Marrow
Genomics · Genetic Reports · Precision Wellness

Sex Hormones (TRT) Package

Personalized 5-Report Genetic Package
Sex HormonesHormone HealthMale Sexual HealthFemale Sexual HealthFertility
Sample ClientReport date: 29 July 2026
Genomics · Genetic Reports · Precision Wellness
Marrow Health Laboratories
Marrow
Accession #: MRW-26-A48A63
Report type: Summary Report
Report status: FINAL

Specimen and client information

Client
Sample Client
Specimen type
Buccal (cheek) swab
Date reported
29 July 2026
Accession
MRW-26-A48A63
Reports in package
5
Results scored
71 of 106
Need attention
8
Report
Summary Report

The reports inside this package

This one document contains 5 complete genetic reports. Each was scored on its own, then combined here so you can read everything in one place. Every result further down is labelled with the report it came from.

Sex Hormones12 results reported of 12 analytes · 47 recommendations
Hormone Health46 results reported of 46 analytes · 50 recommendations
Male Sexual Health17 results reported of 17 analytes · 50 recommendations
Female Sexual Health17 results reported of 17 analytes · 50 recommendations
Fertility14 results reported of 14 analytes · 50 recommendations

About this report

This report reads your DNA and sorts every result into one of five plain-language groups, so you can see at a glance what deserves attention and what does not. Nothing here is a diagnosis. A flagged result means your genetics place you above or below the average person for that trait — a reason to ask a question, not a reason to worry.

What each result group means

Worth a conversation with your doctor
These came back with a higher genetic predisposition than most people. That is not a diagnosis — it means these are the ones worth raising at your next appointment.
Running above the typical range
Your genetics point to these sitting higher than average. Often useful to know, sometimes worth monitoring.
Running below the typical range
Your genetics point to these sitting lower than average. Same idea — context, not alarm.
Working in your favour
Good news. Your genetics look protective or better than average here.
In line with most people
Nothing unusual. These were tested and came back typical — worth having on record.

Your results at a glance

How to read this. A result being flagged does not mean you have a condition — it means your genetics put you above or below the average person for that trait. Of the 71 results here, 8 came back worth discussing with a clinician and 2 came back in your favour. Bring this document to your appointment.

What this package looks at

Sex Hormones — Sex hormones and reproductive hormones play vital roles in regulating physical development, reproductive function, and overall health. These hormones influence everything from muscle mass and bone density to fertility, libido, and mood. Genetic predispositions can affect how these

Hormone Health — Your hormonal (endocrine) system regulates body processes, such as appetite, sex drive, tissue repair, metabolism, and more. Hormones affect more or less everything in your body!

Male Sexual Health — Sexual health is a key component of overall well-being for men, impacting everything from reproductive function to confidence and quality of life. Genetics plays a significant role in determining susceptibility to various sexual health issues, from hormonal imbalances to sexual dysfunction and

Female Sexual Health — Sexual health is a key component of overall well-being, encompassing physical, emotional, and hormonal factors. Genetics can influence a woman's predisposition to a range of sexual health problems, including issues with sexual function and the experience of menopausal symptoms.

Fertility — Male reproductive health is influenced by a combination of genetic, hormonal, and environmental factors. Genetics plays a significant role in determining fertility and the balance of reproductive hormones, both of which are crucial for reproductive function.

What you can actually do

These are ordered by how closely they relate to your flagged results — not generic health advice. Marrow does not prescribe, dose, or tell you to take anything. Diet and lifestyle changes are listed first because they are yours to make. Anything you would swallow is listed separately, by name only, as something to raise with a clinician who knows your history and your medications.

Changes you can make yourself

1
Tomato

Aim for at least one serving (approximately 1 medium-sized tomato or 1/2 cup of chopped or cooked tomatoes) per day.

Relates to: Prostate Cancer, Male Infertility
relevance
2
Safer Sex Practices

Use latex condoms every time you have vaginal, anal, or oral sex.

Relates to: Genital Herpes
relevance
3
Psychotherapy

Schedule and attend regular sessions with a licensed psychotherapist, typically once a week for 50-60 minutes, TA over a period of several months to years depending on your individual needs and progress.

Relates to: Sexual Dysfunction
relevance
4
Avoid Pesticide Exposure

Limit the use of non-organic lawn and garden chemicals.

Relates to: Male Infertility
relevance
5
Avoid Organic Solvents

Refrain from using products containing organic solvents such as paints, varnishes, paint strippers, cleaning supplies, glues, and adhesives.

Relates to: Male Infertility
relevance
6
Avoid PAHs Exposure

Use exhaust fans in kitchens and ensure proper ventilation when cooking at high temperatures to reduce indoor levels of PAHs.

