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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 regulating the menstrual cycle and hormone production in both men and women.

Quick summary

["Understanding your FSH:LH ratio helps assess reproductive function and potential fertility issues."]

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

Key facts at a glance

LOINC
34549-6
Short code
FSH + LH Pnl SerPl-aCnc
Synonyms
FSH + LH Pnl SerPl-aCnc
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 conditions affecting hormone balance, such as polycystic ovary syndrome (PCOS), menopause, or unexplained infertility. It can also help diagnose hormonal imbalances that may impact fertility or other reproductive health concerns.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have your blood drawn in a doctor’s office or a lab. If you’re taking certain medications that affect hormones, your provider may advise adjusting timing or stopping them temporarily.

What the Results Mean

The FSH:LH ratio can provide insight into your hormone levels and reproductive health. For example, higher ratios may suggest early menopause or certain hormonal disorders, while lower ratios might indicate issues like hypogonadism. Your results will be interpreted by your healthcare provider in the context of your medical history and symptoms.

Common Conditions This Test Helps Diagnose

This test is often used to diagnose or monitor conditions like PCOS, ovarian reserve issues, or hormonal imbalances that may affect fertility. It can also help assess menopause progression or evaluate hormonal deficiencies in both men and women.

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 can help identify hormonal imbalances that may cause infertility, irregular menstrual cycles, or other reproductive health concerns. Elevated or low ratios may signal conditions like premature ovarian insufficiency, polycystic ovary syndrome, or hormonal deficiencies that require further evaluation or treatment.

Short name

FSH:LH Ratio

Frequently asked questions

How is this test performed?
A blood sample is taken from a vein in your arm. The sample is then sent to a lab for analysis. The test measures the concentration of FSH and LH in your serum or plasma and calculates their ratio.
What are the typical reference ranges?
Reference ranges vary by lab and individual factors. Your healthcare provider will discuss your specific results and what they mean for your health. Normal ratios can differ between men and women, and results are interpreted in relation to your overall health and symptoms.
Can this test be done at home?
No, this test requires a blood sample collected by a healthcare professional. Home testing kits for hormone levels are available but are not typically used for FSH:LH ratio measurements alone.
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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