Know what tests to request, when to get them, and how to interpret the results. This guide helps you advocate for appropriate testing and understand what your numbers actually mean for conditions like PCOS, thyroid issues, perimenopause, and more.
Use this section to understand which tests are relevant for your symptoms. Bring this information to your appointment to advocate for appropriate testing.
These tests aren't condition-specific but are helpful for ruling out common issues that cause similar symptoms. Consider requesting these alongside condition-specific testing.
Complete Blood Count (CBC)
Screens for anemia (common with heavy periods), infection, and blood disorders
Comprehensive Metabolic Panel (CMP)
Checks kidney and liver function, electrolytes, blood sugar
Vitamin D
Deficiency common and affects mood, bone health, immune function
Vitamin B12
Deficiency causes fatigue, mood changes, neurological symptoms
Iron Panel (Ferritin, TIBC, Serum Iron)
Low iron causes fatigue, hair loss, and can worsen other symptoms
Hormones fluctuate throughout your menstrual cycle. Testing at the right time ensures accurate, interpretable results. If you have irregular or absent cycles, discuss timing with your provider.
Tests to do:
FSH, LH, Estradiol, Testosterone, Prolactin
Why:
Hormone levels are more stable and consistent in early follicular phase
Tests to do:
Progesterone (if checking for ovulation)
Why:
Progesterone should be low before ovulation, high after
Tests to do:
Progesterone (to confirm ovulation)
Why:
Progesterone peaks in mid-luteal phase if ovulation occurred
Tests to do:
Thyroid panel, metabolic tests, vitamin levels, DHEA-S
Why:
These don't fluctuate significantly with menstrual cycle
"Based on my symptoms of [list symptoms], I'd like to test for [condition]. Can we order [list specific tests]?"
Be specific about which tests you want and why. Reference your symptoms to justify the request.
"Can you explain why you don't think this testing is necessary? I'd like to understand what we're ruling out and what the next steps are if symptoms persist."
If they still refuse without good reason, consider getting a second opinion or finding a new provider.
Request a copy of your actual results, not just "everything's normal." You have a right to see the numbers.
Ask where you fall within the range and whether your provider considers it optimal or just acceptable.
If results are "borderline," ask whether treatment or monitoring is appropriate rather than just waiting.
Keep copies of all results in case you change providers or want a second opinion.