Blood sample collection options

You can choose your preferred collection method when you checkout

Finger prick kit (FREE)

You can do this test at home without the need for a doctor. We'll send you everything you need to collect your sample and post it back to us. And it's all included in the cost. We've put together a video that covers the process, making it easy to check and track your health from home.

Home nurse appointment (+£60)

We'll arrange for a medical professional to visit your home and collect your sample. This is great if you're unsure on how it all works or have trouble collecting a sample. No need to book a doctor's appointment or visit a clinic, we'll send you everything you need to collect a sample and post it back to our labs.

Visit a partner clinic (+£45)

Once you've ordered your test, look out for an email from our phlebotomy partners containing information and a link to book your appointment. We'll send you everything the clinic will need to complete the sample and post it back to our labs.

Organise a nurse myself (FREE)

If none of the above options work for you, you can arrange your own medical professional to collect your sample. There is no additional charge for this. Once you've ordered your test, we'll send you everything you and your chosen medical professional will need to collect a sample and post it back to our labs.

Still unsure how it works? You can find more information on collection methods and the service we provide in our 'How it Works' section.

How does it work?

A Hand holding a lancet that is held up to a finger on the other hand

1. Collect your blood sample

It takes 5 minutes to collect a small sample of blood from your finger tip. Post it back to our labs using the Tracked-24 envelope included in your kit.

Heart health scores

2. View your results

Your results will be sent to the Forth app within 2 working days, along with the optional doctors comment and detailed report.

Metabolic health scores

3. Make improvements

The detailed report makes it easy to identify areas that need improving, make changes and track your progress.

What gets tested?

11 Biomarkers

Additional biomarkers can be added by personalising this test.

What are biomarkers?

Biomarkers are specific compounds we can detect in your blood sample that reflect different things about your health. Your test will tell you your levels for each of the above biomarkers, and whether they are in a normal range.

About flexible subscriptions

How does a subscription work?

When you purchase this test subscription plan, we will automatically send you another test kit in a few months. Don't worry - you have full control over when this will be, and you can change/cancel it anytime.

When you first purchase this test, you can choose your subscription options in the checkout. We do this, because we recommend taking multiple tests over time to track how your biomarkers change. You'll be charged per test kit (rather than monthly, for example).

Why subscribe to multiple tests?

One test will show you what areas you need to focus on, continued testing will help you learn how your training, diet and lifestyle is impacting your health.

How often should I test?

We recommend a follow up test 3 months after your first test, followed by a test every 6 months depending on your results, but its up to you!

Can I change what's tested in future tests?

Yes, you can tailor/customise subsequent tests (via your app) to focus on just the areas that need improving.

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Female hormones blood test - Go beyond reporting basic blood results
Hand holding a lancet up to a finger on the other hand
Female hormones blood test - Personalised targets
Female hormones blood test - Focus where it counts
Analysed by
NHS Lab
Tracked 24
delivery
Personalised
GP advice
Finger prick or venous collection

Female Hormone Imbalance Blood Test

Trustpilot 4 stars

Results in 2 working days

11 Biomarkers

The female hormone imbalance test is an at-home blood test that checks your 4 key female hormones - oestrogen, progesterone, FSH and LH, along with other important biomarkers that can cause a hormone imbalance, such as thyroid markers. Hormone testing can help you find the cause of symptoms like fatigue, weight gain, acne, irregular periods and fertility issues. It can also help you check and monitor your hormone levels when using hormone replacement therapy (HRT).

Analysed by
NHS Lab
Tracked 24
delivery
Finger prick or venous collection

£89

Klarna

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What gets tested?

11 Biomarkers

Blood sample collection options

How does it work?

When do I take the test?

If you're having a regular period, collect your sample on day 3 of your menstrual cycle (day 1 being the first day of your period), otherwise take the test at any time.
IMPORTANT: If you're using a hormone gel or cream, we would highly recommend the sample is collected via a phlebotomy draw (blood drawn via a vein) due to the risk of contamination.

