Reference-range chart
Normal estradiol levels by age (reference range chart)
Normal estradiol changes dramatically with life stage and cycle phase. In reproductive-age women it is lowest in the early follicular phase (about 20-80 pg/mL), peaks just before ovulation (roughly 100-400 pg/mL), and settles in a middle range in the luteal phase. After menopause it usually falls below 30 pg/mL, and often below 10.
Estradiol reference ranges by age
| Life stage / cycle phase | Estradiol (pg/mL) | Notes |
|---|---|---|
| Before puberty | < 15 | Low until puberty, then rises |
| Reproductive — early follicular (days 1-5) | 20-80 | Lowest point of the cycle |
| Reproductive — late follicular / ovulation peak | 100-400 | Peaks just before ovulation |
| Reproductive — luteal phase | 50-160 | Secondary rise after ovulation |
| Pregnancy | Hundreds to > 10,000 | Rises steadily toward term |
| Perimenopause | Widely variable (often 30-150, with swings) | Erratic highs and lows — hard to read on one draw |
| Postmenopausal (no hormone therapy) | < 30 (often < 10) | Ovarian estradiol production has largely stopped |
How estradiol is measured
Estradiol (E2) is measured from a blood sample, timed to the cycle when relevant. The intervals below are representative — Mayo Clinic Laboratories, LabCorp, and Quest publish similar but not identical ranges, and immunoassay versus mass-spectrometry methods differ at low levels. To convert pg/mL to SI units (pmol/L), multiply by 3.67. Interpret any result with the clinician who ordered it, not against a chart alone.
How to read your result
- A single estradiol value is only meaningful alongside the cycle day, age, and symptoms — the same number can be normal or abnormal depending on timing.
- In perimenopause, estradiol swings widely from cycle to cycle, so one low or high reading rarely confirms a diagnosis by itself.
- FSH and estradiol are usually interpreted together: rising FSH with falling estradiol is the classic menopausal-transition pattern.
- Very high estradiol outside pregnancy, or any level that does not fit the clinical picture, warrants repeat testing and a clinician review.
Related symptom guides
Where to go next
Other by-age charts
Frequently asked questions
- What is a normal estradiol level for a woman?
- It depends on cycle phase and life stage. In the early follicular phase a representative range is about 20-80 pg/mL, rising to roughly 100-400 pg/mL at the ovulation peak. Postmenopausal levels are usually below 30 pg/mL. Ranges vary by laboratory and assay.
- What is a normal estradiol level after menopause?
- After menopause, without hormone therapy, estradiol typically falls below 30 pg/mL and is often below 10 pg/mL because the ovaries have largely stopped producing it. Women on estrogen therapy will read higher depending on the dose and route.
- Does estradiol drop suddenly at menopause?
- Not abruptly. Estradiol fluctuates widely through perimenopause — sometimes higher than in earlier years, sometimes very low — before settling at a consistently low postmenopausal level. This variability is why a single test can be hard to interpret during the transition.
- Why do estradiol reference ranges differ between labs?
- Different laboratories use different assay platforms (immunoassay versus mass spectrometry), which report slightly different values, especially at the low levels seen after menopause. Always compare your result to the reference range printed by the lab that ran the test.
Primary medical sources
- guidelineMayo Clinic Laboratories — Test Catalog, reference values for reproductive hormones (estradiol, FSH, progesterone, testosterone).
- PubMedStricker R et al. "Establishment of detailed reference values for luteinizing hormone, follicle stimulating hormone, estradiol, and progesterone during different phases of the menstrual cycle." Clin Chem Lab Med 2006;44(7):883-887.
- PubMedRandolph JF Jr et al. "Change in follicle-stimulating hormone and estradiol across the menopausal transition (SWAN)." J Clin Endocrinol Metab 2011;96(3):746-754.
- NIHMedlinePlus (NIH / National Library of Medicine) — Estradiol Test.
- NAMSThe North American Menopause Society. "The 2022 Hormone Therapy Position Statement of The North American Menopause Society." Menopause 2022;29(7):767-794.
ClearHormones publishes editorial reference material for education only. Reference ranges vary between laboratories — always interpret your result with the clinician who ordered the test.