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Estradiol (serum/plasma mass concentration)

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 reproductive health, and influences bone and cardiovascular health.

Quick summary

["Understanding your estradiol levels can help assess reproductive function and overall hormone balance."]

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

Key facts at a glance

LOINC
85068-5
Short code
Estradiol p Dex SerPl-mCnc
Synonyms
Estradiol p Dex SerPl-mCnc
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?

Doctors may order estradiol testing to evaluate symptoms like irregular periods, infertility, or menopause-related changes. It can also help diagnose conditions like polycystic ovary syndrome (PCOS), hormone-related cancers, or hormonal imbalances in men or transgender individuals undergoing hormone therapy.

What Does the Test Involve?

A blood sample is taken from a vein, usually in your arm. The sample is sent to a lab where it is analyzed to measure estradiol levels. Results are reported as a mass concentration in the blood.

What Are Common Results and Next Steps?

Results may be compared to general reference ranges for estradiol, though individual ranges can vary based on age, sex, and medical context. High or low levels may prompt further evaluation, such as additional hormone tests or imaging.

What Does It Mean If My Levels Are Abnormal?

High estradiol levels might suggest conditions like ovarian tumors, hormonal imbalances, or certain medications. Low levels could indicate premature ovarian failure, thyroid disorders, or other health issues. Your doctor will discuss findings in the context of your symptoms and medical history.

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: Estradiol plays critical roles in reproductive health, bone density, and cardiovascular function. Abnormal levels can impact fertility, menstrual cycles, bone strength, and even mood. Regular monitoring may be needed for individuals undergoing hormone therapy or managing chronic conditions like PCOS.

Short name

Estradiol Level

Frequently asked questions

What causes fluctuations in estradiol levels?
Estradiol levels can fluctuate due to natural cycles (e.g., menstrual phases), pregnancy, menopause, certain medications (e.g., birth control), or underlying health conditions like thyroid disorders or ovarian cysts. Lifestyle factors, such as stress or weight, may also influence hormone levels.
How often should I get this test?
The frequency depends on your medical needs. For example, premenopausal women may need testing during specific phases of their cycle, while postmenopausal individuals may require monitoring every few years or more often if symptoms persist. Always follow your healthcare provider’s recommendations.
Can lifestyle changes affect estradiol test results?
Yes, lifestyle factors like diet, exercise, sleep, and stress can impact hormone levels. Avoiding caffeine, alcohol, and certain medications for 24 hours before testing may help ensure more accurate results. Discuss these considerations with your doctor or lab technician.
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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