Features of the test for menopause and the reasons for the increase in FSH


The period of menopause sooner or later overtakes every woman. On average, it falls on the age of 45 years, someone notices early menopause at 35 years, some late, at 50. When certain symptoms of menopause occur, you should contact a specialist to establish the clinical picture and assign the correct therapy. And what to do if time is very short, or a busy schedule does not allow frequent visits to the doctor? In this case, modern pharmaceuticals and medicine are tests for menopause, which are suitable for use at home.

The essence of the test for menopause

The extinction of reproductive function means the beginning of a cardinal hormonal adjustment in the body, which is especially noticeable during menopause.
In premenopausal the body is still preparing to complete the childbearing function, so the menstruation in women still remains, only its regularity is disturbed. There may be delays in critical days, up to several months, and the discharge becomes noticeably less. It is at this stage that ovarian production of the female hormone, estrogen, is gradually reduced, to which the brain responds by increased release of follicle-stimulating hormone (FSH).

With the end of menstruation, or rather, a year after its completion, menopause begins. FSH levels increase markedly, while there is an acute estrogen deficiency. This leads to disruption of all body systems. Psycho-emotional and vegetative changes are noticeable, and mostly not for the better. Begin to overcome the neuroses, insomnia, hot flashes, pain and other troubles.

The first two stages of menopause can last about 15 years. After this comes postmenopause. The symptoms gradually disappear, but the level of FSH remains elevated.

That is, a common feature of all climacteric phases is a change in the level of follicle-stimulating hormone. And if you regularly monitor him, you can determine the onset of menopause. For continuous monitoring, it is not necessary to contact the laboratory and diagnostic centers; it is enough to use the menopause test. As a rule, this is a small device that determines the level of FSH in the urine. To get a reliable result, you need to use it several times at regular intervals. Such tests are widespread due to their ease of use, compactness and affordable cost. You can use it in any convenient place. It has no contraindications and side effects.

When to use the test

When you are already on the verge of menopause, any disturbance and uncomfortable sensation can be a cause for concern. For every reason, contact a doctor is not the way out. Menopause tests will come to the rescue. In which case is it appropriate to use them?

Symptoms of menopause are different, because at this point the work of almost all body systems is disrupted.

  • First, psycho-emotional disorders in the form of menopausal neuroses, fatigue, mood swings, depressive state, depression, confusion, sleep disorders, anxiety often make themselves felt.
  • The most common symptom is hot flashes, which can prevail with a frequency of up to 30 times a day, and they will be replaced by a sharp chill. This is a typical violation of thermoregulation, which occurs due to false signals in the brain regions responsible for normal body temperature. It can also be marked by excessive sweating and sudden changes in body temperature.
  • Pains of different nature and location begin to bother, often - this is lower abdomen, lower back, headaches, muscle cramps, numbness of the extremities.
  • Quality of a sexual life decreases, the sexual inclination falls, the dryness in a vagina and other bodies of intimate area annoys.
  • Suffering cardio - vascular system, which makes itself felt tingling in the heart, heart palpitations, irregular blood pressure and exacerbations of a number of ailments.
  • Appearance changes noticeably: the skin becomes less elastic, dry and thin, there are rashes and mimic wrinkles.
  • And the most important sign is a violation of the menstrual cycle, and with the onset of menopause, its complete cessation.

Of course, this symptom can be a manifestation of certain diseases, disorders in the body or hormonal disruption. However, if these symptoms began to bother you at the indicated age, it is worth resorting to the menopause test.

How to use menopausal tests

To get the most accurate result, you should conduct testing in the morning urine, because it is in it is the highest concentration of FSH. Try to refrain from urinating at least 2-3 hours before the test, and also limit fluid intake.

Menopausal tests are disposable, so make sure that the packaging is sealed and not damaged before use. The procedure should be carried out with clean hands.

