St Helens 360
Your 360 Blood Panel
Your symptoms may feel hormonal — but hormones are only part of the picture.
Many conditions and nutritional deficiencies can produce symptoms that overlap with perimenopause.
This is why St Helens 360 looks more broadly at your health.
Full Blood Count
What it looks at
Red cells, white cells, haemoglobin and other blood components
Why it matters
Helps investigate fatigue, weakness, breathlessness and anaemia, particularly when periods have become heavier
Ferritin & Iron Profile
What it looks at
The body’s iron stores
Why it matters
Low iron can contribute to tiredness, hair loss, headaches, restless legs and reduced exercise tolerance
Vitamin B12
What it looks at
Vitamin B12 levels
Why it matters
Deficiency can contribute to fatigue, neurological symptoms and difficulties with concentration
Folate
What it looks at
Folate levels
Why it matters
Important for normal blood-cell production and helps investigate some forms of anaemia
Vitamin D
What it looks at
Vitamin D status
Why it matters
Important for bone and muscle health and allows us to identify deficiency
TSH & Free T4
What it looks at
Thyroid function
Why it matters
Thyroid problems can cause symptoms that overlap with menopause including fatigue, weight change, low mood, anxiety and palpitations
HbA1c
What it looks at
Average blood glucose
Why it matters
Provides information about longer-term blood-sugar and metabolic health
Lipid Profile
What it looks at
Cholesterol and triglycerides
Why it matters
Helps assess cardiovascular health as risk factors can change through midlife
Liver Function
What it looks at
Liver health
Why it matters
Gives us important general-health information and may be relevant when considering treatment
Kidney Function & Electrolytes
What it looks at
Kidney function and important salts within the blood
Why it matters
Provides a broader assessment of health and can be particularly relevant before some treatments
Calcium & Bone Profile
What it looks at
Calcium and related markers
Why it matters
Supports assessment of mineral and bone health, which becomes increasingly important through menopause
Testosterone
What it looks at
Circulating testosterone
Why it matters
May be relevant when assessing persistent problems such as reduced sexual desire and when testosterone treatment is being considered
SHBG
What it looks at
Sex Hormone Binding Globulin
Why it matters
Helps clinicians interpret testosterone within the wider clinical picture
Do we test every hormone in every patient?
No.
Hormone levels can fluctuate considerably during perimenopause, which means more testing does not always mean better information.
The clinician may add additional investigations depending on your age, symptoms and medical history.
FSH
Where appropriate, particularly when menopause occurs earlier than expected or the diagnosis is uncertain in a younger patient.
Oestradiol
May occasionally provide useful additional information but is not routinely used simply to diagnose perimenopause in women over 45.
Prolactin
May be useful when particular menstrual, breast, sexual or other symptoms suggest it should be investigated.
Additional thyroid, nutritional, inflammatory or metabolic investigations
May be requested where your symptoms suggest another potential cause.
We don’t test simply because we can. We test when the result could help us understand your health or change your care.