Find out if you're in perimenopause.
The full testing panel for perimenopause, plus the ranges that matter in clinical practice.
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Your labs came back normal. You still don't feel like yourself.
Your cycles shifted. Sleep fell apart. Anxiety appeared from nowhere. The scale stopped responding to anything you did.
You booked the appointment. You waited. A TSH was ordered. Maybe an FSH. Both came back within range.
So you searched "perimenopause test" — because what was on the page didn't line up with what your body was telling you.
A single FSH drawn on a random day can swing from 15 to 80 within one cycle. A "normal" result on one or two tests doesn't always mean the full picture has been captured — it often means the panel was narrower than perimenopause calls for.
It's not you. It's the scope of standard testing.
Standard panels are built for general screening. They weren't designed for the systems that shift in perimenopause: insulin resistance, thyroid conversion, iron depletion, and reproductive hormones beyond FSH.
Your body is changing quickly. A broader panel gives you and your provider something to work with.
This guide shows you what a complete picture looks like, so you can ask for it.
The Perimenopause Lab Testing Guide.
26 tests across four panels. The complete testing roadmap.
Hormone Panel
FSH, estradiol, progesterone, AMH, testosterone, SHBG, DHEA-S, LH. Together, not one at a time.
Metabolic Panel
Fasting insulin, glucose, HbA1c, GTT, GGT, liver enzymes, advanced lipids, CRP, B12, vitamin D.
Thyroid Panel
TSH, free T4, free T3, reverse T3, thyroid antibodies. A full picture of conversion and autoimmunity.
Iron Panel
Serum iron, ferritin, CBC. Heavy bleeding depletes iron. Fatigue, brain fog, and hair loss follow.
Built for the conversation, not the diagnosis.
Optimal Reference Ranges (Canadian SI + US)
The functional ranges used in clinical practice, alongside the standard reference ranges on your lab report.
A STRAW Staging Map
Your bleeding pattern identifies your stage. The map shows which tests to prioritize at each point in the transition.
A Word-for-Word Provider Script
How to ask for a more comprehensive panel, how to explain the clinical reasoning, and how to follow up if a request isn't approved the first time.
A Printable Results Tracker
Space for three rounds of labs. Trends over time tell you more than any single draw. Print it. Bring it. Write in your numbers.
Built by a naturopathic doctor who runs these panels every week.
Things women ask before they buy.
I'm not sure I'm in perimenopause. Is this for me?
If you're 38–52 and your cycles, sleep, mood, or weight have shifted in ways that don't add up, this guide helps you find out. The staging section uses your bleeding pattern to identify where you are. The labs confirm the picture.
Will my doctor order all of these?
Some will, some won't — it depends on your region, their scope of practice, and your clinical picture. The guide includes a script for that conversation and a priority table so you know which tests matter most if you need to narrow the list.
I'm in Canada. Will the units match?
Yes. Canadian SI units are listed first. US conventional units follow.
Is this medical advice?
No. It's an educational guide that gives you the information to have a better conversation with your provider.
A clearer picture is possible.
Your symptoms have a biochemical basis. The right tests reveal it. This guide tells you which tests to ask for, what the numbers mean, and how to have a productive conversation with your provider.
Not ready? Start with the free 5-Day Metabolic Challenge.
Join the 5-Day Challenge — Free