Frequently Asked Questions

No, you do not need a doctor's prescription to order lab tests with EllaDx. Direct-to-consumer lab testing allows you to order blood work without a physician's referral in most U.S. states. EllaDx empowers you to choose from 100+ biomarkers and build a completely custom lab panel based on your health concerns—whether that's hormones, thyroid function, fertility markers, or vitamin levels. You select the tests, we handle the rest. This approach removes traditional healthcare gatekeeping and gives women direct access to their own health data.

An at-home blood draw is a mobile phlebotomy service where a certified phlebotomist comes directly to your location to collect blood samples. Here's how EllaDx at-home blood draws work: (1) You select your biomarkers and schedule an appointment online at a time convenient for you. (2) A licensed, certified phlebotomist arrives at your home—no travel to a lab or clinic required. (3) The blood draw takes approximately 10 minutes using professional venipuncture technique. (4) Your samples are transported directly to Quest Diagnostics laboratory for analysis. (5) Results are delivered to your secure dashboard within 2-5 business days. This service eliminates waiting rooms, reduces appointment hassle, and provides the same quality lab work you'd receive at a traditional lab facility. Currently available in select U.S. zip codes.

Most lab results are available within 2-5 business days after your blood draw. You'll receive clear, easy-to-understand results delivered directly to you - no medical jargon, just real insights about your body.

EllaDx at-home blood draw services are currently available in select zip codes across the United States. Join our waitlist to be notified when we launch in your area and get early access to our service.

It depends on the biomarkers you select. Some tests like glucose, insulin, and lipid panels require fasting (8-12 hours, water is fine). We'll provide clear instructions based on your specific panel when you book your appointment.

After ordering, you'll schedule your at-home blood draw at a time that works for you. A certified phlebotomist arrives at your door, completes the draw in about 10 minutes, and your samples are sent directly to the lab. Results are delivered to your secure dashboard within 2-5 business days.

Yes! Life happens. You can reschedule your blood draw appointment up to 24 hours before your scheduled time at no extra charge through your dashboard or by contacting our support team.

EllaDx offers 100+ individual biomarkers across six major categories, allowing you to build a completely custom lab panel. Available biomarker categories include:

• Hormones: Estrogen (estradiol, estrone), progesterone, testosterone (total and free), cortisol, DHEA-S, SHBG, and androstenedione
• Fertility markers: AMH (Anti-Müllerian Hormone) for ovarian reserve, FSH, LH, prolactin, and inhibin B
• Thyroid function: TSH, Free T3, Free T4, Total T3, Total T4, reverse T3, and thyroid antibodies (TPO, TgAb)
• Vitamins and nutrients: Vitamin D, Vitamin B12, folate, iron, ferritin, magnesium, and zinc
• Metabolic health: Fasting insulin, fasting glucose, HbA1c, HOMA-IR, and comprehensive lipid panel (cholesterol, HDL, LDL, triglycerides)
• Inflammation and wellness: CRP (C-reactive protein), ESR, ANA, liver enzymes (ALT, AST), and kidney function markers

Unlike pre-packaged lab panels, you select only the biomarkers relevant to your health concerns—whether that's investigating fatigue, tracking hormone changes, or monitoring a specific condition.

Yes, you can build custom lab panels to test biomarkers associated with PCOS, thyroid disorders, and hormone imbalances. While EllaDx does not diagnose conditions, our testing provides the data you and your healthcare provider need:

• For PCOS (Polycystic Ovary Syndrome): Test testosterone (total and free), DHEA-S, LH, FSH, LH:FSH ratio, fasting insulin, fasting glucose, SHBG, and androstenedione—key PCOS markers for evaluating androgen excess and metabolic dysfunction.
• For thyroid issues: Comprehensive thyroid panels including TSH, Free T3, Free T4, Total T3, Total T4, reverse T3, and thyroid antibodies (TPO, TgAb) to assess both function and autoimmune thyroid conditions like Hashimoto's.
• For hormone imbalances: Estrogen, progesterone, testosterone, cortisol, and DHEA-S to evaluate hormonal health throughout your cycle or life stage.

Many women use EllaDx to get answers when they feel dismissed by traditional healthcare or face long wait times for specialist appointments.

