How to understand your labs in menopause and perimenopause

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Understanding your labs in menopause and perimenopause can be extremely complicated. In this video, I try and break this down and make it as simple to understand as possible. You don't need a long laundry list of labs - just a few can help you and your doctor understand your menopause transition better. And don't forget to journal and track!
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7 июл 2024

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Комментарии : 52

@jeanettecote4257 4 года назад

So helpful. I missed my period for the first time this month and my doctors office said that labs wouldn’t be helpful at this point. When do you usually recommend drawing labs?

@heatherhirschMD 4 года назад

It really depends. I would start with journaling and drawing labs when you are developing symptoms that you are thinking about treating.

@dianetsirlis6204 2 года назад

Thank you for this. I had a light spotting on the 13th month after last period. Fsh was 50 and estradiol 78, so confusing had tons of tests to rule out issues with thickening lining etc all clear. Your approach is the whole person which I love!

@pereisy 2 года назад

My Dr checked progesterone and I do think this was helpful. At day 18 in my cycle my estradiol was 81 but my progesterone was 0.2. I believe this is significant in understanding the symptoms that I’ve been having which some Drs in functional medicine would interpret as “estrogen dominance” in perimenopause. I know this might be a controversial topic but this makes sense to me. I am 48 1/2 yrs old and still cycling monthly but with many perimenopausal symptoms such as insomnia, weight gain, hair loss, low energy, mood swings, hot flushes at night (more recently).

@kaoruyamazaki5724 Год назад

So helpful! ❤

@tammi67able Год назад

Definitely subscribing

@lambylambcurly 3 года назад

Thank you for this video! I'm in perimenopause and my FSH is 32 and I've too many symptoms. My prolactin is 34 and I don't know if i should attribute my symptoms to perimenopause, high prolactin or adrenal fatigue. I don't know what's happening :(

@kl3625 2 года назад

I have a question for you. Can DHEA, Or Vitex increase estradiol? My FSH came back as 62, my estradiol came back as 290. I am 54, I had a partial hysterectomy at 40. I feel like I’m menopausal.

@Belfastboi 3 года назад

Does HRT give you a false oestrodiol level? Mine is 266 pmol I’m post menopausal (52) how do I tell if I am on the right dose of gel? Many thanks 🙏🏼

@carolynbrown8156 2 года назад

Is there a way to tell if you are in menopause when you are still taking birth control pills? I have been on the pill for years, but have experienced some symptoms (hot flashes, weight gain, brain fog, etc etc). The labs that were just done show estradiol of 6.36 FSH of 0.7, LH 0.2 and prolactin 26.6. Is it even possible to take any of these numbers as true since I am still on the pill, or to tell if I am in menopause?

@tuneintotarot 2 месяца назад

Age 39 my total testosterone was at 11, my free testosterone was 0.7. My dhea was 77. My estrogen was 51. My progesterone was 14. I just started using a testosterone cream a few days ago. I hope it helps my non- existent libido 😭

@bc15540 Год назад

My FSH is 35 and estradiol

@HairHelp Год назад

I’m 52 y/o. My FSH level is 52.4 however I’m have not skipped any months at all. My cycles are very heavy and last from 10 days to 19 days.

@bethannawhite2275 Год назад

Unsure if you will see this as it’s an older post but I came across your channel in researching. I am 65, total hysterectomy at age 27, have been on estrogen since then, yes I realize this is a long time. I recently requested my estrogen to be checked. It came back 1294.8 I thought it had to be a mistake but was assured it was not. Would appreciate your thoughts. If I were your patient going forward what other tests you might do. Thank you, Bethanna

@tuxedoneko9837 4 года назад

Ty 😊

@heatherhirschMD 4 года назад

You are very welcome! Thanks for the support.

@RosemarieTM 3 года назад

My fsh levels are 36. I am 45yrs old and my periods are usually every 25-28 days although most recently they have been going longer 32 days apart. My Dr said this is concerning because I shouldn't be having regular periods. They last about 2-3 days in duration with minimal cramps. Any advice? He is setting up a ultra sound and all sorts of tests. I'm really scared.

@taratreadway5783 2 года назад

Hi, I am confused. I am 49 almost 50. Last period January 2022. I had blood work last week FSH 44.1 and Estradiol 38. So am in premenopausal ? My doctor mentioned hormone therapy. Ugh Any insight would be great. Thank you for your video.

@annadarajbhandary9955 Год назад

Hi heather. On what day of period should you check fsh level to check If it is >35. I had my blood test done on day 4. My estrogen level was only 23 but my fsh was 12.3. I feel like it is not matching up for estrogen level to be that low and fsh to be low still. Am I still perimenopausal or sth else going on?

@aquarius-md3ll 2 месяца назад

My doctor asked me to do it 2nd day of the cycle or third. The first considered day is the day where the flow started ( not just a mark of blood)

@traceychalkley9946 3 года назад

Can periods just stop dead from being regular rather than having months or years of irregularity before the final period ? Thank you.

@heatherhirschMD 3 года назад

This can absolutely happen. I often talk a lot about women having a prolonged perimenopause but some women will just simply stop having periods the next month and forever yonder.

@monicabass3145 Год назад

Hello today is a godsend I am so glad I found you I'm 57 I'm going through a to Z rabbit cool Aida Z ravishing hormone roller coaster

@MsKati30 3 года назад

Freaked out a bit because my level was 98. I’ve been having irregular periods for quite some time, but workout heavily and had attributed the inconsistencies to that. I has a few hot flashes a few years ago, but have now having them regularly at night. Just had my blood drawn today and just got a message with my results (at 1am online)- I’m sure my doctor will call me tomorrow.

