🌗 Perimenopause & Menopause

♀ Built for women · 11 markers · $244.35 with code CAMERON $271.50

Anywhere from late 30s onward with cycle changes, night sweats, sleep disruption, mood shifts, joint aches, brain fog, or a libido that fell off a cliff.

🩸 Order this exact panel — 10% off

All 11 markers load into your cart in one click. No doctor's visit, drawn at any Quest location in the US, results by email in about two weeks. Code CAMERON applies automatically.

Add all 11 markers — $244.35 → Open the full Bloodwork Vault →

Why this panel

Perimenopause is not one hormone falling — it's estrogen swinging erratically while progesterone declines steadily, against a background of rising cardiometabolic risk. This panel captures the hormonal picture and the risk markers that change fastest once estrogen leaves, because that second half is what actually shortens lives.

💡 What most people missA single normal FSH does not rule out perimenopause. FSH fluctuates wildly cycle to cycle during the transition — you can get a perfectly premenopausal reading one month and a menopausal one the next. Diagnosis is clinical; these labs give context and rule out the mimics (thyroid disease looks identical). The part almost everyone misses: ApoB and Lp(a) matter more now than they ever did. Estrogen was cardioprotective. Women's cardiovascular risk accelerates sharply post-menopause and it's the leading cause of death in this group — far ahead of breast cancer.
⏰ When to get it drawnIf still cycling, day 2–5 for FSH/LH/estradiol. Progesterone is only meaningful 7 days after ovulation (roughly day 21 of a 28-day cycle) — drawn at any other point it will read low and tell you nothing. Fast for the metabolic markers.

The 11 markers — and why each one is here

LH & FSH $35.00
FSH rises as ovarian reserve falls — but it fluctuates, so read it in context
Estradiol, Sensitive [LC/MS-MS] $40.00
The sensitive assay matters at the low levels seen here
Progesterone [LC/MS] $17.00
Falls first and earliest in the transition. Timing is everything
SHBG (Sex Hormone-Binding Globulin) $25.00
Rises with estrogen therapy and shapes free hormone levels
Total & Free Testosterone (ECLIA/Direct) $55.00
Women make testosterone too — it drives libido, energy and muscle
TSH (Thyroid-Stimulating Hormone) $9.00
Thyroid disease and perimenopause are clinically indistinguishable
ApoB (Apolipoprotein B) $20.00
The single best lipid predictor — and it worsens fast post-menopause
Lipoprotein(a) — Lp(a) $32.50
Genetic, once in a lifetime, and it compounds post-menopausal risk
HbA1c (Hemoglobin A1c) $9.00
Insulin sensitivity drops measurably through the transition
Vitamin D (25-Hydroxy) $20.00
Bone loss accelerates sharply once estrogen falls
Ferritin $9.00
Heavy erratic perimenopausal bleeding is a common cause of depletion
✓ How to read the resultsMenopausal: FSH persistently >25–30 with low estradiol and 12 months without a period. Perimenopausal: anything erratic. Check TSH before attributing symptoms to hormones — hypothyroidism is the great imitator here.
🔒 The Perimenopause protocol is inside the Academy

Ordering the panel tells you your numbers. The protocol tells you what to do with them — why the standard hormone test can't diagnose this and what actually can, the reappraisal of the 2002 study that scared a generation off treatment, the delivery route that removes most of the risk people fear, and the two things to get right even if you decline hormones.

Join the Academy — $10/mo →

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Frequently asked questions

What blood tests are in the Perimenopause & Menopause panel?

11 markers: LH & FSH, Estradiol, Sensitive [LC/MS-MS], Progesterone [LC/MS], SHBG (Sex Hormone-Binding Globulin), Total & Free Testosterone (ECLIA/Direct), TSH (Thyroid-Stimulating Hormone), ApoB (Apolipoprotein B), Lipoprotein(a) — Lp(a), HbA1c (Hemoglobin A1c), Vitamin D (25-Hydroxy), Ferritin.

How much does the Perimenopause & Menopause panel cost?

$271.50 before discount, $244.35 with code CAMERON applied automatically. Individual markers add a one-time $10 draw fee. Ordered through Marek Diagnostics and drawn at any Quest Diagnostics location in the US.

Do I need a doctor's order for these tests?

No. These are ordered direct-to-consumer through Marek Diagnostics — you order online, walk into a Quest location, and results are emailed to you in about two weeks. No physician visit or insurance required. Not available in NY, NJ or RI.

When should I get the Perimenopause & Menopause panel drawn?

If still cycling, day 2–5 for FSH/LH/estradiol. Progesterone is only meaningful 7 days after ovulation (roughly day 21 of a 28-day cycle) — drawn at any other point it will read low and tell you nothing. Fast for the metabolic markers.

How do I interpret Perimenopause & Menopause results?

Menopausal: FSH persistently >25–30 with low estradiol and 12 months without a period. Perimenopausal: anything erratic. Check TSH before attributing symptoms to hormones — hypothyroidism is the great imitator here.

Important: This page is education only, not medical advice and not a diagnosis. A panel is a starting point for a conversation with a clinician, not a substitute for one. Reference ranges vary by laboratory and assay — always compare against the range printed on your own report.