The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
as a woman is entering that perimenopausal period you want to be especially attentive to the time in which you draw again day three four five become the most important blood draws as a woman is becoming perimenopausal because it's that FSH level at day three four and five that becomes your Canary in the coal mine if that level starts creeping up and it's over 10 11 12 even though she's not in menopause I'm going to tell her she's probably getting close
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the kind of the canary in the coal mine as a woman is getting close to menopause from a biochemical standpoint is a rising FSH during that phase so FSH should normally be very low during day three four five which is usually when a woman is still in her period if FSA starts to climb especially if estradiol is low you can be pretty sure that she's heading towards menopause
we will really be monitoring the level of FSH and estradiol in about day three four or five and the kind of the canary in the coal mine as a woman is getting close to menopause from a biochemical standpoint is a rising FSH during that phase
as a woman is entering that perimenopausal period you want to be especially attentive to the time in which you draw again day three four five become the most important blood draws as a woman is becoming perimenopausal
because it's that FSH level at day three four and five that becomes your Canary in the coal mine if that level starts creeping up and it's over 10 11 12 even though she's not in menopause I'm going to tell her she's probably getting close and that's when we start to have our discussion about what hormone replacement therapy looks like
that FSH is hitting 25 right around menopause maybe even a little bit before
and boy once that number starts to get to 20 or 25 that that's really the the Surefire sign that that a woman is in menopause
if you can measure FSH and LH and estradiol just to round it out on day five uh day one being the day the period begins so five days in that's a very good test
first and foremost getting blood work done is really valuable into our, you know, even starting in our 30s so that we know individually when that changes.
The the thing I would advise women who are listening is to be really consistent. We think that day five FSH in the blood is probably your best test. Um because again, you really consistency consistently know what it should be. So um when you're fertile, day five, so if day one is the day your period starts, if you have an FSH level on day five, it really should be low. Um, and that's that's the thing that we're watching to climb as she's entering pmenopause. So once that number is even hitting 10, we sort of know that she's she's now entering that that zone.
we look at day five so if day one is the day the period starts regardless right even if it's just a bit of spotting whatever it is like that's that's the starting point on day five somewhere between day five and day seven we just like to do it on day five um look at estradi levels and FSH levels