Perimenop. & Menopause Blood Test -Foundation
An entry-tier 8-marker blood test for women navigating perimenopause and menopause. Covers the essentials - FSH, LH, oestradiol, prolactin, thyroid (TSH and Free T4), vitamin D and ferritin - to confirm or rule out a hormonal cause and surface the most common easy-to-correct contributors to perimenopause and menopause symptoms.
By Dr Maryam Attarzadeh, GMC-registered doctor and Medical Director, KONCEPT® Medical Clinic. Last reviewed May 2026. Next review November 2026.
The Foundation panel confirms or rules out a hormonal cause. Core adds a full cardiovascular and metabolic baseline - useful particularly before starting HRT. Advanced adds progesterone, AMH, the full androgen profile, cortisol and CRP for the most complete picture in a single panel.
8 markers - menopause hormones plus thyroid, vitamin D and ferritin.
19 markers - everything in Foundation plus full lipids, HbA1c, FBC, LFTs, U&E, B12, folate.
28 markers - everything in Core plus progesterone, AMH, full androgens, cortisol and CRP.
Perimenopause and menopause cause a wide range of symptoms - hot flushes, irregular periods, mood and sleep changes, brain fog, weight gain, fatigue and joint aches. Most have a hormonal explanation but thyroid dysfunction, vitamin D deficiency and low iron can mimic or compound perimenopause and menopause symptoms. The Foundation panel checks for all eight of these together, fast and affordably.
If you want a wider health baseline before starting or adjusting HRT - or a fuller endocrine workup including progesterone, AMH and androgens - the Core panel (19 markers) and Advanced panel (28 markers) cover that. You can book either tier from the comparison above, see the full blood test range, or call the clinic and the doctor will guide you at booking.
The four pituitary and ovarian hormones that confirm or rule out perimenopause and menopause. Rising FSH alongside falling oestradiol is the classic biochemical pattern. Prolactin rules out a pituitary-driven cause of irregular cycles or unexplained symptoms.
Thyroid dysfunction is a common mimic of perimenopause symptoms - fatigue, mood and weight changes, brain fog. TSH and Free T4 together identify both clinical and sub-clinical thyroid disease that needs treating before or alongside the menopause picture.
Vitamin D deficiency is highly prevalent in the UK and is associated with bone health, mood, sleep and energy - all of which are also affected by perimenopause. Worth checking and correcting alongside hormonal management.
Heavy or irregular bleeding during perimenopause commonly causes iron deficiency, which itself causes fatigue, low mood and brain fog. Ferritin is the most sensitive marker and is often the simplest, easiest-to-correct contributor to perimenopause-related tiredness.
Online, in person at the clinic, or added during a GP consultation. Each request is reviewed by one of our GMC-registered doctors for clinical appropriateness.
An experienced practitioner takes your sample in-clinic. No fasting required. If you still have regular periods, days 2 to 5 of your cycle are most informative. Stop biotin supplements 48 to 72 hours before.
Samples are processed by an accredited UK pathology laboratory.
Most results within 2 to 5 working days. A short outcome note from the doctor with your next-step plan is sent to your email, password-protected.
Already had a Wellwomen Check (£399 personalised GP consultation)? If the GP identified a clinical need for blood work during your consultation, you qualify for 10% off this panel. Mention your Wellwomen booking reference at checkout.
Perimenopause and menopause symptoms commonly sit alongside HRT decisions, bone health concerns, weight changes and hair loss. The doctor can recommend the most useful additional panel or service at booking.
The Foundation panel is the entry-tier menopause and hormone health blood test for women aged roughly 40 to 55 who are experiencing typical perimenopause symptoms - hot flushes, night sweats, irregular periods, mood changes, sleep disturbance, brain fog or unexplained fatigue - and want a clear answer on whether the picture is hormonal. It covers the eight markers that confirm or rule out perimenopause and menopause. Core (19 markers) adds full lipids, HbA1c, FBC, LFTs and U&E. Advanced (28 markers) adds progesterone, AMH, full androgens, cortisol and CRP.
For women over 45, NICE guidance recommends diagnosing perimenopause or menopause from symptoms rather than blood tests, because hormones fluctuate widely month to month. For women under 45 with menopause symptoms, or for anyone who wants a clearer biochemical picture before deciding about HRT or treatment, FSH, LH and oestradiol blood results are clinically useful. The Foundation panel is designed for this picture and the doctor reviews each result in the context of your age, cycle and symptoms.
Most results are returned within 2 to 5 working days. If a specific test takes longer, you will be informed in advance.
No. You can book online, in person at the clinic, or add the panel during a GP consultation at KONCEPT®. The doctor reviews each request for clinical appropriateness before the blood draw.
If you still have regular periods, days 2 to 5 of the cycle are most informative for FSH, LH and oestradiol. If your cycle is irregular or absent, the doctor will guide you on timing at booking. Thyroid, vitamin D and ferritin are stable across the cycle.
No fasting is required for the Foundation panel. Stay well hydrated on the day. Stop biotin supplements 48 to 72 hours before the test as biotin interferes with several lab assays including TSH and Free T4. Mention any HRT, oral contraceptive pill, thyroid medication or fertility treatment so the doctor can interpret your results correctly.
Foundation is the right starting point if your symptoms point at perimenopause or menopause and you want a clear hormonal picture. Core adds lipids, HbA1c, FBC, LFTs, U&E, B12 and folate - useful as a wider health check, particularly before or during HRT. Advanced adds progesterone, AMH, full androgens, Free T3, morning cortisol and CRP - the right panel if you have a complex picture, suspected adrenal involvement, or want everything in one go before starting HRT.
All tests are reviewed before and after the test by one of our GMC-registered doctors. A short outcome note with a next-step plan is sent to your email, password-protected. If results are clearly perimenopausal or menopausal, the doctor will recommend a follow-up GP consultation to discuss HRT and lifestyle options - either with your NHS GP or with one of our GPs at KONCEPT® (a £149 consultation fee applies if you choose KONCEPT®).
Yes. If your Foundation results suggest a deeper workup is needed - for example a full cardiovascular and metabolic baseline before HRT - the doctor will recommend the Core or Advanced panel and you can add the additional markers without repeating ones already done. A second £39 booking admin fee applies to the upgrade booking.
A one-off booking fee per booking, regardless of how many tests are in the basket. The all-in Foundation panel price of £338 already includes it.
46 to 48 Wood Street, Kingston upon Thames, KT1 1UW. KONCEPT® Medical Clinic is located opposite Kingston station. Parking nearby at the Bentall Centre.
All in £338. Same-day, evening and Saturday appointments available. No GP referral needed. Doctor-reviewed result, sent securely to your email.
Serving Kingston upon Thames and the surrounding KT, SW and TW catchment - Surbiton, Wimbledon, Richmond, Putney, Teddington, New Malden, Esher, Thames Ditton, Walton-on-Thames, Twickenham, Hampton, Raynes Park and Wandsworth.
This page is for information only and is not a substitute for medical advice. Results require interpretation by a qualified clinician. NICE guidance for women over 45 recommends diagnosing perimenopause and menopause clinically; blood tests are most useful in younger women and where the clinical picture is unclear.