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Home Menopause Testing Kits: Are They Worth It?
So what about this new home menopause kit? It tests the level of FSH (follicle-stimulating hormone) in the urine.
Here's the first potential trap. Just because the results of a home urine test agree with the results of a laboratory blood test, doesn't mean the home test is "reliable." Blood FSH levels correlate poorly with menopausal symptoms. Since the blood FSH test isn't a reliable marker of predicting a woman’s menopausal status, then neither is the urine test a reliable marker.
As disappointing and surprising as it may seem, many aspects of the menopause process remain a mystery to medical science. The medical definition of menopause is when menstrual periods stop for 12 months as a consequence of the ovaries shutting down. Menopause is not defined by a blood test, or a urine test, or any laboratory test for that matter.
A woman might then say, "Okay fine, but I want to know if my current symptoms could be because I am in menopause." So, then does FSH testing meet that need? Well, women can have terrible menopause symptoms and yet their FSH level may remain in the "premenopausal" range. Conversely, women can be having no hot flash symptoms at all and yet their FSH level may be considered in the "menopausal range."
To further complicate matters, the FSH test is highly variable during the time when periods are irregular just before periods cease permanently. For example, a woman might skip 3 periods, and then have periods for a few months, and then skip several periods again. During this time of irregular periods the FSH level can fluctuate tremendously. When the woman has had no periods for 12 months, by that time, she already knows she's menopausal what is the use of the FSH test?
For all of these reasons, FSH testing is not suited to be a routine test (like cholesterol screening, say) for every woman around the age of menopause. Encouraging women without any menopausal symptoms to check their FSH levels is not doing them any service.
If women don't have menopause symptoms, they don't need to have any menopause tests (even if the FSH were a perfect marker of menopause, which it isn't). Doctors are not going to prescribe therapy to a woman who is feeling fine without any menopause symptoms, no matter what her FSH levels. The FSH test only tells you if you have a high FSH level. It doesn't tell you if you are definitely in menopause (or premenopausal or perimenopausal) .
The bottom line is that, if you have menopause symptoms, see your doctor, because even if your FSH level is not in the menopausal range, your symptoms can be due to menopause. And if you don't have symptoms, just sit back and don't worry about FSH tests. And by all means, do not use your home menopause test kit to make decisions about your fertility or your need to use contraception.
WebMD Medical Reference from MedicineNet
Menopause Guide
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.
Ob-Gyn Laura Corio talks about the importance of exercise during menopause.