Relates to: Male Infertility
relevance
7
Sleep for 7+ Hours

Ensure you allocate enough time in your schedule to achieve a minimum of 7 hours of sleep each night.

Relates to: Male Infertility
relevance
8
Cognitive-Behavioral Therapy (CBT)

Engage actively in exercises assigned by your therapist both during sessions and as homework to apply CBT strategies to daily life.

Relates to: Sexual Dysfunction, Painful Periods
relevance

Worth asking your clinician about

These came up in the research behind your flagged results. They are listed by name so you can ask about them. Marrow is not recommending them, and gives no dose. Supplements interact with prescription medication and with each other — that conversation belongs with your clinician.

1
DHEA (Dehydroepiandrosterone)
Relates to: DHEAS, Sexual Dysfunction
relevance
2
Zinc
Relates to: Male Infertility
relevance
3
Lycopene
Relates to: Prostate Cancer, Prostate Inflammation
relevance
4
Zinc and Folate
Relates to: Male Infertility
relevance
5
Resistant Starch
Relates to: TCF7L2 (Blood Sugar/Diet), GLP-1
relevance
6
Berberine
Relates to: TCF7L2 (Blood Sugar/Diet), GLP-1
relevance

Your headline findings

Of the 71 results in this package, these 8 came back furthest from the population average. Each one below explains what it is, where you sit, and which report it came from. Start here.

Menopause SymptomsMore likely
Higher predisposition than 99% of people
Your result sits higher than 99% of the population.

What this actually is

Genetics plays a role in the age at which menopause starts and the severity of symptoms.

For example, genetic variations that influence the metabolism of sex hormones are associated with the frequency and severity of hot flashes.

Women often follow a similar pattern as their mothers or sisters.

What you can do

  • Flaxseed
    TA 2 tbsp Helps with these Symptoms & Conditions: Artery Hardening Helps with these Goals: Fat Loss Focus

Ask your clinician about

  • Black Cohosh
  • Turkey Tail Mushroom

Named only. Marrow gives no dose and does not recommend these.

From your Female Sexual Health report
Genital HerpesMore likely
More likely to get genital herpes based on 284,981 genetic variants we looked at
Your risk is greater than 98% of the population and lower than 2% of the population.

What this actually is

Genital herpes is a common sexually transmitted infection (STI), usually caused by the herpes simplex virus type 2 (HSV-2).

Genetics may also affect susceptibility to genital herpes.

Involved genes may play a role in the immune response, cell life cycle, and more.

What you can do

  • Safer Sex Practices
    Use latex condoms every time you have vaginal, anal, or oral sex.
  • Safer Sex Practices
    Use latex condoms every time you have vaginal, anal, or oral sex.
  • Topical Propolis
    Apply a thin layer of topical propolis cream or ointment directly to the affected area of skin 2 to 3 times daily.
From your Male Sexual Health report & Female Sexual Health
Painful PeriodsMore likely
More likely to have painful periods based on 72,683 genetic variants we looked at
Your risk is greater than 98% of the population and lower than 2% of the population.

What this actually is

Key Takeaways: Genetics involved in painful periods influence pain, inflammation, and hormones.

Other risk factors include age, starting puberty young, periods with heavy bleeding, irregular periods, and stress.

If you experience symptoms, talk to a healthcare professional to rule out other health conditions and/or to manage pain.

What you can do

  • Cognitive-Behavioral Therapy (CBT)
    Engage actively in exercises assigned by your therapist both during sessions and as homework to apply CBT strategies to daily life.
  • Shock Wave Therapy
    Schedule and attend sessions for extracorporeal shock wave therapy (ESWT) with a qualified healthcare provider.

Ask your clinician about

  • Green Tea

Named only. Marrow gives no dose and does not recommend these.

From your Female Sexual Health report
Prostate CancerMore likely
More likely to get prostate cancer based on 1,049,413 genetic variants we looked at
Your risk is greater than 94% of the population and lower than 6% of the population.

What this actually is

The exact cause of prostate cancer is not clearly understood, but several factors have been identified that increase the risk of developing this disease: Age: The risk increases significantly after age 50, and it is most common in men over 65.

Family history: Having a father or brother with prostate cancer more than doubles a man’s risk.

Race/Ethnicity: African-American men have a higher risk of prostate cancer than men of other races.

What you can do

  • Tomato
    Aim for at least one serving (approximately 1 medium-sized tomato or 1/2 cup of chopped or cooked tomatoes) per day.

Ask your clinician about

  • Lycopene
  • Green Tea Extract

Named only. Marrow gives no dose and does not recommend these.

From your Male Sexual Health report
Prostate InflammationMore likely
More likely to get prostate inflammation based on 294,170 genetic variants we looked at
Your risk is greater than 94% of the population and lower than 6% of the population.

