Private Perimenopause & Menopause Blood Tests
Comprehensive hormone, thyroid and vitamin panels to get clarity on your symptoms. No more guessing, no more being dismissed — just clear answers from a single blood draw.
Solihull & Birmingham. From £150. Morning appointments available for optimal hormone accuracy.
What We Test
We go far beyond a basic FSH test. Our panels investigate the full picture — hormones, thyroid, vitamins and inflammation — because your symptoms deserve a thorough answer.
Peri-Menopause Hormone Profile
FSH, LH, oestradiol, progesterone
The core hormone panel for confirming perimenopause. Measures the key reproductive hormones that shift as your ovaries wind down — helping distinguish perimenopause from other causes of your symptoms.
Advanced Thyroid Profile
TSH, Free T3, Free T4, thyroid antibodies
Thyroid dysfunction mimics perimenopause almost exactly — fatigue, weight gain, brain fog, mood changes. Up to 1 in 8 women will develop a thyroid condition. Testing both together avoids misdiagnosis.
Fatigue & Inflammation Panel
Iron, ferritin, B12, folate, vitamin D, CRP
When exhaustion is your main symptom, it may not be hormones alone. Iron deficiency, low B12, vitamin D insufficiency and chronic inflammation are all common — and all treatable — causes of debilitating fatigue.
Essential Vitamins
Vitamin B12, folate (B9), vitamin D
These three vitamins are commonly deficient during perimenopause and directly affect energy, mood, cognitive function and bone health. A simple baseline test can guide targeted supplementation.
Who Should Book a Perimenopause Blood Test?
If any of these sound familiar, testing can give you the clarity and validation you need to take the next step.
Women aged 40-55 experiencing changes. Your periods have become irregular, heavier, lighter or less predictable. You sense something has shifted but you are not sure what.
Hot flushes & night sweats. The classic vasomotor symptoms — sudden waves of heat, drenching night sweats, disrupted sleep. Blood tests can confirm whether hormonal changes are driving them.
Brain fog & memory issues. Forgetting words mid-sentence, losing your train of thought, struggling to concentrate. It is not early dementia — it is one of the most common perimenopause symptoms, and it is temporary.
Crushing fatigue. Bone-deep exhaustion that sleep does not fix. Could be hormones, could be thyroid, could be iron or vitamin D. The only way to know is to test.
Weight gain & body changes. Unexplained weight gain, especially around the middle, despite no changes to diet or exercise. Hormonal shifts, thyroid function and metabolic changes all play a role.
Low mood, anxiety or rage. Emotional changes that feel out of character — sudden anxiety, irritability, tearfulness or a flatness that was not there before. These are real neurological effects of hormonal change.
Joint pain & stiffness. Aching joints, stiff mornings, feeling like you have aged overnight. Oestrogen is anti-inflammatory — as levels drop, joint symptoms are extremely common.
GP dismissed your concerns. Too many women are told they are "too young for menopause" or offered antidepressants without investigation. If you have been dismissed, you deserve proper testing.
Wanting answers — perimenopause or something else?. Thyroid disease, anaemia, vitamin deficiency and perimenopause share almost identical symptoms. Comprehensive blood testing is the only way to tell them apart and get the right treatment.
Blood Test Pricing
All prices include your blood test, detailed results report with clear interpretation, and follow-up guidance. No hidden fees.
| Test | Price |
|---|---|
| Peri-Menopause ProfileFSH, LH, oestradiol & full hormone panel | £225 |
| Advanced Thyroid ProfileTSH, Free T3, Free T4, thyroid antibodies | £245 |
| Ultimate 'Tired All the Time'Iron, ferritin, B12, folate, vitamin D, CRP & inflammation markers | £190 |
| Essential VitaminsVitamin B12, folate (B9), vitamin D | £150 |
All prices include professional blood draw. Multiple panels can be combined in a single appointment — ask when booking.
What to Expect
Before Your Test
No fasting is required for hormone tests. We recommend a morning appointment (before 10am) for the most accurate hormone readings, as FSH and cortisol levels are most stable in the early morning. Stay well hydrated — it makes the blood draw easier and quicker.
During Your Appointment
A simple venous blood draw from your arm — typically taking under 5 minutes. Our phlebotomist is experienced and gentle. We collect enough for all your chosen panels in a single draw, so there is no need for multiple appointments.
Your Results (24-48 Hours)
You will receive a detailed results report with clear, plain-English interpretation — not just numbers on a page. We explain what each marker means, whether your levels are normal, borderline or abnormal, and what it means for your symptoms.
Next Steps
Your report is designed to take to your GP to discuss HRT or other treatment options. If results suggest thyroid issues or vitamin deficiencies, we include specific recommendations. We can also advise on retesting timelines and follow-up appointments.
Why Choose NELS for Menopause Blood Tests?
No Waiting for a GP Blood Form
Skip the GP appointment just to request bloods. Book directly with us — no referral, no gatekeeping, no being told you are "too young" for testing.
