What is an LH (Luteinizing Hormone) Test?
The LH (Luteinizing Hormone) test measures the level of this vital gonadotropin produced by the pituitary gland. LH acts as a primary chemical messenger for the reproductive system. In women, a sharp rise in LH — known as the LH surge — is the specific signal that triggers the release of an egg from the ovary. In men, LH stimulates the testes to produce testosterone. An LH test is a fundamental diagnostic step for anyone investigating fertility concerns, menstrual irregularities or pituitary gland function.
The Importance of LH for Reproductive Health
Luteinizing hormone works in tandem with FSH to ensure the reproductive system operates correctly:
- Ovulation Tracking — Helps pinpoint the most fertile window for women trying to conceive by detecting the LH surge
- Fertility Assessment — Evaluates ovarian reserve in women and sperm production capacity in men
- Diagnosing PCOS — An elevated LH to FSH ratio (above 2:1) is a hallmark finding in Polycystic Ovary Syndrome
- Pituitary & Hypothalamic Health — Helps determine if a hormonal problem originates in the brain or the reproductive organs
- Puberty Monitoring — Vital for assessing children experiencing early or significantly delayed puberty
Normal LH Reference Ranges
| Phase / Category | Normal LH Range |
|---|---|
| Women – Follicular Phase (Day 1–14) | 1.9 – 12.5 IU/L |
| Women – LH Surge (Ovulation) | 8.7 – 76.3 IU/L |
| Women – Luteal Phase (Day 15–28) | 0.5 – 16.9 IU/L |
| Women – Post-menopausal | 15.9 – 54.0 IU/L |
| Adult Men | 1.7 – 8.6 IU/L |
| Prepubertal Children | Below 0.5 IU/L |
Always provide the day of your menstrual cycle to your doctor for accurate interpretation of LH results.
LH and FSH — Understanding the Ratio
- Normal ratio — LH and FSH are roughly equal on Day 2–3 of the cycle (ratio close to 1:1)
- LH:FSH ratio above 2:1 or 3:1 — strongly suggests PCOS, especially when combined with elevated testosterone and irregular periods
- High LH with low FSH — can indicate premature ovarian insufficiency or hypothalamic dysfunction
- Both LH and FSH very low — suggests hypogonadotropic hypogonadism — a pituitary or hypothalamic problem rather than an ovarian problem
- Both LH and FSH very high (in women) — suggests primary ovarian failure or menopause
When is an LH Test Recommended?
Your doctor may recommend an LH test if you:
- Are trying to conceive and want to track ovulation
- Have irregular, infrequent or absent menstrual periods
- Have been diagnosed with or suspected of having PCOS
- Are experiencing infertility — male or female
- Are undergoing fertility treatment (IVF or IUI monitoring)
- Have symptoms of early or premature menopause
- Are a child with early or delayed puberty
- Have symptoms of pituitary gland dysfunction
- Are a man with low testosterone or low sperm count
What Conditions Does LH Help Diagnose?
- Polycystic Ovary Syndrome (PCOS)
- Anovulation (failure to ovulate)
- Premature Ovarian Insufficiency (POI)
- Hypogonadotropic hypogonadism (pituitary/hypothalamic cause)
- Male hypogonadism and infertility
- Precocious or delayed puberty
- Menopause and perimenopause assessment
- Pituitary adenoma (tumor)
- Kallmann syndrome
LH Test Price in Kolkata
No fasting required | Day 2–3 or mid-cycle timing critical | Free home collection above ₹2,000
Tests Commonly Ordered Alongside LH
- FSH (Follicle-Stimulating Hormone) — always ordered alongside LH to calculate the LH:FSH ratio and assess ovarian reserve
- Estradiol (E2) — oestrogen level on Day 2–3 completes the baseline fertility panel
- AMH (Anti-Mullerian Hormone) — most sensitive marker of ovarian reserve, ordered alongside LH and FSH
- Prolactin — elevated prolactin suppresses LH and can cause irregular cycles and infertility
- Testosterone — ordered alongside LH when PCOS or male hypogonadism is suspected
- Thyroid Profile (TSH) — thyroid disorders can disrupt LH and the menstrual cycle
- Progesterone — ordered mid-cycle or Day 21 to confirm ovulation alongside LH
Home Collection for LH Test in Kolkata
Apollo Diagnostics provides home blood sample collection for LH tests across North and Central Kolkata. Please mention the day of your menstrual cycle when booking so our team can confirm the optimal collection timing. Samples are processed using CLIA technology at our NABL-certified central laboratory.
- Home collection available: 7:00 AM – 2:30 PM Daily
- No fasting required — book any time
- Please mention cycle day when booking
- Free home collection on orders above ₹2,000
- Digital reports delivered to WhatsApp within 24 hours
→ Apollo Diagnostics Nagerbazar → Full List of Individual Tests → Book Home Collection → Full Body Checkup Packages
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