Our widest check: heart risk beyond cholesterol (hs-CRP, Apo A and B, lipoprotein (a)), blood sugar, liver, kidney, adrenal and pituitary hormones, advanced thyroid, iron, vitamin D, magnesium, calcium and a full blood count, reviewed by a UK GMC-registered doctor.
Tap any marker to see what it is and why we test it, in plain English.
Female hormones
Where you are in perimenopause or menopause, and how HRT is working.
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Luteinising hormone (LH)
What it isA pituitary hormone released with FSH to drive ovulation.
Why we test itRead alongside FSH to build a picture of ovarian function.
Follicle stimulating hormone (FSH)
What it isA pituitary hormone that rises as the ovaries slow down.
Why we test itA raised FSH supports a diagnosis of perimenopause or menopause under 45.
Prolactin
What it isA pituitary hormone.
Why we test itA raised prolactin can stop periods and lower libido, and needs ruling out before symptoms are put down to menopause.
Testosterone
Linked to energy and libido, and checked before and during testosterone treatment.
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Free testosterone profile
What it isTotal testosterone, free testosterone, SHBG and albumin.
Why we test itA baseline before testosterone is considered, and the figures used to keep levels in the normal female range once you are on it.
Thyroid
A thyroid problem can feel just like menopause, so we rule it out.
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Advanced thyroid profile
What it isTSH, free T3, free T4, total T4, and the thyroid antibodies anti-TPO and anti-TG.
Why we test itThyroid problems are common in midlife and mimic menopause symptoms. The antibodies show autoimmune thyroid disease before levels change.
Iron, vitamins & minerals
Common, easily treated causes of tiredness, brain fog and low mood.
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Iron profile
What it isIron, TIBC, UIBC, transferrin saturation and ferritin.
Why we test itThe complete picture of iron deficiency or overload. Heavy perimenopausal periods often leave iron low, causing fatigue and hair thinning.
Vitamin D
What it is25-hydroxy vitamin D, the storage form.
Why we test itImportant for bone health, which becomes a priority after menopause, and for mood and immunity.
Magnesium
What it isA mineral involved in muscle, nerve and sleep function.
Why we test itLow magnesium can contribute to cramps, palpitations, poor sleep and anxiety.
Calcium
What it isThe main mineral in bone, also needed for nerves and muscles.
Why we test itAbnormal calcium points to parathyroid or bone problems and matters for bone health after menopause.
Heart & metabolism
Heart and diabetes risk both rise after menopause. These show where you stand.
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High-sensitivity CRP (hs-CRP)
What it isA precise measure of low-level inflammation.
Why we test itChronic low-grade inflammation raises heart disease risk, which climbs after menopause as oestrogen falls.
Apolipoprotein A and B, with ratio
What it isThe proteins that carry "good" (A) and "bad" (B) cholesterol particles.
Why we test itApo B counts the particles that actually drive artery disease, so it predicts risk better than LDL alone.
Lipoprotein (a)
What it isAn inherited cholesterol particle that diet does little to change.
Why we test itRaised Lp(a) is a common, often unrecognised cause of early heart disease. Usually only needs measuring once.
Lipids
What it isTotal cholesterol, triglycerides, HDL, HDL as a percentage of total, LDL and non-HDL cholesterol.
Why we test itYour cholesterol baseline, read alongside Apo B and Lp(a).
HbA1c
What it isYour average blood sugar over the past three months.
Why we test itPicks up pre-diabetes and diabetes, which also affect energy, weight and heart risk.
Random blood glucose
What it isYour blood sugar at the time of the sample.
Why we test itRead with HbA1c to spot blood sugar problems.
Stress & adrenal
Hormones from your adrenal glands, which affect energy, sleep and stress.
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Cortisol
What it isThe main stress hormone, measured in a morning sample.
Why we test itVery high or very low cortisol can cause fatigue, weight change and low mood that look like menopause.
DHEA-S
What it isAn adrenal hormone that the body converts into testosterone and oestrogen.
Why we test itFalls with age and reflects adrenal reserve; low levels can contribute to low energy and libido.
Liver, kidneys & blood
A general health check of your liver, kidneys and blood cells.
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Liver function profile
What it isTotal protein, albumin, globulin, ALP, ALT, AST, gamma GT and bilirubin.
Why we test itChecks the liver is healthy before and during treatment, and picks up fatty liver, which is common in midlife.
Cystatin-C
What it isA marker of kidney filtration that is not affected by muscle mass.
Why we test itA more accurate picture of kidney function than creatinine alone.
Renal function (U&E)
What it isSodium, urea, chloride, creatinine and eGFR.
Why we test itChecks how well your kidneys are working, and matters if you take other medicines.
Full blood count
What it isRed cells, white cells, haemoglobin and platelets.
Why we test itPicks up anaemia and gives a general picture of your health.
About this test
Is it right for you?
Everything a midlife health MOT should cover, from one venous sample: the heart risk markers most tests miss, blood sugar, liver and kidney function, the adrenal and pituitary hormones, advanced thyroid, iron, vitamin D, magnesium, calcium and a full blood count.
After menopause the risks that matter most are heart and bone. Apo B, lipoprotein (a) and hs-CRP find cardiovascular risk that a standard cholesterol test can hide; calcium, vitamin D and magnesium cover bone.
Includes the free testosterone profile, cortisol and DHEA-S, so adrenal causes of fatigue and low libido are checked alongside your ovarian hormones.
A venous sample: a kit for a draw you arrange, a partnered clinic, or a nurse at your home. A doctor reviews the results and writes to you with what they mean.
Over 45 and wondering where to start? Menopause is usually diagnosed from symptoms, so you may not need a test. Book a consultation instead.
What's included
Venous collection kit with everything needed for your chosen option
Alcohol wipes, plasters and gauze
Step-by-step instructions
Prepaid return packaging
Doctor review of your results with a written summary
What happens next
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Your venous kit is posted first class to the address you give us.
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Book a blood draw with a nurse or phlebotomist, for example at your GP practice or a private clinic. The kit has everything they need.
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Take the kit to your appointment, then post the sample back the same day in the prepaid envelope.
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A doctor reviews your results, then sends them to you with your outcome and recommended next steps.
Compare tests
Find the right blood test for you.
Every test is reviewed by a UK GMC-registered doctor. Pick the one that matches where you are today.
The panel needs more blood than a finger-prick can collect. Choose a kit for a draw you arrange, a partnered clinic, or a nurse at your home.
When should I take the sample?
In the morning, ideally before 10am and before breakfast. Cortisol is only meaningful as a morning sample, and a fasting sample gives the cleanest cholesterol and glucose readings. Water is fine.
How is this different from the Advanced Well Woman test?
It adds the heart risk markers (hs-CRP, Apo A and B, lipoprotein (a)), cystatin-C for kidney function, DHEA-S, a full iron profile, calcium and random glucose. The Advanced Well Woman test includes oestradiol, progesterone, B12 and folate, which this panel does not; your doctor can advise which suits you.
How long do results take?
Usually within a few working days of the lab receiving your sample. A doctor reviews them and we email you to talk them through.
Hormones matter. Let's treat them properly.
Medical care that puts you back in control, with a doctor who listens, clear options and treatment tailored to you.
