Comprehensive Diagnostic & Functional Lab Testing

 

Testing is an important part of understanding the full picture of your health, but more testing is not always better. The value lies in knowing which tests are clinically appropriate, how the findings fit together, and what to do next.

AI can generate a list of possible tests and explain individual results. It cannot establish a doctor-patient relationship, place applicable medical orders, weigh findings within the context of your complete health history, monitor your response to treatment, or coordinate care with your reproductive endocrinologist, OB/GYN, or other physicians.

Dr. Parrish’s role is not to compete with AI on the number of facts it can produce.

It is to turn fragmented fertility information into clinically accountable action.

She combines conventional laboratory testing with advanced functional and specialty testing to investigate factors that may be affecting fertility, reproductive health, hormones, energy, and overall well-being. Depending on your history, symptoms, previous results, and fertility goals, testing may assess:

  • Fertility and reproductive hormones

  • Ovarian reserve

  • Semen and sperm health

  • Thyroid function

  • Nutrient and micronutrient status

  • Metabolic health

  • Digestion and the gut microbiome

  • Immune and autoimmune function

  • Chronic or hidden infections

  • Genetics

  • Environmental exposures, mold, mycotoxins, and heavy metals

  • Oxidative stress and mitochondrial health

For those trying to conceive, Dr. Parrish evaluates both partners and approaches reproductive health as part of whole-body health. This process may identify modifiable factors that are not routinely included in a standard fertility evaluation and provide additional direction when preparing for natural conception, navigating unexplained infertility or recurrent pregnancy loss, or preparing for IUI or IVF.

Every test is selected with a purpose. Dr. Parrish interprets the results alongside your symptoms, medical history, prior evaluations, and fertility goals, then translates those findings into a focused plan that can be implemented, monitored, and coordinated with the rest of your fertility care.

 

Advanced Testing

Dr. Parrish May Recommend as Part of Your Care:

 

Fertility & Preconception Testing for Both Partners

  • Comprehensive Female & Male Fertility Bloodwork

  • Ovarian Reserve Testing, including AMH, FSH & Estradiol, and more.

  • Ovulation & Luteal Phase Assessment

  • Comprehensive Sex Hormone Testing

  • Female Cycle Mapping & Month-Long Hormone Assessment

  • Progesterone & Implantation-Related Hormone Assessment

  • Comprehensive Thyroid Testing & Thyroid Antibodies

  • Prolactin & Adrenal Hormone Testing

  • Androgen & Testosterone Assessment

  • Comprehensive Semen Analysis

  • Sperm DNA Fragmentation Testing

  • Sperm Antibody & Advanced Sperm Testing

  • Male Reproductive Hormone Testing

  • Recurrent Pregnancy Loss Evaluation

  • Autoimmune, Inflammatory & Immune Biomarkers

  • Preconception Genetic & Carrier Screening

  • Nutrient, Vitamin & Mineral Assessment

  • Iron & Ferritin Testing

  • Blood Sugar, Insulin & Metabolic Health Testing

  • Infectious & Reproductive Tract Testing

  • Vaginal & Endometrial Microbiome Testing, when indicated

  • Environmental Toxin, Mold & Heavy Metal Testing

  • Food Sensitivity & Digestive Health Testing, when indicated

  • Preconception Health & Preventive Laboratory Screening

Preventive & Comprehensive Wellness Testing

Fasting blood work including CBC, CMP, lipids, vitamin D, thyroid, ferritin, and possibly hormone workup, and others.

Hormone & Reproductive Health Testing

  • Comprehensive Female & Male Hormone Panels

  • Estrogen, Progesterone & Testosterone Testing

  • FSH, LH, AMH & Ovarian Reserve Assessment

  • Ovulation & Luteal Phase Hormone Testing

  • Androgens, DHEA-S & SHBG Testing

  • Prolactin Testing

  • Comprehensive Thyroid Panel & Thyroid Antibodies

  • Advanced DUTCH Hormone & Metabolite Testing

  • Female Cycle Mapping & Month-Long Hormone Assessment

  • Cortisol & Adrenal Hormone Testing

  • Estrogen Metabolism & Metabolite Assessment

  • PCOS & Androgen Excess Evaluation

  • Amenorrhea & Irregular Cycle Evaluation

  • Premature Ovarian Insufficiency & Diminished Ovarian Reserve Evaluation

  • Metabolic, Insulin & Blood Sugar Testing

  • Nutrient & Micronutrient Testing Related to Hormone Health

  • Autoimmune & Inflammatory Biomarkers, when indicated

  • Pregnancy & Postpartum Hormone and Thyroid Assessment

  • Perimenopause & Menopause Hormone Assessment

Chronic & Hidden Infection Testing

  • Comprehensive Lyme Disease Testing, including IGeneX & Vibrant Wellness

  • Tick-Borne Coinfection Testing, including Bartonella, Babesia, Ehrlichia & Anaplasma

