Hormones . Symptoms guide
Menopause: Symptoms and Bloodwork Context
Menopause itself is a clinical diagnosis: 12 consecutive months without a period in a woman over 45. Blood tests for FSH and oestrogen become more useful in younger women (under 45), after gynaecological surgery, or when symptoms are unclear. Thyroid, iron and vitamin D testing remains useful in all women as the symptoms overlap.
This patient information is being clinically reviewed by our team. The factual content draws on UK guidance (NHS, NICE, British Association of Dermatologists, British Society for Sexual Medicine where cited).
What this might be
- Natural menopause. Average UK age is 51.
- Premature ovarian insufficiency. Menopause before 40. Bloodwork is important here.
- Surgical or medical menopause. After oophorectomy, chemotherapy, or specific medications.
- Symptom mimics. Thyroid disease and depression can present similarly.
Common features that suggest this
- No period for 12 or more months
- Hot flushes or night sweats
- Vaginal dryness or urinary changes
- Mood and sleep changes
- Bone or joint symptoms
Recommended tests
Same-day appointments at our Harley Street clinic, results clinician-reviewed.
Need a marker not in these panels? Build a custom panel and a GMC-registered clinician will design one for you.
Testing advice
Post-menopausal women can test any day. Morning slot recommended.
Common questions
Should I have a vitamin D and bone health test?
Yes. Vitamin D is in our General Wellness panel. Bone density scanning (DEXA) is not a blood test but is worth discussing with your GP if you are post-menopausal.
I have had a hysterectomy with ovaries intact. Am I in menopause?
You may still cycle hormonally. Bloodwork helps clarify when symptoms appear.