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Doctor insights on: Is There A Test To Show If I Am In Perimenopause

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Is there a test to show if I am in perimenopause?

Is there a test to show if I am in perimenopause?

No: The tests for menopause are very unreliable for perimenopause, perimenopause is better defined by the symptoms, which can last for months or years before periods stop completely. Sometimes, perimenopausal symptoms will come and go for a number of years before their final time.Especially, with this type of course, tests will be unreliable. ...Read more

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Dr. Thomas Lyons
388 doctors shared insights

Perimenopause (Definition)

Period of time when your estrogen levels start to decline, your periods become irregular, symptoms such as hot flashes may begin, along with mood swings and other ...Read more


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Obgyn says hormone levels do not show perimenopause, estrogen high. Is this test definitive or could results fluctuate day 2 day with hormone levels?

Obgyn says hormone levels do not show perimenopause, estrogen high. Is this test definitive or could results fluctuate day 2 day with hormone levels?

Regular periods?: If you are having regular periods, you are not perimenopausal. If your periods are irregular, you have hirsutism, and are overweight, you may have polycystic ovarian syndrome. Estrogen levels fluctuate throughout the menstrual cycle. An FSH level is a better indicator of perimenopause, and will become elevated as you enter menopause. ...Read more

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I have high cortisol levels. What does this mean? I am in perimenopause and have been tested for my hormone levels. A recent saliva test showed I have high cortisol levels. I have been suffering from anxiety, depression and insomnia. I am under going

I have high cortisol levels.  What does this mean? I am in perimenopause and have been tested for my hormone levels.  A recent saliva test showed I have high cortisol levels.  I have been suffering from anxiety, depression and insomnia.  I am under going

High : High cortisol levels should be confirmed and further evaluated by an internist or endocrinologist. Salivary testing is not mainstream and could be misleading. Stress can result in elevations of cortisol but these will usually suppress with Dexamethasone (this is part of the further testing). ...Read more

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Can you tell me exactly when is the best time of month to test if perimenopause?

Cycle day 2 or 3: A blood level of fsh of cycle day 2 or 3 is a very helpful test for perimenopause. Amh (anti-mullerian hormone) is also being used more, especially in women who are trying to become pregnant, and that is not dependent on which day in your cycle blood is drawn. ...Read more

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Are there any tests that can be done to see if you have perimenopause or have begun that stage of life? I just turned 40.

Are there any tests that can be done to see if you have perimenopause or have begun that stage of life? I just turned 40.

May Be: Perimenopausal diagnosis is made by symptoms like irregular periods, hot flashes etc.Blood tests may not become abnormal even after few years of menopausal/perimenopausal state. ...Read more

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Are hormone levels the only tests for perimenopause?

Are hormone levels the only tests for perimenopause?

NO Not Accurate: Hormone testing if abnormal is indicative of perimenopause, but normal levels may not be accurate. I've tested people, who are close to menopause and had results consistent with a 20 year old one month followed by those of 55 year old the next month. Hormone testing is very inaccurate. Symptoms are the most important factor with shortened and irregular cycles (<26 days). ...Read more

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Is there a test for perimenopause like there's a test for menopause?

Is there a test for perimenopause like there's a test for menopause?

Not Exactly: Perimenopause is a time where the hormonal profile may vary widely. I've seen people test like 20 year olds one month and the next month test menopausal. So if only one test is performed the information can be very faulty and conclusions can be wrong. We use symptoms combined with age and other clinical indicators to help us more than lab testing. Hormones are helpful in this time, . ...Read more

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Is there a test to determine if someone is going through premature menopause or perimenopause?

Is there a test to determine if someone is going through premature menopause or perimenopause?

Yes: Premature menopause occurs before 35 and you will have high fsh levels. If after 35, you have perimenopause. Menopause only occurs after one year of not having periods. ...Read more

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I am 48 and only have one ovary. Will I have the same menopause symptoms as women with two? I am starting to show signs now of perimenopause.

I am 48 and only have one ovary. Will I have the same menopause symptoms as women with two? I am starting to show signs now of perimenopause.

Menopause the same: Your life with one functioning ovary is mostly the same as having two. At age 48, it is appropriate for you to begin menopause. The symptoms of menopause are very variable, and the presence of only one ovary will probably not change that. ...Read more

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Dr. Christine northrup mentions that women in perimenopause benefit from thyroid treatment regardless of test results, why do others disagree?

Dr. Christine northrup mentions that women in perimenopause benefit from thyroid treatment regardless of test results, why do others disagree?