  • Comprehensive Viral Antibody & Immune Response Testing

  • Epstein-Barr Virus (EBV) Testing

  • Cytomegalovirus (CMV) & Herpesvirus Testing

  • Other Chronic or Reactivated Viral Testing, when indicated

  • Mycoplasma & Ureaplasma Testing

  • Sexually Transmitted Infection (STI) Screening

  • Vaginal & Reproductive Tract Infection Testing

  • Urinary & Genitourinary Pathogen Testing

  • Endometrial & Vaginal Microbiome Testing, when indicated

  • Gastrointestinal Pathogen & Parasite Testing

  • Fungal & Candida Testing

  • Immune Function & Immunoglobulin Testing

  • Inflammatory & Autoimmune Biomarkers

  • Comprehensive Bloodwork to Assess Immune & Inflammatory Patterns

  • Specialized Infectious Disease Testing Based on Symptoms & Exposure History

Genetic & Preconception Testing

  • Expanded Genetic Carrier Screening for Both Partners

  • Individual Carrier Screening or may need a Genetic Counselor referral

  • Parental Karyotype & Chromosome Analysis

  • Genetic Evaluation for Recurrent Pregnancy Loss

  • Chromosomal & Genetic Testing of Pregnancy Loss Tissue, when available

  • MTHFR & Methylation-Related Genetic Testing, when appropriate

  • Genomic Testing

  • Genetic Variants Related to Nutrient and Hormone Metabolism, and Detoxification & Oxidative Stress

  • Preconception Blood Type & Rh Factor Testing

  • Genetic Counseling Referrals, when appropriate

  • Referral and Coordination with Reproductive Endocrinologists, Maternal-Fetal Medicine Specialists & Genetic Counselors

Digestive, Microbiome & Gut Health Testing

  • Comprehensive Stool & Gut Microbiome Testing

  • Beneficial Bacteria, Dysbiosis & Microbial Balance

  • Digestive Function & Enzyme Assessment

  • Intestinal Inflammation & Immune Markers

  • Intestinal Permeability & Gut Barrier Assessment

  • SIBO & IMO Breath Testing

  • H. pylori Testing

  • Candida & Fungal Overgrowth Testing

  • Parasite & Pathogen Testing

  • Food Sensitivity & Immune Reactivity Testing

  • Celiac Disease & Gluten-Related Testing

  • Digestion, Absorption & Malabsorption Markers

  • Pancreatic & Bile Function Markers

  • Short-Chain Fatty Acids & Microbial Metabolites

  • Comprehensive Nutrient & Micronutrient Testing, when indicated

Energy, Fatigue, and Mitochondrial Health Testing

  • Iron, Ferritin & Anemia Evaluation

  • Vitamin B12, Folate & Vitamin D Testing

  • Comprehensive Nutrient & Micronutrient Assessment

  • Cortisol & Adrenal Hormone Testing

  • Diurnal or Multi-Point Cortisol Rhythm Testing

  • Sex Hormone Assessment

  • Blood Sugar, Insulin & Metabolic Testing

  • Comprehensive Blood Count & Metabolic Panel

  • Mitochondrial Function & Cellular Energy Markers

  • Organic Acids Testing

  • Oxidative Stress & Antioxidant Status

  • Inflammation & Immune Function Markers

  • Chronic & Hidden Infection Testing, when indicated

  • Environmental Toxin, Mold & Heavy Metal Testing, when indicated

  • Sleep & Circadian Health Assessment

Environmental Exposure, Mold & Toxin Testing

  • Comprehensive Environmental Toxin & Exposure Testing

  • Mold & Mycotoxin Testing

  • Heavy Metal & Essential Element Testing

  • Pesticide, Herbicide & Organophosphate Exposure Testing

  • Industrial Chemical, Pollutant & Solvent Exposure Testing

  • Plasticizers, Phthalates, Bisphenols & Xenoestrogen Testing

  • Persistent Organic Pollutants, including PCBs and related compounds

  • Organic Acids Testing

  • Detoxification Pathway & Methylation Assessment

  • Oxidative Stress & Antioxidant Status Testing

  • Glutathione & Cellular Detoxification Assessment

  • Liver Function & Detoxification Markers

  • Nutrient & Cofactor Assessment for Detoxification Pathways

  • Mitochondrial & Cellular Energy Markers

  • Inflammation & Immune Function Markers

  • Aging, Antioxidant & Cellular Health Testing

  • Genetic Variants Related to Methylation & Detoxification, when appropriate

Mood, Stress & Mental Wellness Testing

  • Neurotransmitter & Neurotransmitter Metabolite Testing

  • Genomic & Pharmacogenomic Testing, including Genomind

  • Comprehensive Thyroid Panel & Thyroid Antibodies

  • Sex Hormone & Reproductive Hormone Testing

  • Cortisol & Diurnal Stress Hormone Testing

  • Vitamin D, B12, Folate & Iron Status

  • Comprehensive Nutrient & Micronutrient Testing

  • Blood Sugar, Hemoglobin A1c & Insulin Testing

  • Anemia & Iron Deficiency Evaluation

  • Inflammation & Immune Function Markers

  • Methylation & Nutrient-Related Genetic Assessment

  • Organic Acids & Metabolic Testing

  • Gut Microbiome & Digestive Health Testing, when indicated

  • Hormonal Assessment for PMS, PMDD, Pregnancy, Postpartum & Perimenopause

  • Environmental Exposure, Mold & Toxin Testing, when indicated

  • Sleep, Stress & Circadian Health Assessment

Nutrition, Micronutrient, & Iron Testing

  • Comprehensive Nutritional & Micronutrient Testing

  • Advanced Antioxidant Status & Oxidative Stress Testing

  • Vitamin & Mineral Status

  • Comprehensive Nutrient Evaluation

  • Methylation-Related Nutrient Assessment

  • Cellular Antioxidant Assessment

  • Amino Acid Analysis

  • Essential Fatty Acid & Omega-3 Index Testing

  • Blood Sugar, Hemoglobin A1c, Insulin, and C-Peptid Testing

  • Organic Acids & Nutrient Metabolite Testing

  • Mitochondrial & Cellular Energy Markers

  • Nutrient Absorption & Digestive Function Assessment

  • Food Sensitivity & Immune Reactivity Testing

  • Nutrigenomic & Nutrient Metabolism Testing