testing · fertility
FSH/estradiol useful when diagnosis unclear (irregular cycles before age 45, suspected POI). NOT needed for typical perimenopause diagnosis. AMH valuable for fertility planning.
Hormone levels fluctuate wildly in perimenopause — single draws often misleading. Multiple FSH draws (cycle day 3, 3 cycles) more useful. Diagnosis primarily clinical based on symptoms + age. POI diagnosis requires FSH >40 on 2 separate draws. AMH useful for fertility window assessment.
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Take the matcherKaren B., 55
9 days ago
Great breakdown. One thing to add: insurance authorization can take 2-4 weeks, plan ahead.
Maria T., 48
10 days ago
Reviewed this with my OB and she agreed with the framework. Helpful starting point.
Jennifer R., 50
11 days ago
Saved this to send to my mom. Wish more sites explained things at this level.
Comments are reader-to-reader experiences. Not medical advice. Editorially moderated for civility + factual accuracy. Community guidelines.