Hormone Panel (Male)
7 parameters
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FSH (Follicle-stimulating hormone), LH (Luteinizing hormone), Prolactin, Cortisol, DHEA sulfate, Sex hormone binding globulin (SHBG), Testosterone
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🧬 Hormonal Profile: FSH, LH, Prolactin, Cortisol, DHEA-S, SHBG, Testosterone
Hormone | Fasting Required | Sample Type | Main Organ(s) | Best Time for Test |
|---|---|---|---|---|
FSH | ✅ Yes (8–10 hrs) | Blood (Serum) | Pituitary, Ovaries/Testes | Day 2–5 of menstrual cycle |
LH | ✅ Yes (8–10 hrs) | Blood (Serum) | Pituitary, Ovaries/Testes | Day 2–5 of cycle / mid-cycle (if ovulation tracking) |
Prolactin | ✅ Yes, morning | Blood (Serum) | Pituitary | Morning, 3–4 hrs after waking |
Cortisol | ✅ Morning test preferred | Blood (or Saliva/Urine) | Adrenal glands | 8 AM (or 8 AM + 4 PM for diurnal pattern) |
DHEA-S | ✅ Yes (morning) | Blood (Serum) | Adrenal glands | Early morning |
SHBG | ✅ Yes | Blood (Serum) | Liver (produced here, affects sex hormones) | Morning |
Testosterone | ✅ Yes (8–10 AM) | Blood (Serum) | Testes/Ovaries | Early morning (highest levels) |
🔍 What Each Hormone Indicates
1. FSH (Follicle-Stimulating Hormone)
- 📍 Produced by: Pituitary gland
- 👩 In women:
- Stimulates ovarian follicle growth (early menstrual cycle)
- High FSH = menopause, PCOS, or ovarian failure
- 👨 In men:
- Stimulates sperm production
- High FSH = testicular damage
- 🧪 Pair with: LH, AMH (Anti-Müllerian Hormone), Estradiol (E2)
2. LH (Luteinizing Hormone)
- 📍 Produced by: Pituitary gland
- 👩 Triggers ovulation and supports luteal phase
- Mid-cycle LH surge = ovulation predictor
- 👨 Stimulates testosterone production
- 🧪 Pair with: FSH, Estradiol, Progesterone, Testosterone
3. Prolactin
- 📍 Produced by: Pituitary
- 👩 Promotes milk production in breastfeeding
- High prolactin = galactorrhea, irregular periods, infertility
- 👨 High levels can cause reduced libido, erectile dysfunction
- 🧪 Pair with: MRI (if elevated, rule out pituitary adenoma), TSH
4. Cortisol
- 📍 Produced by: Adrenal glands
- 🧠 Main stress hormone; controls blood sugar, immune response, BP
- 📈 High levels:
- Cushing's syndrome, stress, tumors
- 📉 Low levels:
- Addison’s disease, adrenal insufficiency
- 🧪 Pair with: ACTH, DHEA-S, Cortisol (PM), Electrolytes
5. DHEA-S (Dehydroepiandrosterone Sulfate)
- 📍 Produced by: Adrenal cortex
- 🧠 Precursor to androgens (testosterone) and estrogens
- 👩 High levels:
- PCOS, adrenal tumors, hirsutism
- 👨 Reflects adrenal health and androgen levels
- 🧪 Pair with: Testosterone, Cortisol, Androstenedione
6. SHBG (Sex Hormone Binding Globulin)
- 📍 Produced by: Liver
- 🧠 Binds to testosterone and estrogen, regulating free hormone levels
- 📉 Low SHBG:
- PCOS, hypothyroidism, insulin resistance
- 📈 High SHBG:
- Hyperthyroidism, liver disease
- 🧪 Pair with: Total & Free Testosterone, Estradiol, Insulin
7. Testosterone (Total ± Free)
- 📍 Produced by: Testes (men), ovaries & adrenal glands (women)
- ⚙️ Key for:
- Libido, muscle mass, mood, fertility
- 👨 Low levels: fatigue, depression, low libido, infertility
- 👩 High levels: acne, hair growth, PCOS
- 🧪 Pair with: SHBG, Free T, LH, FSH, Estradiol
📋 Summary Table
Hormone | Main Use | High Levels Suggest | Low Levels Suggest |
|---|---|---|---|
FSH | Fertility, ovarian/testicular function | Menopause, ovarian/testes failure | Pituitary dysfunction |
LH | Ovulation, fertility, testosterone | PCOS, ovulation | Pituitary disorder |
Prolactin | Menstrual issues, galactorrhea | Prolactinoma, hypothyroid | Pituitary failure |
Cortisol | Stress response, adrenal function | Cushing’s | Addison’s disease |
DHEA-S | Androgen status, adrenal health | PCOS, tumors | Adrenal insufficiency |
SHBG | Regulates free sex hormones | Hyperthyroid, liver issues | PCOS, insulin resistance |
Testosterone | Sexual health, mood, energy | PCOS, steroid use | Hypogonadism, depression |
🧪 Recommended Panel Combinations
Concern | Recommended Hormone Tests |
|---|---|
Female Fertility / PCOS | FSH, LH, Prolactin, DHEA-S, Testosterone, SHBG, AMH |
Male Fertility | FSH, LH, Testosterone (Total & Free), SHBG, Prolactin |
Adrenal Function / Fatigue | Cortisol (AM & PM), ACTH, DHEA-S, Electrolytes |
Menstrual Irregularities | FSH, LH, Prolactin, Estradiol, TSH |
Androgen Excess (Hirsutism, Acne) | DHEA-S, Testosterone, SHBG, LH, 17-OH-Progesterone |
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