Concierge menopause care · UK
Menopause blood panel - when the numbers actually help.
FSH, LH, oestradiol and thyroid - plus a proper conversation. In the UK, menopause diagnosis is symptom-led over age 45 (per NICE NG23), so we test only when the result would actually change the plan.
Why patients choose us
- 01
UK consultant sign-off
Every panel is signed off by a UKMLA-registered clinician - not a generic "results letter" with a company logo.
- 02
A conversation, not a PDF
You get a proper clinician call to walk through the results and next steps, included in every price we quote.
- 03
Independent, and free
We take no fee from providers. The recommendation is impartial and costs you nothing.
Indicative pricing
What a private menopause blood panel costs in the UK.
Indicative ranges across our partner blood test units. Send the details and we quote firm figures across two or three options, with cover checked.
In short
Menopause panel in our network: £80–£250, result in 24–72 hours.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| FSH + oestradiol | £80–£150 | 5 min draw | 24–72 hours |
| Full menopause panel (FSH, LH, oestradiol, TSH) | £150–£250 | 5 min draw | 24–72 hours |
| Extended (adds testosterone, SHBG, prolactin) | £200–£350 | 5 min draw | 24–72 hours |
| Menopause consultation only | £200–£400 | 30–45 min | Same visit |
| Consultation + full panel + review call | £400–£650 | 2 visits + call | 1–2 weeks |
| DEXA add-on (bone baseline) | £150–£250 | 10–15 min | 24–48 hours |
Prices vary by which hormones are included and whether a specialist consultation is bundled. We often recommend consultation first, then targeted bloods only if they change the plan.
The problem
Over 45, UK guidance says symptoms - not FSH - diagnose menopause.
NICE NG23 makes the point plainly: in women over 45, symptoms are enough to diagnose perimenopause and menopause. FSH fluctuates and misleads. We use bloods when they help - and skip them when they don’t.
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Under 45 is different
Under 45 or 40, FSH is useful for diagnosing premature menopause or POI.
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Thyroid overlaps with menopause
TSH ± free T4 rules in or out thyroid disease that mimics menopause.
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HRT decisions are symptom-led
A useful panel changes the HRT plan; a random panel adds numbers, not clarity.
The journey
From enquiry to recovery - what happens, in order.
One team from first message through operation, histology and follow-up.
Phase 1 · Before
Workup, imaging, planning
Phase 2 · On the day
Theatre and recovery
Phase 3 · After
Review and follow-up
- 01
Before
Symptoms first
Hot flushes, sleep, mood, cycle change, cognitive symptoms.
- 02
Before
Specialist call
A UK menopause specialist decides which bloods (if any) will actually help.
- 03
Before
Timing the draw
Cycle day 2–5 if still bleeding, morning where possible.
- 04
On the day
Blood draw
One blood draw at our clinic. No fasting needed.
- 05
After
Lab turnaround
Results back in 24–72 hours from a UKAS lab.
- 06
After
Result review call
A specialist walks you through the numbers and the recommended plan.
- 07
After
HRT plan if indicated
Prescription, delivery route (patch, gel, oral) and follow-up interval.
Typical end-to-end: 1–2 weeks from enquiry to reported scan.
When it helps
When a menopause blood panel is the right step.
Situations where bloods change the plan - and where they don’t.
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Under 40 with menopausal symptoms
Suspected primary ovarian insufficiency - repeat FSH 4–6 weeks apart.
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Under 45 with irregular cycles
FSH and oestradiol help confirm early menopause.
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Thyroid symptoms alongside menopause
TSH ± free T4 clarifies overlap.
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Testosterone deficiency symptoms
Low libido, poor sleep, energy - testosterone with SHBG.
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HRT tailoring
Occasionally used to guide dose and delivery route.
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Post-hysterectomy without bleeding cues
Bloods substitute for cycle history in defined windows.
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Contraception decisions in your late 40s
FSH occasionally used to guide when to stop contraception.
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Red flag: postmenopausal bleeding
Any bleeding after 12 months without periods needs urgent gynaecology, not a blood test.
Procedure options
What can be included in the panel.
The useful markers, and the ones we skip.
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FSH
Rises as ovarian reserve falls. Diagnostic for menopause under 45 (repeated).
