21/08/2026
These blood tests need to be part of your annual blood test ladies. From the age of 35-50 and onwards.
Fasting insulin - to see what your blood glucose measures. This tells you whether you’re on course or not to develop insulin resistance and diabetes.
TSH, Thyroid antibodies and reverse T3 - most doctors only check TSH and this doesn’t tell you much. Thyroid antibodies are vital to check to see if you have an auto immune disease. These commonly develop in and around menopause and 80 per cent of auto immune diseases are in women.
AMH - blood test to check how far through perimenopause you are and gives you a rough idea when you’re going to reach menopause. This is a very accurate blood test.
Oestrodial and progesterone - because you really do need to know your levels of these. Levels do vary in perimenopause but at least you can tell you’re in peri! And once in menopause you need to know levels for symptom control.
Testosterone - can really bottom out after menopause and can affect libido and muscle strength.
Morning cortisol (before 9am) - to see if stress is affecting your life and therefore probably your hormones.
DHEA - precursor to testosterone and oestrogen - if low, you’re probably low in the other hormones too.
I’d also add in iron too. Iron often becomes low during peri as you can have massive bleeds especially as the hormones start changing. Then women hit menopause tired, depleted and lacking energy often forgetting to check their iron levels. You want a good quality iron supplement. I can recommend a good one as otherwise stomach upsets and constipation can occur as iron can be quite inflammatory.
Be the chief executive of your own health ladies.
Stay strong, well and energised.