Perimenopause is a process — a gradual transition. No one test or sign is enough to determine if you've entered perimenopause. Your doctor takes many things into consideration, including your age, menstrual history, and what symptoms or body changes you're experiencing.
Diagnosis of of perimenopause
Hormone testing is done through a hormone panel to test your levels of estrogen and other sex-linked hormones. This kind of testing can often show whether you are nearing or in menopause.
Irregular periods are the most common symptom of perimenopause. But it's important to know when to talk to your healthcare provider about your periods. Sometimes, irregular bleeding can point to an underlying problem. You can lower your risk of complications by seeking treatment when necessary.
Common physical symptoms of menopause and perimenopause include: hot flushes, when you have sudden feelings of hot or cold in your face, neck and chest which can make you dizzy. difficulty sleeping, which may be a result of night sweats and make you feel tired and irritable during the day.
Perimenopause can begin in some women in their 30s, but most often it starts in women ages 40 to 44.
Your GP can usually confirm whether you are menopausal based on your symptoms, but a blood test to measure your hormone levels may be carried out if you're aged 40 to 45. Blood tests may also be carried out to help diagnose suspected premature menopause if you're under 40 and have menopausal symptoms.
When testing for menopause is warranted, doctors may order an FSH test to detect elevated levels of FSH in the blood. Measuring FSH can help determine if a woman is perimenopausal or has already gone through menopause.
Usually, most testing is done in the luteal phase, around days 19, 20 or 21. This is the phase when PMS symptoms are at their peak, so I always tell patients you want to be tested on your bad days.
Contributors to weight gain at menopause include declining oestrogen levels, age-related loss of muscle tissue and lifestyle factors such as diet and lack of exercise. Treatment options include a healthy diet, regular exercise, strength training and menopausal hormone therapy.
Are menopause tests accurate? Home tests can detect FSH levels about 9 out of 10 times , but they do not determine whether a person is experiencing menopause. As females grow older, their FSH levels may increase and decrease during menstruation.
The FSH test only tells you if you have a high FSH level. It doesn't tell you if you are definitely in menopause (or premenopausal or perimenopausal). The bottom line is, if you have menopause symptoms, see your doctor, because your symptoms can be due to another medical condition.
There are two stages of perimenopause. The early stage is marked by the changes in menstrual flow and the length of cycles. The late stage is the transition to menopause which will be when women begin to miss their periods until they finally stop.
A Fred Hutchinson Cancer Research Center study involving postmenopausal, overweight, and obese women who took 2,000 IUs of vitamin D daily for a year found that those whose vitamin D blood levels increased the most had the greatest reductions in blood estrogens, which are a known risk factor for breast cancer.
And the continued low estrogen levels lead to more serious health concerns. The rate of bone loss speeds up, increasing your risk of low bone density, osteopenia and osteoporosis. You also have a higher chance of having a heart attack, stroke or other heart-related issues.
The main medicine treatment for menopause and perimenopause symptoms is hormone replacement therapy (HRT), which replaces the hormones that are at low levels. There are other treatments if you cannot, or choose not to, have HRT.
Most Australian women experience menopause between 45 and 60 years of age. The average age of menopause is 51 years. You have reached menopause when you have gone 12 months without having your period.