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This at-home lab test offers valuable insights into your hormonal health, helping you determine if you're in perimenopause and take control of your well-being.

  • 4 biomarkers measured  icon
    4 biomarkers measured
  • CLIA-certified and CAP-accredited lab icon
    CLIA-certified and CAP-accredited lab
  • Finger prick sample icon
    Finger prick sample
  • No fasting icon
    No fasting
  • Virtual Care available icon
    Virtual Care available

What is measured?

This test measures the following biomarker:

  • Estradiol

    Estradiol is the primary form of estrogen produced by the ovaries. It is essential for reproductive health and pregnancy as it is one of the primary sex hormones responsible for ovulation. Estradiol levels drastically decrease after menopause. In addition to helping the brain and reproductive system function at their best, estradiol also affects bone formation, the development of secondary female sex traits, fat distribution, libido, and cardiovascular health.

  • LH

    LH levels help women to determine when they ovulate, why they might have trouble getting pregnant, and to help to identify the cause for irregular or no periods, and to diagnose PCOS, and confirm and track menopause or perimenopause. LH levels are also used to measure health of the pituitary gland, to find pituitary tumors, and to enable evaluation of early or late puberty in children.

  • FSH

    Follicle-Stimulating Hormone (FSH) is produced by the pituitary gland and plays a crucial role in regulating reproductive processes, such as egg development in the ovaries and sperm production in the testes. FSH is used to evaluate fertility issues, diagnose pituitary gland disorders, and diseases involving the ovaries or testes. It helps determine the cause of irregular or absent menstrual periods in women, assess menopause onset, and investigate delayed or early puberty in children.

  • LH/FSH ratio

    The LH/FSH ratio measures the relative levels of luteinizing hormone (LH) to the follicle-stimulating hormone (FSH) in the body. LH and FSH hormones are both secreted by the pituitary gland and play important roles in regulating the reproductive system. The LH/FSH ratio is typically used in the evaluation of certain reproductive disorders, such as polycystic ovary syndrome (PCOS).

Who should take this test?

This test is suitable for women 18 years of age and older, especially those experiencing the following symptoms:

  • Irregular periods
  • Hot flashes
  • Night sweats
  • Mood swings
  • Vaginal dryness
  • Difficulty sleeping

How to test?

Before you begin:

  • When you wake up, drink 12oz. of water and collect your blood sample 1 hour later.
  • Avoid smoking for 1 full hour before collecting your blood sample.
  • Wash your hands with soap in warm water, and then rub them together.
  • Do some light exercise, like jumping jacks, to increase blood circulation.

Register your test ID online and collect your sample:

Scan the QR code inside your kit and follow the instructions to collect your sample.

After collection:

  • Let your sample dry completely on card (2 hours).
  • Mail test box the same day using the prepaid label. If you take your test on Sunday, mail it in first thing on Monday.

What is in the box?

Items contained in this kit

What to expect?

  • Prepaid shipping label and packaging for an easy return to the lab
  • All the necessary materials for sample collection
  • Live 24/7/365 proctoring to guide you through the sample collection process
  • Easy-to-follow video directions to help you along the way
  • Digital (and printable) results found in the AZOVA app

The HEALTHBOX™

Perimenopause Test

Perimenopause Test

Virtual care available
FSA/HSA cards accepted
Results in
2-5 days
For ages 18+
Regular price $119
Regular price Sale price $119
View full details

How it works

  • 1
    Collect your blood sample at home.
    Collect your blood sample at home.  icon

    Fast and easy sample collection either with our online testing guide or virtual proctoring service.

  • 2
    Mail your sample to a CLIA-certified and CAP accredited lab.
    Mail your sample to a CLIA-certified and CAP accredited lab. icon

    You’ll receive an SMS and email notification when your sample arrives.

  • 3
    Receive your results electronically.
    Receive your results electronically. icon

    Complete with a digital report that is printable in the AZOVA app.

  • 4
    Take action on your results.
    Take action on your results. icon

    Access our educational materials or get a virtual care visit with a certified health provider (cost not included).

Frequently asked questions

Are AZOVA tests covered by FSA/HSA?

  • Use your AZOVA test order confirmation to submit for FSA/HSA reimbursement.
  • As defined by the IRS, many FSA/HSA benefits coordinators consider AZOVA tests to be qualified medical expenses.
  • However, some FSA/HSA benefits coordinators might deny reimbursement. Before purchasing, please consider checking with your benefits coordinator to see if your FSA/HSA covers AZOVA products.

Who should take this test?

Women age 18+ with symptoms:
Irregular periods, hot flashes, night sweats, mood swings, vaginal dryness, difficulty sleeping

What if I have questions about this test or my results?

For questions about your test or results, contact AZOVA Customer Support at 844-692-9682, available 24/7.

For a more in-depth discussion of your results with a healthcare provider, AZOVA's Virtual Care is available at azova.com for an additional cost.

How often should I take this test?

The frequency of perimenopause testing depends on several factors, including a woman's age, symptoms, medical history, and individual risk factors.

In which states can I purchase this test?

Tests are available for individuals 18 years and older and require a blood sample. Availability of tests may vary by state. Visit azova.com/states for more information. This test is only intended for informational and educational use, and is not intended to be used for diagnostic purposes.

Purchase, registration, and use are subject to the AZOVA User Agreement available at azova.com/patient-terms.

Information presented here is not intended to diagnose or treat any condition and is provided for educational purposes only. Always consult with your healthcare provider before making any healthcare decisions.

If you are having a life threatening emergency, please call 911 immediately.

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Talk with Customer Support

You can call AZOVA’s Customer Support team for comprehensive support, including help with your account, testing, results and telemedicine visits.

Please note that wait times may vary depending on call volume.

(844) 692–9682