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How Is the Menopause Diagnosed?
Self Testing for Menopause
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How Is the Menopause Diagnosed?
There are many tests and examinations that help in determining menopause.
Most of these tests involve drawing a little blood from your veins and arteries. You could feel
slight pain and discomfort as a result.
In some cases, it could cause excessive bleeding. Infection is possible. Sometimes, though rarely,
you could experience dizziness or could lose consciousness for some time.
But, doctors take all necessary precautions before undertaking any of these tests.
Diagnosis of menopause includes reviewing your medical history, present symptoms and ruling
out other possible causes for your symptoms.
Irregular periods are a common menopausal symptom, although it does not necessarily indicate
menopause.
Other Tests to Diagnose Menopause
Urine test: Doctors advise a specific urine test to detect hormone levels because high hormone
levels in urine could indicate menopause.
Blood Test: A blood test to determine the amount of follicle-stimulating hormone (FSH) can
indicate if symptoms pertain to menopause. This test is specifically for women who have had a
hysterectomy operation without removal of ovaries. The result is that the ovaries of these women
continue to produce estrogen and progesterone.
Pituitary glands produce FSH and stimulate ovaries to produce estrogen. However, in women
over the age of forty, estrogen production declines although their FSH level may increase.
Excess FSH then enters your blood.
Sometimes, a single FSH test is not enough for diagnosis of menopause.
Further, some doctors may advise that you should not be taking birth control pills when you are
tested as hormones present in those pills could affect test results.
Your FSH levels can help to identify symptoms of menopause if you are in this group.
Bone Tests: Menopause may lower the density of your bones, sometimes leading to osteoporosis.
Bone tests detect and calculate bone density levels and compare it with normal levels.
This involves taking an x-ray of hipbones and those in the lower parts of your spine. Before this,
simple screening of bones through ultrasound machines can detect bone density. However, this
simple screening is insufficient to detect actual levels necessary to determine menopause.
If levels are between 1 and 2.5 standard deviations below the average value, it may indicate
osteoporosis.
Heart Tests: Menopause could place you at risk of heart ailments. Doctors prescribe normal blood
tests to determine cholesterol levels. High cholesterol may indicate the possible existence of
heart disease.
Pregnancy Test: Doctors conduct pregnancy tests to determine if you are pregnant or in
menopause if you miss your regular menstrual periods.
Thyroid Test: Thyroid problems in women often show the same symptoms as those of
menopause. Therefore, doctors recommend a thyroid-stimulating hormone test to check if
irregular periods are due to thyroid problems or due to menopause.
Urine test: There is a specific urine test that determines hormonal levels in urine. High hormone
levels may indicate menopause.
Transvaginal ultrasound test: This test detects abnormalities in uterus or any extra growth
around uterus that could be responsible for excessive and abnormal bleeding during or in-
between menstrual periods.
Menopause may induce such irregular periods with excessive bleeding. This test can help doctors
determine if the bleeding is due to menopause or other problems associated with the uterus.
Endometrial biopsy: This test detects the functioning of the uterine lining. Normally,
progesterone and estrogen form a thick lining around uterus to house a fertilized egg. If there is
no fertilization, this lining comes off as menstrual bleeding. This biopsy can therefore detect if
such uterine lining takes place and thereby can give some indication if you are into menopause or
not.
Estradiol test: Estradiol is an important form of estrogen secreted in the ovaries, adrenal cortex
and placenta. This test detects estradiol levels in blood. This hormone promotes growth and
development of uterus, breasts, vagina and fallopian tubes. It also promotes distribution of body
fat.
You should not take birth control pills or be on estrogen therapy while taking this test. This test
can check functioning of ovaries, adrenal glands and placenta. It also detects any abnormal
growth around ovaries or placenta.
This helps doctors analyze if you are going through menopause or having other problems related
to your ovaries like ovarian cancer, a tumor or any other problem.
LH (Luteinizing Hormone) Blood Test: This test detects levels of the luteinizing hormone or LH.
Your anterior pituitary gland releases a special protein hormone, LH. Increase in LH levels during
mid-cycles of menstruation causes ovulation.
Doctors conduct this test on a specific day of your menstrual cycle. Doctors detect such levels
through blood test. If levels of LH hormones in your blood test are very high, it may indicates
menopause.
But, these levels also could be high if you have ovarian cancer, a tumor or possibly the formation
of cysts around the uterus.
Doctors analyze these test results with regard to your other menopause-linked symptoms to
detect if you are into menopause or not.
You should refrain from using any birth control pills or hormone replacement therapy while
undergoing this test.
Pelvic Examination: Doctors conduct a thorough pelvic examination to detect any abnormalities
in your pelvic region and around the uterus. Excess growth, pain or discomfort could prompt
doctors to go into deeper examinations to detect the actual cause of your problem.
Normally, women into menopause have fat deposits in the pelvic region that may result in some
weight gain. This test can detect changes in vaginal lining that take place during menopause.
Breast examination or mammography: Breast examination can detect abnormalities or pain
around or in the breasts. Menopause induces a tender feeling in the breasts while making them
softer.