As a rule, this tool is represented by a test strip, which must be removed from the package and immersed in a container with urine to the mark, and left there for 10 seconds. Next, remove the strip from the liquid and put it on a dry surface and wait for the time specified in the instructions until a positive or negative result appears.

Each manufacturer produces tests with its own characteristics, and the time and manner of the results are different for everyone. Therefore, before using a particular tool, carefully read the instructions.

If you suspect the initial stage of menopause and menstruation you still have, then it is advisable to carry out testing in the first week of the cycle, and again - after a week. If this test is already on menopause in the absence of critical days for several months - you can perform the procedure on any day with a repeat of a week.

Popular tests

Recently, these devices have become very popular among the female representatives. The foreign and domestic market represents a number of similar tests.

One of their most common is Frautest for menopause. Presented by the German manufacturer Axiom in the line of products, which includes tests for pregnancy and ovulation. It reacts with lightning speed to increasing levels of follicle-stimulating hormone, clearly showing visual signals. The package has two test strips for the first application and the second (after a week). Studies show that this tool gives 95% accuracy of the result. Compact, easy to use. It has an affordable price and is sold in almost all pharmacies.

You can also distinguish among other MiraTes Menopause HomeTest and Premium Diagnostics. The principle of operation is the same as the previous one. However, it is not so widespread in domestic pharmacies.

What do the test results say

In how to determine the onset of menopause using menopausal tests, we figured out. It remains to understand what actions to take, having received a positive result.

Next, you should contact a specialist for a complete diagnosis and establish hormonal levels. Since the characterized agents show the level of FSH alone, a complete diagnosis will help determine the amount of estrogens, progestins and other important hormones.

Hormon replacement therapy is very popular in menopause, in which substances simulating the action of deficient hormones are artificially injected into the body. But such therapy has an impressive number of contraindications.

Also quite effective are phytohormones - drugs on a natural basis, homeopathy, dietary supplements. In any case, menopause does not go unnoticed and even a mild manifestation of symptoms requires relief, and the sooner the onset of menopause and menopause, the greater the chance that you will have menopause painlessly and comfortably.

If the definition of menopause gave a negative result, and the symptoms are still present, then this may indicate certain ailments or any abnormalities in the body.

Listen to your body, especially if you have reached menopausal age and with any changes, refer to the diagnosis. Menopause tests will become a lifesaver in determining your current condition. And be healthy!

How the test works

Any change in the reproductive system of a woman is accompanied by changes in the hormonal background. Before the onset of menopause (up to 40 years), the level of hormones has a certain cyclical nature. When the ovaries produce resources, the amount of sex hormones at each stage changes and can gradually decrease. At this time, the level of follicle-stimulating hormone FSH increases in the blood.

To determine when this period begins, it is necessary to conduct a special study.

The menopause test will respond to an increase in the amount of FSH and show visually whether it has come. The doctor in the study of the test results will also take into account the signs of approaching menopause in the patient.

For more information about hormones in menopause and their rates, we recommend reading in more detail in a separate article on our website.

The test for menopause can be done at home alone. The result is compared with the instruction. The number of stripes that appear is investigated. With a positive test, it is important to consult a doctor.

How to conduct

To test for menopause showed the correct and accurate result, you must follow the following principles of the procedure:

  • Testing is recommended in the first week of the cycle.
  • when receiving a negative result, but in the presence of symptoms of the menopausal period, you need to re-test after 60 days,
  • when you receive a negative result and the absence of menopause symptoms, you can repeat testing every six months,
  • if after the first test the result is positive, and after the second - negative, the examination should be done in a couple of months,
  • during the procedure it is important to use only those strips that have not yet expired,
  • for the correct analysis each packing of the test at purchase should be tight.

It is also important to remember that oral contraceptives and drugs with hormones can influence the test result with a test.

Instructions for conducting the menopause test:

  1. Holding the painted edge, remove the test strip from the sealed pouch.
  2. Place the strip for ten seconds in a jar with pre-collected urine (up to the mark indicated by arrows).
  3. Put the strip on a clean and dry surface and wait for the lines to appear.

