Services

Blood tests for menopause

Private menopause blood tests for our patients. Find out when they're useful, what they show and what they cost.

Health in Menopause is closing

The last date for menopause blood tests is 12th October 2026. To book, please call 0115 646 3390 - blood tests can't be booked online.

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When tests help

Tests when they help, not just by default

Blood tests aren't always needed to diagnose or treat menopause - but in certain situations they can help inform your treatment plan.

Our menopause specialists will discuss whether tests are right for you and explain exactly what each one shows.

Read more about blood testing in menopause
Menopause specialist consulting with a patient about blood tests

When are blood tests clinically useful?

For most women approaching menopause naturally, blood tests aren't required to start treatment — symptoms and medical history are usually enough. This is in line with NICE guidance and British Menopause Society standards. That said, there are situations where blood tests can be genuinely helpful:

  • You're under 45 and experiencing symptoms (to investigate early menopause or POI)
  • Your symptoms are unusual or don't fit a typical menopause picture
  • You have an existing thyroid condition that might be contributing to symptoms
  • You've recently started HRT and your dose may need fine-tuning
  • You have a complex medical history that needs deeper investigation
  • You'd simply like more information before starting treatment

If we don't think you need blood tests, we'll say so — we won't recommend them unnecessarily.

Tests we offer

Blood tests we can arrange

Through our clinic, we can arrange the following blood tests where clinically appropriate. Each one tells us something different about what's happening in your body.

FSH (follicle-stimulating hormone)

Indicates ovarian function. Useful for investigating early menopause or POI, but not routinely needed for typical menopause diagnosis.

Oestradiol

Your main oestrogen level. Sometimes measured to check absorption.

Thyroid function (TSH, T3, T4)

Thyroid problems share many symptoms with menopause. Worth checking if you have known thyroid disease or suspect it may be contributing.

Vitamin D and B12

Often low in midlife women and can worsen fatigue, low mood and bone health concerns. Easy to correct once identified.

Lipid profile

Cholesterol and cardiovascular markers. Becomes more important after menopause as risk profiles shift.

Testosterone

For women considering testosterone replacement, baseline and follow-up levels help guide dosing safely.

How it works

How blood tests work at our clinics

1

Discussed at your consultation

We'll only recommend blood tests if they'll genuinely inform your care. We'll explain why, what each one shows, and what it costs before you decide.

2

Sample taken at our clinic or near you

If you proceed, your blood can be taken during your visit to our Nottingham or Sutton Coldfield clinic - or, if you'd prefer somewhere closer to home, at one of Nationwide Pathology's satellite phlebotomy clinics across the UK.

3

Results within 7-10 days

Your sample is processed by Nationwide Pathology and your results, along with your clinician's interpretation, are sent securely via Semble within 7-10 working days.

Pricing

Blood test fees

We offer six test profiles, from a focused hormone check through to a comprehensive menopause panel. Your clinician will recommend which is right for your situation.

Profile 1
FBC (to exclude anaemia), Kidney function, liver function, lipids, Ferritin (to exclude iron deficiency), Thyroid function, HbA1c (to exclude diabetes), Oestradiol, Testosterone, SHBG (sex hormone binding globulin), Vitamin B12, Folate and Vitamin D
£265
Profile 2
Oestradiol, SHBG, Testosterone, Thyroid function
£150
Profile 3
Oestradiol, SHBG, Testosterone
£100
Profile 4
Thyroid function — including TSH, free T4, free T3 and antithyroid antibodies
£115
Profile 5
FBC, Thyroid function, Testosterone, SHBG
£95
Profile 6
SHBG, Testosterone
£70

Phlebotomy at our clinic

£30

For blood taken at our Nottingham or Sutton Coldfield clinic, added to your profile fee.

Phlebotomy at a Nationwide Pathology clinic

Varies

Paid directly to the phlebotomist on the day. Nationwide Pathology will confirm the exact fee when you contact them.

Your total fee is your chosen profile plus the phlebotomy fee. We'll always confirm the full cost with you before any tests are arranged.

If you'd prefer to have your bloods taken locally through your GP, we can usually advise on the specific tests to request.

Menopause specialist reviewing blood test results with a patient

Your results

What happens with your results

When your results come back, we review them in the context of your symptoms, medical history and treatment goals. You'll receive a written summary explaining what each result means and how it affects your plan.

Blood samples are processed by Nationwide Pathology. Within 7-10 working days of your sample being taken, you'll receive a secure email from our patient system, Semble, with a link to your results, your clinician's interpretation and an explanation of what they mean for you. You can access this securely by entering your date of birth.

Where appropriate, we'll fine-tune your HRT dose, recommend supplements or adjust your treatment approach based on what we find. With your permission, we can also share the results with your NHS GP.

FAQs

Blood test questions, answered

The questions we hear most often about menopause blood tests. If yours isn't here, just ask us.

Do I need a blood test before starting HRT?

No, not usually. NICE and British Menopause Society guidance is clear that blood tests aren't required to diagnose menopause or start HRT in women over 45 with typical symptoms. We follow that standard.

Should I get an FSH test to confirm menopause?

For women over 45 with typical symptoms, FSH testing isn't recommended — your symptoms and cycle changes are more reliable than the test itself. FSH can be helpful for women under 45 where early menopause is suspected.

How much do blood tests cost?

Test profiles range from £70 to £265, depending on which tests are included. A phlebotomy fee is added on top — £30 if your blood is taken at our Nottingham or Sutton Coldfield clinic, or a variable fee paid directly to the phlebotomist at a Nationwide Pathology satellite clinic. We'll always quote the full cost upfront before you decide.

How long do results take to come back?

Most results are returned within 7 to 10 working days. Your sample is processed by Nationwide Pathology, and your results — along with our clinician's interpretation — are sent securely via Semble, our patient system. You'll access them by entering your date of birth.

Can my NHS GP arrange these tests for free?

Sometimes — it depends on your GP, your symptoms and current NHS guidance for your area. If you'd prefer to ask your GP, we can usually advise on which tests to request and why.

Do I have to travel to Nottingham or Sutton Coldfield to have my blood taken?

No. Our lab partner Nationwide Pathology runs satellite phlebotomy clinics across the UK, so you can usually find somewhere close to home. We'll point you to your nearest one when your tests are arranged.

What if my results show something unexpected?

We review every result in the context of your wider health. If something needs further investigation, we'll explain clearly what it means and recommend the right next step — which may include speaking to your GP or a specialist.

Do you test for testosterone?

Yes. Testosterone testing is particularly relevant for women considering testosterone replacement, where baseline and follow-up levels help guide safe dosing.

Not sure if blood tests are right for you?

Book a consultation with one of our menopause specialists. We'll discuss your symptoms, history and treatment goals, and only recommend tests where they'll genuinely help your care.

IMPORTANT UPDATE

Health in Menopause is closing

We are still here for you for appointments, prescriptions and support as normal until 23 October, but then we close. Please take a moment to read about how this affects your care.

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