Private female hormone and menopause blood test - Harley Street, London
Comprehensive hormone testing for women at every stage. Menopause, perimenopause, fertility concerns, irregular periods, or HRT monitoring. Five profiles available, results in 1 working day. No referral needed.
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Comprehensive
- Up to 7 hormone markers
- Including androgens, thyroid, and prolactin
- Not just FSH and oestradiol
Fast results
- 1 working day
- UKAS-accredited laboratory
- GP review available
Accessible
- No referral needed
- Same-day blood draw
- Open 7 days a week
"It's probably just stress. Or your age."
If your GP has said something like this, you're not alone. It's one of the most common things women tell us when they book a private hormone test. They've been tired for months, their periods have changed, their mood is all over the place, they can't sleep properly, and they've been told it's stress, or it's just perimenopause, or it's nothing to worry about.
The problem isn't that your GP is wrong. The problem is that "probably perimenopause" isn't a diagnosis. It's a guess. And a guess doesn't tell you which hormones are actually changing, by how much, or what to do about it.
A blood test does.
What is a female hormone blood test?
A female hormone blood test measures the key hormones that regulate the menstrual cycle, fertility, mood, energy, and metabolism, including FSH, LH, oestradiol, prolactin, testosterone, SHBG, and thyroid hormones, to diagnose conditions such as menopause, perimenopause, PCOS, thyroid dysfunction, and hormonal imbalance. The specific markers tested depend on your symptoms and clinical situation, which is why we offer five different profiles rather than a one-size-fits-all panel.
Why your GP's hormone test might not tell you enough
NHS hormone testing typically follows a conservative pathway. If you report menopausal symptoms and you're over 45, current NICE guidelines say your GP doesn't need to test at all; the diagnosis can be made on symptoms alone. If you're under 45, they'll usually check FSH, and sometimes oestradiol.
That's a starting point, but it leaves a lot of questions unanswered:
Prolactin is rarely checked by GPs but elevated levels can cause irregular or absent periods, headaches, and visual disturbances. It's also relevant if you're being investigated for fertility issues.
Testosterone and SHBG matter more than most women realise. Low testosterone in women contributes to fatigue, low libido, and loss of muscle mass. High testosterone and a high Free Androgen Index can indicate PCOS, even when periods are regular. Your GP will rarely check these unless you specifically ask.
Thyroid hormones (FT4 and TSH) are included in our Menopause Profile because thyroid dysfunction mimics menopausal symptoms almost exactly: fatigue, weight gain, mood changes, brain fog, hair thinning. Testing both together prevents misattribution.
Progesterone is relevant if you're monitoring ovulation, investigating luteal phase deficiency, or tracking your response to HRT. It's included in our HRT Profile 1 for exactly this reason.
The right profile depends on your situation. The comparison table below shows exactly what each one includes.
Our female hormone profiles
| Service / Marker | HRT Profile 1 | Female Hormone | Menopause | Amenorrhoea | HRT Profile 2 |
|---|---|---|---|---|---|
| Best for | HRT monitoring | General hormone check | Perimenopause / menopause | Absent or irregular periods, PCOS | HRT monitoring with metabolic check |
| FSH | ✓ | ✓ | ✓ | ✓ | ✓ |
| LH | ✗ | ✓ | ✓ | ✓ | ✗ |
| Oestradiol | ✓ | ✓ | ✓ | ✓ | ✓ |
| Prolactin | ✗ | ✓ | ✗ | ✓ | ✗ |
| Progesterone | ✓ | ✗ | ✗ | ✗ | ✗ |
| Testosterone | ✗ | ✗ | ✗ | ✓ | ✗ |
| SHBG | ✗ | ✗ | ✗ | ✓ | ✗ |
| Free Androgen Index | ✗ | ✗ | ✗ | ✓ | ✗ |
| FT4 / TSH | ✗ | ✗ | ✓ | ✗ | ✓ |
| Lipid profile | ✗ | ✗ | ✗ | ✗ | ✓ |
| Glucose | ✗ | ✗ | ✗ | ✗ | ✓ |
| Turnaround | 1 day | 1 day | 1 day | 1 day | 1 day |
| Price | £147.50 | £195 | £195 | £195 | £223.75 |
| Book | Book | Book - Most popular | Book | Book |
A £50 phlebotomy fee applies to all blood tests.
