Hormone health is the balance of the body’s chemical messengers, including estrogen, progesterone, and thyroid hormones. These messengers help regulate mood, metabolism, energy, menstrual cycles, and fertility. When levels are stable, the body tends to feel and function at its best. When they’re imbalanced, they can affect sleep, stress, mood, and reproductive health.
Hormone imbalances affect nearly every system in the body and can contribute to fatigue, weight changes, infertility, low libido, and mood shifts. In women, these imbalances often appear around major hormonal transitions, such as pregnancy, postpartum, or menopause.
Testing key hormones can help uncover patterns that point to possible imbalances. While lab tests don’t diagnose conditions on their own, they can help you and your healthcare provider determine whether further evaluation is needed.
Lab testing through Hers is built around key biomarkers that reflect how your body is performing across major health systems. Each test focuses on high-impact indicators chosen to give you the clearest picture of your well-being and where to take action next. Instead of testing everything, Hers zeroes in on the markers that matter most for guiding long-term health improvements.
Hormone health testing through Hers looks at levels of reproductive, growth, and stress-related hormones. Together, they provide a snapshot of how your endocrine system is working.
Insulin-like Growth Factor 1 ( IGF-1) Advanced plan
Insulin-like growth factor 1 (IGF-1) reflects your body's growth hormone activity. A healthy level means your body has what it needs to support your muscle, bone, and tissue health.
IGF-1 Z-score Advanced plan
Insulin-like growth factor 1 (IGF-1) reflects your body's growth hormone activity. Because IGF-1 levels vary significantly with age, sex, and pubertal stage, this Z-score is important in indicating how your IGF-1 level compares to other women in your age group, measured in standard deviations.
Estradiol
Estradiol is a form of estrogen that men make from testosterone. At a healthy level, it supports bone strength, libido, brain function, and heart health.
Follicle Stimulating Hormone (FSH)
Follicle-stimulating hormone (FSH) is a hormone produced by part of your brain called the pituitary. It is essential for sperm production and reproductive function.
Luteinizing Hormone (LH)
Luteinizing hormone (LH) is produced by part of your brain called the pituitary. It is a crucial hormone that stimulates testosterone production in the testicles.
Prostate Specific Antigen (PSA)
Prostate-specific antigen (PSA) is a protein produced by the prostate gland that is used for prostate cancer screening. A healthy level suggests that the prostate is functioning optimally.
Sex Hormone Binding Globulin (SHBG)
Sex hormone-binding globulin (SHBG) is a protein that carries testosterone and estrogen in the bloodstream. Unlike some other carrier proteins, it holds on to testosterone and estrogen very tightly, making them less available for your body to use.
Free Testosterone
Free testosterone is the part of your total testosterone that your body can use immediately to support daily energy, libido, and muscle performance, and a key marker of overall vitality. A healthy, balanced level means your body has what it needs to function at its best.
Total Testosterone
Total testosterone is a measurement of all of the testosterone in your bloodstream. It counts all forms of the hormone in your blood, including free molecules and those attached to proteins like albumin and SHBG. This measurement is the go-to to determine if someone has a testosterone deficiency.
With lab testing through Hers, you get clear results that span multiple areas of health — connecting the dots between your cardiovascular system, metabolism, hormones, liver, kidneys, nutrients, inflammation, immune function, blood health, stress, and even biological age. The results are explained clearly and simply, so you can easily understand what’s happening inside your body.
Beyond the numbers, Hers provides actionable insights into where you need to focus to improve your health. Each result comes with insights to help you make sense of your biomarkers and identify practical steps to support better outcomes.
If your results suggest areas for improvement, you’ll receive an action plan designed by experts that includes lifestyle guidance and, when deemed appropriate by a healthcare provider, prescription medication to help you reach your goals.
More than 2.4 million people trust Hims & Hers for accessible, science-backed care — from lab testing to ongoing health management.1
Who should get tested for hormone health and when?
Hormone testing may be helpful if you are experiencing:
• Persistent fatigue or low energy
• Changes in weight, hair, or skin
• Low libido or sexual dysfunction
• Difficulty with fertility
• Symptoms of thyroid imbalance, like unexplained weight changes, temperature sensitivity, or mood shifts
• Irregular, heavy, or missed periods
• Hot flashes, night sweats, or vaginal dryness (possible perimenopause or menopause signs)
• Severe PMS or mood changes around your cycle
• Unexplained acne, excess hair growth, or hair thinning (possible signs of PCOS or androgen imbalance)
• Recurrent pregnancy loss or difficulty maintaining pregnancy
Guidelines recommend that certain groups discuss routine testing with their healthcare providers. The frequency depends on your health history, age, and symptoms.
Can lifestyle changes improve hormone balance?
Yes. Nutrition, sleep, exercise, and stress management can all help support hormone health, although some hormone conditions require medical treatment.
What’s the difference between total and free testosterone?
Total testosterone measures all testosterone in the blood. Free testosterone measures the portion available for the body to use, often giving more insight into symptoms.
Do hormone levels naturally change with age?
Yes. Studies show that aging negatively affects not only hormonal secretions but also their biological availability in men and women. In women, midlife brings menopause — a decline in ovarian function and a sharp drop in estrogen and progesterone — while in men, testosterone levels tend to fall more gradually.
Should everyone get hormone testing?
Not always. Testing is most helpful if you have symptoms or are monitoring age-related changes. Routine hormone screening isn’t recommended for everyone.
Is hormone testing only for fertility concerns?
No. While fertility is one reason, hormone testing can also help with issues like low energy, weight changes, or shifts in sexual health.
Find your baseline with 120 biomarker tests, then plan for your health breakthrough.
Reviewed by Felix Gussone, MD
Published 11/13/2025
