Want to get pregnant in your 40s? It starts with a clear picture of your health! When I welcome a new client, we dive into foundational lab work. Below are the tests that I often run. Keep in mind, every case is unique. Some women may need fewer tests, while others may benefit from additional ones. What’s crucial is how we interpret the results. Standard lab ranges are designed to flag disease, not to assess fertility and optimal health. To get pregnant later in life, we can’t just be free of disease. We need to be thriving!
Key Lab Panels for Fertility in Your 40s:
✅ FSH: Cycle day 2, 3, or 4
✅ LH : Cycle day 2, 3, or 4
✅ Estradiol (E2): Cycle day 2, 3, or 4
✅ Progesterone: 7 days after ovulation
✅ Prolactin
✅ AMH
✅ Testosterone Panel: Free, Total, Bioavailable
✅ SHBG
✅ DHEA-S
✅ Thyroid Panel: TSH, Free T3, Free T4, Reverse T3, Thyroid Antibodies
✅ Vitamin D
✅ Homocysteine
✅ HS-CRP
✅ Hemoglobin A1c
✅ CBC
✅ Iron Panel: Iron, TIBC, Saturation, Ferritin
✅ Gut and vaginal microbiomes
Uterine Health (remember, not all testing is appropriate or necessary for all women)
✅ Transvaginal Ultrasound
✅ Hysteroscopy
✅ Endometrial biopsy
✅ HSG
✅ Uterine Microbiome
Specialty Testing to Consider:
✅ Comprehensive Toxic and Essential Elements Test
✅ Mold Immunoreactivity Panel
Keep in mind, these labs provide valuable data points, but interpreting them through the lens of optimal fertility is essential!
Ready to understand your labs through the lens of optimal fertility? Inside my Fertile After 40 Masterclass, you’ll learn exactly how to interpret these markers, what “optimal” truly looks like, and how to take actionable steps to improve them.
Click here to access the Fertile After 40 Masterclass and get evidence-based guidance designed specifically for women 40+.