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When sleep, mood, energy levels and bleeding pattern all start changing at once, this test helps you move forward. Including when your cycle has long been irregular or has stopped altogether.
CHF 490
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All four include a 45-minute 1:1 consultation with a hormone specialist. What differs is not the scope, but the focus of that consultation.
Age 20–40

Cycle Health
For you if you want to understand your cycle and its irregularities
10 Biomarkers
CHF 490
Age 40–55

Perimenopause
For you if your cycle length, sleep or mood start changing from 40 onwards
11 Biomarkers
CHF 490
Age 28–42

Fertility
For you if you’re planning family now, or want to freeze eggs for later
11 Biomarkers
CHF 590
Age 20–44

PMOS (formerly PCOS)
For you if you notice acne, increased body hair or irregular periods
13 Biomarkers
CHF 590
With female hormones, timing decides how much the result can tell you.
Irregular and absent bleeding is part of the transition, so for this test you do not need to wait for a particular cycle day. What is not part of it: very heavy or very long bleeding, and any bleeding after more than twelve bleed-free months. These need gynaecological assessment first. If you have not had your period for more than three months or your cycle is too irregular to determine the cycle days 2-5, timing does not matter. Please come to the lab on any morning between 8 and 10 a.m.
If you still have a reasonably regular cycle, timing does matter: the draw between day 2 and day 5 of your cycle, likewise in the morning between 8 and 10 a.m.
Count the cycle day from the first day of a true period, not from spotting. In the transition especially, the difference is often unclear; when in doubt, get in touch. In both cases: rest briefly before the draw. Prolactin reacts sensitively to stress, exercise and stimulation. If you take biotin, stop it 3 days beforehand.
Eleven values that together show where you stand in the transition – with or without a regular cycle.
11
Biomarkers
The principal female sex hormone. It drives the build-up of the uterine lining, triggers ovulation via the LH surge, and acts on bone and blood vessels.
Regulates the growth of the ovarian follicles and the production of sex hormones.
Triggers ovulation, regulates androgen production in the ovary and maintains the corpus luteum. Its ratio to FSH provides an additional clue.
A hormone of the pituitary gland. Elevated levels can suppress ovulation and cause cycle disturbances or absent periods.
The control hormone of the thyroid. Influences cycle, energy, weight and mood.
An androgen precursor from the adrenal gland. Shows whether elevated androgens originate in the adrenal glands rather than the ovaries. Reference ranges depend strongly on age.
The principal androgen in women. Acts on muscle, bone, skin, hair growth and libido.
The freely active portion of testosterone, calculated from total testosterone, SHBG and albumin. More informative than the total value alone.
The transport protein for sex hormones. It determines how much testosterone and oestradiol is freely active. Low levels are regarded as a sign of insulin resistance.
The second transport protein. Needed to calculate free, active testosterone correctly.
Produced after ovulation, and usually the first to give way during the transition. With a cycle, it identifies your cycle phase and thereby makes FSH and oestradiol cleanly interpretable; without regular bleeding, a low value can show that ovulation has become rare. Either way: the baseline for every later comparison.
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Female hormones are a discipline in their own right. Gynaecology covers a broad spectrum, from preventive care through pregnancy and birth to surgery. Gynaecological endocrinology is the narrow field within it, and comparatively few practitioners pursue it in depth.
This is precisely where our gynaecologists at care concentrate. They work with female hormones every day and train in the field on an ongoing basis, across cycle health, fertility, perimenopause and PMOS.
Our Women's Health team
Specialists in gynaecology and obstetrics
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A short questionnaire, 11 biomarkers and 45 minutes 1:1 with a hormone specialist. You go through the results together, and leave with a written report and concrete next steps. No follow-up costs, no subscription.
CHF 490
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