How to video

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Most women don’t know if they have a hormone imbalance. Take control – get the answers you need

Powered by cutting-edge technology Forth's market leading app converts blood test results into simple real-world health scores, making insights about your health easy to understand and to act upon

Unlock your health scores

63/100 Hormone health score

Translates biomarker results into health scores for reproductive and thyroid health

Personalised health targets

Oestradiol

Healthy
Healthy result range

195 (nmol/l)

Next target 274 - 566 (nmol/l)

Get incremental, achievable targets based on your unique results, ensuring progress at every step

Focus where it counts

25

100

Sex steroid hormones

NEEDS ATTENTION

43

100

Pituitary hormones

SOMEWHAT LOW

HealthCoach's smart algorithms identify the specific areas which will make the biggest impact on your journey to better health

Guidance for optimal health

12

100

Sex steroid hormones

NEEDS ATTENTION
Dr Thom Phillips

Your results show low range levels of FSH compared with women who are not taking hormone contraception and having natural periods. These results are consistent with someone taking a form of progesterone contraception that suppresses your hormone network.

Get tailored advice which considers age, hormone treatments and menstrual cycle.

What this test measures

11 Biomarkers

Oestradiol

Oestradiol is a steroid hormone primarily produced in the ovaries, essential for the female reproductive system, egg maturation, bone and heart health. Levels fluctuate during the menstrual cycle, peaking at ovulation. Low levels can indicate a problem with ovarian response which can signal the onset of perimenopause or that the ovaries are not working normally.

Progesterone

Progesterone, produced in the ovaries and adrenal glands, regulates the menstrual cycle and prepares the uterine lining for pregnancy. It also influences mood and sleep as well as overall hormonal balance. Levels fluctuate, rising in the second half of the menstrual cycle.

Follicle Stimulating Hormone (FSH)

Follicle-Stimulating Hormone (FSH) is essential for women's reproductive health. It regulates menstrual cycles, stimulates ovarian follicle growth, and aids oestrogen production. High FSH levels can indicate potential issues, such as the onset of perimenopause.

Luteinising Hormone (LH)

Luteinising Hormone (LH), produced by the pituitary gland, surges mid-cycle to trigger ovulation, making it crucial for menstrual health and fertility. Measuring LH can identify hormone imbalances affecting ovulation, aiding in identifying conditions like PCOS and pituitary disorders. Low levels can cause menstrual irregularities or a lack of periods (amenorrhea).

Testosterone (total)

Testosterone in women, produced in the ovaries and adrenal glands, is vital for muscle growth, metabolism, skin health, libido, mood, and cognitive function. Measuring testosterone can help to identify causes of oily skin, acne, excessive body hair, irregular periods, and conditions such as PCOS.​ Adequate testosterone in women is essential for wellbeing as well as reproductive health.

Sex Hormone Binding Globulin

Sex Hormone-Binding Globulin (SHBG) is a protein that binds to sex hormones, primarily testosterone and oestrogen, regulating their access to tissues in the body. By measuring SHBG, you can assess free hormone levels, crucial for understanding hormonal balance, reproductive health, and conditions like PCOS and hirsutism.

FAI (calculated)

Free Androgen Index (FAI) estimates the amount of free testosterone in the bloodstream. Measuring FAI in women helps identify hormonal imbalances such as PCOS, manage symptoms like hirsutism and acne, and monitor treatment efficacy, providing insights into overall hormonal health and guiding appropriate interventions for related conditions.

Prolactin

Prolactin helps regulate the menstrual cycle by modulating the hypothalamic-pituitary-ovarian axis, ensuring proper timing of reproductive events and contributing to hormonal balance. It also stimulates milk production after childbirth. Too much prolactin can inhibit FSH and LH production leading to menstrual irregularities and anovulation.

Thryoid hormones

3

Thyroid hormones help to control the rate at which your body converts food into energy.  Thyroid imbalances can lead to problems with weight, energy and mood.


Thyroid Stimulating Hormone (TSH)

Thyroid-stimulating hormone (TSH) regulates thyroid function by stimulating the production of thyroid hormones T3 and T4, which control metabolism and energy production. Women are more likely to develop thyroid disorders than men. Abnormal thyroid levels impact weight, energy levels, mood and menstrual cycle.