Not later than five minutes, check the result. To properly conduct testing, it is necessary to keep the strip in the urine for no longer than ten seconds.

If the menopause test was done in violation of the instructions, repeat the procedure with a strip taken from the new package. At the same time, it is necessary to closely monitor the correctness of the performance of all actions, without violating a single item.

After the first test after one week, you need to perform another such procedure. When you receive positive results twice in a row, consult a doctor as your body gradually enters the period of menopause. The specialist will tell you how to act to maintain the body during menopause, and, if necessary, prescribe medication supportive therapy.

Interpretation of results

The result obtained on the strips must be checked with the information specified in the instructions:

  1. When a light strip appears, you can talk about getting negative test results. The level of FSH is within the normal range, the reproductive function of the body is performed stably. In the presence of symptoms of menopause should consult a doctor.
  2. If the test formed two bright stripes, this means that the level of FSH has increased, and this phenomenon is considered a positive result.

If the second strip is barely noticeable, you need to retest, because the study may be incorrectly performed. Experts consider this result to be invalid.

If the test for menopause is negative, there are no menstrual periods, and other unpleasant symptoms bother you, you need to figure out why the body undergoes a hormonal failure, as well as how it can be normalized.

When can increase FSH, except menopause

An increase in the hormone estrogen and FSH can be observed in the hot season. Experts have noticed that in winter it goes down.

An increase in FSH, not associated with menopause, can occur when:

  • uterine bleeding,
  • the absence of menstruation, when frequent irregularities in the menstrual cycle are observed,
  • insufficient functioning of the ovaries,
  • pituitary tumors,
  • alcoholism,
  • the formation of cysts,
  • exposure to x-rays.

The level of FSH in the female body can increase when taking Bromocriptine, Ranitidine or Cimetidine, Ketoconazole or Fluconazole, Metformin, Provastatin, Vitamin B.

It is worth to consult a doctor if the level of FSH is increased due to infectious diseases, poisoning of various origins, the formation of ovarian tumors. It is necessary to be fully examined so that the specialist can prescribe the correct treatment. In most cases, early replacement therapy is carried out with the first symptoms of menopause. If the patient complains of a large number of negative symptoms, the treatment is carried out in a complex, with different drugs and methods.

It is important to regularly examine your body in order to promptly identify the first metabolic disorders in order to prevent serious complications of menopause.

Menopausal tests can help you find out if menopause has come or not. Thanks to this research, a woman can prepare for hormonal changes in the body, both physically and emotionally.

The FSH test gives you the opportunity to take care of your health in advance in order to successfully maintain it when menopause occurs.

The role of FSH for the female body

Follicle-stimulating hormone (follitropin, FSH) is produced in the anterior lobe of the pituitary gland. Every 2-4 hours, it is portioned into the blood and reaches its target - the ovaries. In the ovaries, he is responsible for the following functions:

  • follicle growth and development
  • ovulation
  • estrogen synthesis.

In the early days of menstruation, the level of FSH begins to rise gradually. Along with it increases the synthesis of estrogen. On the 5-7th day of the menstrual cycle, under the influence of follicle-stimulating hormone in the ovary, the dominant follicle is determined, from which an ovule will come out during ovulation. It goes through the necessary stages of ripening and increases in size.

At the end of the follicular phase (approximately the middle of the menstrual cycle), a sharp increase in FSH and LH occurs. As a result, the wall of the dominant follicle is broken and ovulation occurs, after which the level of FSH decreases sharply. Next comes the luteal phase, which is characterized by a significant increase in progesterone and a gradual decrease in estrogen.

In the active reproductive period, when the woman’s ovaries are not yet depleted and sensitive to pituitary hormones, FSH levels are in the following range of values:

  • follicular phase (1-12 days) - 2.99 - 8.04 mMe / ml,
  • ovulation (13-14 days) - 5.53 - 16.67 mMe / ml,
  • the luteal phase (15-28 days) - 1.36 - 5.45 mMe / ml.

