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LH Test

LH Test

February 2, 2026
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Do I need a LH test?

Struggling with irregular cycles, unexpected mood shifts, or concerns about your fertility? Could your luteinizing hormone levels hold answers you've been searching for?

LH plays a crucial role in regulating your menstrual cycle and triggering ovulation. When LH levels are off, it can affect everything from cycle regularity to your ability to conceive.

Testing your LH gives you a valuable snapshot of your reproductive health, helping pinpoint whether hormone imbalances are behind your irregular periods or fertility challenges. It's the essential first step toward creating a personalized plan that addresses your unique hormonal needs and gets you closer to feeling balanced again.

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Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of LH testing

  • Reveals whether your pituitary and reproductive organs are communicating properly
  • Spots ovulation problems that may explain irregular periods or difficulty conceiving
  • Flags early menopause or premature ovarian insufficiency in younger women
  • Guides fertility treatment timing by pinpointing your most fertile window
  • Explains low testosterone in men when paired with testosterone and FSH
  • Tracks response to hormone therapy or fertility medications over time
  • Best interpreted with FSH, estradiol or testosterone, and your menstrual pattern

What is LH?

Luteinizing hormone (LH) is a chemical messenger produced by the pituitary gland, a pea-sized structure at the base of your brain. It belongs to a family of hormones called gonadotropins, which regulate reproductive function. The pituitary releases LH in pulses throughout the day in response to signals from the hypothalamus.

LH orchestrates ovulation and testosterone production

In women, a surge of LH triggers the release of an egg from the ovary each menstrual cycle. It also stimulates the ovary to produce progesterone, which prepares the uterine lining for pregnancy. In men, LH acts on the testes to stimulate testosterone production, supporting sperm development and male characteristics.

A window into reproductive health

LH levels reflect how well the brain and reproductive organs communicate. Measuring LH helps assess fertility, menstrual irregularities, and hormonal balance. It reveals whether the pituitary is signaling appropriately and whether the ovaries or testes are responding as expected.

Why is LH important?

Luteinizing hormone (LH) is a pituitary signal that orchestrates reproductive readiness by triggering ovulation in women and testosterone production in men. It reflects the brain's command over fertility, sexual maturation, and hormonal balance across the lifespan.

LH drives ovulation and testosterone

In women, LH surges mid-cycle to release an egg from the ovary, making it essential for conception. In men, it stimulates testicular cells to produce testosterone, fueling libido, muscle mass, and energy. Children have low levels until puberty, when rising LH initiates sexual development.

When LH runs low

Reduced LH suggests the pituitary or hypothalamus isn't sending adequate reproductive signals, often due to stress, low body weight, or pituitary disorders. Women may experience irregular or absent periods, difficulty conceiving, and low estrogen symptoms like fatigue or bone loss. Men may notice low libido, erectile dysfunction, reduced muscle tone, and mood changes as testosterone declines.

When LH climbs high

Elevated LH typically means the gonads aren't responding to hormonal cues, as seen in menopause or primary ovarian or testicular failure. Women in menopause naturally have high LH as ovarian function wanes. In younger individuals, high LH with low sex hormones signals gonadal insufficiency, affecting fertility, bone density, cardiovascular health, and metabolic stability over time.

LH connects brain, gonads, and metabolic health, serving as a window into reproductive vitality and endocrine resilience.

What do my LH results mean?

Low LH levels

Low values usually reflect reduced signaling from the brain's control center for reproduction, the hypothalamus and pituitary. This can occur with chronic stress, very low body weight, excessive exercise, or pituitary dysfunction. In both men and women, low LH means less stimulation of the gonads, which can lead to reduced sex hormone production, irregular or absent menstrual cycles in women, and low testosterone with decreased sperm production in men. Some medications that affect the brain's hormonal pathways can also suppress LH.

Optimal LH levels

Being in range suggests healthy communication between the brain and reproductive organs. In premenopausal women, LH fluctuates throughout the menstrual cycle, with a sharp midcycle surge triggering ovulation. In men and postmenopausal women, stable levels within the reference range indicate appropriate baseline signaling. Optimal values vary widely depending on cycle phase, age, and sex, so interpretation always requires clinical context.

High LH levels

High values usually reflect the pituitary working harder to stimulate underperforming gonads. In women approaching or after menopause, elevated LH is normal as the ovaries produce less estrogen. In younger women, high LH may suggest polycystic ovary syndrome or primary ovarian insufficiency. In men, persistently high LH often indicates testicular dysfunction with low testosterone production.