@jessie9653 3 года назад

I just got my FSH level of 60 my doctor said I'm in menopause. But I still get me period a couple times a month or sometimes I skip a month. I'm 40 yrs old. And I do intermittent fasting. I've been getting hot flashes and terrible nipple pain. That's why I went to the doctor

@heatherhirschMD 3 года назад

Check out my latest video - probably late Perimenopause.

@jessie9653 3 года назад

@@heatherhirschMD ok 😊

@MsKati30 3 года назад

@@jessie9653 we are SO much alike! Same symptoms and I also periodically IF. Thanks for commenting. My estradiol was >5 also, which was concerning with such a high FSH.

@jessie9653 3 года назад

@@MsKati30 please report back if you get anymore advice from your doctor. Mine seems a bit clueless. I've been doing OMAD for about 4 years now. My doctor didn't take any other tests. He just gave me triamcinolone acetonide ointment 0.1 percent. He said to use it 2x a day. I can only use it one because it burns 😬. It is helping with nipple pain I was having stabbing tingly feeling.

@lorimoore5589 3 года назад

I am so confused 😕. I just had bloodwork an I don't even see that he tested FSH. I see estrogen total serum at 191 am lost menopausal seems be 170 or below. But my progesterone is

@heatherhirschMD 3 года назад

Estrogen that high is not in the post menopausal range. If you are taking estrogen then different story.

@lorimoore5589 3 года назад

@@heatherhirschMD No, I am not taking estrogen. But I am 57 an went without a period for a year an a half then had some bleeding an then another year with no period. So I didn't know if that bleeding was post menopausal bleeding or a period. I have an appointment with my ob/gyn in a couple of weeks. Thank you for responding!!!

@lorimoore5589 2 года назад

Hi! A couple months ago I asked you a question an you responded for which I was very grateful. I had bloodwork down again by my gynecologist an he said I was definitely well into menopause. He said my estrogen was basically non existent. He put me on both progesterone acetate 2.5 mg and estradiol 1 mg. From day 2 to day 7 I felt so amazing it was hard to believe. I spent 3 hours making a playlist of some of my favorite music (haven't listened to music in 7 yrs) I was up an productive for hours which hadn't happened in a decade. I was motivated to take control of my life again. Then after day 7 it went down hill. I know feel worse than before, no motivation to be on top of my vitamins, drinking lemon water etc. My question is, are hormones one size fits all? Or could what I am going thru mean my hormones were balanced in that first week but after that the levels were too high? Not asking for specific advice for me just asking if hormones usually get adjusted once you start them? I put a message into my doctor but probably won't get a response until next week an just want some hope that my only options aren't no hormones or the mg I am currently on. 😀

@soniadelgadillo9736 2 года назад

Consult wirh you on line?

@michellecrawbuck1198 Год назад

What does estradiol of 50 mean? I'm 32

@kassandradav 3 года назад

It’s so strange because my estrogen is 69 but my fish is 15.3 haven had a cycle in 4 months 💆🏽‍♀️👀

@heatherhirschMD 3 года назад

This could be PCOS

@sexy3yes1 3 года назад

Hi i am lost sorry my value was 5.7 is this normal is ok i am trying to have a baby soon

@heatherhirschMD 3 года назад

an FSH of 5.7 is NOT in the menopause range. That would be consistently > 35.

@meganwmiles 3 года назад

What do you think about the DUTCH test?

@heatherhirschMD 3 года назад

Completely unnecessary

@TheChiGirl1 2 дня назад

You should never just run a TSH to check the thyroid 🙄

@mitthu47 3 года назад

my period is progressively reducing and now only spotting. my FSH and LH is 6.5 on period day 2, and AMH is 5 ng/ml. is it peri menopause?

@heatherhirschMD 3 года назад

Yes you are right that sounds like perimenopause to me keep a journal of your periods and check your labs in another couple of months!

@mitthu47 3 года назад

but I have visited to so many gynaec and Gp all refused that it's not perimenopause because I have optimal number of egg reserve that is AMH 5 ng/ ml... don't you have any idea about AMH? I request to you please don’t misguide if u don't know much about this...

@heatherhirschMD 3 года назад

Perimenopause is more of a clinical diagnosis and is based on lot on symptoms vs. labs

@mitthu47 3 года назад

@@heatherhirschMD I told you that my FSH and LH are within normal range and AMH is also good enough... still u said it's perimenopause... you should consider it first. these lab results aren't indicating perimenopause. 🙏

@melinadistrict9428 3 года назад

Hey! I'm not an expert but telling by your lab you wouldn't be diagnosed as perimenopausal. I'm going by my own Gyno who I got results from a wk ago. I was diagnosed w/ early signs of menopause because my estrogen is very low, amh very low (almost nonexistent) and fsh too high. A good fsh is under 10 on your 3 day (please get it done on your 3 - 4 day for accuracy) and AMH go by age but shouldn't be lower than 1.9 on average for good ovarian reserve but too high and it is an indication of pcos. I don't know which level is too high being that I didn't have this issue so I didn't ask or research it.

@tamstegall5090 Год назад

im 60, still going ??lol♥☺

@lettinggotoday4793 Год назад

I just don’t understand why you talk so fast! Seems a lot of ppl do this when I’m trying to listen the talk is so fast I had to save the video to go back over it 😢