What a tape, a cuff and a scan can tell you.
Physical measurementsSimple body measures. Cheap, fast, easy to repeat.5 markers
Where fat sits often shifts around perimenopause, even when weight does not. Waist measures catch that. Weight alone does not.
- Height
- Used to work out BMI and waist-to-height ratio. Worth re-checking every few years.
- Waist circumference
- Measured around the middle, between the lowest rib and the hip bone. Tracks fat stored around the organs.
- Hip circumference
- Measured at the widest point of the hips. Used with waist to show fat pattern.
- Waist-to-hip ratio
- Waist divided by hip. Shows whether fat sits more at the middle or the hips.
- Waist-to-height ratio
- Waist divided by height. One number that works across body sizes.
VitalsThe basic signs of how the heart, lungs and circulation are running.5 markers
Resting heart rate and body temperature both rise a little after ovulation. Compare like with like: same cycle phase, same time of day.
- Blood pressure
- Two numbers. The top one is pressure when the heart beats. The bottom one is pressure between beats.
- Resting heart rate
- Beats per minute at full rest. Best read first thing in the morning.
- Body temperature
- Core warmth. Rises slightly in the second half of the cycle.
- Respiratory rate
- Breaths per minute at rest. Usually steady, so a change stands out.
- Oxygen saturation
- How much oxygen the blood is carrying, shown as a percentage.
Weight & bodyWhat the body is made of, not just what it weighs.6 markers
Weight can swing across a cycle from water alone. Composition (fat, lean mass, bone) shows what actually changed. A DXA scan is the most detailed common way to measure it.
- Weight
- Total body mass. Best tracked as a trend, not a single day.
- BMI
- Weight against height. A rough screen. It cannot tell muscle from fat.
- Body fat percentage
- The share of body weight that is fat.
- Lean mass
- Everything that is not fat or bone mineral: muscle, organs, water.
- Visceral fat
- Fat stored deep in the abdomen, around the organs. Measured by DXA.
- Bone mineral density
- How dense the bones are. Measured by DXA. Matters more after menopause, when oestrogen falls.
What a watch or ring records while you get on with your day.
ActivityHow much you move, and how hard.4 markers
Wearable numbers are estimates. The trend over weeks is useful. A single day is not.
- Steps
- A simple count of daily movement.
- Active energy
- An estimate of energy burned through movement.
- Exercise minutes
- Time spent with heart rate raised.
- VO2 max (estimated)
- An estimate of how well the body uses oxygen during hard effort. A marker of aerobic fitness.
SleepHow long, how deep, how regular.4 markers
Sleep often changes in the days before a period, and again around perimenopause. Reading sleep next to cycle phase separates a pattern from a bad week.
- Total sleep time
- Hours actually asleep, not hours in bed.
- Sleep stages
- Time in light, deep and REM sleep. Wearables estimate these from movement and heart rate.
- Sleep efficiency
- The share of time in bed spent asleep.
- Sleep consistency
- How regular bed and wake times are across the week.
Stress & recoveryHow the nervous system is coping with load.4 markers
Heart rate variability tends to dip, and resting heart rate tends to rise, in the second half of the cycle. That is physiology, not a loss of fitness.
- Heart rate variability (HRV)
- The small variation in time between heartbeats. Compare against your own baseline, not someone else's.
- Overnight resting heart rate
- The lowest steady heart rate during sleep.
- Wrist or skin temperature
- Overnight change from your own baseline. Rises after ovulation.
- Overnight respiratory rate
- Breaths per minute during sleep.
What a blood draw measures, group by group.
Full blood countA count of the cells in the blood: red cells, white cells and platelets.8 markers
Reference ranges for haemoglobin are set lower for women than for men. Regular blood loss from periods is one reason red cell markers matter here.
- Haemoglobin
- The protein in red cells that carries oxygen.
- Red blood cell count
- The number of red cells in a set volume of blood.
- Haematocrit
- The share of blood volume made up of red cells.
- MCV
- The average size of a red cell. Helps sort out why haemoglobin is low or high.
- MCH and MCHC
- How much haemoglobin each red cell holds.
- RDW
- How much red cells vary in size.
- White blood cell count
- Total immune cells, plus a breakdown: neutrophils, lymphocytes, monocytes, eosinophils, basophils.
- Platelets
- Cell fragments that help blood clot.
Blood typeYour ABO group and Rh status.2 markers
Rh status matters in pregnancy. It is recorded once and does not change.
- ABO group
- A, B, AB or O.
- Rh factor
- Positive or negative.
Bone healthThe minerals and signals that build and keep bone.6 markers
Bone loss speeds up after menopause as oestrogen falls. Blood markers show the supply side. A DXA scan shows the bone itself.
- Calcium
- The main mineral in bone. Blood levels are tightly controlled by the body.
- Adjusted calcium
- Calcium corrected for the albumin level. Often the more useful number.
