Menopause and blood tests: what can you have tested?

A blood test during menopause can help you get a clearer picture of your hormonal status. But which tests are most relevant?

Key hormones to test

FSH (the key marker, elevated above 25 IU/L indicates menopause), oestradiol (drops as menopause progresses) and TSH (to rule out thyroid issues mimicking menopause). Additional valuable tests include progesteron, testosterone and vitamin D.

When to test

Morning blood draw is ideal. If still menstruating, day 2-5 of your cycle is most informative. Timing is less strict than for fertility testing since cycles are already irregular.

What to do with results

High FSH combined with low oestradiol is consistent with menopause. A single measurement may not be conclusive during perimenopause due to hormonal fluctuations. Always discuss results with a healthcare provider.

Frequently asked questions

How often should I check my hormones?

A single test often provides sufficient insight. If using hormone therapy or symptoms change, a check every 6 months may be useful.