Skip to main content

Luteinising Hormone

LH stimulates testosterone production in men and triggers ovulation in women. It works with FSH to regulate reproductive function.

Measured in IU/L

What it measures

Luteinising hormone, commonly known as LH, is a chemical messenger produced by the pituitary gland, a small, pea-sized structure at the base of your brain. It is central to reproductive health for both men and women, acting as a key signal in the complex hormonal conversation that governs fertility and sexual function. In women, LH is best known for triggering ovulation, the moment each month when a mature egg is released from the ovary, making conception possible. In men, LH sends a signal to specialised cells in the testes to produce testosterone, the hormone responsible for many aspects of male health.

Think of LH as a conductor in an orchestra: it does not play the instruments itself, but without its direction, the other hormones cannot perform their parts in harmony. Your pituitary gland carefully adjusts how much LH it releases based on feedback from your sex hormones, maintaining a delicate balance throughout your cycle or daily rhythm. An LH level within the reference range is best read alongside your sex hormone results. A number of factors can influence your LH levels, including age, stress, significant changes in body weight, and intense physical exercise.

In women, LH naturally fluctuates throughout the menstrual cycle, peaking sharply just before ovulation, so the timing of your blood test matters. Certain medications, including hormonal contraceptives, can also affect your results. If your LH level falls outside the expected range, it is well worth having a conversation with your GP, who can look at it alongside your other hormone results and help you understand what it means for you personally.

What your results mean

Low

Below Range

A lower-than-expected luteinising hormone (LH) level may suggest that the pituitary gland, a small gland at the base of the brain, isn't sending as strong a signal to your reproductive system as usual. This can happen for a variety of reasons, including taking testosterone, stress, significant weight changes, or certain medications. It's worth discussing with your GP, who can review it alongside your other results and help determine whether any follow-up is needed.

Normal

Within Range

Your luteinising hormone level is within the expected range. LH helps regulate your reproductive hormones and is best read alongside your other hormone results.

High

Above Range

A higher-than-expected LH level can mean different things depending on your age and circumstances. In men, it can indicate a testicular issue, with the brain signalling harder because the testes are not producing enough testosterone. In women approaching or going through the menopause, a raised LH is entirely normal and expected. In younger women, it may reflect the surge before ovulation or, sometimes, polycystic ovary syndrome. Your GP can help put this result into context and advise whether any further investigation would be helpful.

See where your Luteinising Hormone sits

A blood test that includes Luteinising Hormone.