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Gender Reassignment Testing

Before starting any Hormone Replacement Therapy regimen a baseline of certain laboratory tests are recommended.  It is also important to have regular lab testing to ensure the prescribed therapy is working as intended.  Transgender Hormone Therapy programs vary by prescriber as well as the recommended lab tests for baseline assessment and monitoring.  The lab tests listed on this page are the tests that are most popular with gender reassignment.

Gender Reassignment (Quest Diagnostics)

Quest Price: $114.99

This panel is designed for base level testing and monitoring for individuals on hormone replacement therapy.

This testosterone test will also provide Total Testosterone results when the value is >1500 but <10,000.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Estrogens (Total), Serum
Lipid Panel:: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated).
Testosterone Total LC/MS/MS


Patient Instructions: Patient should fast for 12-14 hours prior to collection of the specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.
   
   

Gender Reassignment (LabCorp)

LabCorp Price: $232.99


This panel is designed for base level testing and monitoring for individuals on hormone replacement therapy.

Use of synthetic steroids, various supplements and/or high doses of biotin may interfere with the accuracy of the standard immunoassay Testosterone Total serum test included in this panel. If you are taking any of these it is recommended that you order a panel that includes the Testosterone LC/MS-MS methodology for testing.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count (CBC) w/ Differential: Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes.
Comprehensive Metabolic Profile ( includes eGFR ): A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; eGFR.
Estrogens (Total), Serum
Lipid Profile:
Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).
Testosterone, Total, Serum

Note: If testosterone levels are expected to be >1500, it is best that you order a panel that includes Testosterone LC/MS-MS as the testosterone test included in this panel has a cutoff of 1500. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.


Patient Instructions: Patient should fast for 12-14 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). It is recommended to stop biotin consumption at least 72 hours prior to the collection of specimen.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.
   

Gender Reassignment with Thyroids (Quest Diagnostics)

Quest Price: $136.99

This panel is designed for base level testing and monitoring for individuals on hormone replacement therapy.

This testosterone test will also provide Total Testosterone results when the value is >1500 but <10,000.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Estrogens (Total), Serum
Lipid Panel:: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated).
Testosterone Total LC/MS/MS
Thyroid Profile w/ TSH:
T3 Uptake; T4 (Thyroxine), Total; Free T4 Index (T7); Thyroid-Stimulating Hormone (TSH)


Patient Instructions: Patient should fast for 12-14 hours prior to collection of the specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 7 business days. If confirmation testing is required, the estimated time may be extended.
   

Gender Reassignment with Thyroid (LabCorp)

LabCorp Price: $300.99


This panel is designed for base level testing and monitoring for individuals on hormone replacement therapy.

Use of synthetic steroids, various supplements and/or high doses of biotin may interfere with the accuracy of the standard immunoassay Testosterone Total serum test included in this panel. If you are taking any of these it is recommended that you order a panel that includes the Testosterone LC/MS-MS methodology for testing.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count (CBC) w/ Differential: Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes.
Comprehensive Metabolic Profile ( includes eGFR ): A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; eGFR.
Estrogens (Total), Serum
Lipid Profile:
Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).
Testosterone, Total, Serum
Thyroid Profile w/ TSH:
Free thyroxine index; T3 uptake (THBR); thyroid-stimulating hormone (TSH); thyroxine (T4)

Note: If testosterone levels are expected to be >1500, it is best that you order a panel that includes Testosterone LC/MS-MS as the testosterone test included in this panel has a cutoff of 1500. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.


Patient Instructions: Patient should fast for 12-14 hours preceding collection of specimen. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). It is recommended to stop biotin consumption at least 72 hours prior to the collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.

Hormone Panel with Testosterone LC/MS-MS (Quest Diagnostics)

Quest Price: $81.99

***Both MALES and FEMALES order this panel, please be sure to enter the gender that you want reference ranges for when placing your order, as each gender has different reference ranges for these tests. ***
Menopause is the time in a woman's life when menstruation stops permanently. Most women go through menopause between ages 45 and 55. In the US the average age for menstrual periods to stop completely is 51.

This panel will help diagnose the onset of menopause.