- Phosphate
- Works with calcium in bone.
- Vitamin D (25-OH)
- Helps the gut absorb calcium. Levels drop in winter at UK latitudes.
- Alkaline phosphatase (ALP)
- An enzyme from bone and liver. Rises in pregnancy.
- Parathyroid hormone (PTH)
- The hormone that controls blood calcium.
Diabetes testingHow the body handles sugar.4 markers
Insulin sensitivity shifts across the cycle and again around menopause. Fasting tests need a true fast to mean anything.
- HbA1c
- Average blood sugar over roughly the last two to three months.
- Fasting glucose
- Blood sugar after at least eight hours without food.
- Fasting insulin
- How much insulin the body needs to keep glucose steady.
- HOMA-IR
- A score worked out from fasting glucose and insulin. An estimate of insulin resistance.
Iron statusHow much iron you have stored, and how much is in use.5 markers
Periods are the most common reason for low iron in women. Ferritin rises with inflammation, so it is best read next to CRP.
- Ferritin
- The iron store. Usually the first marker to fall.
- Serum iron
- Iron in the blood right now. Swings through the day.
- Transferrin
- The protein that carries iron.
- Transferrin saturation
- The share of transferrin that is loaded with iron.
- TIBC
- Total iron-binding capacity. Tends to rise when stores are low.
Heart healthFats and particles in the blood linked to heart and vessel health.8 markers
Lipid patterns often shift after menopause. A result from your thirties is not a forecast for your fifties.
- Total cholesterol
- All cholesterol in the blood. Least useful on its own.
- LDL cholesterol
- Cholesterol carried in LDL particles.
- HDL cholesterol
- Cholesterol carried in HDL particles. Tends to run higher in women before menopause.
- Non-HDL cholesterol
- Total minus HDL. Covers all the particles linked to artery plaque.
- Triglycerides
- Fat in the blood. Strongly affected by a recent meal.
- Apolipoprotein B (ApoB)
- A count of the particles that can enter the artery wall.
- Lipoprotein(a)
- Largely set by genes. Usually measured once.
- hs-CRP
- A sensitive marker of low-level inflammation.
Kidney healthHow well the kidneys filter the blood.5 markers
Creatinine comes from muscle. Women with less muscle, or more, can get an eGFR that reads off. Cystatin C does not depend on muscle.
- Creatinine
- A waste product from muscle, cleared by the kidneys.
- eGFR
- An estimate of filtering rate, worked out from creatinine, age and sex.
- Urea
- A waste product from protein. Affected by diet and hydration.
- Cystatin C
- A second way to estimate filtering that does not depend on muscle mass.
- Sodium and potassium
- Salts the kidneys keep in balance.
Liver healthEnzymes and proteins that show how the liver is working.7 markers
Hard training can raise ALT and AST for days, because muscle releases them too. ALP rises in pregnancy.
- ALT
- An enzyme found mostly in liver cells.
- AST
- An enzyme found in liver and muscle.
- GGT
- An enzyme sensitive to alcohol and bile flow.
- ALP
- An enzyme from liver and bone.
- Bilirubin
- A pigment made when old red cells are broken down.
- Albumin
- The main protein made by the liver.
- Total protein and globulin
- All proteins in the blood, and the share that is not albumin.
Pancreatic healthEnzymes the pancreas makes to digest food.3 markers
These are usually ordered to answer a specific question, not as a routine screen.
- Amylase
- An enzyme that breaks down starch. Made by the pancreas and the salivary glands.
- Pancreatic amylase
- The share of amylase that comes from the pancreas.
- Lipase
- An enzyme that breaks down fat. More specific to the pancreas than amylase.
Muscle & joint healthMarkers of muscle stress, uric acid and joint inflammation.4 markers
Creatine kinase can stay raised for several days after hard training. Rest before a test if you want a clean baseline.
- Creatine kinase (CK)
- An enzyme released when muscle is stressed or damaged.
- Uric acid
- A waste product. Tends to rise in women after menopause.
- Rheumatoid factor
- An antibody sometimes measured when joints are inflamed. Ordered by a doctor as part of a wider picture.
- Anti-CCP
- A second antibody used alongside rheumatoid factor.
Nutritional healthVitamins and minerals measured in blood.7 markers
Needs change with heavy periods, pregnancy, plant-based eating and some medications. Test, then decide. Guessing in either direction has a cost.
- Vitamin B12
- Needed for nerves and red cells. Found mainly in animal foods.
- Active B12
- The share of B12 the body can actually use.
- Folate
- Needed for making new cells. Matters before and during pregnancy.
- Vitamin D
- Made in skin from sunlight. Also listed under bone health.
- Magnesium
- Blood levels show only a small part of the body's store.
- Zinc
- Involved in immunity and healing.
- Omega-3 index
- The share of omega-3 fats in red cell membranes.