Thyroxine (T4, free direct)

A thyroxine (T4) test is used to check that the thyroid is performing properly. An overactive thyroid can cause too much thyroxine to be released whilst an underactive thyroid can lead to too little. Abnormal levels can impact weight, energy, and mood as well as leading to irregular menstrual cycles.


Triiodothyronine (T3, free)

Triiodothyronine (T3) is the active form of thyroxine (T4). High T3 levels may indicate hyperthyroidism, with symptoms such as fatigue, weight loss, irritability, and irregular menstrual cycles. Low T3 levels can suggest hypothyroidism, causing fatigue, weight gain, and muscle stiffness. Free T3 measures the free or unbound levels of T3.


Oestradiol

Oestradiol is a steroid hormone primarily produced in the ovaries, essential for the female reproductive system, egg maturation, bone and heart health. Levels fluctuate during the menstrual cycle, peaking at ovulation. Low levels can indicate a problem with ovarian response which can signal the onset of perimenopause or that the ovaries are not working normally.

Progesterone

Progesterone, produced in the ovaries and adrenal glands, regulates the menstrual cycle and prepares the uterine lining for pregnancy. It also influences mood and sleep as well as overall hormonal balance. Levels fluctuate, rising in the second half of the menstrual cycle.

Follicle Stimulating Hormone (FSH)

Follicle-Stimulating Hormone (FSH) is essential for women's reproductive health. It regulates menstrual cycles, stimulates ovarian follicle growth, and aids oestrogen production. High FSH levels can indicate potential issues, such as the onset of perimenopause.

Luteinising Hormone (LH)

Luteinising Hormone (LH), produced by the pituitary gland, surges mid-cycle to trigger ovulation, making it crucial for menstrual health and fertility. Measuring LH can identify hormone imbalances affecting ovulation, aiding in identifying conditions like PCOS and pituitary disorders. Low levels can cause menstrual irregularities or a lack of periods (amenorrhea).

Testosterone (total)

Testosterone in women, produced in the ovaries and adrenal glands, is vital for muscle growth, metabolism, skin health, libido, mood, and cognitive function. Measuring testosterone can help to identify causes of oily skin, acne, excessive body hair, irregular periods, and conditions such as PCOS.​ Adequate testosterone in women is essential for wellbeing as well as reproductive health.

Sex Hormone Binding Globulin

Sex Hormone-Binding Globulin (SHBG) is a protein that binds to sex hormones, primarily testosterone and oestrogen, regulating their access to tissues in the body. By measuring SHBG, you can assess free hormone levels, crucial for understanding hormonal balance, reproductive health, and conditions like PCOS and hirsutism.

FAI (calculated)

Free Androgen Index (FAI) estimates the amount of free testosterone in the bloodstream. Measuring FAI in women helps identify hormonal imbalances such as PCOS, manage symptoms like hirsutism and acne, and monitor treatment efficacy, providing insights into overall hormonal health and guiding appropriate interventions for related conditions.

Prolactin

Prolactin helps regulate the menstrual cycle by modulating the hypothalamic-pituitary-ovarian axis, ensuring proper timing of reproductive events and contributing to hormonal balance. It also stimulates milk production after childbirth. Too much prolactin can inhibit FSH and LH production leading to menstrual irregularities and anovulation.

Thryoid hormones

Thyroid hormones help to control the rate at which your body converts food into energy.  Thyroid imbalances can lead to problems with weight, energy and mood.

Thyroid Stimulating Hormone (TSH)

Thyroid-stimulating hormone (TSH) regulates thyroid function by stimulating the production of thyroid hormones T3 and T4, which control metabolism and energy production. Women are more likely to develop thyroid disorders than men. Abnormal thyroid levels impact weight, energy levels, mood and menstrual cycle.

Thyroxine (T4, free direct)

A thyroxine (T4) test is used to check that the thyroid is performing properly. An overactive thyroid can cause too much thyroxine to be released whilst an underactive thyroid can lead to too little. Abnormal levels can impact weight, energy, and mood as well as leading to irregular menstrual cycles.