What this actually is

The exact cause of prostatitis is not always clear but can be due to bacterial infections, nerve damage in the pelvic area, or direct injury to the prostate.

Risk factors for prostate inflammation include: Recent bladder infections Enlarged prostate or benign prostatic hyperplasia (BPH) Having a urinary catheter or recent medical procedures involving the urinary tract Pelvic trauma or injury Dehydration, which can lead to concentrated urine While prostate inflammation can be uncomfortable and disruptive, with the right treatment and care, most men can achieve relief from their symptoms.

What you can do

  • Topical Propolis
    Apply a thin layer of topical propolis cream or ointment directly to the affected area of skin 2 to 3 times daily.
  • Topical Clinacanthus Nutans
    Use a thin layer and gently massage it in until fully absorbed.

Ask your clinician about

  • Lycopene

Named only. Marrow gives no dose and does not recommend these.

From your Male Sexual Health report
Sexual DysfunctionMore likely
More likely to have sexual dysfunction based on 1,671 genetic variants we looked at
Your risk is greater than 90% of the population and lower than 10% of the population.

What this actually is

Key Takeaways: About 40% of differences in people's chances of developing sexual dysfunction may be due to genetics.

Risk factors include getting older, hormone changes, stress, and certain health conditions.

If you are experiencing symptoms, check with your doctor for possible solutions.

What you can do

  • Psychotherapy
    Schedule and attend regular sessions with a licensed psychotherapist, typically once a week for 50-60 minutes, TA over a period of several months to years depending on your individual needs and progress.
  • Cognitive-Behavioral Therapy (CBT)
    Engage actively in exercises assigned by your therapist both during sessions and as homework to apply CBT strategies to daily life.

Ask your clinician about

  • DHEA (Dehydroepiandrosterone)

Named only. Marrow gives no dose and does not recommend these.

From your Male Sexual Health report & Female Sexual Health
Male InfertilityMore likely
More likely to have male infertility based on 14,927 genetic variants we looked at
Your risk is greater than 86% of the population and lower than 14% of the population.

What this actually is

Key Takeaways: Genes affecting male fertility may be involved with sperm production and protecting DNA from damage.

Risk factors include: certain health or anatomical issues, stress, medical treatments, chemical/heat exposure, drug and alcohol use, smoking, obesity.

If you have a high genetic risk, you may reduce overall risk by taking action on risk factors that you can change.

What you can do

  • Avoid Pesticide Exposure
    Limit the use of non-organic lawn and garden chemicals.
  • Avoid Organic Solvents
    Refrain from using products containing organic solvents such as paints, varnishes, paint strippers, cleaning supplies, glues, and adhesives.

Ask your clinician about

  • Zinc

Named only. Marrow gives no dose and does not recommend these.

From your Fertility report
TCF7L2 (Blood Sugar/Diet)Worse genetics
Higher predisposition than average

What this actually is

The two main TCF7L2 variants are rs7903146 and rs12255372.

They are almost always inherited together, which means they act as a single genetic factor.

Their "T" alleles have one of the strongest known links with type 2 diabetes.

Ask your clinician about

  • Resistant Starch
  • Berberine
  • Whey Protein

Named only. Marrow gives no dose and does not recommend these.

From your Hormone Health report

Where your genetics are working for you

Not everything in a genetic report is a warning. These came back protective or better than average.

Heavy PeriodsLess likely
Less likely to have heavy periods based on 20,302 genetic variants we looked at
Your risk is greater than 17% of the population and lower than 83% of the population.

What this actually is

Other risk factors include certain medications and health conditions, use of intrauterine devices (IUD), and stress.

Up to 55% of people who menstruate may have heavy periods.

If you have high genetic risk or experience symptoms, talk to your healthcare professional about the best actions to take.

From your Female Sexual Health report
Testicular CancerLess likely
Less likely to have testicular cancer based on 981,211 genetic variants we looked at

What this actually is

Several factors can increase the risk of developing testicular cancer: Undescended testicle at birth Family history Personal history Age: Most common in men between 15 and 35.

Ethnicity: More common in Caucasian men compared to African-American men.

Treatment options depend on the cancer’s stage and type and may include: Surgery: The primary treatment is often a radical inguinal orchiectomy, where the affected testicle is removed through an incision in the groin.

From your Male Sexual Health report & Fertility

Everything else that came back

The remaining results, grouped by what they mean. Every one of these is explained in full — with the genes and variants behind it — in the technical version of this report.

