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We've helped over 200,000 people take control of their health. Are you taking hormone replacement therapy (HRT)? HRT can help to relieve menopausal symptoms, like hot flushes, lethargy, sleep disturbances, and vaginal dryness.
Your HRT prescriber will tailor your regime according to your symptoms. However, if you continue to experience symptoms while on a higher dose of HRT, you may find this test insightful.
FSH
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Oestradiol
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Oestradiol is the strongest of the three oestrogens. It's labelled a female hormone but it's made in both the ovaries and testes. It's responsible for the growth of breast tissue, the female reproductive system, and male sexual function.
In pre-menopausal women, oestradiol levels vary throughout the monthly cycle, peaking just before ovulation. Levels are lowest after menopause when the ovaries stop producing eggs. Low oestradiol levels in women can cause many symptoms associated with the menopause, including hot flushes, night sweats, and changes in mood. It can also increase the risk of osteoporosis (a condition where the bones become less dense).
In men, oestradiol levels tend to increase slightly with age as testosterone levels decline. Too much oestradiol in men can contribute to fertility problems, gynecomastia (enlarged breast tissue), and erectile dysfunction.
Progesterone
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Progesterone is a steroid hormone produced in the corpus luteum and the adrenal glands. Its main role is to prepare the body for and support a pregnancy. It is produced in increasing amounts in the second half of the menstrual cycle. Although progesterone is considered a female hormone, men also produce progesterone in the adrenal glands and the testes. Progesterone in men plays a role in testosterone production.
Prepare for your HRT Blood Test by following these instructions. Avoid taking a finger-prick sample from a finger used to apply hormone gels/pessaries/patches in the past 4 weeks. Use gloves to apply these. Do not take biotin supplements for two days before this test, discuss this with your doctor if it is prescribed.
Your personalised, actionable health results are only a few clicks away. Order your test, take and post your sample, then view your results online with our doctors' comments.
MyMedichecks is your personal online dashboard where you can view your results, access clear and simple explanations about individual health markers, monitor changes in your health, and securely store information about your medical history, lifestyle, and vital statistics.
Our test can be taken once you have reached menopause. If you have applied hormone gels, pessaries, or patches in the past four weeks, avoid taking your blood sample from the same finger you used to apply them. If you take biotin supplements, then we recommend that you don't take them for two days before this test. If you have been prescribed the supplements, discuss this with your doctor before you alter your dosage.
Broadly, HRT means the replacement of any deficient hormone. More commonly and in the case of our test, it refers to using oestrogen and progesterone to relieve menopausal symptoms such as hot flushes, lethargy, sleep disturbance, and vaginal dryness. Oestrogen hormones also help to prevent osteoporosis and atherosclerosis.
The NHS and British Menopause Society don't recommend routine blood testing when taking HRT. This is because HRT regimes need to be tailored individually according to symptoms, which are not always directly correlated with blood test hormone levels. For this reason, there is no formal guidance on optimal oestradiol levels while taking HRT. However, some private menopause clinicians may wish to check your HRT levels if your symptoms haven't improved, despite increasing your dose. There’s also some evidence that maintaining adequate oestrogen levels helps reduce the risk of osteoporosis — especially in women who have gone through early menopause.
