General
Basic Perimenopause Test
Lab test

Basic Perimenopause Test

Recommended for women in their 40s or early 50s experiencing irregular periods, hot flashes, mood changes, or other symptoms that may reflect a hormonal shift. Also useful for women who have had a hysterectomy or whose symptoms started earlier than expected. No fasting required. Results reviewed by a General Medicine clinician.

Receive actionable insights and deep analysis—not just lab values– in as little as 48 hours

Clear guidance, and follow-up care available

Simple, online scheduling for labs and everything else

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What is a Basic Perimenopause Test?

The Basic Perimenopause Test measures the three hormones that shift most significantly during the menopause transition — FSH, LH, and estradiol. Together they provide an objective picture of where your body is hormonally, helping to explain symptoms like irregular periods, hot flashes, mood changes, brain fog, and disrupted sleep that can be difficult to interpret without a clear baseline.

Ovarian function and menopausal transition

Measures FSH and LH — the pituitary hormones that drive ovulation and cycle timing. Rising FSH and shifting LH patterns are among the earliest hormonal signs that the ovaries are entering the perimenopause transition.

Estrogen status and symptom connection

Assesses estradiol (E2), the primary form of estrogen during reproductive years. Fluctuating or declining levels are a hallmark of perimenopause and directly drive symptoms like night sweats, brain fog, cycle irregularity, and changes in energy and mood.

Foundation for treatment decisions

Establishes a hormonal baseline that supports informed conversations about hormone therapy, non-hormonal symptom management, and reproductive planning with a clinician who knows your full health picture.

Complete insights in as little as 48 hours

1

Book your test

Instantly schedule at 2,000+ labs nationwide, at a time that works for you. Most visits take 15 minutes or less, with both walk-ins and appointments available.

2

Get results in 48 hours

Your results are delivered quickly—and reviewed by medical professionals. You’ll get clear explanations, robust health insights, and recommended next steps tailored to your health needs.

3

Take action with physician guidance

Choose to review your results and manage your plan with a General Medicine physician—or simply use the insights on your own.

4

Track progress over time

Repeat annually to see trends, improvements, and new emerging risks or book individual tests that focus on your set goals

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

What's included

Test type

Blood sample

Collection method

Venipuncture

Fasting

Not required

Results processing time

1 to 3 days

Follicle-Stimulating Hormone (FSH)

FSH helps regulate your menstrual cycle and egg production. Levels often rise during perimenopause as the ovaries become less responsive, making this a key marker for identifying hormonal transition and cycle irregularity.

Luteinizing Hormone (LH)

LH works closely with FSH to control ovulation and cycle timing. Changes in LH patterns during perimenopause can contribute to irregular periods, hot flashes, and shifts in mood or sleep.

Estradiol (E2)

Estradiol is the primary form of estrogen during reproductive years and plays a major role in energy, mood, bone health, and cycle regularity. Fluctuating or declining levels are a hallmark of perimenopause and can drive symptoms like brain fog, night sweats, and cycle changes.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

What our customers have to say

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I found the ease of setting the appointment and how quickly I was able to be seen to be amazing. The physician was very friendly and amazingly helpful.

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The chat visit was super convenient. The doctor was friendly and took the time needed to answer any questions I had. The prescription I needed was called in and ready the same afternoon.

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General Medicine is easily the most approachable, efficient, high-quality, and responsive care team I've had the pleasure of working with.

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General Medicine helped me get the imaging and blood work I needed, referred me to the right specialists, and even helped me find a new family doctor.

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Frequently asked questions

Can a blood test confirm that I'm in perimenopause?

Not definitively — perimenopause is diagnosed based on symptoms and history, not a single lab result. However, FSH and estradiol levels can support the clinical picture, particularly for women with irregular cycles, a hysterectomy, or symptoms starting earlier than expected.

When during my cycle should I take this test?

If you're still menstruating, testing on day 2 or 3 of your cycle (day 1 being the first day of your period) generally provides the most useful hormone snapshot. If your cycles are irregular or absent, you can test at any time.

What hormones are measured in the Basic Perimenopause Test?

The test typically measures FSH (follicle-stimulating hormone) and estradiol, the two most clinically relevant markers for assessing where you are in the menopause transition. Elevated FSH combined with declining estradiol reflects ovarian changes associated with perimenopause.

My symptoms started in my late 30s — is that too early to test?

No. Perimenopause can begin in the late 30s or early 40s. Testing is particularly useful when symptoms start earlier than expected or when thyroid disease or other conditions need to be ruled out as the cause of irregular periods and related symptoms.

Will this test tell me if I need hormone therapy?

Results provide important context but hormone therapy decisions are made based on the full picture — symptoms, health history, and your preferences. A clinician can review your results and help you understand your options in a follow-up visit.