Running above the typical range  (11)
  • Estradiol (M) — Higher levels
  • Testosterone — Higher levels
  • FSH — Higher levels
  • SHBG — Higher levels
  • MTNR1B (Diet & Blood Sugar) — Higher activity
  • DIO1 (Thyroid) — Higher activity
  • DIO2 (Thyroid) — Higher activity
  • GHR — Higher activity
  • MC4R (Weight/ Blood Sugar) — Higher activity
  • Testosterone (F) — Higher levels
  • Estradiol — Higher levels
Running below the typical range  (8)
  • DHEAS — Lower levels
  • Pregnenolone — Lower levels
  • Luteinizing Hormone (LH) — Lower levels
  • Prolactin — Lower levels
  • GLP-1 — Lower levels
  • CRHR2 (Stress/HPA Axis) — Lower activity
  • CRHR1 (Stress/HPA Axis) — Lower activity
  • FKBP5 (Stress/ HPA Axis) — Lower activity
In line with most people  (42)
  • Enlarged Prostate — Typical likelihood, 77th percentile
  • Painful Intercourse — Typical likelihood, 74th percentile
  • Erectile Dysfunction — Typical likelihood, 71th percentile
  • Penile Curvature — Typical likelihood, 68th percentile
  • Vaginal Atrophy — Typical likelihood, 67th percentile
  • Pelvic Inflammatory Disease — Typical likelihood, 66th percentile
  • Chlamydia — Typical likelihood, 62th percentile
  • Hashimoto's Disease — Typical likelihood, 47th percentile
  • Overactive Thyroid — Typical likelihood, 46th percentile
  • HPV Infection — Typical likelihood, 46th percentile
  • Low Sperm Count — Typical likelihood, 38th percentile
  • Irregular Periods — Typical likelihood, 36th percentile
  • Underactive Thyroid — Typical likelihood, 34th percentile
  • Bioavailable Testosterone — Typical levels
  • DHT — Typical levels
  • Progesterone — Typical levels
  • ESR1 (Estrogen) — Typical activity
  • Free T4 — Typical levels
  • T3 (Triiodothyronine) — Typical levels
  • T4 (Thyroxine) — Typical levels
  • TSH — Typical levels
  • Graves' Disease — Typical likelihood
  • Reverse T3 (rT3) — Typical levels
  • Free T3 (fT3) — Typical levels
  • Insulin — Typical levels
  • Ghrelin — Typical levels
  • IGF-1 — Typical levels
  • Leptin — Typical levels
  • Adiponectin — Typical levels
  • Growth Hormone — Typical levels
  • Cortisol — Typical levels
  • Cushing’s Syndrome — Typical likelihood
  • Addison’s Disease — Typical likelihood
  • HPA Axis — Typical likelihood
  • TPO (Thyroid) — Typical
  • ADIPOQ (Weight/ Blood Sugar) — Typical genetics
  • LEPR (Weight/Leptin Resistance) — Typical activity
  • GIPR (Blood Sugar) — Typical activity
  • HIV/AIDS — Typical likelihood
  • Pelvic Organ Prolapse — Typical likelihood
  • Bioavailable Testosterone (F) — Typical levels
  • Sperm Motility — Typical

What to do with this

Genetics is a predisposition, not a verdict. The single most useful thing you can do with this document is take it to a clinician and talk through the flagged findings — especially any that line up with symptoms you already have or conditions that run in your family. Nothing here changes: your DNA is the same at 60 as it is today, so this report does not expire.

Methodology

Genotyping was performed on DNA extracted from a buccal (cheek) swab using a genome-wide array. Results are derived from peer-reviewed genome-wide association data and, where applicable, published clinical guidelines. Each report was scored independently against its own reference set. Percentile figures describe where your result sits relative to a reference population.

Limitations

This is a laboratory-developed test. It has not been cleared or approved by the U.S. Food and Drug Administration. Genotyping does not detect all variants in the genes assessed; the absence of a flagged result does not exclude risk. Predisposition is probabilistic and is modified by environment, lifestyle, ancestry and family history. Results must be interpreted by a qualified healthcare professional and must not be used alone to diagnose, treat, or alter any medication regimen. Marrow does not recommend, prescribe, or dose any supplement or medication.

Performing laboratory & attestation
Performing laboratoryGene by Gene, Ltd.
Laboratory address1445 North Loop West, Suite 760, Houston, TX 77008
CLIA certificationCLIA #45D1102202
CAP accreditationCAP #7212851 · accredited through 7 October 2027
Laboratory DirectorFeng Zhou, PhD, MB(ASCP)
Specimen typeBuccal (cheek) swab — genomic DNA
AccessionMRW-26-A48A63
Date reported29 July 2026

This specimen was tested at Gene by Gene, Ltd., 1445 North Loop West, Suite 760, Houston, TX 77008, under CLIA #45D1102202 and CAP #7212851. Laboratory Director: Feng Zhou, PhD, MB(ASCP). Marrow Health is not a clinical laboratory and does not perform testing; Marrow prepares and delivers this report from data produced by the performing laboratory named above. Report generated 29 July 2026 · Accession MRW-26-A48A63 · © 2026 Marrow Health.