Know the tests used in the diagnosis of menopause

The period of transition to menopause must be monitored by a gynecologist , in order to refer treatments, hormone replacement and clarifications to the patient.

Clinically, it is possible to diagnose menopause by ordering some tests, including hormonal ones, such as follicle-stimulating hormone (FSH) and estrogen, because during menopause, FSH levels increase, while estrogen levels decrease.

The main point in the diagnosis of menopause is to differentiate amenorrhea from other conditions, as menstrual absence can sometimes be a secondary occurrence, pointing out other dysfunctions or changes.

For this, the doctor needs to assess whether the interruption of menstruation is not due, for example, to:

  • Hyperthyroidism (dysfunction of the thyroid gland);
  • Hyperprolactinemia (increased prolactin hormone production);
  • Pregnancy;
  • Medications;
  • Carcinoid syndrome (tumors in hormone-producing cells);
  • Pheochromocytoma (tumor in the adrenal cells).

In addition, women who, before menopause, choose contraceptive methods to avoid menstruating (such as patching contraceptive packs), may take longer to notice the onset of symptoms or menstrual absence.

In such cases, it is important that hormonal follow-up examinations are performed and that the contraceptive suspension or treatment change is conducted by the specialist.

After suspicions of the onset of perimenopause or approaching menopause, it is necessary to follow up for changes that may occur in the body.

Clinical and physiological assessment in pre-menopause or climacteric can be essential to monitor the condition of women. In general, it is a delicate period with significant changes in the organism.

Many patients may feel fragile or helpless, and it is the role of the health professional to assist and assist the changes, providing clinical and informational support. Among the measures that the doctor can take are:

Physical exams

Weight and height are fees that must be closely monitored by the doctor. The BMI (body mass index) may indicate the need for dietary changes or adoption of a more active life physically.

Measuring blood pressure and waist circumference is also necessary, because in addition to weight, the functioning of the organism needs to be considered as a whole.

Gynecological exams, breast evaluation and intimate examination (checking the mucosal roughness, lubrication of the cervix and vagina) are necessary to evaluate and refer the patient to drug therapies.

Clinical exams

Some tests that can be ordered to check the health of the organism are:

  • Laboratory tests (including blood count, TSH, blood glucose, cholesterol and liver functions);
  • Mammography and breast ultrasound (for breast cancer evaluation);
  • Examinations and cervix (cancer preventive);
  • Transvaginal ultrasound;
  • Bone densitometry (evaluation of bone mass health).