What is the Menopause Hormones Profile?

The Menopause Hormones Profile is a blood test designed to assess hormonal changes associated with perimenopause and menopause. It measures FSH, LH, oestradiol, and thyroid stimulating hormone (TSH)—hormones that influence ovarian function, menstrual regulation, and overall metabolic balance.

As ovarian function declines, hormone levels shift in predictable patterns. Testing provides objective insight into whether symptoms are hormonally driven and helps differentiate menopausal changes from thyroid-related or other hormonal causes.

Why do I need a Menopause Hormones Profile?

Menopause-related symptoms can overlap with thyroid imbalance or other hormonal conditions. Blood testing helps clarify the underlying cause.

You may benefit from this profile if you experience:

• Irregular or missed periods
• Hot flushes or night sweats
• Mood changes or anxiety
• Sleep disturbance
• Brain fog or poor concentration
• Fatigue or low energy
• Reduced libido
• Weight changes
• Symptoms starting in your 40s or earlier

Testing helps determine whether symptoms align with perimenopause, menopause, or another hormonal imbalance.

Benefits of the test

1. Clarifies menopausal stage
   Identifies hormonal patterns seen in perimenopause or menopause.
2. Explains common symptoms
   Links symptoms to measurable hormone changes.
3. Differentiates thyroid-related symptoms
   Includes TSH to rule out thyroid dysfunction.
4. Supports informed care decisions
   Provides objective data for next steps.
5. Useful in irregular cycle assessment
   Helps explain menstrual changes.
6. Simple blood-based testing
   Requires only one blood sample.
7. Widely used in clinical practice
   Standard hormones for menopause assessment.
8. Suitable for baseline and monitoring
   Can be repeated to track hormonal changes over time.

Step-by-step: How we offer testing

Clinic-based testing (UK-wide)

• Choose your nearest UK clinic
• Attend your appointment
• Blood sample taken by a clinician
• Sample sent to the laboratory
• Results are issued once analysis is complete

Home or hotel visit (+£60, UK-wide)

• Mobile phlebotomist attends your location
• Blood sample taken at home or hotel
• No clinic visit required
• Sample securely transported to the laboratory

Your results explained

Low levels

• Low oestradiol – common in menopause; linked to hot flushes, low mood, vaginal dryness
• Low or normal FSH/LH (in symptomatic women) – may suggest early perimenopause
• Low TSH – may indicate thyroid overactivity rather than menopause

Typical UK reference examples (vary by lab):

• Oestradiol (postmenopause): <110 pmol/L
• TSH: <0.4 mIU/L

Normal levels

• Hormones within expected reference ranges
• May indicate early perimenopause or non-hormonal cause of symptoms
• Thyroid function appears normal

Typical UK reference examples:

• TSH: 0.4–4.0 mIU/L

High levels

• High FSH – strong indicator of ovarian decline
• High LH – commonly rises alongside FSH in menopause
• High TSH – may suggest underactive thyroid contributing to symptoms

Typical UK reference examples:

• FSH (postmenopause): >30 IU/L
• LH (postmenopause): >15 IU/L
• TSH: >4.0 mIU/L

Results should always be interpreted with age, symptoms, and menstrual history.