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Estradiol (17β-Estradiol) by High-Performance Liquid Chromatography (HPLC) with Mass Spectrometry

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of estradiol, a key female sex hormone, in your blood. Estradiol helps regulate menstrual cycles, supports pregnancy, and influences overall reproductive health.

Quick summary

["Understanding your estradiol levels can help assess hormonal balance and reproductive health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
55477-4
Short code
Estradiol 4h p chal SerPl-sCnc
Synonyms
Estradiol 4h p chal SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
20
Ref high
400
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82670
SNOMED
300919004
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Your healthcare provider may order this test to evaluate symptoms like irregular periods, infertility, or hormonal imbalances. It can also be used during pregnancy to monitor fetal development or in menopause to diagnose hormone-related conditions.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the blood draw if instructed. Wear comfortable clothing and plan to rest afterward, as you might feel lightheaded.

What Happens During the Test?

A healthcare professional will insert a small needle into a vein in your arm to collect a blood sample. You may feel a brief pinch, but the procedure is quick and typically painless. The blood is then sent to a lab for analysis.

What Are the Results Measured Against?

Results are compared to standard ranges for your age, sex, and health status. These ranges can vary, so your results will be interpreted by your doctor based on your specific needs.

Reference range

Premenopausal: 20-400 pg/mL; Postmenopausal: <30 pg/mLN/A

Specimen: serum

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: How Does Estradiol Affect Health?

Short name

Estradiol Level (Serum)

Frequently asked questions

Low estradiol levels may indicate conditions like premature menopause, ovarian dysfunction, or certain cancers, while high levels could signal polycystic ovary syndrome (PCOS) or tumors. Monitoring estradiol helps guide treatments for hormonal disorders.
What does my estradiol level mean if it’s outside of normal ranges?
If your estradiol level is too low, your doctor may recommend hormone therapy, lifestyle changes, or further testing to identify the cause. If it’s too high, they might investigate conditions like PCOS or tumors and adjust treatment plans accordingly.
How often should I get this test?
The frequency depends on your symptoms and medical history. Your doctor will determine how often to check your estradiol levels, often every few months or as needed for monitoring.
Avoid smoking, caffeine, or strenuous exercise 24 hours before the test, as these can sometimes affect hormone levels. Follow any specific instructions your doctor provides.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy