Menopause/Perimenopause Hormone Panel Blood Test (5 Biomarkers)

• Follicle-Stimulating Hormone (FSH)
• Luteinizing hormone (LH) 
• Oestrogen (oestradiol) 
• Free Thyroxine (fT4)
• Thyroid-Stimulating Hormone (TSH)

The report will be quantitative, containing actual figures and remarks for results that fall outside the normal range. The report will be sent to your email.

Our Menopause Health Blood Test is designed for women who have reached menopause (12+ months without a period) or who may be approaching menopause or perimenopause. It provides valuable insight into your hormonal status during this natural transition. 

The test measures key hormones involved in menopause, including Follicle Stimulating Hormone (FSH), Luteinising Hormone (LH), and oestradiol (a form of oestrogen). Together, these markers help indicate whether you may be perimenopausal, menopausal, or postmenopausal. For women under 45, assessing these hormone levels can be particularly helpful in understanding where they are on their menopause journey.

The test also assesses thyroid function by measuring Thyroid Stimulating Hormone (TSH) and Free Thyroxine (Free T4). This is important, as thyroid imbalances can cause symptoms similar to menopause, such as mood changes, fatigue, and temperature regulation issues.

Women over 45 may also find hormone testing useful, although treatment decisions at this stage are often guided primarily by symptoms.

While blood tests (such as this perimenopause test) provide important information, they form part of a broader assessment. Age, symptoms, such as changes in the menstrual cycle, hot flushes, mood changes, low energy, and hormone levels are all considered together. This test offers quick, clear insights and a helpful baseline for understanding your hormonal health during the menopausal transition.

Menopause is a natural biological stage marking the end of a woman’s reproductive years, and this simple, accurate blood test supports informed decisions about your health and well-being.

Menopause Blood Test FAQ

What is menopause?

Menopause is a natural stage of life, defined as the point when a woman has not had a period for 12 consecutive months. It occurs due to a decline in oestrogen and progesterone levels and marks the end of natural fertility. Most women experience menopause between ages 45 and 55, usually after a transition phase called perimenopause. If periods stop before age 45, it is known as early or premature menopause.

What is perimenopause?

Perimenopause is the transition phase leading up to menopause and can last several years. Hormone levels fluctuate during this time, which can cause irregular periods and symptoms similar to menopause. Because these symptoms may overlap with other gynaecological conditions, diagnosis can sometimes be challenging.

What are the symptoms of menopause?

Common symptoms include hot flushes, night sweats, sleep disturbances, reduced libido, mood changes, anxiety, low mood, and fatigue. Symptoms and their severity vary between individuals.

How long does menopause last?

On average, menopausal symptoms last around four years from the final period. However, experiences vary, and some women report symptoms lasting up to 10–12 years.

Are hormonal markers 100% reliable for diagnosing menopause?

Hormone levels, such as oestrogen and Follicle Stimulating Hormone (FSH), are key indicators but can fluctuate daily. Blood tests are not used alone and should always be interpreted alongside your age, symptoms, and medical history.

Can a blood test tell if I’m perimenopausal?

Blood tests measuring FSH, Luteinising Hormone (LH), and oestradiol can indicate perimenopause but cannot confirm it by themselves. Your healthcare professional will consider your results along with your symptoms and history to provide personalised guidance.

What blood tests are used to assess menopause?

Menopause blood tests typically measure FSH, LH, and oestradiol. Some tests also assess thyroid function (TSH and Free T4) to rule out thyroid-related symptoms that can mimic menopause.

What FSH and LH levels indicate menopause?

Rising FSH and LH levels often suggest your body is transitioning toward menopause. Results should always be considered in context with other clinical information.

What is the most reliable menopause test?

Laboratory-based blood tests are the most accurate method for measuring hormone levels. They are more precise than home dipstick urine tests, which only provide a general indication and can be confusing to interpret.

Are home urine dipstick menopause tests accurate?

Home tests can give a general indication but are less precise than laboratory testing. They rely on comparing lines or shades, which can be confusing and do not provide a complete hormonal picture.

Why might I experience early menopause?

Early menopause occurs before age 45 and may have no clear cause. It can sometimes result from medical treatments such as chemotherapy or surgery, genetics, or lifestyle factors.

How can I manage menopause symptoms naturally?

Lifestyle changes can help manage symptoms:

• Focus on getting restful, high-quality sleep
• Eat a balanced and nutrient-rich diet
• Stay physically active
• Manage stress and support mental wellbeing
  Sharing experiences with family, friends, or support groups can also be beneficial.

Can menopause affect my bone and heart health?

Reduced oestrogen can lower bone density, increasing the risk of osteoporosis, and may also affect heart health. Maintaining a healthy lifestyle, regular check-ups, and monitoring key health markers can help manage these risks.

Can menopause affect my weight, skin, and hair?

Hormonal changes can lead to increased abdominal fat, thinning hair, dry skin, and reduced skin elasticity. Staying active, eating a nutrient-rich diet, and following a proper skincare routine can help.

Can menopause affect my mood and sleep?

Fluctuating hormones may contribute to mood swings, anxiety, low mood, and sleep disturbances. Establishing routines, practicing relaxation techniques, and seeking support can improve wellbeing.

Can hormone replacement therapy (HRT) help?

HRT can reduce symptoms such as hot flushes, night sweats, and mood changes, and may help protect bone health. It is not suitable for everyone, and your doctor will advise on the benefits and risks for you.

Can menopause affect my libido?

Yes. Hormonal changes can reduce sexual desire and cause vaginal dryness, making intercourse uncomfortable. Lubricants, moisturisers, and discussing options with your healthcare provider can help.

How can I tell if my symptoms are due to menopause or a thyroid condition?

Menopause and thyroid disorders share many symptoms. Blood testing is the only reliable way to distinguish between the two. Our Menopause Blood Test measures both reproductive and thyroid hormones to help identify the cause.

How does menopause affect testosterone levels?

During menopause, testosterone levels naturally decline along with oestrogen and progesterone. Lower testosterone can contribute to more severe menopausal symptoms and may impact overall health. If you’d like to monitor testosterone along with other female hormones, our Female Hormone Blood Test can provide a comprehensive overview.

Can I still get pregnant during perimenopause?
Perimenopause is the transitional phase before menopause, when hormone levels fluctuate and periods may be irregular. During this time, pregnancy is still possible, though fertility gradually declines. Menopause is reached 12 months after your last period, after which natural pregnancy is no longer possible.