What’s included in this test

Thyroid health 5 markers
Free T4
Free T4 gives insight into the level of unbound thyroxine hormone. It’s key for diagnosing thyroid conditions when TSH alone is inconclusive.
TSH
TSH controls the thyroid gland’s hormone production. It’s the most common marker for identifying thyroid dysfunction, such as hypothyroidism.
Free T3
Free T3 is the active form of triiodothyronine, a thyroid hormone. It’s useful in identifying hyperthyroidism or ineffective thyroid conversion.
Hormone health 8 markers
Oestradiol
Oestradiol is the primary form of estrogen in women. This test is essential in fertility assessments, menstrual irregularities, or hormone replacement therapy.
Testosterone Free
Free Testosterone provides an estimate of biologically active testosterone, useful in diagnosing hormonal imbalances not reflected in total testosterone alone.
Testosterone
Testosterone testing measures total testosterone levels to assess libido, mood, and metabolic function in both men and women.
Sex hormone binding globulin level (SHBG)
SHBG regulates the availability of sex hormones like testosterone and oestradiol. Abnormal levels can indicate hormonal imbalance or liver dysfunction.
Prolactin
Prolactin is a hormone primarily involved in lactation but also impacts fertility and menstrual cycles. High levels can suggest pituitary issues.
Luteinising hormone (LH)
Luteinising Hormone (LH) plays a critical role in ovulation and testosterone production. It's commonly tested in fertility and hormonal evaluations.
Follicle stimulating hormone level (FSH)
FSH regulates reproductive processes and is essential for fertility. It’s used to assess ovarian reserve in women or testicular function in men.
Free Androgen Index
The Free Androgen Index (FAI) estimates the amount of active (unbound) testosterone in the blood by comparing total testosterone to SHBG levels. It’s commonly used to assess androgen status in women with symptoms like excess hair growth, acne, or irregular periods, and to support diagnosis of conditions like PCOS.
Thyroid health 5 markers
Thyroid peroxidase (TPO) antibodies
TPO antibodies indicate autoimmune thyroid disease such as Hashimoto’s or Graves’. Useful in unexplained fatigue, weight gain, or thyroid symptoms.
Thyroglobulin Antibody
Thyroglobulin Antibody testing helps diagnose autoimmune thyroid disorders and monitor patients post-thyroid cancer treatment.

About this test

What is this test for?

The Advanced Female Hormone test helps identify hormonal imbalances that may affect menstrual health, fertility, and overall wellbeing. Results can guide treatment options or further endocrine investigation.


What does this test measure?

Measures key female hormones alongside important thyroid hormones to evaluate hormone balance related to fertility, mood, energy and menstrual health.


When is this test recommended?

Assessment of female hormones may be recommended when experiencing irregular periods, mood changes, fatigue, acne, or symptoms associated with perimenopause. It may also be used to investigate suspected hormonal imbalance.


