Menopause Check
Assess menopausal status with FSH, Estradiol, and thyroid markers.
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Included Markers
4 markersThis panel measures hormonal and thyroid markers commonly associated with menopause. It includes reproductive hormones and thyroid function to help differentiate menopausal changes from other conditions that may share similar symptoms.
Why this test?
The transition into menopause involves significant hormonal shifts that can affect energy, mood, sleep, and overall wellbeing. Symptoms such as hot flashes, irregular periods, and fatigue may also overlap with thyroid conditions. This panel measures both reproductive and thyroid markers, providing data that may help clarify what is happening hormonally.
Who is this test for?
This test may be relevant for women who:
- Are experiencing symptoms that may be associated with perimenopause or menopause
- Have noticed changes in their menstrual cycle pattern
- Want to understand whether symptoms such as fatigue or mood changes may be related to hormonal shifts
- Would like data to discuss menopausal status with their healthcare provider
What is tested?
This panel measures four markers:
- FSH (Follicle Stimulating Hormone): typically rises as the ovaries produce less estrogen; elevated levels may be associated with menopausal transition
- Estradiol (E2): the primary form of estrogen; declining levels are commonly associated with menopause
- TSH (Thyroid Stimulating Hormone): included because thyroid conditions can mimic menopausal symptoms
- Free T4: the active thyroid hormone, providing additional context for thyroid function
What can this test tell you?
Elevated FSH alongside low estradiol may suggest that the body is in a menopausal or perimenopausal state. However, these values can fluctuate, particularly during perimenopause when cycles may still be occurring irregularly. The thyroid markers help distinguish whether symptoms such as fatigue, weight changes, or mood shifts may have a thyroid component rather than being solely related to menopause. Together, the results may support a more informed conversation with your healthcare provider.
How is the sample collected?
The test requires a blood draw at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. After placing your order, you can select a convenient location and schedule your visit.
When is this test useful?
This test may be considered when:
- You are experiencing symptoms such as hot flashes, night sweats, irregular periods, or mood changes
- You want to understand where you may be in the menopausal transition
- You would like to rule out thyroid involvement in your symptoms
- You want data to bring to a conversation with your healthcare provider
What do the results mean?
Each marker is shown with your value and the reference range. Elevated FSH with low estradiol may be consistent with menopausal transition, though values can fluctuate during perimenopause. Abnormal TSH or Free T4 may suggest a thyroid component worth exploring further. Results are a snapshot and are intended to be interpreted by a healthcare provider in the context of your symptoms and medical history.
Preparation
If you are still menstruating, it is recommended to have your blood drawn on cycle day 2 to 5 for the most informative FSH and estradiol values. If your periods have stopped, the test can be done on any day. No fasting is required.
What happens after the results?
Your results are typically available within a few working days. Each marker is presented with your value, the reference range, and an explanation. These results can be discussed with your healthcare provider, who can interpret them alongside your symptoms and personal health history.
From order to report in 4 steps
Test when you want, not only when symptoms are severe. No waiting list, no referral needed. Just order and go.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
Within 2-3 hours you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 450+ certified phlebotomy points across the Netherlands.
What We Test
This test includes 4 biomarkers to give you a comprehensive health picture.
TSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
Learn moreFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Learn moreFollicle-stimulating hormone (FSH) is produced by the pituitary gland and plays an essential role in reproductive function. It regulates egg development in women and sperm production in men. Abnormal levels may indicate changes in fertility or hormonal health.
Learn moreEstradiol (E2) is the most potent form of estrogen, playing a key role in reproductive health, bone density, and cardiovascular function. Abnormal levels may indicate hormonal imbalances that your healthcare provider can help evaluate.
Learn moreTSH (Thyroid Stimulating Hormone)
ThyroidTSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
The thyroid affects virtually every organ in your body. The hormones it produces (T3 and T4) regulate your metabolism, heart rate, body temperature, energy level, and even your mood. When thyroid function is disrupted, the effects can be wide-ranging. Hypothyroidism (underactive) is the most common thyroid condition, affecting an estimated 5% of adults, with a clear predominance in women. It is often caused by the autoimmune condition Hashimoto's disease. Symptoms develop gradually and are therefore often recognised late. Hyperthyroidism (overactive) is less frequent but can be more serious. Graves' disease is the most common cause. Untreated, it can lead to heart rhythm disorders and bone loss. For women trying to conceive, the TSH value is particularly relevant, as suboptimal thyroid function can affect fertility and pose risks during pregnancy. A TSH below 2.5 mU/L is often used as a target in this context.
Free T4 (Thyroxine)
ThyroidFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Free T4 may help your healthcare provider determine whether your thyroid gland is producing adequate hormone levels. Some experts consider it one of the most informative markers for detecting both overactive and underactive thyroid conditions early.
FSH (Follicle Stimulating Hormone)
HormonesFollicle-stimulating hormone (FSH) is produced by the pituitary gland and plays an essential role in reproductive function. It regulates egg development in women and sperm production in men. Abnormal levels may indicate changes in fertility or hormonal health.
FSH is a key indicator of reproductive health and pituitary function. Elevated levels could suggest diminished ovarian reserve or primary gonadal failure, while low levels may indicate pituitary dysfunction. Discussing your results with a healthcare provider may help clarify your reproductive health status.
Estradiol (E2)
HormonesEstradiol (E2) is the most potent form of estrogen, playing a key role in reproductive health, bone density, and cardiovascular function. Abnormal levels may indicate hormonal imbalances that your healthcare provider can help evaluate.
Estradiol influences bone health, mood regulation, and reproductive function. Imbalanced levels could suggest conditions affecting fertility, menstrual regularity, or overall hormonal health. Discussing your results with a healthcare provider may help identify underlying causes and appropriate next steps.
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