Hormonal change can affect far more than your cycle. From brain fog and fatigue to sleep, mood, bone health, and heart health—perimenopause and menopause are whole-body transitions. This in-depth screen is designed to give you a complete picture of your health, support informed choices about HRT, and help you feel like yourself again.

What’s included (90 minutes total)

Our clinicians take the time to listen, assess, and explain—so you leave feeling informed and supported.

Comprehensive blood testing

• Standard health screening blood test profile (full blood count, thyroid, kidney and liver function, bone profile, cholesterol profile)
• Female hormone panel - Helps identify hormonal fluctuations and deficiencies that drive symptoms such as hot flushes, mood changes, sleep disruption, and cycle changes, and guides personalised HRT decisions.
• Fasting blood sugar, insulin and HbA1c - Assesses blood sugar control and insulin resistance, which commonly worsen during perimenopause and menopause and can impact weight, energy levels, heart health, and future diabetes risk.
• Vitamin D, Magnesium, B12 & folate, full iron profile - Essential nutrients for bone strength, muscle function, mood, energy, and cognitive health—levels often decline during midlife and can contribute to fatigue, low mood, and brain fog.
• Thyroid focused autoimmune screen - Evaluates iron stores and absorption, helping explain symptoms such as fatigue, hair thinning, breathlessness, or palpitations, particularly in women with heavy or irregular bleeding during perimenopause.

Heart health

• Advanced cardiovascular markers: Lp(a), Apo A1 & Apo B
• ECG - Assesses heart rhythm and electrical activity, helping identify underlying cardiovascular changes that become more common during perimenopause and menopause, particularly as oestrogen’s protective effect on the heart declines.
• Cardiovascular risk assessment score

Cognitive health

• PREMAZ Cognitive Health Assessment
  A focused assessment to explore memory, concentration, and brain health (15 minutes included within the 60-minute consultation)

Breast health

• Mammogram (for women aged 40+)*
• Breast ultrasound (for women under 40, where appropriate)
• Includes a clinical breast examination

Personalised consultation

• Thorough clinical examination of your physical and mental health
• Assessment of your symptoms or concerns
• Discussion around HRT options (benefits, risks, and whether it’s right for you)
• Practical evidence-based lifestyle medicine strategies to support hormonal balance, reduce symptoms and support brain health, bone strength, and long-term wellbeing

Optional Add-Ons (available if appropriate)

Menopause insight & fertility markers

• MenoTime Tool – predicts age of menopause and provides personalised menopause insights (£150)
• AMH blood test – measures ovarian reserve and helps to support fertility decisions as well as predict age of menopause using the MenoTime tool (£100)

Bone health

• DEXA bone scan - recommended for women aged 40+ unless clinically indicated (£150)*

Cervical screening

• Smear test (requires an additional 15 minutes, £150)

Pelvic assessment

• Transvaginal ultrasound (if clinically indicated, £350)*

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*Please note that we will aim to arrange your imaging for the the day of your appointment subject to availability at 9 Harley Street.

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