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FAQs

About this test 7 questions
What are female hormones?
Female hormones are vital not only for reproductive health but also for overall well-being, influencing energy levels, mood, and metabolism. Oestradiol (E2), the primary form of oestrogen, is produced in the ovaries and plays a central role in the menstrual cycle and fertility. Other key hormones include follicle-stimulating hormone (FSH), luteinising hormone (LH), and progesterone. Together, these hormones help regulate the menstrual cycle and support reproductive function. Testosterone, often thought of as a male hormone, is also important for women. It is used by the body to produce oestrogen and plays a role in maintaining bone and muscle strength, mood, energy levels, and libido. Hormone levels naturally fluctuate throughout the menstrual cycle and shift with age. As women approach perimenopause and menopause, oestrogen and progesterone levels typically decline, while FSH and LH levels increase in response to these changes.
What is prolactin?
Prolactin is a hormone produced by the pituitary gland that supports reproductive health. It’s best known for its role in stimulating milk production during pregnancy and breastfeeding, when levels naturally rise. Prolactin also influences the menstrual cycle, and elevated levels can affect the balance of other key reproductive hormones, such as follicle stimulating hormone, luteinising hormone, oestrogen and testosterone.
What are the most important hormones to test for fertility?
Several hormones are key to fertility, as they help regulate the menstrual cycle and support ovulation. These include follicle stimulating hormone, luteinising hormone and oestradiol to gain further insight into reproductive health, it can also be helpful to test levels of testosterone, progesterone, prolactin, DHEA-S, and AMH. Thyroid hormones also play an important role, as imbalances can affect cycle regularity and ovulation.
When should I take a female hormone test?
Testing female hormone levels is best between days two and five of your menstrual cycle, with day three being ideal. At this stage, levels of luteinising hormone (LH), follicle-stimulating hormone (FSH), and oestradiol are typically at their lowest and most stable. If your periods are irregular, aim to take the test on day three of your next cycle. If that is not possible, or if you do not have periods, you can take the test on any day, but please let us know the date your sample was collected, so we can interpret your results accurately. For the most reliable results, we recommend taking your sample in the morning, as hormone levels can fluctuate throughout the day.
Why should I test my thyroid?
If you're experiencing symptoms like unexplained changes in weight, energy levels, mood, skin, or hair, your thyroid could be a contributing factor. The thyroid plays a crucial role in regulating your metabolism, body temperature, and energy production, so even slight imbalances can affect how you feel day to day. A thyroid blood test can help determine whether your thyroid is functioning properly by measuring key hormones such as TSH, FT4, and FT3. Identifying an underactive (hypothyroidism) or overactive (hyperthyroidism) thyroid early can make a significant difference in managing your symptoms and improving your overall well-being.
Why is thyroid function tested as part of a female hormone panel?
Many symptoms associated with hormonal changes due to ageing, such as fatigue, weight and mood changes can closely resemble those of an underactive thyroid. Thyroid disorders are more common in women and are often caused by autoimmune conditions, where the body's immune system mistakenly attacks the thyroid gland. Our test helps determine whether your thyroid is functioning normally and whether an autoimmune condition may be contributing to your symptoms. Even when thyroid hormone levels are within the normal range, elevated thyroid antibodies have been linked to a higher risk of miscarriage. If left untreated, thyroid disorders can also increase health risks for both the mother and the baby during pregnancy.
Why is testosterone included in my female hormone test?
Although often considered a male hormone, testosterone also plays an important role in female health. As women approach menopause, testosterone levels, along with oestrogen tend to decline, which can contribute to symptoms such as low mood, fatigue, and a reduced sex drive. Conversely, elevated testosterone levels in women may be a sign of polycystic ovary syndrome (PCOS), a common condition that can disrupt ovulation and affect fertility.
Visiting our clinic 4 questions
How long will my appointment take?
If you have pre booked your appointment, it should be around 15 minutes. Sometimes it can take slightly longer, we always aim to have you out as soon as possible.
I need to cancel/reschedule my appointment. How can I do this?
Contact reception by phone or WhatsApp on 020 4525 8805, or email info@clinilabs.co.uk, and we will move your appointment to another date. The collection fee paid online is non-refundable but can be re-arranged to any other date.
What is a venous draw/phlebotomy?
Phlebotomy is the act of taking blood from a vein (A venous draw). Certified phlebotomists are required to undertake this safely and expertly. There is a fee for the taking of the sample. This is a standard charge to either draw blood or handle urine or stool samples. This fee must only be paid once per visit. If this is prepaid (when booking online) it is nonrefundable but can be re-arranged to any other date. The price is £50 if paid in person or £30 if prepaid when booking online
When can I expect my results to be out for same day results?
For tests marked same-day results, have your sample taken at our Fitzrovia clinic by 4pm on a working day and your report is sent by secure email the same day, usually within hours. The earlier your appointment, the sooner your results. Tests with a longer turnaround show it on their page.
Common questions 16 questions
Where are you located?
Our flagship clinic and laboratory are at 41–42 Foley Street, Fitzrovia, London W1W 7TS, a few minutes' walk from Oxford Circus (Central, Victoria and Bakerloo lines), Warren Street (Victoria and Northern), Goodge Street (Northern), Tottenham Court Road (Central and Elizabeth) and Great Portland Street (Circle, Metropolitan and Hammersmith & City).
How will I receive my results?
All results will be sent out by email. Please ensure you have provided us with the best email to reach you on.
How do I prepare for my test?
In most cases, there is no preparation needed. With particular tests, we recommend fasting for 8-10 hours ahead. These tests include glucose, cholesterol/lipid profile and homocysteine. In the event that it is difficult for you to fast, this will be noted by the phlebotomist, and where applicable adjusted reference ranges applied. If you are unsure whether you need to fast, please confirm.
How can I contact Clinilabs?
For all patient enquiries you can contact the reception by phone/whatsapp on 020 4525 8805 or via email: info@clinilabs.co.uk. For careers at Clinilabs please email careers@clinilabs.co.uk
Do you work with the NHS?
We are a private laboratory, and do not currently offer NHS services.
Can I speak with a doctor about my results?
We can provide written clinical interpretations and/or virtual/in person consultations for your results. These are additional services and are not included in the price of your tests. Please enquire if you are interested in these services. The price of the tests includes a report that you will receive by email which includes your results as well as (where applicable) reference ranges and indications whether you fall outside of these.
How long will my results take?
At Clinilabs we do our best to give your results to you as soon as possible. Each test has an estimated turnaround time which can be found on each test’s page on our website. Please note that these are estimates and whilst we typically provide results sooner than advertised, we may in some cases require more time. If you are unsure about the turnaround time of your specific test and or require tests urgently, please confirm ahead of your visit.
Do you accept insurance?
We do partner with medical insurance providers such as Bupa UK, Bupa Global, Allianz, Cigna, WPA, Vitality. Please note that pre-authorisation is required for payment by insurance. We will also require payment card details to be kept on file; which will only be used in the event your insurance company does not cover your treatment. Please note that prices can vary greatly between insurance companies, and promotional online-only prices may not reflect prices charged if direct billing is being undertaken.
What is a panel/profile?
A panel (or profile) is a group of single tests chosen together to answer one question, such as iron status, thyroid function or a general health check. Booking the panel is cheaper than booking each marker separately, and the markers are reported together so they can be read in context. Each panel's page lists exactly what it includes.
I'm not sure which test I need?
If you are unsure which test you need, we recommend taking a look at some of our packages. Our website is divided by section and our clinical team have designed a number of panels to suit the most common requests. If still unsure, pleas feel free to contact us by whatsapp/phone/email for guidance. Ultimately, while our team may advise on our offerings, we recommend checking with your doctor as the ultimate responsibility is on the customer to select their tests.
Do I need to fast before my test?
Some blood tests require fasting, but many do not. For example, glucose, cholesterol/lipid profile and homocysteine are among some of the tests needed to fast between 8 - 12 hours. If fasting is required, we recommend doing so overnight and scheduling your appointment for the morning. This helps minimise discomfort from going without food. During the fasting period, you should stay well-hydrated, water is ideal, and you may also have clear, calorie-free fluids such as black tea or black coffee (without milk or sugar). If you are on medication, please check with your referring doctor if you need to fast. If you are self-referring, then you can call us to find out our recommendation. Please note: If you are unable to fast, this will be noted and adjusted reference ranges applied.
Why are my Clinilabs blood test results different from my other blood test results?
It’s completely normal to see slight differences in blood test results between different laboratories. These variations can occur for several reasons: Analytical variation: Even when the same sample is tested multiple times on the same machine, small differences can occur. This is called analytical variation and is measured using the coefficient of variation (CV). For example, total cholesterol has a typical CV of around 3% at a level of 5.0 mmol/L, meaning results between 4.85 and 5.15 mmol/L are entirely expected and not clinically significant. Test-specific variability: Some tests, especially hormone tests, naturally show more variation. These tests can have CVs ranging from 3% to 10%, so minor result changes are common and generally not a cause for concern. Laboratory differences: Each lab may use different analysers, reference ranges, or testing methods. Even factors like sample type, collection time, and processing date can lead to slight result differences. Biological variation: Your body’s own levels can fluctuate throughout the day due to stress, sleep, meals, or hormonal cycles. These natural changes can influence your test results as well.
Can I collect my blood sample at home?

