Perimenopause, Menopause and Post-Menopause Testing
Do you think you might be beginning your menopausal journey?
Time to find a good menopause specialist! I can’t stress this enough! This healthcare professional is your menopause business partner. You want to find a smart specialist who is up on the latest information about this time in your life. In spite of the fact that nearly two million women every year reach menopause (that’s equivalent to 6,000 women each day), Johns Hopkins did a small survey of U.S. obstetrics and gynecology residents found that fewer than one in five received formal training in menopause medicine! YKES!!!
Here are some tests that I found helpful in my menopausal journey:
Please note: If you are on certain hormone therapies (such as birth control pills), your hormone tests will not be valid. A doctor may ask you to stop taking birth control pills for a while before conducting these tests. If you’re still menstruating, have your hormone testing done during the first three days of your period.
Follicle-Stimulating Hormone (FSH) Test
Follicle-stimulating hormone (FSH) levels are sometimes measured to confirm menopause. This test is also used to determine a woman’s likelihood of conceiving a child. The test is generally repeated over several months to account for fluctuations in hormone levels that may be occurring. After several tests, if a woman’s FSH blood level is consistently elevated to 30 mIU/mL or higher, and she has not had a menstrual period for a year, it is generally accepted that she has reached menopause.
Some doctors prefer to test the Anti-Mullerian Hormone (AMH) levels instead. The AMH levels are decreased in perimenopause. Fertility doctors have been using this test for years as they find that the levels are not affected by taking birth control pills.
DHEA-sulfate is a hormone that easily converts into other hormones, including estrogen and testosterone.
This is the main type of estrogen produced in the body, secreted by the ovaries. Low levels can cause memory lapses, anxiety, depression, uncontrollable bursts of anger, sleeplessness, night sweats and more.
Free and Total Testosterone
Free testosterone is unbound and metabolically active, and total testosterone includes both free and bound testosterone. (No, this has nothing to do with 50 Shades of Grey.) In women, the ovaries’ production of testosterone maintains a healthy libido, strong bones, muscle mass and mental stability.
Low levels of progesterone can cause irritability, breast swelling and tenderness, mood swings, “fuzzy thinking,” sleeplessness, water retention, PMS and free membership to the sisterhood of the shrinking pants (weight gain).
TSH (thyroid-stimulating hormone)
Menopause symptoms can be similar to those of other conditions, such as thyroid disease. For some women, it may make sense to undergo medical tests to rule out such conditions as well. If there is an irregularity with your TSH, you may need to get your Total T3 and Free T4 checked as well.
Once you’ve determined that you actually are in the midst of perimenopause or menopause, here are other important tests to consider:
Bone Density Test
Also called a bone scan or DEXA scan, this test can determine whether you have osteopenia (low bone density) or osteoporosis (very low bone density). When you enter perimenopause and menopause, the decline in estrogen can trigger a rapid loss of bone mass. The scan takes only minutes and exposes you to very little radiation.
Cancer antigen 125 is a protein best known as a blood marker for ovarian cancer. It may be elevated with other malignant cancers, including those originating in the endometrium, fallopian tubes, lungs, breasts and gastrointestinal tract. Note that this test can result in false positives. Another ovarian cancer prevention screening test is a transvaginal ultrasound. This is a non-invasive test.
Cholesterol levels change in perimenopause and menopause. Too much cholesterol can build up artery plaque, narrowing blood vessels and potentially causing a heart attack. A cholesterol panel usually includes checking your HDL (high-density lipoprotein or the good cholesterol), LDL (low-density lipoprotein or bad cholesterol) and triglycerides (molecules of fatty acids). You’ll need to fast for 12 hours before this test.
This vitamin helps maintain normal blood levels of calcium and phosphorus, keeping your bones nice and strong. There is still controversy on how much and how effective Vit D3 supplementation is. In 2015, it was reported that Vitamin D supplementation can significantly increase muscle strength and reduce the loss of body muscle mass in post-menopausal women. I’ll take that!
Remember the results of these tests are only half of the conversation you want to have with your menopause specialist. The other half is an open and honest conversation about how you feel.
It is not unheard of that a women’s hormone numbers will appear normal while her menopause symptoms are through the roof! What is normal for one woman may not be functional for another.
You can download my free Menopause Symptoms Chart to help you communicate quickly and accurately exactly how you feel to your specialist. This will help determine what the test results mean for your body and how best to approach your individual situation.
Be proactive about your health – not reactive!
Make an appointment with your menopause specialist and take good care of YOU!
My Motto: Suffering in silence is OUT! Reaching out is IN!