Need real evidence: Dr. Northrup, like dr. Oz, and others, tend to stay in the public eye because of media, sensationalism, self promotion. Some of the things they promote are good and based on sound scientific evidence, many things however, have no scientific proof. There are no legitimate studies that demonstrate a benefit to taking thyroid hormone in people who have no thyroid problem. Any med has side effects. ...Read more

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Can a progesterone test of 15.5 ng/ml 7 day post ovulation means the women is not entering perimenopause or other tests needed? Can it occur at age 34

Can a progesterone test of 15.5 ng/ml 7 day post ovulation means the women is not entering perimenopause or other tests needed? Can it occur at age 34

Ovulation occurred: If done, progesterone levels are checked on day 21 of the cycle (7 days after ovulation) to check if ovulation occurred. A structure within the egg, the corpus luteum, normally produces progesterone. Documenting ovulation does not confirm or deny perimenopause. Typically tests are not done to confirm perimeno, but irregular periods & other symptoms may suggest it. It RARELY occurs as young as 34:) ...Read more

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Started perimenopause symptoms at 43 I'm 46 3 negative pregnancy tests, missed three cycles.. Menopause?

Started perimenopause symptoms at 43 I'm 46 3 negative pregnancy tests, missed three cycles.. Menopause?

Possible but unsure: It is only after you have gone through at least 12 consecutive months of "missed ovulatory menstrual cycles" that you may be considered "menopausal". Until then, or unless your blood hormonal levels of FSH, LH are elevated in the menopausal range and your estrogens are very low, you may be considered to still be "perimenopausal" or simply entering the menopausal transition period of your life. ...Read more

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I am 44 years old. My period was 12 days late, but it's now bright red and thin test says not gregnant. Could this be perimenopause?

I am 44 years old. My period was 12 days late, but it's now bright red and thin  test says not gregnant.  Could this be perimenopause?

Perimenopause: Perimenopsuse is associated with high estrogen levels, low Progesterone levels and irregular periods. You may benefit from progest crea. Rub 1/4 teaspoon into your inner arms daily. ...Read more

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If perimenopause symptoms and hypothyroid symptoms are similar and all thyroid tests are in normal range, taking bc pills, then why still symptomatic?

If perimenopause symptoms and
hypothyroid symptoms are similar
and all thyroid tests are in normal
range, taking bc pills, then why
still symptomatic?

Not all tests done: I would bet your doctor never tested a reverse t3 (liothyronine). Must test free t3 (liothyronine), reverse t3 (liothyronine), free t4. Can almost promise your reverse T3 (liothyronine) will be in the high end of the range and your free T3 (liothyronine) in the low end.. Proof of functional hypothyroidism. Treat possibly with armour thyroid. Also may have some adrenal farigue. ...Read more

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I'm 42 on the pill for 19 years. Missed 2 periods now in a row. Took home preg. Test..Negative. Could i be perimenopause? Should i call my gyno?

I'm 42 on the pill for 19 years. Missed 2 periods now in a row. Took home preg. Test..Negative. Could i be perimenopause? Should i call my gyno?

Normal: Ocp amenorrhea. It is perfectly normal to have very light or absent cycles on long term birth control pill use. It is perfectly safe & not a sign of peri-menopause. In fact, you would have to stop hormone use if you wanted to check for menopause (average age 51-52). Continue your pills, make sure you are not pregnant & enjoy the side effect. Take care. ...Read more

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No period for 3 months, urine test 1 month ago was negative, breasts have been swollen. i'm 43, is this perimenopause?

No period for 3 months, urine test 1 month ago was negative, breasts have been swollen. i'm 43, is this perimenopause?

Possibly-see GYN: I think you need to have female hormone levels, thyroid function and blood sugar function tested in addition to a blood pregnancy test ( HCG). I assume you are sexually active and if unprotected, pregnancy must be evaluated by a GYN exam, ultrasound and blood testing. ...Read more

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My periods have become irregular. Formication and vertigo. Hormone tests ok. Could it be perimenopause. What is treatment?

My periods have become irregular. Formication and vertigo. Hormone tests ok. Could it be perimenopause. What is treatment?

Irregular periods are one of the most common problems Obgyns treat.: If this is one time problem it usually resolves on its own. If this is a recurring problem you should be evaluated. Infections &  hormonal changes can cause spotting. If there is a concern for pregnancy then do  a home pregnancy test .  there are many options available to help regulate the menstrual cycle. Schedule a visit. ...Read more