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LH
Rises with menopause; less commonly needed than FSH.
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Oestradiol
Falls with menopause. Useful alongside FSH and to titrate HRT.
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TSH ± free T4
Excludes thyroid disease that mimics menopause.
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Testosterone + SHBG
Where low-libido or energy symptoms suggest androgen deficiency.
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Progesterone
Occasionally used to confirm ovulation.
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Prolactin
Excludes prolactinoma when cycles are erratic.
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AMH
Ovarian reserve - more useful in fertility questions than in menopause diagnosis.
Our vetted UK network
A small panel of menopause specialists, we picked them.
Consultant menopause specialists across London and the major UK cities. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every consultant in our network.
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CQC-registered clinics and pathology partners across the UK
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UK GMC-registered consultants signing off every report
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UKAS-accredited pathology labs for every blood test
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Insurer preauth handling for Bupa, AXA, Vitality, Aviva, WPA and Cigna
Safety and recovery
What to expect afterwards - honestly.
The safety profile is well understood. What matters is choosing the right test, and reading the report honestly.
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A blood draw is safe
Standard venepuncture. Bruising and vasovagal are the main issues.
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Timing matters
Cycle day 2–5 if still bleeding; morning where possible.
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Combined pill confounds FSH
Stop the pill for 6 weeks before an FSH result you plan to act on.
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Single value ≠ diagnosis
FSH swings. Under 45, repeat 4–6 weeks apart before acting.
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Symptoms remain the primary tool
Over 45, symptoms diagnose menopause per NICE NG23.
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HRT is safer than the reputation
Modern transdermal HRT has favourable safety data in most women without contraindications.
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Bone and cardiovascular baseline
DEXA and lipids/blood pressure often deserve inclusion at menopause.
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Repeat testing
Only where a specific result will change management.
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When to escalate
Postmenopausal bleeding, severe pelvic pain or new breast lump - same-day specialist care.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever centre does the scan, the report keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly - we translate it for you.
If you would like us to talk you through the operation note and any histology before your review, just ask.
- 01 Header
Panel and timing
Which hormones, cycle day, sample time.
- 02 Findings
Hormone values with reference ranges
Every result reported plainly with interpretation.
- 03 Context
Symptoms and history
How the numbers align with your reported symptoms.
- 04 Impression
Diagnosis and plan
Read this first - perimenopause vs menopause, HRT recommendation, follow-up interval.
Recognised by major UK insurers
Screening menopause bloods in a well woman are usually self-pay. Investigation of specific symptoms (POI under 40, thyroid disease) is often covered by UK PMI with a referral.
Frequently asked
Everything we get asked about menopause blood panel.
Quick answers on approach, recovery, risks and cost.
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Do I need a blood test to diagnose menopause?
Over 45, no - UK NICE NG23 says symptoms are enough. Under 45, FSH and oestradiol are helpful, especially under 40 where they can confirm premature menopause.
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What is in a menopause blood panel?
Usually FSH, LH, oestradiol and TSH. Sometimes testosterone, SHBG, prolactin, progesterone and AMH depending on the question.
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How much does a menopause blood panel cost in the UK?
£80–£150 for FSH and oestradiol; £150–£250 for a full panel; £400–£650 for a specialist consultation plus panel plus review call.
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When should I time the bloods?
Cycle day 2–5 if you’re still bleeding, morning where possible. If on the combined pill, stop it for 6 weeks before FSH if timing matters.
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Can bloods tell me if HRT is working?
Sometimes - oestradiol can be measured on transdermal HRT to check absorption. Most decisions remain symptom-led.
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Is the panel covered by insurance?
Screening bloods in a well person are usually self-pay. Investigation of specific symptoms (POI under 40, thyroid dysfunction) is often covered with a referral.
Related treatments
Looking for something else?
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Menopause clinic
HRT and long-term follow-up.
Learn more -
DEXA bone density scan
Bone baseline at menopause.
Learn more -
Well-woman health screen
Bloods, cervical, breast and bone.
Learn more -
Fertility MOT / AMH test
Ovarian reserve testing.
Learn more -
Private ultrasound
Pelvic ultrasound alongside.
Learn more -
All tests & procedures
Every test we arrange.
Learn more