Mammography can detect any such abnormalities for doctors to diagnose the root cause of your
problem.
Self-Testing for Menopause
You can use a self-testing method to detect if you are in menopause or not.
Some of the home tests are said to be similar to those used by doctors. However, doctors have
greater knowledge and are better able to analyze test results in conjunction with your other
symptoms to come to the most reliable conclusions.
Even if your self-testing gives a positive response, you cannot be sure that you are into
menopause and therefore stop using any contraceptives.
Getting your doctor’s confirmation and opinion is essential. Similarly, do not assume that a
negative result indicates you are not yet into menopause. There could be other reasons that
cause such a result.
A simple home-testing kit measures follicle stimulating hormone (FSH) levels in your urine. Your
pituitary gland produces FSH and these levels every month increase to stimulate your ovaries to
ovulate. During menopause, your ovaries stop ovulating and the FSH levels increase in your urine.
This self-testing involves checking your first morning urine. After putting a few drops of urine on
the test device, dip it into a cup of urine. Chemicals in the device react and produce a specific
color, which indicates current FSH levels.
Although this test may deliver good results most of the time, your results also depend on other
factors like:
- the amount of water you had before the test,
- if it is the first morning urine,
- if you are on any contraceptives, estrogen supplements
- if you are on any estrogen supplements or
- if you have undergone hormone replacement therapy.
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The above is an extract from the book "Your Menopause Handbook".
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Are you sick and tired of all the jokes about menopause? Unless you've suffered the menopause
symptoms you just don't "get it."
Do you ever wonder why menopause can be so hard to handle? You try everything out there and
nothing seems to really work."
Part of the problem is that many of the so-called self-help books are written by women who
haven't reached that stage in their lives. Or, heaven forbid, are written by men! Doctors,
perhaps, but men nevertheless.
Until there is a man who can suffer from hot flashes and night sweats due to menopause it's
probably a good idea to take what they say with a grain of salt!
It's time to stop trying to force a round peg into a square hole. Contrary to popular belief, not all
women suffer equally from the side effects of menopause. What a concept! Women aren't all
alike. Imagine that!
Having as much information available on the subject can help you gain confidence, support and
understanding about how to cope with your menopausal symptoms.
Much of the information we have been taught is outdated and downright mythical. Hard as it is to
believe, there are people who think that menopause marks the end of a sex life, causes memory
problems and that it is actually a disease!
Finally, there is a self-help tutorial written by a woman for women in the hope that this
information will give women a better understanding of menopause.
There are other outdated, archaic beliefs as well. These, as well as other much needed
information can be found in Your Menopause Handbook - A Self Help Guide for Healthy Living.
Not only does it include a entire chapter debunking many of the myths surrounding menopause
take a look at what else is covered:
- What are the different types of menopause - yes, there is more than one
- Should you seek medical help and if so, when
- Smoking and how it affects menopause
- Your urinary tract and menopause
- Treatment options including Hormone Replacement Therapy (HRT)
- About Bioidentical Hormones (BHRT)
- How to reduce and in some cases, eliminate symptoms
- Ten ways to relieve hot flashes
- Acupuncture and herbal remedies
Listen, we could go on and on about everything that is jam-packed inside this 100 page special
guide. But, you need to experience it for yourself.
If you are one of those "boomers" who are in or fast approaching that age where you have to
deal with the daily stresses that surround us, this is one area that you CAN control!
Find out how. Grab your copy today and start feeling better tonight!
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Here is the list of lessons you can learn from the book Your Manopause Handbook:
1. Menopause – An Overview
2. What is Menopause?
3. Causes of Menopause
4. Who Is Affected by Menopause?
5. Signs and Symptoms of Menopause
6. What Happens During Menopause?
7. What are the Risk Factors for Menopause?
8. Myths and Misconceptions about Menopause
9. When to Seek Medical Advice
10. How Is the Menopause Diagnosed?
11. Other Tests to Diagnose Menopause
12. Self-Testing for Menopause
13. Medical History for Menopause Diagnosis
14. Is It Possible to Delay the Menopause?
15. Life after Menopause
16. Complications of Menopause and Other Conditions
17. Menopause and Your Emotions
18. Menopause and Depression
19. Menopause and Bladder Function
20. Menopause and Cancer
21. Menopause and Osteoporosis
22. Menopause and Smoking
23. Treatment Options for Menopause Symptoms
24. Medications
25. Hormone Replacement Therapy (HRT
26. Bioidentical Hormone Replacement Therapy (BHRT)
27. How to Reduce or Eliminate Menopause Symptoms
28. Ten Ways to Relieve Menopausal Hot Flashes
29. Diet Tips to Stay Healthy During Menopause
30. Exercise and Menopause
31. How to Treat Menopause Symptoms Naturally
32. Herbal Remedies for Treating Menopause
33. Menopause and Your Family
34. Where to Find Help for the Menopause
35. Supporting Someone Going through Menopause
36. Menopause – Frequently Asked Questions
37. Menopause - Glossary of Terms
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The term "panic attack" has become a "trendy term" for anything that
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Brought to you by Jacob Gan, PhD (Michigan)
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