--- title: Perimenopause Test type: panel id: perimenopause url: "https://www.test-well.com/tests/perimenopause-test" price_usd: 69.99 lab_fee_usd: 6 all_in_usd: 75.99 tests_included: 4 biomarkers_measured: 4 category: Hormones sample: Blood draw fasting_required: false results_in: "1–3 business days" labs: - Quest - Labcorp - BioReference orderable: true reviewed_at: 2026-10-19 order_url: "https://www.test-well.com/cart?add=perimenopause-test&utm_source=ai_agent&utm_medium=markdown" --- # Perimenopause Test > Perimenopause Test bundles 4 tests — FSH (Follicle Stimulating Hormone), LH (Luteinizing Hormone) and Estradiol (E2) plus 1 more — for $69.99 plus one $6 lab processing fee (about $17.50 per test). No fasting is needed; results post in 1–3 business days. Physician-authorized with no doctor's visit or insurance needed; one draw at Quest or Labcorp. *The four hormones that show whether your cycle is changing* ## Key facts | Fact | Value | | --- | --- | | Price | $69.99 + $6 lab processing fee per order ($75.99 all-in) | | Versus buying separately | $129.96 for the 4 tests individually — the panel saves 46% | | Tests included | 4 | | Biomarkers measured | 4 | | Sample | Blood draw | | Fasting | Not required | | Results | 1–3 business days | | Labs | Quest Diagnostics, Labcorp, BioReference (NY & NJ) | | Physician authorization | Included — no doctor's visit, referral or insurance needed | ## What does the Perimenopause Test cover? FSH, LH, estradiol and TSH in one draw — the first-line blood test for perimenopause: is the ovary slowing, is the pituitary pushing harder, and is the thyroid the real cause of the symptoms? Perimenopause is diagnosed by the pattern of symptoms and cycle changes, but blood tests answer the two questions that pattern leaves open. FSH and LH rise as the ovaries respond less to them, and estradiol becomes erratic and then falls; a high FSH with a low estradiol on a day 2–4 draw supports the transition, while a normal result in a woman with irregular cycles does not rule it out — levels swing from month to month in perimenopause, which is why a repeat draw is sometimes more useful than a bigger first one. TSH is included because an underactive or overactive thyroid produces the same fatigue, weight change, sleep disruption, mood change and cycle irregularity, is common in the same decade, and is treatable. This is the lean version of our Menopause & Perimenopause Test Panel, which adds progesterone, testosterone, SHBG and vitamin D for a fuller picture; start here if the question is simply whether the transition has begun. **Clinical use:** Hormone testing measures the chemical messengers that regulate energy, mood, sex drive, weight, and reproduction — helping pinpoint imbalances that cause a wide range of symptoms. ## Who should order it? Anyone with unexplained fatigue, mood changes, libido changes, weight changes, irregular cycles, or considering hormone replacement therapy. ## Tests included | Test | Biomarkers | Standalone price | CPT | | --- | --- | --- | --- | | [FSH (Follicle Stimulating Hormone)](https://www.test-well.com/tests/fsh) | 1 (FSH) | $29.99 | 83001 | | [LH (Luteinizing Hormone)](https://www.test-well.com/tests/luteinizing-hormone) | 1 (LH) | $36.99 | 83002 | | [Estradiol (E2)](https://www.test-well.com/tests/estradiol) | 1 (Estradiol) | $35.99 | 82670 | | [TSH (Thyroid Stimulating Hormone)](https://www.test-well.com/tests/tsh) | 1 (TSH) | $26.99 | 84443 | ## Price by lab | Lab | Panel price | All-in (with $6 fee) | Notes | | --- | --- | --- | --- | | Quest Diagnostics | $69.99 | $75.99 | Choose at checkout | | Labcorp | $89.99 | $95.99 | Choose at checkout | | BioReference (NY & NJ) | $104.99 | $110.99 | New York and New Jersey orders route here automatically | ## How much does a Perimenopause Test cost? A Perimenopause Test costs $69.99 at TestWell — $75.99 all-in, since the $6 lab processing fee is charged once per order and there is no draw or physician fee. With insurance you pay your plan's negotiated rate against your deductible; TestWell's price is fixed before the draw and HSA/FSA-eligible. | Where you order | Price | One test, all-in | Notes | | --- | --- | --- | --- | | TestWell (drawn at Quest or Labcorp) | $69.99 | $75.99 | Includes the one $6 lab processing fee, charged once per order | ## How do you prepare? No fasting