This testosterone test will also provide Total Testosterone results when the value is >1500 but <10,000.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ration, Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Estradiol
Follicle-Stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Testosterone Total LC/MS/MS
(This testosterone test will also provide results when the total testosterone value is >1500 but <10,000.)


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.
   
   

Hormone Panel for Females (LabCorp)

LabCorp Price: $302.99

***Both MALES and FEMALES order the Hormone Panel for Females from LabCorp, please be sure to enter the gender that you want reference ranges for when placing your order, as each gender has different reference ranges for these tests. ***
Menopause is the time in a woman's life when menstruation stops permanently. Most women go through menopause between ages 45 and 55. In the US the average age for menstrual periods to stop completely is 51.

This panel will help diagnose the onset of menopause.

Use of synthetic steroids, various supplements and/or high doses of biotin may interfere with the accuracy of the standard immunoassay Testosterone Total serum test included in this panel. If you are taking any of these it is recommended that you order a panel that includes the Testosterone LC/MS-MS methodology for testing.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Estradiol, serum;
Follicle-Stimulating Hormone (FSH);
Luteinizing Hormone (LH);
Testosterone, Serum (Total Only);

Complete Blood Count (CBC) with Differential: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Comprehensive Metabolic Profile (CMP) (includes eGFR): (A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum.)

Note: If total testosterone results are expected to be >1500 it is best that the LC/MS-MS version of this panel be ordered. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). It is recommended to stop biotin consumption at least 72 hours prior to the collection of specimen.
   

Hormone Panel with Lipids (Quest Diagnostics)

Quest Price: $116.99

This panel is our Hormone Panel for Females with the addition of the Lipid Profile.

This testosterone test will also provide Total Testosterone results when the value is >1500 but <10,000.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Estradiol
Follicle-Stimulating Hormone (FSH)
Lipid Panel:
Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculated); triglycerides; Non-HDL Cholesterol (calculated).
Luteinizing Hormone (LH)
Testosterone Total LC/MS/MS


Patient Instructions: Patient should fast for 12-14 hours prior to collection of the specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.
   

Hormone Panel with Lipids (LabCorp)

LabCorp Price: $332.99

Our Hormone Panel for females with the addition of a Lipid Profile.
***Both MALES and FEMALES order this panel, please be sure to enter the gender that you want reference ranges for when placing your order, as each gender has different reference ranges for these tests. ***

Use of synthetic steroids, various supplements and/or high doses of biotin may interfere with the accuracy of the standard immunoassay Testosterone Total serum test included in this panel. If you are taking any of these it is recommended that you order a panel that includes the Testosterone LC/MS-MS methodology for testing.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Estradiol, serum;
Follicle-Stimulating Hormone (FSH);
Luteinizing Hormone (LH);
Testosterone, Serum (Total Only);

Complete Blood Count (CBC) with Differential: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Comprehensive Metabolic Profile (CMP) (includes eGFR): (A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum.)
Lipid Profile: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation).

Note: If testosterone levels are expected to be >1500, it is best that you order a panel that includes Testosterone LC/MS-MS as the testosterone test included in this panel has a cutoff of 1500. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.


Patient Instructions: Patient should fast for 12-14 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). It is recommended to stop biotin consumption at least 72 hours prior to the collection of specimen.
   

Hormone Panel with Prolactin (Quest Diagnostics)

Quest Price: $114.99

This panel is our Hormone Panel for Females with the addition of Prolactin.

This testosterone test will also provide Total Testosterone results when the value is >1500 but <10,000.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Complete Blood Count / CBC (includes Differential and Platelets): WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (Absolute and Percent - Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils)
Comprehensive Metabolic Profile ( includes eGFR ): Albumin, Albumin/Globulin Ratio (calculated), Alkaline Phosphatase, ALT, AST, BUN/Creatinine Ratio (calculated), Calcium, Carbon Dioxide, Chloride, Creatinine with GFR Estimated, Globulin (calculated), Glucose, Potassium, Sodium, Total Bilirubin, Total Protein, Urea Nitrogen
Estradiol
Follicle-Stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Prolactin
Testosterone Total LC/MS/MS


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results.

