Women over 45 years old need to be tested, especially if the changed nature of the monthly menstrual cycle or stopped. It is recommended to check the hormones in menopause pass the appropriate tests to the gynecologist was able to pick up a way to eliminate the symptoms of menopause and to identify violations, if any.
What tests need to pass
Doctor will prescribe the patient examination, including an analysis of the change in the hormones during menopause. Gynecologist determines treatment based on symptoms of menopause in women, but it needs to identify indicators and the level of the relevant hormonal substances. Research in the laboratory helps to set the start of menopause.
follicle-stimulating hormone
Analysis of FSH pass during menopause. He is responsible for the growth and development of follicles - the structural components of ovarian epithelial 1 and 2 layers of connective tissue. Appropriate time to carry out research selected 2-5 hours monthly - the early follicular phase. When irregular menstruation, the procedure is carried out in the next day.
FSH is released into the blood from impulsively circular appendage disposed in the lower part of the brain. Increased levels of substance lasts fifteen minutes, after which a rapid decline will its concentration. If low levels of FSH is determined, the analysis pass several times for 2 h. For the first indicators of menopause include rapidly increasing levels of FSH in the blood.
luteinizing hormone
The concentration of estrogen, the development of the corpus luteum, the egg and its output depend of ovarian LH substance (PH). With the onset of puberty when the monthly amount of LH is different. Raising the concentration observed before the release of the egg. Figure will be increased at menopause.
Often a blood test for hormones during menopause rent in the event of:
- infertility;
- developmental delay;
- frigidity;
- menstruation disruptions;
- the weak attraction to the opposite sex;
- premature birth of a child;
- dysfunctional uterine bleeding;
- proliferation of uterine tissue.
The survey was conducted to determine the source of disease, so it is necessary to hand over analyzes on hormones at menopause, time to check the status of women's health.
inhibin B
Inhibin B is formed in the follicles of the ovaries. hormone level indicates the total amount and condition of follicular growth. A sample of rent for 3-5 day of menstruation.
During premenopausal observed low rate of inhibin B.
Upon the occurrence of menopause it is virtually impossible to determine using laboratory tests. If a woman has increased levels of inhibin during climax in the blood, it may indicate the formation of malignant ovarian tumors.
Anti-Müllerian hormone
Synthesis substance flows in the ovaries. It can help you determine the state of women's reproductive health, including the total number of follicles. Analyzes of female hormones during menopause can be taken any day of the month. With the onset of menopause level antimyullerova hormone (AMH) postmenopausal decreases to zero.
Identifying content AMH in the blood of women is a biochemical test to diagnose menopause. Studies have proven that reduced values of AMH and inhibin B are an indicator of reduction of the reproductive function and the harbinger of the last menstrual cycle. If the substance concentration increases after menopause, it may indicate cancer development.
estradiol
The hallmark of menopause is the reduction in the amount of the hormone. A woman should know what rate of estradiol was before the onset of menopause to assess the reduction of substances in the blood. Its amount is dependent on hormonal levels and the average can be reduced by 73-77 pmol / l. Patients who smoke or stick to vegetarian food system, the rate will be lower.
Elevated levels of estradiol in the blood is observed for the following reasons:
- formation of fibroids;
- thyroid and liver disease;
- ovarian cysts or tumors;
- neoplasms of the adrenal gland, mammary gland or pituitary gland.
Progesterone
The main indicator of menopause is the reduction of progesterone, so carried out the relevant tests in menopause. the absence of this substance observed in the first 24 months after the beginning of menopause. When developing pathological processes in menopause, you need to:
- check the status of the thyroid gland;
- pass blood chemistry;
- determine the level of prolactin hormone and testosterone.
If menopause occurs with complications, the woman conducting a survey, including her obligatory blood test for hormones must pass.
Thyroid-stimulating hormone
With thyroid stimulating hormone (TSH) is regulated thyroid function, is responsible for its synthesis.
During premenopausal necessary to control the content of TSH.
Its increase suggests hypothyroidism occurs, which leads to amenorrhea.
Additional tests for deviations from the norm
In most cases, gynecologists prescribe additional laboratory studies, which include:
- Pelvic ultrasound;
- densitometry, which helps to determine the bone density;
- mammography;
- smears on neoplastic processes (oncological causes);
- sample to detect the state of the vaginal microflora.
When the ending month, it is necessary to hand over analyzes on hormones. The phenomenon can cause hormonal failure, endocrine pathology, gynecologic disease. When menopause tests for hormones pass, carry out diagnostics for symptoms of estrogen deficiency to reduce the risk of problems with blood vessels.