Triiodothyronine (T3, free)

Triiodothyronine (T3) is the active form of thyroxine (T4). High T3 levels may indicate hyperthyroidism, with symptoms such as fatigue, weight loss, irritability, and irregular menstrual cycles. Low T3 levels can suggest hypothyroidism, causing fatigue, weight gain, and muscle stiffness. Free T3 measures the free or unbound levels of T3.

Home vial icon

How it Works

Our female hormone imbalance blood test can be done either:

  • At home, using our fingerprick test kits
  • At home, with a visit from a phlebotomist to draw the blood from your vein
  • Or at one of our partner clinics

The at-home, fingerprick option is the most popular amongst our customers, as it’s quick and easy to do, and can be done around busy schedules, without having to take time out of work for GP appointments.

Once you’ve collected a small blood sample, you post it to our labs for analysis. We use NHS labs to analyse all blood samples to ensure accuracy.

Our medical team analyse your sample and provide commentary to help you understand the results. Once analysed, we release your results to your dashboard, which you can access through our app.

Question

Delivery and Packaging

We use Royal Mail Tracked 24 to ship all orders. This means you’ll get your test kit quickly after ordering, usually within 1-2 days.

Your test kit also includes free Tracked 24 return postage to ensure your blood sample gets to our lab quickly.

All packaging is discreet and secure.

Vial-Info

Benefits of Hormone Testing

Our female hormone imbalance blood test is suitable for all women aged 18 and over.

There are many stages of your life where testing your hormones can be helpful, such as if you’re trying to conceive, suspect you’re going through perimenopause or are experiencing symptoms related to a hormone imbalance, such as weight gain, heavier or lighter periods, irregular periods and difficulty conceiving.

It can also be used to monitor your hormone levels when using HRT, giving you insights into whether it’s working for you and empowering you with data to take to your GP to alter your medication.

This test helps you to test and track your hormones whenever you need – without waiting to see your doctor.

Female Hormone Imbalance Blood Test, recommended by our doctors

"A Female Hormone Imbalance Test is vital for women's hormonal health. It assesses oestrogen, progesterone, and other hormone levels, helping diagnose issues like PCOS or menopause-related imbalances. This knowledge can help you manage symptoms, enhance fertility, and make informed decisions about your reproductive health and overall well-being, improving quality of life."

Dr Thom Phillips

Dr Thom Phillips

Clinical lead

How our Female Hormone Imbalance Blood Test works

Getting the insights you need to improve your health has never been easier.

A Hand holding a lancet that is held up to a finger on the other hand

1. Collect your blood sample

It takes 5 minutes to collect a small sample of blood from your finger tip. Post it back to our labs using the Tracked-24 envelope included in your kit.

Heart health scores

2. View your results

Your results will be sent to the Forth app within 2 working days, along with the optional doctors comment and detailed report.

Metabolic health scores

3. Make improvements

The detailed report makes it easy to identify areas that need improving, make changes and track your progress.

What's included in this test?

Yellow Tube

1x Yellow Tube

Lancets

3x Lancets

Cleansing wipes

1x Cleansing wipes

Plasters

Plasters

Alcohol swabs

2x Alcohol swabs

Return pouch

1x Return pouch

Tracked 24 return envelope

1x Tracked 24 return envelope

Lab request form

1x Lab request form

Blood sample kit

Results within 2 working days

Tracked 24 delivery & return

Secure health dashboard

NHS lab analysis

Doctor reviewed results

- Health scores calculated

Close

Frequently asked questions

This is what our customers ask us most about this test. For more information, try our help centre.

What are female hormones?

The 4 main female hormones are progesterone, oestrogen, follicle-stimulating hormone (FSH) and luteinising hormone (LH). They play a wide role within the body affecting fertility, mood, energy and reproductive health.

They work together to regulate and manage your reproductive health. Testosterone is also important for women, as it’s used to produce oestrogen. These hormones naturally fluctuate during your menstrual cycle with levels of oestrogen and progesterone declining during perimenopause and menopause.

