Blood Tests for Menopause
Menopause is reached after 12 months in a row without a period, at an average age of about 51 in the US. For women over 45 with typical symptoms, guidelines say a blood test is usually not needed to diagnose it. Testing helps when the picture is unclear: symptoms before 45, no periods to track after a hysterectomy or ablation, or symptoms that could be thyroid instead. After menopause, falling estrogen also raises LDL cholesterol and blood sugar, so a baseline of heart and metabolic markers is worth having. With JustLabs, you can order menopause blood tests online at transparent cash prices, with no doctor visit or insurance required.
Recommended Tests
$127 + $18 order fee · $145 all-in
The 8 tests ordered separately: $138 (save $11)
Includes 6 of the 6 recommended tests below, plus 2 more.
All 6 recommended tests
$77 + one $18 order fee = $95 all-in
Do you need a blood test to confirm menopause?
Often not. Here is when testing helps, and when it can mislead.
- Over 45, periods stopped or changing, typical symptoms
- Usually diagnosed on symptoms alone. Tests are still useful to rule out thyroid disease and to get a heart and metabolic baseline.
- Under 45 with menopause symptoms
- Testing is recommended. FSH and estradiol, often repeated 4-6 weeks apart, because levels swing from month to month during the transition.
- Hysterectomy, ablation or hormonal IUD (no periods to track)
- FSH and estradiol can help show where you are in the transition.
- On birth control pills or hormone therapy
- These change FSH and estradiol, so results may not reflect your own hormone levels. Ask your clinician before relying on them.
Understanding Your Results
| Test | Normal Range | Low Means | High Means |
|---|---|---|---|
| FSH | Follicular: 2.5–10.2 mIU/mL; postmenopausal: 23–116 mIU/mL | Still in the reproductive range | Consistently high FSH with no periods fits menopause |
| Estradiol | Follicular: 19–144 pg/mL; postmenopausal: under 31 pg/mL | Low estradiol fits menopause | Ovaries still active, or estrogen therapy |
| TSH | 0.40–4.50 mIU/L | Rule out an overactive thyroid (heat, sweating, palpitations) | Rule out an underactive thyroid (fatigue, weight gain, low mood) |
| LDL cholesterol | Under 100 mg/dL is optimal | Favorable | LDL often rises after menopause; worth tracking |
How to Order
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Frequently Asked Questions
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Content reviewed for accuracy by the JustLabs editorial team.