Which profile is right for you?
"I think I might be perimenopausal or menopausal."
Choose the Menopause Profile (£195). It includes FSH, LH, and oestradiol (the core menopause markers) plus thyroid hormones. This is our most requested female hormone profile.
"My periods have stopped or become very irregular and I don't know why."
Choose the Amenorrhoea Profile (£195). It covers reproductive hormones, prolactin, and androgens (testosterone, SHBG, Free Androgen Index) to screen for PCOS.
"I want a general hormone check. Something's off but I'm not sure what."
Choose the Female Hormone Profile (£195). It covers FSH, LH, oestradiol, and prolactin.
"I'm on HRT and want to check my levels."
Choose HRT Profile 1 (£147.50) for FSH, oestradiol, and progesterone. For metabolic markers (lipids, glucose, thyroid) as well, choose HRT Profile 2 (£223.75).
"I suspect PCOS."
Choose the Amenorrhoea Profile (£195). It includes testosterone, SHBG, and Free Androgen Index.
Still not sure? Call us on 020 7499 1991 and we'll help you choose, or book a GP consultation (£150) and your doctor will recommend the right profile based on your symptoms and history.
What each marker tells you
FSH (follicle-stimulating hormone)
Produced by the pituitary gland, FSH stimulates the ovaries to develop follicles and produce oestrogen. Rising FSH is one of the earliest indicators of perimenopause and menopause. In younger women, FSH helps assess ovarian reserve and fertility.
LH (luteinising hormone)
Also produced by the pituitary. LH triggers ovulation mid-cycle. The ratio of LH to FSH can be relevant in assessing PCOS and in confirming menopausal status.
Oestradiol (oestrogen)
The primary form of oestrogen in premenopausal women. Levels fluctuate through the cycle and decline in perimenopause and menopause. Low oestradiol is associated with hot flushes, night sweats, vaginal dryness, mood changes, and bone density loss.
Prolactin
Elevated levels outside pregnancy and breastfeeding can cause irregular or absent periods, headaches, and reduced libido. Important to check when periods have stopped unexpectedly.
Progesterone
Confirms whether ovulation has occurred. In HRT monitoring, progesterone levels are relevant if you're taking combined HRT.
Testosterone, SHBG, and Free Androgen Index
Low testosterone in women contributes to fatigue, low libido, and reduced muscle mass. High testosterone with a raised Free Androgen Index is the classic biochemical pattern of PCOS. SHBG determines how much testosterone is biologically active.
FT4 and TSH (thyroid) / Lipid profile and glucose
Thyroid dysfunction mimics menopausal symptoms; testing both prevents misattribution. Lipid profile and glucose are included in HRT Profile 2 for cardiovascular and metabolic check on long-term HRT.
Book your hormone blood test: call 020 7499 1991 or book online. Same-day appointments, 7 days a week.
How it works
Choose your profile and book.
No referral needed. If you're unsure which profile to choose, call us or book a GP consultation and your doctor will advise.
Attend for your blood draw.
A registered medical professional takes your sample at 117a Harley Street. The appointment takes approximately 10-15 minutes.
Timing matters.
If you're still having periods, reproductive hormone tests are most accurate on days 2-5 of your cycle. Progesterone (HRT Profile 1) is typically tested on day 21. If your periods have stopped, the test can be done on any day. We'll advise when you book.
Results in 1 working day.
Your results are emailed to you with reference ranges.
GP review (optional).
Book a follow-up consultation (£100) or full GP appointment (£150) to interpret results and advise. We can refer to a gynaecologist or endocrinologist, or you can take your results to your NHS GP.
