TTC? The Fertility Bloodwork Your Doctor Overlooks (But You Need to Know)

When it comes to trying to conceive (TTC), many women find that their healthcare providers are hesitant to order a full panel of lab tests. They're often told that there's "no need" for extensive blood work or that they should just "try for a while" before considering any testing. This can be incredibly frustrating and leave you feeling unprepared for your fertility journey.

As functional hormone experts who have worked with hundreds of fertility patients, we believe that comprehensive lab testing is essential for understanding your unique hormonal landscape and addressing any imbalances before you start TTC. That's why we always recommend getting these key labs done, even if your doctor doesn't suggest them.

The Essential Fertility Labs to Request

Cycle Day 3-5:

Progesterone and Estrogen: These hormones play a crucial role in regulating the menstrual cycle and preparing the uterus for implantation. Imbalances in these hormones can contribute to fertility issues.

LH (Luteinizing Hormone) and FSH (Follicle-Stimulating Hormone): These hormones are essential for ovulation and egg development. Tracking their levels can provide insights into ovarian function.

Any Cycle Day:

Total Testosterone and Free Testosterone: Testosterone is important for fertility, but too much or too little can cause problems. Measuring both total and free testosterone levels can help identify imbalances.

SHBG (Sex Hormone-Binding Globulin): This protein binds to sex hormones, including testosterone and estrogen, and can impact their availability and effects.

B12, Folate, and Ferritin: Deficiencies in these key nutrients can contribute to fertility issues and pregnancy complications.

Thyroid Panel (TSH, T3 Free, T4 Free, T3 Reverse, TPO Antibodies): Thyroid dysfunction is a common cause of fertility problems, and a comprehensive panel can help identify any issues.

MTHFR (Methylenetetrahydrofolate Reductase) Mutation: This genetic variant can affect the body's ability to process and utilize folate, which is crucial for fertility and fetal development.

CRP (C-Reactive Protein): Elevated levels of this inflammatory marker can indicate underlying inflammation, which can impact fertility.

Vitamin D3: Adequate vitamin D levels are essential for reproductive health and fertility.

Full Lipid Panel: Imbalances in cholesterol and triglycerides can affect hormone production and overall health.

Cycle Day 6-8 Post-Ovulation:

Progesterone: Measuring progesterone levels during the luteal phase (after ovulation) can provide insights into the quality of your ovulation and the health of your corpus luteum, which is crucial for implantation.

By getting these labs drawn, you'll be able to gain a comprehensive understanding of your hormone levels, thyroid function, nutrient status, and overall health markers that can impact fertility. This information is crucial for identifying any imbalances or deficiencies that may be hindering your ability to conceive and developing a personalized plan to address them.

Why Work with a Functional Hormone Expert?

While you can certainly request these labs from your primary care provider or OB/GYN, many healthcare professionals are not trained in interpreting the optimal ranges for fertility. That's where working with a functional hormone expert can be incredibly valuable.

At Motherland we take a holistic, root-cause approach to addressing hormonal imbalances. We’ll not only order the necessary labs but also help you interpret the results and create a tailored plan to optimize your fertility potential. This may include dietary changes, targeted supplementation, stress management techniques, and other lifestyle interventions. Want to work with us? Apply here!

Don't settle for a one-size-fits-all approach to your fertility journey. 

Empower yourself with the knowledge and tools you need to take control of your reproductive health. Start by requesting these essential lab tests, and consider partnering with a functional hormone expert to help you navigate the path to pregnancy.