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| | | | | Q | | Do I need to have my estrogen levels tested during menopause? If so, how is that done? | | | | A | | Organizations like the American College of Obstetricians and Gynecologists (ACOG) don't recommend routine testing of estrogen levels during menopause. Because hormone levels, particularly estrogen, can fluctuate widely during the menopausal transition, routine testing often does not provide reliable or actionable information. So, estrogen level testing is generally unnecessary for confirming menopause in otherwise healthy people over the age of 45 who are experiencing typical symptoms.
A clinical diagnosis of menopause is made by examining factors like a person's age, menstrual history, and the presence of common symptoms such as hot flashes, night sweats, and changes in menstrual patterns.
However, estrogen testing may be appropriate if: - there's uncertainty about a person's menopausal status, particularly in people under 45, or when premature menopause or ovarian insufficiency is suspected
- symptoms are atypical, severe, or suggest an underlying medical condition that requires further investigation
In such cases, healthcare professionals may order a blood test to measure estradiol, the main form of estrogen, as part of a broader hormonal evaluation that might also include tests for follicle-stimulating hormone (FSH).
In most cases, focusing on symptom management — such as addressing hot flashes, night sweats, and vaginal dryness — and maintaining overall health through lifestyle changes, regular physical activity, and open communication with a healthcare professional offers more meaningful benefits than hormone level testing.
People experiencing symptoms or those who have concerns about their reproductive health should consult a healthcare professional to determine the most appropriate course of action tailored to their individual needs and medical history. | | | | | | | | Do you have any questions for our menopause experts? Let us know at menopause@healthline.com and the answer may be featured in an upcoming edition! | | | | | Stock up | | | | Every product we recommend has gone through either Healthline's or Optum Now's vetting processes. If you buy through links on this page, we may receive a small commission or other tangible benefit. Healthline has sole editorial control over this newsletter. Potential uses for the products listed here are not health claims made by the manufacturers. Healthline and Optum Now are owned by RVO Health. | | | | | | | | | | | HEALTHY TIP | | Use breathwork to manage hot flashes | | The next time you feel a hot flash coming on, consider trying breathing exercises to help you cool down. Equal (box) breathing, cooling breath, and visualized breathing are just a few to try. | | | | | | | |  | | | | We may feature your messages to our inbox within our content. Please do not provide any personal identifiable information. Replies may be edited for length and clarity. For more, see our Privacy Policy. | Healthline, Optum Now, and their respective logo(s) are trademarks of RVO Health, LLC. All other trademarks are the property of their respective owners. © 2025 RVO Health, LLC. All Rights Reserved. 1101 Red Ventures Drive, Fort Mill, SC, 29707 | | | |
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