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FSH (Follicle Stimulating Hormone) with LH (Luteinizing Hormone) ratio

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

This test measures the ratio of follicle-stimulating hormone (FSH) to luteinizing hormone (LH) in your blood. These hormones play key roles in reproductive health, particularly in women and men.

Quick summary

["Understanding your FSH/LH ratio helps assess fertility and hormone balance."]

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

Key facts at a glance

LOINC
101905-8
Short code
FSH+LH p leuprolide stm Pnl Ser
Synonyms
FSH+LH p leuprolide stm Pnl Ser
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83002
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

Doctors may order an FSH/LH ratio test to evaluate reproductive function, diagnose hormonal imbalances, or check for conditions like polycystic ovary syndrome (PCOS), early menopause, or low sperm production. It can also be used in fertility planning or when symptoms like irregular periods, infertility, or low libido are present.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm or vein to draw blood. If you’re on blood thinners, let your doctor know before the test.

How the Results Are Interpreted

The results compare your FSH and LH levels to determine their ratio. While exact reference ranges vary by lab, a higher FSH/LH ratio may suggest conditions like early menopause or ovarian dysfunction, while lower ratios could indicate hormonal imbalances or other reproductive issues.

Common Conditions Linked to FSH/LH Ratio

Abnormal FSH/LH ratios are often associated with fertility problems, hormonal disorders, or aging-related changes. For example, elevated FSH may signal declining ovarian reserve in women, while elevated LH could indicate conditions like PCOS or adrenal issues.

Reference range

Follicular: 1.5-9.0 mIU/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: An FSH/LH ratio helps identify reproductive health concerns by providing insight into hormone interactions. For instance, a high FSH/LH ratio may indicate premature ovarian insufficiency (POI) in women or reduced sperm production in men, while low ratios could signal potential hormonal deficiencies or thyroid disorders.

Short name

FSH/LH Ratio

Frequently asked questions

What does an FSH/LH ratio test involve?
It involves a simple blood draw to measure both FSH and LH levels, then calculating their ratio. No special preparation is required, but you should avoid heavy meals or alcohol before the test if instructed by your doctor.
How long does it take to get results?
Results are typically available within 1–3 business days, depending on your lab. Your doctor will discuss them during your follow-up visit.
Can lifestyle changes affect FSH/LH levels?
Yes, factors like stress, weight fluctuations, and certain medications (e.g., birth control) can influence hormone levels. Discuss lifestyle adjustments with your doctor if you’re concerned about your 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