EllaDx offers comprehensive hormone testing panels specifically relevant for women experiencing perimenopause or menopause. Perimenopause (the transition to menopause) and menopause cause significant hormonal shifts that can cause symptoms like hot flashes, night sweats, mood changes, sleep disruption, and fatigue. Recommended biomarkers include:

• Estradiol (E2): The primary estrogen; declining levels indicate approaching menopause
• FSH (Follicle-Stimulating Hormone): Elevated FSH (typically >25-30 mIU/mL) suggests perimenopause or menopause
• LH (Luteinizing Hormone): Works with FSH to assess reproductive hormone status
• Progesterone: Important for cycle regulation; decreases during perimenopause
• Testosterone: Affects energy, libido, and muscle mass; important for overall hormonal balance
• Thyroid panel (TSH, T3, T4): Thyroid symptoms often mimic or overlap with menopause symptoms

Testing these biomarkers helps you understand where you are in the menopause transition and track changes over time—valuable information for discussing treatment options with your healthcare provider.

EllaDx offers comprehensive fertility biomarker testing to help you understand your reproductive health and ovarian reserve. Available fertility tests include:

• AMH (Anti-Müllerian Hormone): The most reliable marker for ovarian reserve; indicates the quantity of remaining eggs. Can be tested any day of your cycle.
• FSH (Follicle-Stimulating Hormone): Elevated FSH may indicate diminished ovarian reserve. Best tested on cycle day 2-4.
• LH (Luteinizing Hormone): Helps assess ovulation and, along with FSH, evaluates pituitary function.
• Estradiol (E2): Important for evaluating follicle development and ovarian function.
• Progesterone: Tested mid-luteal phase (cycle day 21) to confirm ovulation occurred.
• Prolactin: Elevated levels can interfere with ovulation and fertility.
• TSH: Thyroid dysfunction can impact fertility; often included in fertility workups.

Build your own fertility panel to proactively assess your reproductive health—whether you're planning for the future, investigating cycle irregularities, or supplementing information before a fertility consultation.

Yes, you can test for common vitamin deficiencies that cause fatigue, brain fog, weakness, and hair loss. Many women experience chronic fatigue that goes unexplained because standard wellness exams don't include comprehensive nutrient testing. Key biomarkers for investigating fatigue include:

• Vitamin D (25-OH): Deficiency is extremely common and causes fatigue, muscle weakness, and mood changes. Optimal levels are typically 40-60 ng/mL.
• Vitamin B12: Essential for energy production and neurological function. Deficiency causes fatigue, brain fog, and tingling in extremities.
• Folate: Works with B12 for red blood cell production; deficiency causes fatigue and weakness.
• Iron and Ferritin: Ferritin measures iron stores; low levels cause fatigue even before anemia develops. Many women have suboptimal ferritin despite "normal" iron levels.
• Magnesium: Involved in 300+ enzymatic reactions; deficiency causes fatigue, muscle cramps, and sleep issues.

With EllaDx, you can test these biomarkers without waiting months for a doctor's appointment or being told your fatigue is "just stress."

For unexplained weight gain, you can build a panel including thyroid markers (TSH, T3, T4), metabolic markers (insulin, glucose, HbA1c), hormones (cortisol, estrogen, testosterone), and inflammation markers. EllaDx lets you investigate without being told it's just diet and exercise.

EllaDx offers biomarkers that can indicate autoimmune activity, including ANA, thyroid antibodies (TPO, TgAb), inflammation markers (CRP, ESR), and vitamin levels often affected by autoimmune conditions. While we don't diagnose conditions, these markers can provide valuable data for you and your healthcare provider.

Yes! EllaDx allows you to track your biomarkers over time to see trends and changes in your health. This is especially helpful for monitoring hormone levels during your cycle, thyroid function, or the effectiveness of lifestyle changes and treatments.

It depends on what you're monitoring. For general wellness, testing 1-2 times per year is common. If you're tracking specific conditions like thyroid issues or hormone changes, quarterly testing may be beneficial. You decide what's right for your body - there's no subscription or commitment required.

A venous blood draw is superior to a finger prick because it provides more accurate, reliable results for most biomarkers—especially hormones, lipids, and comprehensive metabolic panels. Here's why venous collection (venipuncture) is the gold standard:

• Higher accuracy: Venous blood is drawn directly from a vein, providing a pure sample unaffected by tissue fluid contamination.
• Larger sample volume: Allows testing of multiple biomarkers from a single draw, including tests that require larger quantities like hormone panels.
• No squeezing artifacts: Finger prick samples require squeezing the fingertip, which can dilute the sample with interstitial fluid and skew results.
• Better for hormone testing: Hormone levels (estrogen, testosterone, cortisol) are more accurately measured in venous blood.
• Professional collection: A certified phlebotomist ensures proper technique, minimizing hemolysis (cell damage) that can affect results.