Pricing
| Profile | Markers | Turnaround | Price |
|---|---|---|---|
| HRT Profile 1 | FSH, oestradiol, progesterone | 1 day | £147.50 |
| Female Hormone Profile | FSH, LH, oestradiol, prolactin | 1 day | £195 |
| Menopause Profile (most popular) | FSH, LH, oestradiol, FT4, TSH | 1 day | £195 |
| Amenorrhoea Profile | LH, FSH, prolactin, testosterone, oestradiol, SHBG, FAI | 1 day | £195 |
| HRT Profile 2 | FSH, oestradiol, FT4, TSH, lipid profile, glucose | 1 day | £223.75 |
| GP results review | Doctor interprets results and advises next steps | Same day or next day | £100 |
| Full GP consultation | Assessment, examination, prescription if needed | Same day | £150 |
A £50 phlebotomy fee applies to all blood tests.
CQC registered since 1984. UKAS-accredited laboratory. Same-day blood draw 7 days a week. No referral needed.
Book your private female hormone blood test
Medical Express Clinic, 117a Harley Street, London. Results in 1 working day.
CQC registered · UKAS-accredited laboratory partners · Open 7 days a week
Treatment Menu & Fees
Transparent pricing for all our services.
HRT Profile 1
£147.50Female Hormone Profile
£195Menopause Profile (most popular)
£195Amenorrhoea Profile
£195HRT Profile 2
£223.75GP results review
£100Full GP consultation
£150Common Questions
Q.How much does a private hormone test cost for women in the UK?
At Medical Express Clinic, female hormone profiles range from £147.50 to £223.75 depending on which markers are included. A £50 phlebotomy fee applies. Results are returned in 1 working day.
Q.Which hormone test should I choose for menopause?
The Menopause Profile (£195) is our most requested option. It includes FSH, LH, oestradiol, and thyroid hormones (FT4 and TSH). If you're already on HRT and want to check your levels, choose HRT Profile 1 (£147.50) or HRT Profile 2 (£223.75) if you also want metabolic markers.
Q.Am I perimenopausal? Can a blood test tell me?
A blood test can support the diagnosis. Rising FSH with declining oestradiol is the classic biochemical pattern of perimenopause. However, hormone levels fluctuate significantly during perimenopause, so a single result is a snapshot, not a complete picture. Your doctor can interpret the results in the context of your symptoms and advise on whether repeat testing or treatment is appropriate.
Q.When in my cycle should I have the test?
If you're still having periods, days 2-5 of your cycle (day 1 is the first day of your period) is the standard timing for FSH, LH, oestradiol, and most hormone markers. Progesterone is typically tested on day 21. If your periods have stopped, the test can be done on any day. We'll advise when you book.
Q.My GP said I don't need a blood test for menopause. Are they wrong?
Not exactly. NICE guidelines state that women over 45 with typical menopausal symptoms can be diagnosed clinically without blood tests. But many women want objective data, not just a clinical impression based on age and symptoms. A blood test gives you actual numbers, which can confirm what's happening, rule out thyroid dysfunction, and provide a baseline if you start HRT.
Q.Can I use these results to get HRT from my NHS GP?
Yes. Your results come from a UKAS-accredited laboratory and are clinically valid. Many women use private hormone results to have an informed conversation with their GP about HRT. We can also prescribe HRT directly if you book a GP consultation (£150).
Q.I think I have PCOS. Which profile should I choose?
The Amenorrhoea Profile (£195) is the most appropriate. It includes testosterone, SHBG, and Free Androgen Index (the key androgen markers for PCOS), alongside LH, FSH, prolactin, and oestradiol. Your doctor can interpret the results and advise on whether further investigation (such as pelvic ultrasound) is needed.
Q.Do I need to fast?
Not for most hormone profiles. However, HRT Profile 2 includes a lipid profile and glucose, which are most accurate after a 12-hour fast (water is fine). We'll confirm fasting requirements when you book.