A home finger-prick kit may be self-collected where the selected blood test is suitable for capillary sampling. Follow the kit instructions carefully, because not every test can use a finger-prick sample.

A venous blood draw must not be self-collected: it must be performed by a qualified healthcare professional who is trained and competent in phlebotomy. You can arrange this at a Clinilabs partner clinic or, where offered, as a home visit.

Can my child come to Clinilabs?
At this point in time you must be over 16 to attend Clinilabs. We may however be able to arrange pediatric home visits for children. This is subject to availability. Please enquire with reception if you are interested in this.
Do I need a doctor's referral?
For the majority of tests you do not need to have a referral, but you do need to know which test or set of tests you will need to have. Whilst we can (when possible) help to explain tests available, it is the patient’s responsibility to select the correct test/s, if requested by their doctor. For some specialist tests, you may require a doctors referral. This will be communicated to you upon enquiry.
How do I book an appointment at a partner clinic?
Order your test online and choose the partner clinic option at checkout. We then post you a collection kit, and inside it is a unique booking code. Once the kit has arrived, go to clinics.clinilabs.co.uk, enter the code and choose a clinic and time that suit you. You cannot book before the kit arrives, because the code is needed to make the booking. Take the kit with you to the appointment. After your sample is taken, you post it back to our laboratory yourself using the pre-paid label in the kit.

Most private blood test providers in London send your blood elsewhere. We are the laboratory.

Inside the Clinilabs laboratory at 41-42 Foley Street, Fitzrovia

Wherever your sample is taken, it is analysed by us, in our own building, on the day it arrives. That is why results come back within hours rather than days.

  1. Your sample is taken, whichever way suits you
    • Our flagship Fitzrovia clinic — same-day results for samples taken by 4pm
    • A partner clinic near you — over 200 across the UK, sample posted back to our lab with a pre-paid Tracked 24 label
    • A finger-prick kit at home — post it back, analysed the day it arrives
    Each test page shows which options it supports before you buy.
  2. Analysed in our own UKAS-accredited laboratory at 41-42 Foley Street, the day it reaches us
  3. Validated and released to you, often the same day

Same-day results apply to samples received at the laboratory before 4pm on a working day. Some specialist tests take longer; each test page shows its turnaround.

Our clinic at 41–42 Foley Street serves Fitzrovia, Marylebone, Soho, Bloomsbury, Mayfair and the City, a few minutes from Oxford Circus and Goodge Street.