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Estradiol (Total) in Serum

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

This test measures the total amount of estradiol, a primary female sex hormone, in your blood serum. Estradiol plays a key role in regulating menstrual cycles, maintaining reproductive health, and supporting bone and cardiovascular health.

Quick summary

["Estradiol levels help diagnose hormonal imbalances, fertility issues, or conditions related to estrogen production."]

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

Key facts at a glance

LOINC
34286-5
Short code
Estradiol Ur-sCnc
Synonyms
Estradiol Ur-sCnc
Category
chemistry
Sample
urine
Container
Sterile urine container
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
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you experience symptoms like irregular menstrual periods, infertility, or signs of hormonal changes. It could also be used to monitor conditions like polycystic ovary syndrome (PCOS), ovarian cysts, or hormone therapy. Some women get this test during pregnancy or before starting birth control to check hormone levels.

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 test if your provider specifies it. Wear comfortable clothing and plan to stay for about 15 minutes while a blood sample is drawn from a vein in your arm.

What Happens During the Test

A healthcare professional will clean the area with an antiseptic, insert a small needle into your vein, and collect a blood sample. You may feel a slight pinch, but the procedure is quick and typically painless. The sample is then sent to a lab for analysis.

What the Results Mean

Results are compared to a reference range that may vary by lab and age. Low levels might suggest hormonal deficiencies, while high levels could indicate conditions like ovarian tumors or certain medications affecting estrogen. Your provider will discuss these findings in the context of your health history.

Reference range

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

Specimen: urine

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 disorders, fertility problems, and conditions affecting women’s health. For example, low estradiol may indicate menopause-related symptoms or ovarian dysfunction, while elevated levels could signal tumors or hormonal imbalances. Regular monitoring helps manage conditions like PCOS or thyroid disorders that influence estrogen metabolism.

Short name

Total Estradiol

Frequently asked questions

What causes estradiol levels to be tested?
Your doctor may order this test if you’re experiencing irregular periods, trouble getting pregnant, or symptoms like hot flashes, breast tenderness, or mood changes. It’s also used during pregnancy, before starting hormone treatments, or to evaluate suspected hormonal imbalances.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab and healthcare provider. You’ll usually receive a call or message from your provider with the results, but confirm with them for exact timelines.
Can I eat or drink before this test?
Most often, no special diet is needed, but follow your provider’s instructions. If fasting is required, avoid food and liquids (except water) for 8–12 hours before the test to ensure accurate results.
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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