Hormone blood tests can be useful when they are timed and selected for a clear clinical question. I do not use an isolated result to diagnose menopause, fertility status or a hormonal condition without considering your history and symptoms.
Hormone concentrations change across the menstrual cycle, life stage and with medication. A clinician can decide whether testing is appropriate, when to take it and how results should be interpreted.
I use a blood-test result alongside your symptoms, medical history, examination and any previous results. A result outside a reference range does not automatically diagnose a condition, and a result within range does not replace clinical assessment when symptoms persist.
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Victoria Medical Clinical Team
GMC-registered physicians and specialist consultants
What this category may include
The exact selection is agreed according to the question being investigated. Tests may be ordered individually or as part of a clinically appropriate panel.
| Test or marker | Why it may be considered |
|---|---|
| FSH and oestradiol | May be considered in selected menstrual or menopausal assessments |
| Prolactin and androgens | May be considered when symptoms suggest a defined hormonal question |
| AMH | May be considered within a fertility assessment; it is not a measure of immediate natural fertility |
How I use the result
I use the result with menstrual history, symptoms, contraception or HRT, pregnancy plans and examination. Some people need a gynaecology or fertility referral rather than repeated panels.
When not to rely on routine testing
Seek urgent medical advice for heavy bleeding with dizziness or fainting, severe pelvic pain, possible pregnancy with pain or bleeding, or a severe headache with visual symptoms.
Routine blood testing should not delay urgent assessment for severe, sudden or rapidly worsening symptoms.
Frequently Asked Questions
References
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