What causes a hormone imbalance?

The cause of hormone imbalance can be wide-ranging – from stress to thyroid disorders. So our female hormone test checks your key fertility hormones, along with thyroid function to help identify causes of your symptoms.

How do I test for a hormone imbalance?

Our female hormones blood test can help you test for and identify an imbalance in your hormones.

The test is a simple at-home, finger prick blood test. That means you only need to collect a small amount of blood from your fingertip, using the lancets included in the kit. You post it back to our labs, and we’ll send you the results within 2 working days after receiving it.

We’ll check the 4 key female hormones, as well as a range of other biomarkers related to a healthy hormone network.

How do hormones control the menstrual cycle?

The menstrual cycle is regulated by a complex interplay of hormones, primarily: oestrogen, progesterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH)

Follicular Phase

At the beginning of the menstrual cycle, called the follicular phase, FSH is released by the pituitary gland. It stimulates growth of follicles in the ovaries, each containing an immature egg (oocyte).

As the follicles grow, they start producing oestrogen. Rising levels of oestrogen stimulate the thickening of the womb lining (endometrium) in preparation for a potential pregnancy.

Ovulation

A sudden surge in LH levels, triggered by the high levels of oestrogen, starts around the middle of the menstrual cycle. This surge triggers the release of the matured egg from the ovary (ovulation).

Luteal Phase

Progesterone levels rise and peak during the luteal phase. It helps maintain the thickened womb lining, preparing it for possible implantation of a fertilised egg. If pregnancy doesn’t occur, progesterone levels drop.

Menstruation

The decrease in both oestrogen and progesterone levels triggers the shedding of the womb lining, marking the start of a new menstrual cycle.

This hormonal interplay is a delicately balanced process that typically spans about 28 days but can vary from person to person. 

Does a hormone imbalance impact weight?

Hormone imbalances can impact various bodily functions, including metabolism, appetite, and fat distribution, which can have a knock-on effect on weight.

During menopause, when oestrogen levels decline, women may experience weight gain, particularly around the abdomen. Imbalances in progesterone levels can sometimes be associated with water retention and bloating, which might temporarily impact weight, although this is usually not a significant contributor to long-term weight changes.

How do I fix a hormone imbalance?

The first thing to consider is whether or not the imbalance needs ‘fixing’ or if it’s a natural fluctuation, such as during your menstrual cycle or during perimenopause.

There are treatments available to help manage the symptoms related to hormonal changes during perimenopause, such as HRT.

But you can also make lifestyle changes throughout your life to help manage the impact of hormone fluctuations. Your diet, how much you exercise and sleep, and whether or not you smoke/drink can all have an impact on your hormonal balance.

A blood test can help you keep track of your hormone levels, making it easier to monitor the impact of changes and live a healthy and happy life.

How soon will the test arrive?

If you order your test before midday on a Monday to Friday then your kit will be dispatched
the same day.

All our kits are sent out via Royal Mail first class post, so it should be with you within 1-2
working days.

How secure is my data?

We have strict processes in place to ensure the protection of your data. Following GDPR the company also operates under tight legal rules about the sharing of data which ensures that data is only shared if it is crucial to the delivery of our service. For example, our doctors see customer results at the time of review, however, after review, access to results is withdrawn.

Learn more about your data security.

Can I have someone take my blood for me?

Yes. We offer two options if you do not want to do our finger prick test. The first is a home appointment where a nurse comes to your home to take a blood sample. The second is to visit a Phlebotomy clinic near you that offers a blood sample service.

A blood sample will be taken from your vein and we will provide you with everything you need to give to the nurse to allow them to take the sample.

The nurse will give you the blood sample to return to us using the pre-paid envelope provided.

Does a doctor review my results?

We have a team of doctors and nurses who look at all results and will comment on any results that are outside of the normal range for your age.

Can I download the results to share with my GP?

Yes, you can download your results from your health dashboard as a PDF to share with your GP.

Learn how to export your results.

We are dedicated to supporting you on improving your health

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Female Hormone Imbalance Blood Test