian reserve before making a decision
Have been trying to conceive without success and want a comprehensive hormonal baseline
Experience irregular periods, missed cycles, or unexplained cycle changes
Have been told you may have PCOS and want a full hormonal assessment
Are experiencing symptoms that may indicate perimenopause and want to understand your hormonal status
Have a family history of early menopause or premature ovarian insufficiency
Want to understand your hormonal health comprehensively before starting fertility treatment

No referral needed. No waiting list.

Deliverable

Your Report

At EGA, we provide a clinician-reviewed PDF that includes:

Results for every marker in the panel, clearly presented
A doctor's written commentary on any marker outside optimal range
Plain-language explanation of what each finding means for your fertility and hormonal health
Your AMH result interpreted in the context of your age and the full hormonal picture
Specific, actionable recommendations — including whether further investigation or specialist referral is appropriate

Difference

Why EGA Goes Further

Most NHS fertility assessments begin only once a couple has been trying to conceive for twelve months without success. By that point, a year has already passed. The EGA Hormone Health (Ovarian Reserve) panel gives you the information you need to make informed decisions — before you are in that position.

AMH is not routinely tested by GPs

It requires a specific request and is frequently not available through NHS primary care until there is already a fertility concern. EGA tests it proactively, as part of a comprehensive hormonal picture.

Thyroid antibodies are not included in standard fertility testing

Yet thyroid autoimmunity is one of the most common and most treatable causes of cycle irregularity, subfertility, and early pregnancy loss.

Cortisol and DHEA-S are absent from standard fertility workups

Yet both have direct relevance to ovarian function, cycle regularity, and egg quality — particularly in women under significant stress or approaching the later reproductive years.

Optional Longevity Plan

If your results reveal hormonal patterns you want to address proactively, you can add a personalised EGA Longevity Plan targeting your specific findings.

Questions

Common Questions

What is AMH and what does it tell me?

AMH (anti-Müllerian hormone) is produced by the small follicles in your ovaries and reflects the size of your remaining egg supply — your ovarian reserve. A higher AMH indicates more eggs remaining; a lower AMH indicates fewer. It is the most reliable single marker of ovarian reserve available and can be tested at any point in the menstrual cycle.

What is a 'normal' AMH level?

AMH is interpreted relative to your age — the expected level declines progressively from the mid-20s onwards. There is no single universal 'normal' value; what matters is how your result compares to the expected range for your age group.

Do I need to fast before this test?

Fasting is recommended for 10–12 hours before your appointment for accurate glucose, lipid, and iron marker readings. AMH and most hormone markers are not affected by fasting, but we recommend it for the full panel.

When in my cycle should I get tested?

AMH can be tested at any point in your cycle. FSH and oestradiol are most informative when tested on days 2–5 of your cycle. Progesterone is most informative around day 21 (7 days after ovulation in a 28-day cycle). When you book, our team will advise on the optimal timing for your specific situation.

Can this test diagnose PCOS?

The hormonal markers in this panel — FSH, LH, testosterone, FAI, and AMH — are the key blood markers used in the assessment of PCOS. However, PCOS is a clinical diagnosis that requires ultrasound alongside blood results.

Can this test tell me if I am in perimenopause?

Yes. Elevated FSH, low oestradiol, and declining AMH together form the hormonal picture of perimenopause.

My GP said my FSH is normal. Should I still test AMH?

Yes. FSH and AMH measure different things. FSH elevation is a relatively late indicator of declining ovarian reserve — it often remains normal until reserve is significantly diminished. AMH declines earlier and more consistently, making it a more sensitive early warning marker.

Can this test diagnose premature ovarian insufficiency (POI)?

The panel includes the key markers used to investigate POI — AMH, FSH, LH, and oestradiol. Significantly elevated FSH combined with very low oestradiol and low AMH in a woman under 40 is the clinical pattern associated with POI.

Can I share my results with a fertility clinic or IVF specialist?

Yes. Your EGA report is provided in PDF format and includes all the key markers that fertility clinics use in their initial assessment — including AMH, FSH, LH, oestradiol, prolactin, testosterone, and thyroid function.

Is my data secure?

Yes. All personal and health data is stored and processed in full compliance with UK GDPR and is never shared with third parties without your explicit consent.

06 · Next Step

Ready to book?

Your Fertility Window,

01Book onlineReserve your slot online or by phone. We'll advise on the best timing for your cycle.
02Visit the clinicCome to our London clinic for your blood draw — 15–20 minutes.
03Receive your reportGet your clinician-reviewed EGA report shortly after your blood draw.
04Plan next stepsDiscuss a Longevity Plan, hormone optimisation, or a fertility referral.