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Menopause is the permanent end of menstrual periods and reproductive years in women. It is caused by the ovaries stopping egg production and significantly reducing estrogen, progesterone, and other reproductive hormones. The Follicle-Stimulating Hormone (FSH) test is the most important test for diagnosing menopause because elevated FSH levels indicate the ovaries have stopped functioning.
Menopause is caused by the natural decline in reproductive hormones as the ovaries age and stop releasing eggs. Specifically, the ovaries dramatically reduce production of estrogen, progesterone, and testosterone, which leads to the end of menstrual cycles. This hormonal shift typically begins in your 40s or 50s during a transition phase called perimenopause, eventually leading to complete menopause when you have gone 12 consecutive months without a period.
The Follicle-Stimulating Hormone (FSH) test is the most important test for diagnosing menopause because it directly measures how hard your body is working to stimulate the ovaries. When FSH levels rise above 30 mIU/mL, it indicates your ovaries have stopped responding and are no longer producing eggs. The FSH and LH combination test provides an even more complete picture by measuring both hormones together, while Estradiol testing confirms the drop in estrogen levels. These tests together create a comprehensive hormone profile that definitively confirms menopausal status.
You should get tested if you are over 40 and experiencing irregular periods, hot flashes, night sweats, mood changes, or vaginal dryness. Testing is especially important if your symptoms are disrupting your daily life or sleep, or if you want to know whether you are in menopause or perimenopause. You should also consider testing if you have a family history of early menopause or if you have had certain medical treatments like chemotherapy that can affect ovarian function.
What this means
Your FSH level is slightly elevated above the optimal range. In women, this may suggest diminished ovarian reserve or that your ovaries are working harder to produce eggs, which can affect fertility. In men, elevated FSH may indicate reduced testicular function or lower sperm production.
Recommended actions
Maintain a healthy weight through balanced nutrition and regular exercise
Reduce stress with meditation, yoga, or other relaxation techniques
Consider supplements like CoQ10, vitamin D, and omega-3 fatty acids after consulting with your doctor
Retest in 2-3 months and consult a fertility specialist if trying to conceive
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