Periods and menopause tests

A second opinion service - Free of charge

We offer a second opinion service where you can send us your hormone test results, sperm test results and other results. We offers our opinion based on our longstanding experience in this field on the phone. It will not be a face-to-face medical consultation.

Why you may wish to do this test?

Menopause occurs when a woman’s ovaries stop producing an egg every 4 weeks. In the UK, the average age for a woman to reach menopause is 51, though some women experience it in their 30s or 40s.

Menstruation can sometimes stop suddenly when reaching menopause. However, it is more likely periods will become less frequent with longer intervals between each one, before they stop altogether.

Diagram of the female reproductive system, drawn with Chinese calligraphy, TCM Healthcare — London fertility clinic

Menopause is defined as someone who does not have periods for 12 months.

Menopause is governed by basic reproductive hormones. The key ones being FSH, LH, oestradiol and prolactin. When they become severely imbalanced, menopause occurs. In most cases, this is a natural ageing process.

Perimenopause, or menopause transition, begins several years before menopause, when the ovaries gradually make less oestrogen. It lasts until menopause, the point at which the ovaries stop releasing eggs. It usually starts in a woman’s 40s, but can begin earlier.

Some women are given the diagnosis of early menopause when they miss a lot of periods and find that they have severe hormone imbalance. The resulting diagnosis may or may not be right since hormone imbalance can potentially be treated. When treatment is successful, a woman can have her periods back. This means that the woman in question had been suffering from severe hormonal imbalance rather than menopause. The former can be treated, the latter, not.

It is therefore important to have the right hormones properly tested should one wish to try the treatment programme.

Primary Ovarian Failure (POF)

Primary Ovarian Failure (POF) is a condition when the ovaries stop functioning normally in women under the age of 40. Women with POF don’t always stop menstruating and their ovaries do not always completely shut down. Having a POF diagnosis does not always mean pregnancy is impossible.

Having POF does not imply a woman is ageing prematurely. It simply means her ovaries are faltering.

The tests 

We recommend you do two tests if you think you’re in perimenopause or have POF:

  • AMH. Any time in your cycle. Research has shown that low AMH is associated with menopause although it is not a predictor of menopause.
  • Female Fertility Profile test: FSH, LH, oestradiol (17-beta) and prolactin. Day 2, 3 or 4 of your cycle or anytime in your cycle if your period has not come for more than 2 months. Menopause or early menopause is often diagnosed if FSH and LH are too high and oestradiol is too low.


£90 for AMH, £155 for a Female Fertility Profile test. Together they form a menopause profile (total fee: £245).

Includes a report, follow-up phone call to explain the result and to talk about potential treatments.

How long do results take?

Next working day for each test

When can I do the test?

  • Monday to Friday, 7am–6.30pm
  • Saturday, 7am–12.30pm

Test condition

If you are using hormones such as HRT, it’s best to stop and wait until your first cycle starts or for two weeks.

Our tests

We will explain the results to you and explore your options if there are issues. As a reputable laboratory carries out our tests, the results are accepted by doctors and clinics across the world. Most results are available between 1 and 3 working days.

Have a look at our comprehensive set of pathology tests below.

We’re also happy to offer advice on which tests may be appropriate for you and help interpret any results you already have.

Book a test

Call us on: 020 7096 0283

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While we are happy to explain your test results to you, we always advise consulting your GP and having a proper medical consultation about your result. This is because these tests are Western medical tests and are best explained by Western medical doctors. We do not accept any liability regarding interpretation of test results should you wish us help explaining them.

If you have booked a test and decide to change the time or date, we are more than happy to help you change it to one that is convenient to you at no extra charge. However, cancellation will carry a small administrative fee of £30, before refund.