If you have regular periods
For the most accurate results, take the test on Day 2 to Day 5 of your menstrual cycle, ideally on Day 3. Day 1 is the first day of bleeding.
Women's health
Measure key biomarkers like AMH (Anti-Müllerian hormone) to see if your symptoms might be related to perimenopause. Our doctors review your results and give you a personalised report, ensuring you get trusted and meaningful insights.
Biomarkers tested: 12
Results ready in: 3-5 days
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Perimenopause is a natural transitional phase that typically occurs in a woman's 40s, marking the beginning of the transition to menopause. While menopause signifies the end of a woman's fertile lifespan, perimenopause can last around 5-10 years, though this duration can vary significantly from person to person.1
Perimenopause may occur earlier or later depending on various factors such as family history, medications, and co-morbidities.2 During this time, the body undergoes hormonal fluctuations that can result in a range of symptoms such as irregular periods, mood swings, and hot flushes.
Understanding these changes is crucial for managing the transition smoothly. Our Perimenopause Blood Test measures key biomarkers to help you determine if your symptoms may be linked to perimenopause, all from the comfort of your home.
Perimenopause can lead to various physical and emotional symptoms like irregular periods, mood changes, sleep disturbances, and hot flushes. These common symptoms can be confusing if you're unsure of their cause.
Consider a Perimenopause Blood Test if you:
Are over 45 and experiencing new or unusual symptoms such as irregular periods, mood swings or hot flushes
Want to seek clarity before consulting a healthcare provider
Are tracking hormone changes for personal health
Are curious about your ovarian reserve or fertility as you get older
Testing can offer a clearer picture of your hormone levels and help you take informed next steps — whether that’s lifestyle changes, symptom management, or speaking with a clinician.
Explore our three hormone health blood tests - each test is designed to decode your changing hormones based on your stage of life and your testing goals.
Order your test and get free 48-hour letterbox delivery.
Follow the simple instructions in your blood test. Return your sample for free.
Get your results with actionable insights from our experts in 3-5 days.
Biomarker | What it means |
---|---|
Oestradiol | Oestradiol is a key form of oestrogen, essential for regulating reproductive and overall health. Abnormal levels can impact various physiological functions and signal hormonal changes. Oestradiol levels can become erratic as perimenopause progresses. |
Follicle-stimulating hormone (FSH) | FSH is a hormone that plays a crucial role in regulating reproductive processes. Abnormal levels can indicate various conditions related to reproductive health and hormone balance. FSH levels rise during perimenopause as your ovaries produce less oestrogen. |
Anti-Müllerian hormone (AMH) | AMH is a hormone that helps estimate ovarian reserve and assess fertility. It can provide insights into reproductive health, particularly in evaluating how close someone may be to menopause. |
Luteinising hormone (LH) | LH is a hormone that works alongside FSH to regulate the reproductive system. Abnormal levels can indicate hormonal imbalances and affect reproductive health. LH works alongside FSH and can help indicate hormone fluctuations typical of perimenopause. |
Progesterone | This hormone prepares the body for pregnancy after ovulation. Low levels may suggest irregular ovulation, which is common during perimenopause. |
Total testosterone | While often thought of as a male hormone, women also produce testosterone. It affects sex drive, mood, energy, and muscle strength. Low levels can cause fatigue or low libido. |
Sex hormone binding globulin (SHBG) | SHBG is a protein that binds to sex hormones like testosterone and oestrogen, controlling how much is available for your body to use. It helps keep your hormones in balance. |
Free T4 | Free T4 is a key thyroid hormone that regulates various metabolic processes. Monitoring its levels helps provide a more detailed assessment of thyroid function and identify potential contributors to symptoms commonly experienced during perimenopause. |
Thyroid-stimulating hormone (TSH) | TSH is crucial for regulating thyroid function, which influences various bodily processes. Abnormal levels can mimic or exacerbate symptoms typically associated with perimenopause. |
Free androgen index (FAI) | FAI estimates how much testosterone is freely available in your body. It’s useful for assessing hormone balance, especially if you’re experiencing symptoms like low sex drive or unwanted hair growth. |
Vitamin D | Vitamin D is essential for bone health, immune function, and overall health. Adequate vitamin D levels are crucial during perimenopause to counteract bone loss and mood fluctuations caused by declining oestrogen. |
Prolactin | Prolactin is a hormone that aids in milk production after childbirth, and its levels can also influence menstrual cycles and fertility. In menopausal women, elevated prolactin levels are linked to decreased bone metabolism and can contribute to osteoarthrosis. |
Our Perimenopause Blood Test can easily be taken at home. When you first receive your kit, remember to scan the QR code on the box for essential instructions and guidance on your next steps.
An easy-to-understand explanation of your hormone levels from one of our clinicians.
Insights into whether your results show signs of perimenopausal changes.
Recommendations for next steps, including advice on when to consult a healthcare professional.
Here's what your results may suggest:
Result | What it may indicate |
---|---|
High FSH + Low Oestradiol | Suggestive of perimenopause or menopause |
Normal FSH + Normal Oestradiol | Not yet perimenopausal, or in early transition |
Abnormal TSH / Free T4 | Possible thyroid dysfunction - consider booking a consultation with one of our GPs to discuss further |
1. Cunningham, A.C., et al. (2025). Perimenopause symptoms, severity, and healthcare seeking in women in the US. npj Women's Health, 3.
2. Santoro, N. (2016). Perimenopause: From research to practice. Journal of Women's Health, 25(4), 332–339. doi: 10.1089/jwh.2015.5556.
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