Factors that influence LH interpretation

Results must be interpreted alongside sex, age, menstrual cycle timing, and menopausal status. Pregnancy, hormonal contraceptives, and certain medications alter LH levels significantly.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

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Frequently Asked Questions

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How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
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  • District of Columbia
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  • Georgia
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  • Pennsylvania
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  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

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Frequently Asked Questions about LH Test

What is luteinizing hormone (LH) and what does it do in the body?

Luteinizing hormone (LH) is a gonadotropin made by the pituitary gland at the base of the brain. It’s released in pulses in response to signals from the hypothalamus and helps regulate reproductive function. In women, LH helps trigger ovulation and supports progesterone production. In men, LH stimulates the testes to produce testosterone, supporting sperm development and male characteristics.

How does an LH surge trigger ovulation and identify my most fertile window?

In premenopausal women, LH rises and then surges mid-cycle, which triggers the ovary to release an egg (ovulation). This LH surge can help pinpoint your most fertile window and guide fertility treatment timing. Because LH levels fluctuate across the menstrual cycle, results are best interpreted with your menstrual pattern and related hormones like FSH and estradiol.

Why is LH testing important for fertility, irregular periods, or trouble conceiving?

LH testing provides a window into how well the brain (hypothalamus and pituitary) and reproductive organs (ovaries or testes) are communicating. It can spot ovulation problems that may explain irregular or absent periods and difficulty conceiving. LH testing is also used to guide fertility treatment timing and to track how your body responds to fertility medications over time.

What does low LH mean in women and what symptoms can it cause?

Low LH usually reflects reduced signaling from the hypothalamic-pituitary axis. Common contributors include chronic stress, very low body weight, excessive exercise, hyperprolactinemia, or pituitary tumors. In women, low LH can halt ovulation and lead to irregular, thin, or absent periods. Because low LH reduces estrogen and progesterone support, it may also be associated with fatigue, low libido, and reduced bone density.

What does low LH mean in men, and how is it connected to low testosterone?

In men, LH tells the testes to produce testosterone. When LH is low, testosterone production can drop, affecting libido, mood, energy, muscle mass, and sexual function. Low LH may be linked to stress, low body weight, hypothalamic suppression, or pituitary disorders. For a clearer explanation of symptoms, LH is often interpreted alongside testosterone and FSH.

What does high LH mean, and is it normal during menopause?

High LH often means the pituitary is working harder because the ovaries or testes are not responding well. In women approaching or after menopause, rising LH is expected as ovarian hormone production declines. In younger women, high LH may flag primary ovarian insufficiency or early menopause. High LH can also appear in conditions like PCOS, especially when the LH-to-FSH ratio is elevated.

Can LH levels help detect premature ovarian insufficiency or early menopause in younger women?

Yes. Elevated LH in a younger woman can be a sign that the ovaries are underperforming, which may indicate premature ovarian insufficiency or early menopause. Because reference ranges vary widely by age and cycle phase, LH should be interpreted with menstrual history and other hormones such as FSH and estradiol. This combination helps clarify whether the pituitary-ovary feedback loop is functioning normally.

How do I interpret LH test results across menstrual cycle phases, age, and sex?

LH reference ranges vary by sex, life stage, and (in premenopausal women) menstrual cycle phase. Women can have a midcycle LH surge that reaches many times baseline, while men typically have steadier low-to-moderate levels. Postmenopausal women also tend to have higher LH. Interpretation should account for timing, symptoms, and companion labs such as FSH, estradiol, or testosterone.

Which other hormones should be checked with LH for the most accurate diagnosis?

LH is best interpreted with FSH and estradiol in women, or with testosterone and FSH in men. Pairing LH with these hormones helps assess whether the pituitary is signaling appropriately and whether the ovaries or testes are responding. This combined view can clarify causes of irregular cycles, low testosterone, suspected menopause or ovarian insufficiency, and can support monitoring response to hormone therapy or fertility medications.

What medications or health factors can alter LH results and lead to misleading readings?

LH secretion and interpretation can be affected by cycle phase, menopause status, age, and certain medical conditions involving the hypothalamus or pituitary. Hormonal contraceptives and hormone replacement therapy may suppress LH, changing what “normal” looks like on labs. Stress, low body weight, excessive exercise, hyperprolactinemia, and pituitary tumors can also reduce LH signaling and contribute to low LH results.

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