Menopause and Hormones: What a Blood Test Can Tell You About the Change

Menopause is a natural part of life, but the transition can feel anything but simple. From unpredictable mood swings to night sweats and changes in energy, the symptoms can vary from mild to overwhelming. What many women don’t realise is that these changes are driven by shifting hormone levels — and a simple blood test can provide clear answers about what’s happening inside the body.

At Private Blood Tests London, we offer discreet, accurate hormone testing to help women understand their menopausal journey and take control of their health.

What Happens During Menopause

Menopause marks the end of menstrual cycles and fertility. It’s officially diagnosed after 12 months without a period, usually between the ages of 45 and 55. The years leading up to it, known as perimenopause, can cause the most noticeable changes as hormone levels fluctuate.

Key hormones involved include:

• Oestrogen – supports menstrual cycles, bone health, and mood
• Progesterone – balances oestrogen and prepares the uterus for pregnancy
• FSH (Follicle Stimulating Hormone) – rises as the ovaries become less active
• LH (Luteinising Hormone) – also increases during the transition
• Testosterone – contributes to energy, muscle strength, and libido

When these hormones fall out of balance, a wide range of symptoms can appear.

Common Symptoms of Menopause

• Hot flushes and night sweats
• Fatigue and poor sleep
• Low mood, anxiety, or irritability
• Irregular or heavy periods (during perimenopause)
• Weight gain, especially around the abdomen
• Low libido
• Hair thinning or dry skin

These symptoms can be distressing and are often mistaken for stress, depression, or ageing. That’s why testing hormone levels can make such a difference.

Curious about your hormone balance? Explore our blood test packages to find the right option for you.

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How a Blood Test Helps

A hormone blood test measures the levels of key reproductive and regulatory hormones. It can confirm whether you’re in perimenopause or menopause and rule out other causes of similar symptoms, such as thyroid or adrenal issues.

Typical tests include:

• Oestradiol – the main form of oestrogen
• FSH and LH – usually elevated during menopause
• Progesterone – often low after ovulation stops
• Testosterone – may decline, contributing to tiredness or low mood
• Thyroid hormones – since thyroid imbalance can mimic menopause

The results provide clarity, allowing you and your doctor to make informed decisions about treatment or lifestyle changes.

Why Testing Matters

Menopause is more than just the end of periods — it’s a major shift that can affect bones, heart health, and metabolism. Knowing your hormone levels can help you:

• Confirm if symptoms are due to menopause
• Monitor how your body responds to hormone replacement therapy (HRT)
• Identify other hormonal or metabolic imbalances
• Take steps to protect your long-term health

Taking Control of the Change

While menopause is unavoidable, understanding it makes it easier to manage. Many women find relief through:

• Lifestyle changes – a balanced diet, regular exercise, and stress management
• Medical support – such as HRT, which replaces falling hormone levels
• Nutritional support – ensuring adequate vitamin D, calcium, and iron

Blood tests form the foundation for these decisions, providing a clearer picture of your body’s needs.

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Beyond Menopause: Why Regular Testing Helps

Even after menopause, hormone monitoring remains valuable. Oestrogen decline can increase the risk of osteoporosis and heart disease, while thyroid and vitamin levels can continue to shift. Regular checks ensure you stay on top of your overall health, not just hormone balance.

Final Thoughts

Menopause can be an emotional and physical rollercoaster, but knowledge brings empowerment. A simple blood test can confirm where you are in the journey, explain why you feel the way you do, and guide you towards the right support.

At Private Blood Tests London, we provide fast, discreet, and professional hormone testing designed for women navigating this stage of life.

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