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Estrogen (Estradiol) in Serum

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

This test measures the amount of estradiol, a primary female sex hormone, in your blood. Estradiol plays a key role in reproductive health, bone density, and overall well-being.

Quick summary

["Estradiol levels help assess hormonal balance, fertility, and potential health risks."]

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

Key facts at a glance

LOINC
58486-2
Short code
Estradiol sp7 p chal SerPl HS-mCnc
Synonyms
Estradiol sp7 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 This Test Is Done

Your healthcare provider may order this test to evaluate symptoms like irregular menstrual cycles, infertility, or signs of hormonal imbalances. It can also be used during pregnancy, before hormone therapy, or to monitor conditions like polycystic ovary syndrome (PCOS).

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 draw if your lab requires it. Wear comfortable clothing and plan to stay for about 15 minutes while blood is collected.

How the Test Is Performed

A healthcare professional will insert a needle into a vein in your arm to draw blood. You may feel a slight pinch, but it usually doesn’t cause long-lasting discomfort. The blood sample is then sent to a lab for analysis.

What the Results Mean

Results are compared to a general reference range, which can vary by lab and individual factors like age, sex, and health status. High or low levels may signal conditions like hormonal disorders, thyroid issues, or other medical concerns.

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 are critical for diagnosing hormonal imbalances, fertility problems, and conditions affecting bone health. Low levels may indicate premature ovarian failure, menopause, or thyroid disorders, while high levels could suggest tumors, Cushing’s syndrome, or other endocrine issues. Regular monitoring helps guide treatment for conditions like PCOS or hormone replacement therapy.

Short name

Estradiol Level

Frequently asked questions

What causes estradiol levels to change?
Estradiol levels fluctuate naturally due to age, menstrual cycle phase, pregnancy, and menopause. Certain medications, thyroid disorders, or tumors can also alter hormone levels. Lifestyle factors like diet, exercise, and stress may indirectly influence hormone balance.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab’s processing time. Your healthcare provider will discuss findings during your follow-up visit.
Can diet or supplements affect estradiol test results?
Some supplements (like soy or flaxseed) or medications (e.g., birth control) may influence hormone levels. If you’re taking supplements or medications, inform your provider before the test to avoid unnecessary adjustments.
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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