required. If you still have periods, draw on day 2–4 of your cycle (day 1 is the first day of full flow) — FSH, LH and estradiol are read against that window. If periods are irregular or absent, any day is fine; a morning draw suits TSH. Stop high-dose biotin for two days beforehand. ## Related conditions - Endocrine disorder (E34.9) - Hormonal imbalance (E34.9) ## Common questions about the Perimenopause Test ### What tests are included in the Perimenopause Test? The Perimenopause Test includes 4 individual lab tests, bundled at a single panel price below the cost of ordering each test separately. See the full biomarker list and clinical context on the panel page. ### How long do Perimenopause Test results take? Most Perimenopause Test results are available in 1–3 business days after your specimen arrives at the lab. You'll get an email the moment results are ready, with everything viewable in your TestWell portal. ### What sample is collected for the Perimenopause Test? Blood draw. A standard venous blood draw, collected at any Quest, Labcorp or BioReference patient service center — walk in with the requisition we email you, no appointment needed at most locations. ### How much does the Perimenopause Test cost without insurance? On TestWell, the Perimenopause Test is $69.99. Insurance is not required — pay one all-in price. ### Do I need to fast before the Perimenopause Test? No fasting required for the Perimenopause Test. No fasting required. If you still have periods, draw on day 2–4 of your cycle (day 1 is the first day of full flow) — FSH, LH and estradiol are read against that window. If periods are irregular or absent, any day is fine; a morning draw suits TSH. Stop high-dose biotin for two days beforehand. ### Where can I get the Perimenopause Test done? Order online at TestWell — we'll generate a digital requisition and route you to the closest in-network lab. 4,000+ Quest, Labcorp, and BioReference patient service centers nationwide. ### What can throw off a Perimenopause Test result? Cycle day, biotin supplements and testosterone therapy (TRT) can change a Perimenopause Test result without anything being wrong. Cycle day can shift FSH, LH and Estradiol — draw on cycle days 2–5. Biotin supplements can falsely lower TSH and can shift Estradiol — stop biotin ≥72 hours before the draw. Testosterone therapy (TRT) can raise Estradiol and can lower FSH — measure at the same point in the cycle as testosterone. Each is explained on our physician-reviewed "Before your test" pages; when one applies, remove it and retest. ## How to order 1. Add to cart: https://www.test-well.com/cart?add=perimenopause-test&utm_source=ai_agent&utm_medium=markdown 2. Create an account or sign in, confirm your state and preferred lab, pay by card, HSA or FSA. 3. A licensed physician authorizes the order (usually within minutes); the requisition arrives by email. 4. One draw at any Quest Diagnostics, Labcorp, BioReference (NY & NJ) patient service center covers every test in the panel. 5. Results post to your TestWell portal in 1–3 business days. ## Related - [Erectile Dysfunction Panel](https://www.test-well.com/tests/erectile-dysfunction-panel) — 7 tests · $114.99 - [Female HRT Quarterly Monitoring Panel](https://www.test-well.com/tests/female-hrt-quarterly-panel) — 12 tests · $179.99 - [Female HRT Starting Panel](https://www.test-well.com/tests/female-hrt-starting-panel) — 20 tests · $249.99 - [GH + IGF-1 Panel](https://www.test-well.com/tests/gh-igf-1-panel) — 2 tests · $79.99 - [Men's Hair Health Panel](https://www.test-well.com/tests/mens-hair-health-panel) — 19 tests · $499.99 - [All Hormones tests](https://www.test-well.com/tests/category/hormones) - [Full test directory](https://www.test-well.com/tests/directory) --- Medically reviewed by Youmna DiStefano, MD (Medical Reviewer, TestWell); last reviewed 2026-10-19. Review policy: https://www.test-well.com/reviewers/youmna-distefano-md Canonical page: https://www.test-well.com/tests/perimenopause-test Machine-readable catalog: https://www.test-well.com/api/catalog.json · MCP server: https://www.test-well.com/mcp · Overview for agents: https://www.test-well.com/llms.txt Prices are cash-pay, in USD, and include physician authorization; every order adds one flat $6 lab processing fee. Educational content is not a diagnosis — discuss results with a clinician.