CLIA · AE Platform · Sandwich Method

Estradiol (E2) CLIA Bulk Reagent

High-Precision Estradiol Quantification for Reproductive Endocrinology & ART

CLIA (AE)17β-Estradiol7–3,889 pg/mLIVF / ARTOEM
7–3,889
pg/mL Detection Range
≤2.2%
Within-Run CV
7.64
pg/mL Blank Limit
1,143×
S/N at Upper Range

Precision E2 CLIA for Fertility & Endocrine Monitoring

The Sekbio E2 CLIA Bulk Reagent enables quantitative measurement of 17β-Estradiol — the primary estrogen critical for monitoring follicular development in ART/IVF, diagnosing menstrual disorders, evaluating menopausal status, and assessing estrogen-responsive conditions.

One-step sandwich format on the AE chemiluminescence platform. Range 7.27–3,889 pg/mL spans prepubertal through IVF peak concentrations. CV ≤2.2% meets the precision required for serial E2 monitoring during ovarian stimulation cycles.

AE ChemiluminescenceSandwich Format ISO 13485OEM Bulk Reagent

Analytical Specifications

Assay FormatCLIA Sandwich (AE)
Target Analyte17β-Estradiol (E2)
Sample TypeSerum / Plasma
Detection Range7.27 – 3,889 pg/mL
Blank Limit7.64 pg/mL (avg+2SD)
CV (Low ~25 pg/mL)1.8% / 2.2%
CV (Mid ~163 pg/mL)1.7%
Reaction50µL Ra + 30µL sample + 50µL Rd, 10 min

Calibration & Precision

1 Six-Point Calibration Curve

Six calibrators from 7.27 to 3,889 pg/mL with inter-run CV 0.49–2.71% per level and S/N rising from 4.11 to 1,143.

Calibrator (pg/mL)RLU Run 1RLU Run 2RLU Run 3Avg RLUCV%S/N
7.27 (Blank)2,0072,0432,0632,0381.25%1.00
16.928,5208,1998,4288,3822.71%4.11
24.8913,58413,48913,67313,5820.49%6.67
161.15100,099101,88799,775100,5871.26%49.4
1,949.841,181,4011,201,0391,191,0311,191,1571.17%585
3,889.282,299,8102,361,6662,323,1792,328,2181.88%1,143
Blank limit (avg+2SD, n=20): 7.64 pg/mL. S/N = Avg RLU / Blank RLU.
2 Precision — Within-Run (n=10)
QC Level (pg/mL)Avg Conc (pg/mL)SD (pg/mL)CV
~25 (Low)25.040.461.8%
~163 (Mid)162.882.711.7%
n=10 replicates per level. Acceptance criterion: CV ≤10%.

Applications

IVF / ART Ovarian Stimulation

Serial E2 monitoring every 1–2 days guides gonadotropin dosing and trigger timing. 7–3,889 pg/mL and ≤2.2% CV enable precise follicular E2 tracking from basal to peak.

Menstrual Disorder & Menopause

Blank limit 7.64 pg/mL accurately captures postmenopausal and POI concentrations for HRT initiation, dose adjustment, and POI diagnosis.

Male Endocrine Evaluation

E2 in males (10–40 pg/mL) for gynecomastia, aromatase excess, and hypogonadism workup on the same CLIA platform as female panels.

CLIA Analyzer OEM

Ra magnetic bead + Rd AE bulk pair for CLIA analyzer integration. Full validation package — calibration, precision, blank limit, method comparison — for regulatory submissions.

What Is Estradiol (E2)?

Estradiol (E2, 17β-estradiol) is the primary and most biologically active estrogen in humans. It is a C18 steroid hormone synthesized predominantly in the granulosa cells of ovarian follicles in women, and in lesser amounts by the testes and adrenal cortex in men via aromatisation of testosterone. Estradiol mediates its effects through estrogen receptors ERα and ERβ expressed in the uterus, breast, bone, cardiovascular system, liver, and brain. In IVD clinical testing, E2 measurement is central to fertility medicine (ART/IVF cycle monitoring), reproductive endocrinology (POI, menopause staging, menstrual disorder diagnosis), and male endocrine evaluation (gynecomastia, aromatase excess). Estradiol immunoassays use anti-E2 monoclonal antibodies with high specificity against 17β-estradiol and <1% cross-reactivity to estriol (E3) and estrone (E1).

