Navigating the Testing Waters: A Guide to Understanding Menopause and Peri-menopause Diagnostics

If you think you’re entering peri-menopause or menopause, it’s important to have a clear understanding of the diagnostic tests available to you. By knowing what tests to ask for, you can work with your doctor to get a better understanding of what’s happening with your body and create an effective treatment plan.

1. FSH and LH Tests: These tests measure the levels of two hormones in your blood, follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which play a key role in ovulation and the menstrual cycle. Elevated levels of FSH and LH can indicate that your ovaries are not producing enough estrogen and that you are in the early stages of menopause.
2. Thyroid Tests: The thyroid gland produces hormones that help regulate your metabolism and energy levels. Hormonal imbalances caused by menopause can affect the thyroid, so it’s important to have your thyroid tested to make sure it’s functioning properly.
3. Bone Density Test: As we age, bone density decreases and becomes more brittle, this is especially the case for women going through menopause, due to lack of estrogens, and hence the use of bone density test helps to detect the osteoporosis risk. This test uses X-rays or ultrasound to measure the density of your bones and assess your risk of osteoporosis.
4. Mammography: As part of the menopause process, women also have a higher risk of breast cancer. A mammography is a low-dose X-ray test that can detect early breast cancer, which is often asymptomatic.
5. Pelvic Exam: A pelvic exam is an important test for women at any age, but especially for those going through peri-menopause or menopause. A pelvic exam includes a Pap smear and visual and manual examination of the reproductive organs, including the ovaries. This exam can detect potential issues such as fibroids, cysts, and cancer.

It’s important to note that not all of these tests are required for every woman, it depends on your symptoms, family and personal health history, and a physical examination. But as you are going through peri-menopause and menopause, it’s a good idea to discuss with your doctor which tests are most appropriate for you and to have regular check-ups. Remember that you are your own best advocate, and it’s important to take charge of your own health, by asking questions and getting the information you need.