Menopause and Perimenopause

You and your health professional can tell whether you are in perimenopause based on your age, your history of menstrual periods, your symptoms, and the results of your pelvic exam. If possible, bring a calendar or journal of your menstrual period and symptoms.

If you have severe symptoms before or after menopause, if your health professional suspects another medical condition, or if you have a medical condition that makes a diagnosis difficult, your health professional may do one or more of the following tests:

• A pregnancy test is done if there is a chance that you are pregnant.
• A follicle-stimulating hormone (FSH) test can be used to confirm whether you have reached menopause. FSH levels increase during perimenopause and are high after menopause.
• An estrogen test is sometimes done to see how low estrogen has dropped after menopause.
• A thyroid-stimulating hormone test is used to see whether irregular menstrual periods or perimenopause-like symptoms are being caused by a thyroid problem.

If you have had no menstrual periods for 1 year, you have reached menopause and are in postmenopause. This is a good time to have a full physical exam, with particular focus on your heart health and risk factors for osteoporosis. Be sure to report any unexpected vaginal bleeding to your health professional.

Exams and Tests

You and your health professional can tell whether you are in perimenopause based on your age, your history of menstrual periods, your symptoms, and the results of your pelvic exam. If possible, bring a calendar or journal of your menstrual period and symptoms.

If you have severe symptoms before or after menopause, if your health professional suspects another medical condition, or if you have a medical condition that makes a diagnosis difficult, your health professional may do one or more of the following tests:

• A pregnancy test is done if there is a chance that you are pregnant.
• A follicle-stimulating hormone (FSH) test can be used to confirm whether you have reached menopause. FSH levels increase during perimenopause and are high after menopause.
• An estrogen test is sometimes done to see how low estrogen has dropped after menopause.
• A thyroid-stimulating hormone test is used to see whether irregular menstrual periods or perimenopause-like symptoms are being caused by a thyroid problem.

If you have had no menstrual periods for 1 year, you have reached menopause and are in postmenopause. This is a good time to have a full physical exam, with particular focus on your heart health and risk factors for osteoporosis. Be sure to report any unexpected vaginal bleeding to your health professional.