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Menopausal Blood Test

£185.00

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Description

Menopausal Blood Test

Menopausal Blood Test

£185.00

(Add-on options available: AMH & Vitamin D)

Hormonal Insights for Women in Transition

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🧾 Service Overview

The Menopausal Blood Test offers a focused assessment of the key hormones involved in perimenopause, menopause, and early ovarian insufficiency (EOI). It helps to confirm whether your symptoms are due to hormonal changes, supports personalised treatment planning, and identifies other potential causes (such as thyroid dysfunction) that can mimic menopause.

This test is ideal for women experiencing:

  • Irregular or skipped periods
  • Hot flushes, night sweats, mood swings
  • Low libido, vaginal dryness, sleep disruption
  • Unexplained fatigue, anxiety, or memory issues
  • Premature menopausal symptoms (under age 45)

🔬 What’s Included in the Test – Clinical Insights

Follicle Stimulating Hormone (FSH)

Secreted by the anterior pituitary, FSH stimulates ovarian follicles.

As ovarian function declines, FSH levels rise in response to reduced oestrogen feedback.

Consistently elevated FSH (>30 IU/L) on two separate tests suggests menopause or ovarian insufficiency.

In perimenopause, FSH may fluctuate, so clinical interpretation is key.

Luteinising Hormone (LH)

Works with FSH to trigger ovulation mid-cycle.

In menopause, LH levels often increase due to a loss of negative feedback from oestradiol.

High LH alone is not diagnostic but supports FSH and oestradiol findings.

Oestradiol (E2)

The primary oestrogen produced by the ovaries.

Declines as follicular function weakens, often correlating with vasomotor symptoms, mood changes, and reduced bone density.

Low E2 confirms menopausal status and helps guide HRT (Hormone Replacement Therapy) dosing and monitoring.

Anti-Müllerian Hormone (AMH) (Optional Add-On)

A marker of ovarian reserve, AMH reflects the number of small follicles in the ovaries.

While not useful for confirming menopause, low AMH (<0.3 ng/mL) in women <45 may indicate early ovarian insufficiency or premature menopause.

Useful for women planning fertility, IVF, or egg freezing.

Thyroid Stimulating Hormone (TSH) & Free T4

Thyroid disorders (especially hypothyroidism) can cause symptoms that mimic or worsen menopause, including fatigue, mood swings, irregular cycles, and weight changes.

Testing thyroid function ensures accurate diagnosis and avoids misattributing thyroid dysfunction to menopause.

Vitamin D (25-OH) (Optional Add-On)

Vital for bone health, immune regulation, and mood.

Low levels are common in peri/postmenopausal women and increase risk of osteopenia and osteoporosis.

Supplementation is often recommended if <50 nmol/L.

🧘 What to Expect During the Appointment

A trained clinician will review your symptoms and history.

A simple blood draw will be performed (usually from the arm); the process takes 5–10 minutes.

No fasting is required.

Results are typically available within 3–5 working days through a secure online portal or GP consultation.

Your report includes traffic-light indicators, clinical interpretation, and treatment recommendations (e.g., HRT consideration, lifestyle changes, or further referral).

Frequently Asked Questions

How do I know if I’m in menopause?

Menopause is defined as 12 consecutive months without a period. Blood tests support this diagnosis by showing high FSH, high LH, and low oestradiol. If you’re under 45 with symptoms, tests can also help rule out early ovarian insufficiency.

What’s the difference between perimenopause and menopause?
  • Perimenopause is the transitional phase before menopause when cycles become irregular and symptoms begin.
  • Menopause is confirmed when periods stop for a full year.
    Hormone levels fluctuate during perimenopause, so symptoms may come and go — which is why testing can be helpful.
Can I take this test while on the pill or HRT?

Hormonal contraception and HRT can suppress natural hormone levels, which may interfere with test accuracy. It's recommended to pause hormonal treatments (if clinically safe) for 4–6 weeks before testing. Please consult your doctor before making any changes.

When should I take this test?

If your cycles are still present, testing is usually done between Day 2–5 of your cycle for consistency.
If your cycles are irregular or absent, the test can be taken at any time.

What is considered early or premature menopause?
  • Early menopause: Menopause before age 45
  • Premature menopause / Primary Ovarian Insufficiency (POI): Before age 40
    If suspected, FSH, oestradiol, and AMH are the key tests for diagnosis.
Will this test help with HRT planning?

Yes. Your clinician can use these results to decide:

  • If you're in the menopausal range
  • Whether you’re a candidate for oestrogen-only or combined HRT
  • Whether further bone, cardiovascular, or thyroid screening is needed
Can symptoms still occur even if blood tests are normal?

Yes. Hormone levels fluctuate during perimenopause, so symptoms may appear even if tests are borderline or within range. A clinical diagnosis based on symptoms is often just as important as lab confirmation.

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