FSH index for menopause: how does it change?

At the onset of menopause, there is a phenomenon of ovarian depletion. This is characterized by their weakness and the small number of follicles remaining. The ovaries can no longer perform their function in full and reduce the production of estrogen.

In response to this, the pituitary gland significantly increases the production of FSH. However, the reduced sensitivity of the tissues prevents the use of follicle-stimulating hormone in the same way as before. As a result, its amount in the blood increases significantly.

FSH analysis for menopause: when is it needed?

Analysis of FSH is recommended to take at the initial symptoms of menopause. The most common are:

  • menstrual disorders,
  • hot flashes
  • excessive sweating
  • frequent headaches
  • insomnia and irritability,
  • dry genital mucosa,
  • urinary incontinence.

This will help in time to determine whether this symptom is a physiological phenomenon, or it is a manifestation of any pathology.

It is recommended to take FSH, LH and estradiol together with menopause. This will help to fully and comprehensively assess the hormonal state. To prepare for the delivery of hormones, you must:

  • For three days before analysis, follow a diet restricting the consumption of fatty and fried foods, as well as alcohol.
  • За сутки до процедуры ограничить тяжелые физические нагрузки.
  • За 12 часов до сдачи крови не курить.
  • В день проведения анализа за три часа до него не есть. It is allowed to drink clean water in small quantities.

For a more complete picture of the nature of changes in follicle-stimulating hormone during a cycle, the analysis is done three times:

  • 1 time - 5-7 days of the menstrual cycle
  • 2 times - 19-22 day
  • 3 times - 5-7 day of the next cycle.

Also, the delivery of this hormone is recommended for women after 35 years who have:

  • habitual miscarriage,
  • infertility,
  • intermenstrual bleeding,
  • endometrial disease,
  • amenorrhea of ​​various etiologies.

Important! In preparation for IVF, gonadotropic hormones are required. With its help, the ovarian reserve of the ovaries is determined.

Norm FSH in women with menopause

The range of normal values ​​of follicle-stimulating hormone in menopause is quite large. If less than 4-5 years have passed since the last menstruation, then the norm for FSH is 26.67– 133.36 mMe / ml.

A few years after the cessation of ovulation and menstruation, the level of follitropin drops slightly and is already 17 - 53.5 mMe / ml. So he continues to be throughout his life.

Increased FSH in women with menopause

However, despite the physiological increase in FSH during menopause, its values ​​may exceed the upper limit of acceptable norms. This can happen when:

  • adenohypophysis tumors,
  • genetic diseases (Shereshevsky-Turner syndrome, Swayr's syndrome),
  • endometriosis,
  • hormone producing ovarian cysts,

as well as when taking the following medications:

  • prednisone,
  • hydrocortisone,
  • dexamethasone,
  • metformin
  • ketoconazole
  • levodopa,
  • glibenclamide.

Important! The attending physician should be warned about the admission of these funds during the delivery of tests for hormones. This is necessary for the correct interpretation of the results.

Symptoms in menopause, if elevated hormone fsg, manifested in increasing the severity of the clinical picture. This is an increase in the number of tides during, heavy sweating, discomfort during intercourse due to atrophy of the vaginal mucosa. More serious changes are also possible: a significant decrease in the elasticity of the bone tissue, an abnormal heart rhythm, the development of the metabolic syndrome.

FSH and early menopause

Early menopause is a decrease in the activity of the reproductive system under the age of 45 years. This condition may be caused genetically, and may be due to the influence of various factors during life (operations on the pelvic organs, a large number of pregnancies or abortions, a malignant tumor, etc.).

The level of follicle-stimulating hormone during early menopause increases in the same way as in the physiological climax. And it is for the increased results of the analysis of FSH that this diagnosis is established.

It is possible to reduce fsg with an early climax with the help of hormone replacement therapy. It includes a combination of estrogen and progestin. Estrogens are necessary to maintain the function of the reproductive system, and gestagens - to prevent the side effects of estrogen.