EllaDx uses venous blood draws performed by licensed phlebotomists, processed by Quest Diagnostics—the same lab-quality methodology used by hospitals and physicians' offices.

EllaDx is built for personalized testing—not one-size-fits-all panels. Instead of paying for dozens of biomarkers you don't need, you choose exactly what to test and pay only for those results. Biomarkers range from $2–$70 each, plus a one-time at-home draw fee for your phlebotomist visit. No subscriptions, no memberships, no unnecessary add-ons.

Yes, EllaDx lab testing is HSA/FSA eligible. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for diagnostic lab tests, including the custom biomarker panels offered by EllaDx. This allows you to use pre-tax dollars for your health testing, effectively saving 20-35% depending on your tax bracket. Lab tests are considered qualified medical expenses under IRS guidelines when used to diagnose or monitor health conditions. Simply use your HSA/FSA debit card at checkout, or submit your receipt for reimbursement from your account administrator.

EllaDx is a direct-pay service, meaning we don't bill insurance. This is intentional - it keeps your health data completely private and out of insurance company databases. Many customers find our prices comparable to or lower than insurance copays, and you can use HSA/FSA funds.

Never. We believe in complete transparency. You see the full cost before checkout - biomarker prices plus the at-home draw fee. No membership fees, no annual subscriptions, no surprise charges. You test when you want, pay only for what you order.

Yes, your health data is completely private and belongs solely to you. EllaDx is committed to data privacy and confidentiality:

• No insurance sharing: We never share your test results with insurance companies. Your results stay between you and whoever you choose to share them with.
• No employer access: Your health data is never disclosed to employers or third parties.
• HIPAA compliant: Your data is stored on HIPAA-compliant servers with bank-level encryption.
• You control your data: You can download, share, or delete your results at any time.

Because EllaDx is a direct-pay service (we don't bill insurance), your lab results never enter insurance company databases—keeping your health information truly private. Your body, your data, your choice.

Yes, EllaDx lab tests are highly accurate and reliable because all testing is performed by Quest Diagnostics. Quest Diagnostics is one of the largest and most trusted clinical laboratories in the United States, processing over 175 million tests annually. Key facts about our lab quality:

• CLIA-certified: Quest labs are certified under the Clinical Laboratory Improvement Amendments, ensuring they meet federal quality standards.
• CAP-accredited: Accredited by the College of American Pathologists, the gold standard for laboratory accreditation.
• Same methodology: Your samples are processed using the same equipment, reagents, and protocols used for tests ordered by physicians and hospitals.
• Professional collection: Venous blood draws by certified phlebotomists ensure sample quality and accurate results.

You receive the same quality lab work you'd get through a doctor's office or hospital—the only difference is you ordered it yourself, without gatekeeping.

Your data is encrypted and stored on HIPAA-compliant servers. We use bank-level security to protect your information. You can download or delete your data at any time - you're always in control.

Of course! Your results are yours to share however you choose. You can easily download a PDF of your results to share with your healthcare provider, or grant them direct access through our platform. Many women use EllaDx results to have more informed conversations with their doctors.

EllaDx is built by women, for women. Unlike other services that offer pre-set packages, we let YOU choose from 100+ individual biomarkers to build a completely custom panel. We come to your home for professional blood draws (not finger pricks), and we never share your data with insurance companies.

Studies show women's symptoms are dismissed or minimized 2x more often than men's. Women wait an average of 4+ years longer for accurate diagnoses for conditions like endometriosis and autoimmune diseases. EllaDx was created because we believe women deserve direct access to lab testing without gatekeeping.

EllaDx was founded by women who experienced firsthand the frustration of being dismissed by the traditional healthcare system. After years of being told their symptoms were "just stress" or "normal," they decided to build a platform that gives women direct access to the lab testing they need - no gatekeeping, no judgment.

No, EllaDx is not a replacement for medical care. We're a tool that empowers you with information about your own body. We encourage you to share your results with healthcare providers for diagnosis and treatment. Think of us as the first step in taking control of your health journey.

We're here to help! You can reach our support team via email or through our website chat. We typically respond within 24 hours. Real humans, real help - no bots, no runaround.