Estradiol Normal Levels by Gender & Life Stage

Life Stage / StatusTotal Estradiol (pg/mL)Clinical Significance
Women — Early follicular (Day 2–4)20–150Basal E2; >80 pg/mL suggests residual cyst or low ovarian reserve
Women — Mid-follicular30–300Rises 50–100% per 48 h per maturing follicle cohort
Women — Pre-ovulatory peak100–600Triggers LH surge; in ART, 150–300 pg/mL per dominant follicle
Women — Luteal phase60–300Corpus luteum production; low (<60) suggests luteal insufficiency
Women — Postmenopause<35Predominantly from peripheral aromatisation; guides HRT initiation
Women — Pregnancy (3rd trimester)3,000–30,000+Placental origin; estriol (E3) rises more than E2
Men — Adult normal10–40Derived from testicular and peripheral aromatisation of testosterone
Men — Elevated (gynecomastia threshold)>60Evaluate for aromatase excess, testicular tumour, cirrhosis, obesity
Prepubertal children<15Very low; requires LC-MS/MS or high-sensitivity CLIA for accuracy
Reference intervals are method- and laboratory-dependent. Values above are indicative ranges from CLIA immunoassay platforms calibrated to LC-MS/MS reference methods.

High vs Low Estradiol: What It Means

High Estradiol — Common Causes

  • Ovarian hyperstimulation syndrome (OHSS) in ART — E2 >3,000 pg/mL
  • Estrogen-secreting ovarian or adrenal tumour
  • Obesity — excess adipose aromatisation of androgens
  • Cirrhosis — impaired estradiol hepatic clearance
  • In men: aromatase excess syndrome, testicular tumours, exogenous testosterone aromatisation

Low Estradiol — Common Causes

  • Primary ovarian insufficiency (POI) — E2 <20 pg/mL with elevated FSH
  • Natural or surgical menopause
  • Hypothalamic amenorrhoea — stress, under-nutrition, excessive exercise
  • Hyperprolactinaemia — suppresses GnRH → LH/FSH → ovarian E2
  • In men on TRT: very low E2 (<5 pg/mL) associated with bone loss and reduced libido

The hormonal relationship between estrogen and Progesterone Antibody targets is essential for interpreting reproductive axis panels — FSH, LH, E2, and progesterone are commonly measured together in fertility and endocrine workups.

Frequently Asked Questions — Estradiol Testing

What is oestradiol? Is it the same as estradiol?

Yes — oestradiol is the British English spelling of estradiol. Both refer to 17β-estradiol (E2), the same hormone. IVD assay kits sold in the UK and EU markets often use the oestradiol spelling, while US and Asian kits use estradiol. The target analyte, antibody specificity, and clinical reference ranges are identical.

What does a high estradiol level mean?

In women, E2 >600 pg/mL outside the pre-ovulatory window suggests ovarian hyperstimulation, an estrogen-secreting tumour, or obesity-driven aromatisation. In men, E2 >60 pg/mL is associated with gynecomastia. During IVF, E2 >3,000 pg/mL warrants OHSS risk assessment. Elevated E2 suppresses FSH, which is why FSH and estradiol are commonly ordered together.

What are normal estradiol levels during IVF monitoring?

Basal E2 (Day 2–3) should be <80 pg/mL. During stimulation, E2 should rise 50–100% every 48 hours per follicular cohort. At trigger, 1,500–4,000 pg/mL is typical for 3–5 mature follicles; >10,000 pg/mL is high-risk for OHSS. Reliable serial monitoring requires a CLIA platform with detection range 7–4,000 pg/mL and CV <5%.

How is an E2 blood test performed?

An E2 blood test measures estradiol in serum or plasma collected by venepuncture. The sample is centrifuged within 30–60 minutes and analysed on an automated immunoassay analyser (CLIA, ECLIA) or by LC-MS/MS for low-concentration confirmatory testing. Whole blood cannot be analysed directly — serum separation is mandatory. Results are typically available within 2–4 hours in hospital lab settings.

What is the relationship between FSH and estradiol (FSH estradiol)?

FSH (follicle-stimulating hormone) and estradiol form a feedback pair that governs follicular recruitment. Low E2 at cycle Day 2–3 alongside elevated FSH (>10–12 IU/L) indicates diminished ovarian reserve. Conversely, high E2 with low FSH in a postmenopausal woman suggests exogenous estrogen use or an estrogen-producing tumour. The FSH:E2 ratio interpretation requires both markers to be drawn in the early follicular phase under standardised conditions.

What cross-reactivity requirements apply to E2 IVD antibodies?

Anti-E2 monoclonal antibodies for IVD use must achieve <1% cross-reactivity with estriol (E3) and estrone (E1), and <0.5% with testosterone and progesterone. Estriol specificity is particularly critical during pregnancy, where E3 concentrations can reach 5,000–30,000 pg/mL. All Sekbio E2 antibody pairs are characterised with full cross-reactivity panels to CLSI EP7 standards and include lot-specific certificates of analysis.

Request E2 CLIA Reagent Datasheet

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Guangming District, Shenzhen, China