Conclusion: FSH is an important indicator of the state of the reproductive system and the onset of menopause. The analysis of the follicle-stimulating hormone must be performed when the first symptoms of extinction of the reproductive function appear. Its elevated level during menopause is physiological and should not alarm the patient.

Anastasia Vinarskaya, obstetrician-gynecologist, especially for

The functions of hormones in the female body

Normal hormones - constant balancing of hormones of the female reproductive system, which are trying to maintain the health and reproductive function of women at the optimal level for the birth of offspring.

The effect of FSH on the maturation of follicles in the egg

The main hormones responsible for the stable operation of the reproductive system are:

  • Follicle-stimulating hormone (FSH) - is formed in the pituitary gland and is responsible for the maturation of follicles in the egg.
  • Luteinizing hormone (LH) is synthesized in the pituitary gland, responsible for the formation of ovulation, the rupture of the dominant follicle and the release of the egg from it.
  • Progesterone is formed in the corpus luteum and adrenal glands, during the second phase of the menstrual cycle, it prepares the body for pregnancy: it attaches the ovum to the endometrium of the uterus, thickens cervical mucus for easier passage of spermatozides, lays fat reserves for the further feeding of the egg.
  • Estrogens are synthesized in the ovaries, adrenal gland and adipose tissue, help to increase the endometrium in the uterus, which will then be used by progesterone for the implantation of the ovum, ensure the growth of the alveoli and the mammary glands, increase cholesterol protein synthesis, retain water and form follicles in the ovaries.
  • Testosterone
  • In the regulation of all direct and feedback relationships, the pituitary hormones such as adrenocorticotropic hormone (stimulates the adrenal glands - the production of androgens, estrogens and progesterone), thyroid stimulating hormone (ensures the coherence of the thyroid gland with the female reproductive apparatus), prolactin (forms the alveolar duct). glands, provides lactation).
  • All these hormones are headed by the hypothalamus, which controls the work and concentration of all hormones, it is he who decides which hormone to increase or decrease the concentration with the help of his controllers - gonadotropin-releasing hormone (controls FSH and LH), corticoliberin (ACTH control) and statins (control TSH).

Normal values ​​of FSH

The hormone FSH: the norm in women with menopause increases significantly compared with the values ​​during the menstrual cycle: during the follicular phase of the cycle - 3.5–12.5 mMe / ml during ovulation, the concentration of follicle-stimulating hormone fluctuates between 4.7 and 25 mMe / ml, in the luteiin phase - 1.2 - 9 mMe / ml, the parameters for menopause already have other values ​​- 19 - 150 mMe / ml. Thus, the concentration of FSH in menopause increases 4-5 times. At the same time, the concentration of estrogen will be low - 11 - 95 pg / ml, whereas at the reproductive age its norm is 12 - 191 pg / ml.

High FSH - a signal of the beginning of menopause. The level of estrogen should be in the lower limits of the norm, otherwise it may mean the presence of an estrogen-producing source - for example, a tumor.

How does FSH level change with age

For girls, before the onset of puberty (up to 11–14 years old), the level of FSH remains low - 1.5-4, o mMe / ml, since their bodies are not yet capable of childbirth.

In puberty, FSH will increase until a normal regular menstrual cycle is established.

Changes in the concentration of the hormone FSH in the menstrual cycle

In women of reproductive age, the concentration of the hormone varies depending on the phase and day of the menstrual cycle:

  1. Follicular phase (1–13 day) - 3.5–12.5 mMe / ml
  2. Ovulation (days 14-16) - 4.7 - 25, 0 mMe / ml
  3. Luteal phase (17 - 28 day) - 1.2 - 9 mMe / ml

In the period of menopause, FSH - 19 - 150 3 mMe / ml - the norm in women after 45 years is increased, treatment is not required with adequate health.

Hormonal disruptions

When the ovarian reserve ends in the ovaries, and they are no longer able to synthesize follicles, the level of estrogen is significantly reduced.

