Diagnosis of perimenopause and menopause

Question 1

Diagnose the following without laboratory tests in otherwise healthy women aged over 45 years with menopausal symptoms

Answer 1

• Perimenopause based on vasomotor symptoms and irregular periods
• Menopause in women who have not had a period for at least 12 months and are not using hormonal contraception
• Menopause based on symptoms in women without a uterus.

Question 2

Do not use the following laboratory and imaging tests to diagnose perimenopause or menopause in women aged over 45 years

Answer 2

• Anti-Müllerian hormone
• Inhibin A
• Inhibin B
• Oestradiol
• Antral follicle count
• Ovarian volume.

Question 3

Consider using a FSH test to diagnose menopause only

Answer 3

• In women aged 40 to 45 years with menopausal symptoms, including a change in their menstrual cycle
• In women aged under 40 years in whom menopause is suspected
• Do not use in women on OCP