Estimated turnaround for results is 5 business days. If confirmation testing is required, the estimated time may be extended.
   

Hormone Panel with Prolactin (LabCorp)

LabCorp Price: $372.99


Our Hormone Panel for females with the addition of Prolactin.
***Both MALES and FEMALES order this panel, please be sure to enter the gender that you want reference ranges for when placing your order, as each gender has different reference ranges for these tests. ***

Use of synthetic steroids, various supplements and/or high doses of biotin may interfere with the accuracy of the standard immunoassay Testosterone Total serum test included in this panel. If you are taking any of these it is recommended that you order a panel that includes the Testosterone LC/MS-MS methodology for testing.

Significant deviations from the normal range may require further evaluation by your physician.


Includes:
Estradiol, serum;
Follicle-Stimulating Hormone (FSH);
Luteinizing Hormone (LH);
Testosterone, Serum (Total Only);

Complete Blood Count (CBC) with Differential: (Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; immature granulocytes)
Comprehensive Metabolic Profile (CMP) (includes eGFR): (A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum.)
Prolactin

Note: If testosterone levels are expected to be >1500, it is best that you order a panel that includes Testosterone LC/MS-MS as the testosterone test included in this panel has a cutoff of 1500. Reporting values that exceed 1500 will now be reported as >1500 for all regions, as this standard operating procedure will now be nationwide.


Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. If using a testosterone cream please be sure you have not rubbed any into the antecubital area of your arm for the last 24 hours as it can give elevated results. This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H or coenzyme R). It is recommended to stop biotin consumption at least 72 hours prior to the collection of specimen.
   

Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH) (Quest Diagnostics)

Quest Price: $60.99

FSH/LH testing is used in the workup of infertility (for both men and women). Used also to investigate low sperm count, menstrual irregularities, pitutary disorders, diseases involving the testes or ovaries. May be used to determine the cause of early or delayed puberty.
FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.

A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)


Patient Instructions:
   
   

Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH) (LabCorp)

LabCorp Price: $119.99

FSH/LH testing is used in the workup of infertility (for both men and women). Used also to investigate low sperm count, menstrual irregularities, pitutary disorders, diseases involving the testes or ovaries. May be used to determine the cause of early or delayed puberty.


Includes: Follicle-stimulating Hormone (FSH) and Luteinizing Hormone (LH)


Patient Instructions:
   

Prolactin (Quest Diagnostics)

Quest Price: $50.49

Prolactin is a protein hormone of the anterior lobe of the pituitary gland that induces and maintains lactation in the postpartum female.
During pregnancy and postpartum lactation, serum prolactin can increase 10- to 20-fold. Exercise, stress, and sleep also cause transient increases in prolactin levels. Consistently elevated serum prolactin levels (>30 ng/mL), in the absence of pregnancy and postpartum lactation, are indicative of hyperprolactinemia. Hypersecretion of prolactin can be caused by pituitary adenomas, hypothalamic disease, breast or chest wall stimulation, renal failure or hypothyroidism. A number of drugs, including many antidepressants, are also common causes of abnormally elevated prolactin levels. Hyperprolactinemia often results in galactorrhea, amenorrhea, and infertility in females, and in impotence and hypogonadism in males. Renal failure, hypothyroidism, and prolactin-secreting pituitary adenomas are also common causes of abnormally elevated prolactin levels.

A significant deviation from the normal range may require further evaluation by your physician.


Includes:
Prolactin, serum.


Patient Instructions: Overnight fasting is preferred. Fasting is defined as no consumption of food or beverage other than water for at least 8 - 10 hours before testing.
   

Prolactin (LabCorp)

LabCorp Price: $82.99

Prolactin is a protein hormone of the anterior lobe of the pituitary gland that induces and maintains lactation in the postpartum female.

Both males and females usually have low levels of prolactin. High levels of prolactin, interfere with the male's ability to produce testosterone.

A significant deviation from the normal range may require further evaluation by your physician.


Includes: Prolactin, serum.


Patient Instructions:

Questions regarding online blood testing or how to order a lab test?

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