What’s going on during Perimenopause?
Our ovaries are tired and grumpy. They become a bit resistant to stimulation by FSH and LH hormones and our ovaries start to slow their production of oestradiol, progesterone and testosterone. We are running out of eggs. Menopause itself is exhaustion of ovaries, and by the time we reach menopause, very few eggs (ova) remain. Ovulation declines, reducing the frequency and reliability of progesterone production.
Oestrogen and progesterone decline- progesterone first- and FSH & LH start to increase trying to stimulate the ovaries, several years before ovulation actually stops.
Is there a blood test to confirm it?
Nope, not specifically.
Your GP may want to do a blood test to look at follicle-stimulating hormone (FSH) and oestradiol. FSH goes up whilst estradiol goes down.
But, because our hormones are fluctuating, a single blood test result is inconclusive and unfortunately may lead to a little bit of (unintentional) medical gaslighting. You might rock up to your Doc hand in hand with your hot flushes, foggy brain and dry vagina, and get a blood test done to be told your hormones are completely normal.
But you know you don’t feel normal.
You can Doctor shop, keep getting tests only to be told there is nothing wrong, you are not menopausal, you must be depressed, here take this antidepressant.
It’s simply because at the time of your test, your hormones were normal, but if you had tested the next day or the day before, your hormones could be wildly different.
You are not going crazy. You are in perimenopause.
Book in with my team today.