Find Out What Your HormonesAre Actually Doing
Fatigue, low mood, weight changes, poor sleep, reduced libido — these are not signs of ageing you simply have to accept. They are often signs that your hormones are out of balance. This test tells you where you stand.
Book Your Hormone Health Test01
Panel
What's Covered
The EGA Hormone Health panel measures the key hormonal markers that govern energy, mood, metabolism, body composition, and sexual health — for both men and women.
01Core Health Markers
Full blood count, liver function, kidney function, electrolytes. Hormone levels do not exist in isolation. Liver health directly affects how sex hormones are metabolised and cleared. Kidney function affects hormone-binding proteins. A core health screen provides the clinical context needed to interpret hormonal results accurately.
02Thyroid Function
TSH, fT4, fT3. The thyroid is the master regulator of metabolic rate, body temperature, energy production, and mood. TSH alone — the only marker tested in standard NHS panels — frequently misses early dysfunction. fT4 and fT3 measure the active thyroid hormones directly, revealing subclinical hypothyroidism or hyperthyroidism that a TSH-only test would miss entirely.
03Thyroid Antibodies
Anti-Tg (anti-thyroglobulin), Anti-TPO (anti-thyroid peroxidase). The autoimmune antibodies responsible for Hashimoto's thyroiditis — the most common cause of underactive thyroid in the UK. Hashimoto's can cause fatigue, brain fog, weight gain, hair thinning, and depression for years before TSH moves out of range.
04Sex Hormones
Testosterone, SHBG (sex hormone binding globulin), Free Androgen Index (FAI), oestradiol, progesterone (female), FSH, LH, prolactin. Total testosterone alone is an incomplete measure of hormonal status. SHBG — the protein that binds testosterone and makes it unavailable to tissues — varies enormously between individuals. FAI calculates the proportion of testosterone that is actually bioavailable. FSH and LH reveal how the brain is communicating with the gonads — relevant to fertility, menstrual irregularity, and hormonal transition in women.
05Cortisol
Serum cortisol. Cortisol is the body's primary stress hormone. Chronically elevated cortisol suppresses sex hormones, disrupts sleep, drives central weight gain, and accelerates metabolic dysfunction. Low cortisol — less commonly recognised — causes profound fatigue, poor stress tolerance, and blood sugar instability.
06DHEA-S
Dehydroepiandrosterone sulphate. DHEA-S is the most abundant circulating steroid hormone in the body and a precursor to both oestrogen and testosterone. It declines progressively with age from the mid-20s onwards. Low DHEA-S is associated with fatigue, reduced libido, poor immune function, reduced muscle mass, and accelerated biological ageing.
07Key Nutrients
Vitamin D, vitamin B12, folate, ferritin. Nutritional deficiencies are among the most common drivers of hormone-like symptoms. Vitamin D functions as a steroid hormone precursor and directly influences testosterone production, immune regulation, and mood. Ferritin depletion causes fatigue indistinguishable from hypothyroidism or low testosterone.
08Inflammation
hsCRP (high sensitivity C-reactive protein). Chronic inflammation directly suppresses sex hormone production, disrupts thyroid function, and drives hormonal imbalance independently of age. hsCRP is the most sensitive available blood marker for detecting low-grade systemic inflammation.
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Audience
Who It's For
This test is for you if you are experiencing:
- Persistent fatigue or low energy that sleep does not resolve
- Unexplained weight gain, particularly around the abdomen
- Low mood, anxiety, or irritability without an obvious cause
- Reduced libido or changes in sexual function
- Brain fog, poor concentration, or memory problems
- Hair thinning or hair loss
- Poor sleep quality or insomnia
- Irregular periods or cycle changes (women)
- Symptoms of perimenopause or menopause you want to confirm or investigate
- Symptoms of low testosterone you want to assess objectively (men)
- Are considering HRT, BHRT, or TRT and want a full hormonal picture first
No referral needed. No waiting list.
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Deliverable
Your Report
At EGA, we provide a clinician-reviewed PDF that includes:
- Results for every marker in the panel, clearly structured
- A doctor's written commentary on any marker outside optimal range
- Plain-language explanation of what each finding means
- Prioritised observations — what matters most for your health right now
- Specific recommendations for next steps, further investigation, or treatment options where relevant
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Difference
Why EGA Goes Further
A standard NHS hormone panel typically measures one or two markers — TSH for thyroid, or total testosterone for men — and only when symptoms are already significantly impacting quality of life. The EGA Hormone Health panel measures the full picture, proactively, before waiting years for a referral.
More markers
Cortisol, DHEA-S, thyroid antibodies, FAI, and hsCRP are almost never included in GP hormonal testing. These are precisely the markers that explain why people with 'normal' standard results still feel unwell.
Faster answers
NHS hormone testing — if you can get it ordered at all — can take weeks to process.
Longevity context
We interpret your hormonal markers against optimal ranges for how you want to feel and function — not just the broad reference ranges that separate 'diseased' from 'not yet diagnosed.'
Optional Longevity Plan
If your results reveal a hormonal pattern you want to address systematically, you can add a personalised EGA Longevity Plan. Available as a separate service.
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Questions
Common Questions
Do I need to fast before this test?
Yes. We recommend fasting for 10–12 hours before your appointment (water is fine). This is particularly important for accurate cortisol, glucose, and lipid readings.
Does it matter what time of day I come in for a hormone test?
Yes — timing matters for several markers. Cortisol is highest in the morning and should ideally be tested before 10am. Testosterone is also highest in the morning. We recommend morning appointments for this panel. For women, the phase of the menstrual cycle also affects oestradiol, progesterone, FSH, and LH.
Do I need a GP referral?
No referral is required. Book directly online or by phone.
Can this test diagnose menopause or perimenopause?
The panel includes the key markers used to assess hormonal transition — FSH, LH, oestradiol, and progesterone. Elevated FSH combined with low oestradiol is the principal hormonal indicator of menopause.
Can this test tell me if I have low testosterone?
Yes. The panel measures total testosterone, SHBG, and FAI — giving a complete picture of functional testosterone status. This is more informative than total testosterone alone.
My GP said my thyroid is normal. Why would I need this test?
Standard GP thyroid testing typically measures TSH only. A normal TSH does not rule out thyroid dysfunction. This panel adds fT3, fT4, and the autoimmune antibodies Anti-Tg and Anti-TPO — which can reveal Hashimoto's thyroiditis or subclinical dysfunction that a TSH-only result entirely misses.
What happens if my results suggest I need HRT or TRT?
Your EGA report will include your clinician's commentary on relevant hormonal findings and clear guidance on next steps. If you wish to explore hormone optimisation, our team can arrange a consultation.
Can I share my results with my NHS GP?
Yes. Your report is delivered as a PDF and is straightforward to share with any healthcare provider.
Is my data secure?
Yes. All personal and health data is stored in full compliance with UK GDPR and is never shared with third parties without your explicit consent.
06 · Next Step
Ready to book?
Find Out What Your Hormones
- 01Book onlineReserve your slot online or by phone. Our team advises on optimal timing.
- 02Visit the clinicCome to our London clinic for your blood draw — 15–20 minutes.
- 03Receive your reportGet your clinician-reviewed EGA report shortly after your blood draw.
- 04Plan next stepsAdd a Longevity Plan or book a hormone optimisation consultation.