No woman can avoid the physiological restructuring of the body associated with the extinction of the childbearing function, in other words - menopause, the main feature of which is the cessation of menstruation. Approximate age, when this occurs with our contemporaries - a little over fifty. But in itself, the absence of monthly bleeding can be triggered not only by postmenopause, but also by certain diseases. Therefore, it is necessary to make sure that health is in order, simply the body has entered a new stage of its existence. So, what tests to hand over with menopause?
The hormone triad - estradiol, follitropin and luteotropin with absolute certainty will confirm or disprove the presence of menopause.
The content in the blood of the main estrogen - estradiol (E2) in postmenopause is significantly reduced. This indicator is individual and varies in a very wide range, its value in the postmenopausal period is less than 70-73 pmol / l, and it can reach 33 pmol / l or less. Low levels of estradiol and symptomatic of its deficiency is an indication for hormone replacement therapy.
Analyzes for hormones with menopause necessarily include a study on the maintenance of follitropin (follicle-stimulating hormone). The concentration of this pituitary hormone increases with a decrease in the content of estradiol, so the pituitary gland tries to activate its synthesis. In postmenopause, the concentration of follicotropin is considered to be normal from 37 to 100 IU / l, it is completely permissible and the value of this indicator is more than 100 IU / L, for example, 120-130.
The normal work of the reproductive system and the production of estradiol in addition to the previous hormone is provided by luteotropin, which directly guarantees the successful fertilization of the oocyte. Concentration in the blood of this hormone is also significantly increased, normal for postmenopause is considered to be at the level of 13-60 U / l, permissible and higher values to almost 100.
Always pay attention to the ratio of follitropin and luteotropin, which indicates the severity of menopausal syndrome. This indicator, as a rule, is 0.4-0.7. And the lower its value, the more symptomatic symptoms are manifested.
Depending on the condition and complaints of the patient, the gynecologist may also consider other hormonal background studies: blood tests for progesterone, testosterone and / or prolactin, thyroid hormones and biochemical blood composition.
Women in the transition period, in addition to the standard symptoms (hot flashes, blood pressure jumps, irritability and tearfulness) often experience memory problems, weakness, and reduced performance. At this age, the likelihood of developing heart and vascular diseases, genitourinary disorders, metabolic disorders, leading to negative changes in the bones of the skeleton, musculature and skin. By passing a timely blood test with menopause, you can prevent a lot of unpleasant, and sometimes just dangerous moments, having drunk the course of the hormones prescribed by the doctor.