The hypothalamus stimulates the production of FSH in order to increase the synthesis of estrogen.

In response to elevated FSH, the transformation of cholesterol in the depot of adipose tissue into androgens is enhanced, from which estrone, one of the forms of estrogen, is then formed.

However, the formation of estrone is carried out in insufficient quantities, and gradually the FSH hormone during menopause will decrease somewhat, but the numbers will still remain high.

Premenopause is a woman's period, characterized by a gradual shortening of the cycle and the disappearance of menstruation, at this very moment symptoms appear that worsen the quality of life. Postmenopause - stage after a year of cessation of menstruation.

When FSH can increase

Increased FSH due to bad habits

An increase in FSH causes the following conditions:

  • a number of medications (statins, antifungal drugs, agents that normalize insulin levels in diabetes mellitus),
  • bad habits (alcohol, smoking, excessive use of caffeinated beverages),
  • infectious diseases in the period of exacerbation,
  • stressful conditions
  • low estrogen levels in the body - insufficiency of the follicular phase, tumors in the pituitary gland or ovaries, endometrial diseases.

When can FSH decrease?

FSH decreases with high estrogen levels.

Lowering FSH levels as a result of pregnancy

The causes of reduced follicle-stimulating hormone can be:

  1. Medication, causing a decrease in the concentration of FSH (glucocorticosteroids, combined oral contraceptives, anabolic steroids),
  2. Pregnancy,
  3. Defect in the hypothalamic-pituitary system (for example, a tumor),
  4. Ovarian dysfunction (polycystic ovary syndrome),
  5. Overweight or obesity.

Recovery of normal FSH levels

During the period of premenopause and the appearance of disturbing symptoms, the gynecologist - an endocrinologist may prescribe combined oral contraceptives containing “natural” estrogens or hormone replacement therapy.

For the selection of therapy, it is necessary to collect a thorough history to assess the risks of using a particular treatment method.

To increase the concentration of follicle-stimulating hormone, it is necessary to eat foods that contain cholesterol, as well as to use products that stimulate cholesterol synthesis:

  1. Meat of various grades, lard, liver,
  2. Fatty Fish,
  3. Butter,
  4. Greens, nuts, fruits.

The main task - to adhere to the principles of proper nutrition - meals 5 - 6 times a day, small portions with an even distribution of proteins, fats and carbohydrates.

Proper nutrition to normalize the level of FSH

A balanced diet with physical activity and a full-fledged work and rest schedule will allow you to maintain your body shape and maintain a good mood for the entire period of menopause.

You can also use non-hormonal phytoestrogens - tsimitsifuga, flax, soy, hops.

Hop is a natural estrogen, so beer is considered a feminine drink, contributing to an increase in the concentration of estrogen in the body.

Drug treatment

First of all, when one of the above symptoms appears, consultation of the gynecologist, an endocrinologist, is necessary.

It is also necessary to note the main syndrome that worries - it is his doctor who will correct: sleep disorder - they will prescribe a drug that restores the work of circadian rhythms, mental disturbance - magnesium preparations, dysuric disorders - can even recommend surgery.

The drug Magne-B6 to restore the nervous system

When is the analysis performed on FSH?

Doctors often include analysis of FSH in a number of standard procedures for the diagnosis of certain conditions. There are many reasons why blood tests for follicle-stimulating hormone levels are performed. The list of these reasons includes the following.

  • Diagnosis of menopause. If the woman's menstrual cycles have become irregular or if she does not observe menstruation at all, the doctor may recommend testing for FSH. High levels of the hormone in such cases may indicate menopause.
  • Determination of fertility in women. If a woman does not have ovulation, the follicle-stimulating hormone in her body can be either high or low, depending on the cause.
  • Definition of fertility in men. In the male body, FSH stimulates sperm growth. If a man’s hormone level is high, it may mean that his ovaries are not working properly.

