Do I need a health check if I feel well?
Probably not, and we will say so.
General health screening in people without symptoms has not been shown to reduce death or serious illness, and broad panels reliably generate borderline results that lead to more testing.
The NHS screening programmes are a different matter — those are targeted, evidence-based, and free.
Does this replace my smear test?
Absolutely not, and this is the most important thing on the page.
Cervical screening prevents cancer by finding and treating changes before they become cancerous. No blood test does anything comparable.
It is free, from age 25 — and uptake has been falling, which is a genuine problem.
Does it screen for breast or ovarian cancer?
No. Breast screening is mammography, free from 50 to 71 and by self-referral after that.
There is no reliable screening test for ovarian cancer. CA-125 is not recommended for screening women without symptoms — it produces false positives that lead to scans and sometimes surgery in healthy women.
How should I prepare?
Fasting is usually required — confirm the exact requirement when booking.
If hormones are included and you still have periods, the sample should be on days 2 to 5 of your cycle.
Some results were slightly outside the range. Is that a problem?
Usually not. Reference ranges are set so around 5 per cent of healthy people fall outside them on any given test.
Across a large panel, at least one borderline result is more likely than not — and most simply need repeating.
Will it check my hormones and menopause status?
Hormones can be included, but they will not tell you whether you are perimenopausal.
Over 45 with typical symptoms, the diagnosis is clinical — and levels fluctuate too much for a single sample to settle it. A normal FSH does not rule it out.
What is the single most useful test here?
Ferritin, for most women. Iron deficiency is common, causes real fatigue, and occurs with a completely normal full blood count — so it is missed whenever ferritin is left out.
What about blood pressure?
It matters more than most of this panel, and it is free.
Many pharmacies check it without an appointment, and high blood pressure is silent — which makes it exactly the kind of thing worth checking when you feel well.
Should I be doing anything else?
Bowel screening, if you are 50 or over. A home kit arrives in the post, and return rates are poor — it is the easiest and highest-value thing on this page.