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Estradiol (Serum) by High-Performance Liquid Chromatography (HPLC)

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

This test measures the amount of estradiol, a key female sex hormone, in your blood serum. Estradiol plays a critical role in regulating menstrual cycles, pregnancy, and overall reproductive health.

Quick summary

["Estradiol levels help diagnose hormonal imbalances, fertility issues, or conditions like perimenopause."]

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

Key facts at a glance

LOINC
58487-0
Short code
Estradiol sp6 p chal SerPl HS-mCnc
Synonyms
Estradiol sp6 p chal SerPl HS-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
Method
high-sensitivity
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 such as irregular periods, menopausal changes, or to monitor hormone therapy. It can also help diagnose conditions like polycystic ovary syndrome (PCOS) or evaluate hormone-related cancers.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours if your blood is drawn early in the morning. Wear a comfortable shirt for easy access to your arm.

How the Test Is Performed

A healthcare professional will draw blood from a vein in your arm using a small needle. You may feel a slight pinch, but the procedure usually takes less than five minutes. The blood sample is then sent to a lab for analysis using HPLC.

What the Results Mean

Results are reported in picograms per milliliter (pg/mL). While reference ranges vary by lab, lower or higher levels than expected may indicate hormonal disorders or other health concerns. Your provider will interpret results in the context of your medical history and symptoms.

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.

Estradiol levels can indicate reproductive health, menopausal status, or potential hormonal imbalances. Low levels may suggest early menopause, thyroid issues, or certain cancers, while high levels could signal tumors, ovarian cysts, or other endocrine disorders. Regular monitoring helps manage conditions like PCOS or hormone replacement therapy effectively.

Short name

Serum Estradiol Level

Frequently asked questions

How long does it take to get my estradiol test results?
Results typically arrive within 1–3 business days, depending on your lab and healthcare provider’s workflow. Follow-up with your doctor to discuss findings and next steps.
Can diet or supplements affect estradiol levels?
Yes, certain foods (e.g., soy products, flaxseeds), herbal supplements (e.g., black cohosh), and medications (e.g., birth control) can influence estradiol levels. Avoiding these for a few days before testing may improve accuracy.
Is this test the same as a pregnancy test?
No, this test measures estradiol, a hormone unrelated to pregnancy. Pregnancy tests detect human chorionic gonadotropin (hCG), which rises during pregnancy. Estradiol is distinct but also plays a role in reproductive health.
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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