RESPONSE: The most common way your physician will determine if you are in perimenopause is to ask you about medical history (to determine if something else is causing your condition) your menstrual history and your signs and symptoms.
The problem with blood tests, urine tests and salivary hormone testing is that your hormones will fluctuate throughout the month, so the test results will be inaccurate.
There are some situations in which a woman has a very good reason to want to know exactly if she is in perimenopause or not such as: a) she has a condition that mimics perimenopause such as thyroid disease b) she wants to get pregnant and needs to know her hormone levels 3) she is young (below 40) and she has the signs and symptoms of perimenopause but she wants to know for sure.
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During the menopausal transition, it is obvious that there are enormous hormonal changes, and it would seem that these changes can be measured with urine, blood and saliva testing and determine which stage of menopause you are in.
Some over-the-counter test kits will measure the levels of follicle-stimulating-hormone (FSH) in your urine. But because your FSH levels vary at different times of the day and the month, it results will be inaccurate. The same goes for saliva testing.
The best way to determine what stage of menopause you are in is to be aware of the unique signs that come with each stage whether it be the reproductive stage, early or late perimenopause, menopause, or early or late post-menopause.
If you still need to know what stage of menopause you are in, your doctor will recommend hormone testing to be done on the morning of the 3rd or 4th day of your menstural cycle (to be repeated a few times), plus a physical exam and she/he will take a full medical history. The combination of these examinations may help to determine your state.
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