Menopause FAQs: Menopause Tests explains why tests are not usually necessary to diagnose menopause and/or perimenopause.

Menopause PredictionMenopause FAQs: Menopause Tests

Currently, what is the best way to predict menopause?

In About Menopause: Diagnosis of Menopause – Is There A Test To Diagnose Perimenopause or Menopause? The Best Test So Far the (Australian) Jean Hailes for Women’s Health:

“Currently, the best way to predict menopause is to use the symptoms you have as a guide to whether you are close to menopause. If your periods are irregular or have stopped for some time, or if you are experiencing symptoms such as hot flushes and they are gradually getting worse, these signs are likely to be better indicators than blood or saliva tests that you are getting closer to menopause”.

Menopause Diagnosis

Currently, how may menopause be diagnosed?

In Diagnosing Menopause: Symptom Assessment and Diagnosis the Australasian Menopause Society (AMS) elaborate on:

Menopause FAQs: Menopause Tests“Many women come to the consultation expecting a blood test to diagnose menopause, and it is important to explain to them why we use the symptom score rather than a blood test in establishing a diagnosis. It is important to explain to women that the blood tests of FSH/oestradiol can fluctuate on a daily basis and therefore are not useful or necessary”.

FSH Test

Can a single Follicle Stimulating Hormone (FSH) test be misleading?

In How Do I Know I’m In Menopause? What About Follicle-Stimulating Hormone Testing? the North American Menopause Society (NAMS) elaborate on:

“…a single FSH level can be misleading in perimenopause since estrogen production does not fall at a steady rate from day to day. Instead, both estrogen and FSH levels can vary greatly during perimenopause. One elevated FSH level is not enough to confirm menopause. More importantly, a low FSH level in a woman who is having hot flashes and changing periods does not eliminate the likelihood that she is still in perimenopause”.

Saliva Test

Should saliva tests be used to evaluate or treat menopausal symptoms?

In How Do I Know I’m In Menopause? What About Saliva Testing? the NAMS also note:

“Some clinicians recommend testing a woman’s saliva for estrogen or other hormone levels. But salivary hormone levels are expensive, are not accurate, and should not be used to evaluate or treat menopausal symptoms”.

Other Conditions

Can tests be ordered to rule out other conditions?

In What Is Menopause? How Is Menopause Diagnosed? the AMS note:

“It is not necessary to have hormonal tests to “prove” a woman is menopausal. However a doctor may order tests if there is concern that physical changes are a sign of illness, such as a thyroid disorder, rather than natural ageing, or if spontaneous menopause occurs at an early age”.

Healthcare Provider

What if I would like to find out if I am perimenopausal or not?

In the NICE Guideline Menopause Diagnosis and Management – Information for the Public: Diagnosing Menopause the (British) National Institute for Health and Care Excellence (NICE) elaborate on:

“If menopausal symptoms are affecting your day to day life you should see your GP. Your GP should be able to tell if you are in perimenopause or menopause based on your age, symptoms and how often you have periods, so you are unlikely to need tests”.

Who is a GP?

DotS and/or DotC (Depending on the Country) a GP may be a qualified and registered general practitioner, a medical practitioner, a medical doctor or a doctor.

Menopause FAQs

Where may I find more menopause FAQs?

In Menopause FAQs: Expert Answers To Frequently Menopause FAQs: Menopause TestsAsked Questions About Menopause the NAMS include Menopause FAQS: An Introduction To Menopause? explain:

“Menopause marks the end of the childbearing phase of a woman’s life that began with puberty. If you’re concerned about menopause, it’s time to get educated. The first step in understanding menopause is to learn what it is, what it’s not, and how it may affect you. NAMS experts answer your most frequently asked questions about menopause”.

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Last Updated: 21 October 2019 – Last Revised: 29 July 2019
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