Digestive healthBlood markers linked to the gut.3 markers
Some of these only read correctly if the food in question is still in your diet. Check before you test.
- Coeliac screen (tTG-IgA)
- An antibody test. Only reliable if you are still eating gluten.
- Total IgA
- Checked alongside the coeliac screen so a low IgA does not hide a result.
- H. pylori antibodies
- Shows past or present exposure to a common stomach bacterium.
Hormonal healthThe signals that run the cycle, and a few that sit alongside it.11 markers
Timing matters. Most of these change day by day across the cycle. A result with no cycle day attached is hard to read. Hormonal contraception and HRT change the picture too.
- Oestradiol
- The main form of oestrogen before menopause. Low early in the cycle, peaks before ovulation.
- Progesterone
- Rises after ovulation. Often tested about seven days before the next period is due.
- FSH
- The signal from the brain that tells the ovaries to grow a follicle. Usually tested early in the cycle.
- LH
- The signal that triggers ovulation.
- Testosterone
- Women make it too, in smaller amounts.
- SHBG
- A protein that binds sex hormones. Sets how much is free to act.
- Free androgen index
- Worked out from testosterone and SHBG.
- DHEA-S
- A hormone from the adrenal glands.
- Prolactin
- Best known for milk production. Rises with stress, sleep and exercise.
- AMH
- Reflects the number of small follicles in the ovaries. It does not measure egg quality or predict the chance of pregnancy.
- Cortisol
- Follows a daily rhythm. High in the morning, low at night. The time of the draw matters.
Metabolic syndromeA cluster of measures read together, not one test.5 markers
The waist cut-off used for women is lower than for men. This is a group of risk markers that tend to travel together, not a diagnosis in itself.
- Waist circumference
- The body-shape part of the cluster.
- Triglycerides
- The blood-fat part.
- HDL cholesterol
- Read with a women-specific threshold.
- Blood pressure
- The circulation part.
- Fasting glucose
- The blood-sugar part.
Thyroid healthThe gland that sets the body's pace.5 markers
Thyroid conditions are far more common in women than in men, and often appear after pregnancy or around menopause. High-dose biotin supplements can distort thyroid results. Ask about pausing them before a test.
- TSH
- The signal from the brain telling the thyroid how hard to work. The usual first test.
- Free T4
- The main hormone the thyroid releases.
- Free T3
- The active form, made from T4.
- TPO antibodies
- Antibodies against the thyroid. Show whether the immune system is involved.
- Thyroglobulin antibodies
- A second thyroid antibody.
Allergy evaluationSigns that the immune system reacts to something.3 markers
A raised result shows sensitisation. It does not prove an allergy on its own. It has to match real symptoms.
- Total IgE
- The overall level of the allergy antibody.
- Specific IgE
- IgE against one named trigger, such as a pollen or a food.
- Eosinophils
- White cells that often rise with allergy. Part of the full blood count.
Infection & inflammationSigns that the immune system is active.4 markers
ESR tends to run higher in women and rises with age. These markers say that something is going on. They do not say what.
- CRP
- Rises fast with infection or injury, and falls fast after.
- hs-CRP
- The sensitive version, for low-level inflammation.
- ESR
- How fast red cells settle in a tube. A slow, general marker.
- White blood cell differential
- Which immune cells are raised gives a clue to the cause.
Tumour markersProteins that can rise with some cancers, and with many harmless things.5 markers
These are not screening tests. CA-125, for example, can rise with periods, endometriosis and fibroids. Doctors mainly use them to follow a known condition, next to scans and other tests. A result in either direction, read alone, proves nothing. Always go through it with your doctor.
- CA-125
- Linked to the ovaries. Often raised for non-cancer reasons in women who still have periods.
- CA 15-3
- Used by specialists when following breast conditions.
- CA 19-9
- Linked to the pancreas and bile ducts.
- CEA
- Linked to the bowel. Also raised in smokers.
- AFP
- Linked to the liver. Also rises normally in pregnancy.
What a urine sample shows.
UrinalysisA dipstick and lab check of a urine sample.10 markers
A sample taken during a period can show blood that has nothing to do with the kidneys or bladder. Note the cycle day. A mid-stream sample gives the cleanest read.
- pH
- How acid or alkaline the urine is.
- Specific gravity
- How concentrated the urine is. A hydration clue.
- Protein
- Healthy kidneys keep most protein in the blood.
- Albumin-to-creatinine ratio (ACR)
- A sensitive check for small amounts of protein.
- Glucose
- Sugar is not usually found in urine.
- Ketones
- Made when the body burns fat for fuel. Seen in fasting and low-carb eating.
- Blood
- Can come from a period, hard exercise, or the urinary tract.
- Leukocytes
- White cells. A sign the urinary tract is irritated or infected.
- Nitrites
- Made by some bacteria. Read together with leukocytes.
- Bilirubin and urobilinogen
- Pigments linked to the liver and red cell breakdown.
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