In addition to using a blood test for FSH levels to determine menopause and fertility assessment, physicians can use this test method to designate a disorder in the function of the pituitary gland or to detect children entering puberty too early or too late.

The level of follicle-stimulating hormone can be checked not only with a blood test, but also with a urine test that can be performed at home. If a woman has difficulty trying to conceive a child, such a test is able to show whether she is in the early stages of menopause.

What does FSH level tell a doctor?

The doctor may ask the patient about the temperature that usually rises during ovulation

Analysis of the level of FSH is usually only a part of the whole complex of diagnostic procedures. To get a complete picture of the patient's condition, the doctor is more likely to need additional expertise. Together with the level of follicle-stimulating hormone, the levels of the following substances can be checked:

In addition, when testing fertility, a doctor may ask a woman to monitor her temperature, which may increase during ovulation. In the same way, he may suggest a visual scan procedure to check the condition of the fallopian tubes. If the tubes are blocked, doctors can diagnose hydrosalpinx. With this condition, the egg cannot enter the uterus for implantation.

In the general case, it is believed that if a woman’s FSH level is 30 milli. International units per milliliter (mIU / ml) or higher, and while the woman does not observe menstruation during the year, she probably reached menopause.

However, if a woman received such results based on a single analysis, then it’s premature to talk about menopause. To confirm this, several tests should be performed due to the fact that the level of follicle-stimulating hormone changes throughout the menstrual cycle.

Normal levels of FSH are:

  • for women over 18 1.0–18.0 international units per liter (IU / l),
  • for postmenopausal women 16.7–113.6 international units per liter.

For premenopausal women:

  • during the follicular phase of the menstrual cycle 3.9–8.8 IU / L,
  • mid cycle (ovulatory phase) 4.5–22.5 IU / L,
  • in the luteal phase 1.8–5.1 IU / L.

The doctor can show the woman a list of normal results so that the patient can see if the level of FSH in her body is low or high. The doctor can also explain the results to the woman and, if necessary, recommend available treatment options.

Risks in the analysis of FSH and what you need to pay attention

Certain medicines and multivitamins may affect the accuracy of the FSH test results.

Checking for follicle-stimulating hormone usually consists of passing a simple analysis. It will require a small amount of blood. The procedure is associated with minimal risks and immediately after it, the person will be able to start performing his daily tasks.

The doctor will not draw conclusions about the fertility of the woman or her entry into menopause solely on the basis of the level of FSH.

The only problem with this testing is that hormone levels are constantly changing. Therefore, it is necessary to take into account the fact that the analysis of hormone levels can give an idea of ​​what the content of a hormone is. at a certain point in time.

Diagnosing only on the basis of an analysis of FSH in women may be inaccurate. In this case, it is believed that hormone levels in men are more stable.

There are a number of pharmacological drugs that can affect the level of follicle-stimulating hormone. Therefore, before giving blood for analysis, it is important for a person to tell the doctor about all the medicines he takes.

A group of drugs that can increase FSH levels include:

A group of drugs that can lower FSH levels include:

  • means for hormone replacement therapy,
  • birth control pills,
  • phenothiazines.

The use of a multivitamin supplement containing biotin or vitamin B7 can also affect the accuracy of the FSH analysis results. Doctors usually recommend refraining from taking such supplements at least 12 hours before donating blood.


An analysis of the blood levels of follicle-stimulating hormone will help the doctor assess the menopausal status of a woman.

The doctor may recommend that a woman take several tests during one menstrual cycle to see FSH levels at different points in the cycle.

However, the vast majority of women passing through menopause, checking the level of FSH is not required.

If a woman is over 45 years old, the doctor usually suffers some symptoms in order to determine the approach of a woman to menopause. These symptoms may include the following:

  • hot flashes
  • mood swings
  • trouble sleeping

However, if a woman or man is less than forty years old, and they want to evaluate their own fertility or check for entry into early menopause, then a blood test for FSH levels can be an important part of a set of medical procedures necessary for diagnosis.