Early menopause, also known as premature menopause or premature ovarian insufficiency (POI), refers to menopause occurring before the age of 40. Confirming a diagnosis of early menopause typically involves both symptoms assessment and medical tests.
Common symptoms of early menopause include:
However,
keep in mind that these symptoms may also occur due to other medical conditions. So further medical evaluation is needed to confirm early menopause.
Medical tests commonly used to diagnose early menopause include:
- Blood tests to check hormone levels, including:
- Antral follicle count - vaginal ultrasound to count the number of follicles in the ovaries
Diagnostic criteria for early menopause include:
- Elevated FSH levels on two tests done at least 1 month apart
- Low estradiol levels
- Menstrual cycle changes - missed or irregular periods
- Reduced number of antral follicles on ultrasound
If test results and symptoms indicate early menopause, your doctor may recommend additional tests to try to determine the underlying cause.
Possible causes of early menopause include:
- Premature ovarian failure - ovaries stop functioning normally before age 40
- Autoimmune disorders
- Genetic conditions
- Cancer treatment like chemotherapy or radiation therapy
- Surgery to remove ovaries
Determining the cause, if possible, can help guide treatment options. Treatment focuses on managing symptoms and long-term health consequences of low
estrogen levels.
Treatment options may include:
- Hormone therapy with estrogen/progestin to replace missing hormones
- Bone density monitoring and treatment like bisphosphonates
- Lifestyle changes like diet, exercise, sleep hygiene
- Emotional support or counseling
If you suspect you may be experiencing early menopause, schedule an appointment with your healthcare provider for evaluation. Keeping an open dialogue and working closely with your doctor can help diagnose the issue accurately and establish an appropriate treatment plan.
At
Optimal Hormone Health Center, our physicians specialize in early menopause and other hormonal conditions. We provide comprehensive lab testing, treatment plans tailored to your needs, and ongoing support. Our integrative approach combines bioidentical hormone therapy, nutrition advice, and lifestyle counseling to help women mitigate symptoms and long-term health risks. Contact us today to learn more or schedule a consultation.
