🌸 PCOS Workup

♀ Built for women · 10 markers · $225.90 with code CAMERON $251.00

Irregular or absent periods, acne, unwanted hair growth, scalp thinning, difficulty losing weight, or you've been told 'probably PCOS' without a workup.

🩸 Order this exact panel — 10% off

All 10 markers load into your cart in one click. No doctor's visit, drawn at any Quest location in the US, results by email in about two weeks. Code CAMERON applies automatically.

Add all 10 markers — $225.90 → Open the full Bloodwork Vault →

Why this panel

PCOS is a diagnosis of exclusion — you cannot diagnose it without ruling out the conditions that look identical. This panel does both jobs at once: it measures the androgen excess that defines PCOS, and it rules out the four common mimics (non-classic adrenal hyperplasia, high prolactin, thyroid disease, ovarian insufficiency).

💡 What most people missMost PCOS workups skip fasting insulin — and insulin resistance is the engine driving the whole thing in roughly 70% of cases. High insulin suppresses SHBG, which raises free testosterone, which drives the acne and hair changes. Treating the insulin often does more than treating the androgens. 17-OH progesterone is the other omission: non-classic congenital adrenal hyperplasia is a genuinely different disease that looks exactly like PCOS and is missed constantly.
⏰ When to get it drawnDraw on cycle day 2–5 if you're still cycling. If your periods are absent or wildly irregular, draw any day and note where you are. Fast 9–12 hours for the insulin and HbA1c.

The 10 markers — and why each one is here

Total & Free Testosterone (ECLIA/Direct) $55.00
The defining feature — free T matters far more than total here
SHBG (Sex Hormone-Binding Globulin) $25.00
The mechanism. Low SHBG raises free T even when total T looks normal
DHEA-S $19.00
Separates adrenal androgen excess from ovarian
17-OH Progesterone $40.00
Rules out non-classic adrenal hyperplasia — the mimic nobody checks
LH & FSH $35.00
LH:FSH ratio; also rules out ovarian insufficiency
Prolactin $9.00
High prolactin reproduces the whole picture and is very treatable
TSH (Thyroid-Stimulating Hormone) $9.00
Thyroid disease mimics PCOS and is trivial to exclude
Insulin (Fasting) $10.00
The actual driver in most cases — and the most commonly skipped test
HbA1c (Hemoglobin A1c) $9.00
PCOS carries real long-term diabetes risk; establish the baseline now
Estradiol, Sensitive [LC/MS-MS] $40.00
Context for the LH/FSH reading
✓ How to read the resultsClassic PCOS: high free testosterone, low SHBG, LH:FSH often >2, high fasting insulin, normal 17-OHP. If 17-OHP is elevated (>200 ng/dL follicular) that points to NCAH, not PCOS. High prolactin or abnormal TSH means treat that first and re-test — both can reproduce the entire picture.
🔒 The PCOS protocol is inside the Academy

Ordering the panel tells you your numbers. The protocol tells you what to do with them — graded against the 2023 International Guideline, with the supplement plan and doses, the medication monitoring nobody mentions, and an honest peptide analysis.

Join the Academy — $10/mo →

Related panels

🧴 Adult Hormonal Acne🤍 Fertility & Trying to Conceive🍭 Metabolic Health & Prediabetes💇‍♀️ Female Hair Loss & Thinning

Frequently asked questions

What blood tests are in the PCOS Workup panel?

10 markers: Total & Free Testosterone (ECLIA/Direct), SHBG (Sex Hormone-Binding Globulin), DHEA-S, 17-OH Progesterone, LH & FSH, Prolactin, TSH (Thyroid-Stimulating Hormone), Insulin (Fasting), HbA1c (Hemoglobin A1c), Estradiol, Sensitive [LC/MS-MS].

How much does the PCOS Workup panel cost?

$251.00 before discount, $225.90 with code CAMERON applied automatically. Individual markers add a one-time $10 draw fee. Ordered through Marek Diagnostics and drawn at any Quest Diagnostics location in the US.

Do I need a doctor's order for these tests?

No. These are ordered direct-to-consumer through Marek Diagnostics — you order online, walk into a Quest location, and results are emailed to you in about two weeks. No physician visit or insurance required. Not available in NY, NJ or RI.

When should I get the PCOS Workup panel drawn?

Draw on cycle day 2–5 if you're still cycling. If your periods are absent or wildly irregular, draw any day and note where you are. Fast 9–12 hours for the insulin and HbA1c.

How do I interpret PCOS Workup results?

Classic PCOS: high free testosterone, low SHBG, LH:FSH often >2, high fasting insulin, normal 17-OHP. If 17-OHP is elevated (>200 ng/dL follicular) that points to NCAH, not PCOS. High prolactin or abnormal TSH means treat that first and re-test — both can reproduce the entire picture.

Important: This page is education only, not medical advice and not a diagnosis. A panel is a starting point for a conversation with a clinician, not a substitute for one. Reference ranges vary by laboratory and assay — always compare against the range printed on your own report.