• Diagnosis of Menopause

    Natural menopause is usually diagnosed when a woman has not had a menstrual period for 12 consecutive months. Your doctor will ask about your symptoms, family and medical history, and perform a physical exam. You may have blood tests, a pelvic exam, and a Pap smear.
    Most women in their late 40s and early 50s will have menopausal symptoms. Your doctor will consider if testing for other possible causes of these symptoms is needed.
    In most cases, hormone tests are not needed. However, your doctor may give you a follicle-stimulating hormone (FSH) test, which measures the level of FSH in your blood. This is done to confirm that you are in menopause. Women most likely to have this test are those who have had a hysterectomy with preservation of ovaries. Without the cessation of menses as a guide, the FSH level may be used to diagnose menopause.
    FSH is produced by your pituitary gland and stimulates your ovaries to produce estrogen. As your estrogen levels decline, your pituitary gland produces more FSH, which enters your blood in an attempt to stimulate more estrogen. When blood levels of FSH consistently rise to certain levels, it is likely that you have reached menopause. More than one FSH test may be needed to confirm menopause. You should not be taking birth control pills when you have an FSH test because birth control pills contain hormones that will affect the test results.


    FSH. American Association for Clinical Chemistry Lab Test Online website. Available at: http://labtestsonline.org/understanding/analytes/fsh/tab/glance. Updated November 2, 2012. Accessed April 18, 2013.

    Menopause. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 15, 2013. Accessed April 18, 2013.

    Menopause. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq047.pdf?dmc=1&ts=20130416T1306377302. Accessed April 18, 2013.

    Menopause basics. US Department of Health and Human Services Women's Health website. Available at: http://womenshealth.gov/menopause/menopause-basics/index.html. Updated September 29, 2010. Accessed April 18, 2013.

    Revision Information

  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.