Comprehensive Panels, Not Just FSH
The NHS often tests FSH alone. We test the full picture — hormones, thyroid, vitamins and inflammation — because your symptoms are complex and deserve a thorough investigation.
Fast, Clear Results
Results within 24-48 hours with plain-English interpretation. No chasing your GP surgery for results, no being told "everything is normal" without explanation.
Women's Health Focus
We understand that perimenopause is underdiagnosed and under-investigated. We take your symptoms seriously, test thoroughly, and give you the evidence you need to advocate for your own care.
Understanding Your Results
FSH and LH tell a story together. During perimenopause, FSH rises as your pituitary gland works harder to stimulate the ovaries. A rising FSH with falling oestradiol suggests the ovaries are responding less — a hallmark of the perimenopausal transition. But levels fluctuate month to month, which is why a single "normal" result does not rule perimenopause out.
Thyroid should always be checked alongside hormones. Hypothyroidism (underactive thyroid) causes fatigue, weight gain, brain fog, depression, dry skin and joint pain — symptoms identical to perimenopause. It affects women 5-8 times more often than men and commonly emerges in your 40s. Testing both together means you do not spend years treating the wrong condition.
One blood test is not always enough. Perimenopausal hormone levels can swing dramatically — your FSH might be elevated one month and normal the next. If your symptoms are strong but your first results look borderline, retesting 4-6 weeks later can provide the pattern your GP needs to prescribe with confidence. We will advise on retesting if it would be beneficial.
Menopause Blood Test FAQs
Can a blood test confirm perimenopause?
Blood tests can strongly support a perimenopause diagnosis, but no single test gives a definitive yes or no. FSH and oestradiol levels fluctuate significantly during perimenopause — a raised FSH with low oestradiol is suggestive, but levels can be normal one month and abnormal the next. This is why we recommend testing alongside a symptom review, and sometimes repeat testing 4-6 weeks later. The real value of blood tests is ruling out other causes (thyroid disease, iron deficiency, vitamin D deficiency) that mimic perimenopause and need different treatment.
What FSH level indicates menopause?
An FSH level consistently above 30 IU/L, combined with no period for 12 months, is generally considered to confirm menopause. During perimenopause, FSH levels often fluctuate between 10-50 IU/L as the ovaries still produce oestrogen intermittently. A single "normal" FSH does not rule out perimenopause — context matters as much as numbers, which is why we provide clear interpretation with every result.
Why should I test my thyroid at the same time?
Thyroid dysfunction and perimenopause share almost identical symptoms: fatigue, weight gain, brain fog, mood changes, irregular periods, hair thinning and joint pain. Up to 1 in 8 women develop a thyroid condition in their lifetime, and it often emerges in the 40s — exactly when perimenopause begins. Testing both together means you get the right diagnosis first time, rather than assuming everything is hormonal and missing a treatable thyroid condition.
Should I stop HRT before having a blood test?
It depends on the purpose of the test. If you want to check your baseline hormone levels (for example, to see if you still need HRT), you would typically stop for 4-6 weeks before testing — but only with your prescribing doctor's guidance. If you are testing to see whether your current HRT dose is adequate, test while on treatment. We can advise when you book, and our results report will account for HRT use.
How often should I retest my hormones?
For most women, retesting every 6-12 months is helpful during the perimenopausal transition — especially if symptoms change, HRT is adjusted, or the initial results were borderline. Thyroid function should be rechecked 6-8 weeks after starting medication and then annually. Vitamin levels can be rechecked 3 months after starting supplementation to ensure levels have improved.
Can I get HRT from these results?
We provide diagnostic blood tests and detailed interpretation, but we do not prescribe HRT directly. Your results report is designed to give your GP or menopause specialist the evidence they need to prescribe confidently. Many GPs are happy to initiate HRT with clear blood results supporting the decision. If your GP is not supportive, we can recommend private menopause clinics who accept our reports.
Related Tests & Scans
Explore our other women's health services for a complete picture of your wellbeing.
Fertility Blood Test
From £195AMH, FSH, LH, oestradiol — assess ovarian reserve and reproductive hormone levels.
View detailsHealth MOT Blood Test
From £295Comprehensive wellness screen covering cholesterol, liver, kidney, thyroid, diabetes and more.
View detailsPelvic Ultrasound
From £200Assess the uterus and ovaries — fibroids, cysts, endometrial thickness and pelvic health.
View detailsAdd a Pelvic Ultrasound
Experiencing heavy or irregular periods alongside your perimenopause symptoms? A pelvic ultrasound can check for fibroids, ovarian cysts, endometrial changes and other structural causes — giving you and your GP the full picture in one visit.
Learn About Pelvic ScansGet Clarity on Your Symptoms — Book Today
You deserve answers, not dismissal. Book your private perimenopause blood test and take the first step toward understanding what your body is telling you.