Menopause

Order menopause tests to evaluate the 11 important hormones that may become out of balance and affect your wellbeing from Ulta Lab Tests. Learn about your health today!


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AMH-MIS may be used in the investigation of ovarian reserve since AMH concentrations in adult women reflect the number of small antral and preantral follicles entering the growth phase of their life cycle. These follicles are proportional to the number of primordial follicles that still remain in the ovary, or the ovarian reserve.
AMH decreases throughout a woman's reproductive life, which reflects the continuous decline of the oocyte/follicle pool with age and, accordingly, ovarian aging.


A Complete Blood Count (CBC) Panel is used as a screening test for various disease states including anemia, leukemia and inflammatory processes.

A CBC blood test includes the following biomarkers: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet count, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs)


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Measuring the circulating levels of estradiol is important for assessing the ovarian function and monitoring follicular development for assisted reproduction protocols. Estradiol plays an essential role throughout the human menstrual cycle. Elevated estradiol levels in females may also result from primary or secondary ovarian hyperfunction. Very high estradiol levels are found during the induction of ovulation for assisted reproduction therapy or in pregnancy. Decreased estradiol levels in females may result from either lack of ovarian synthesis (primary ovarian hypofunction and menopause) or a lesion in the hypothalamus-pituitary axis (secondary ovarian hypofunction). Elevated estradiol levels in males may be due to increased aromatization of androgens, resulting in gynecomastia.

IMPORTANT - Note this Estradiol test is not for children that have yet to start their menstrual cycle.  If this test is ordered for a child that has yet to begin their menstrual cycle Quest Diagnostics labs will substitute in Estradiol, Ultrasensitive LC/MS/MS - #30289 at an additional charge of $34


Much of Estradiol is bound to proteins. The unbound portion and Estradiol bound to proteins with low affinity reflect the Free concentration. The Free Estradiol may better correlate with medical conditions than the Total Estradiol concentrations.


Estrogens are secreted by the gonads, adrenal glands, and placenta. Total estrogens provide an overall picture of estrogen status for men and women.

This test is useful in the differential diagnosis of pituitary and gonadal insufficiency and in children with precocious puberty.

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FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.

A lipid panel includes:Total cholesterol —this test measures all of the cholesterol in all the lipoprotein particles.High-density lipoprotein cholesterol (HDL-C) — measures the cholesterol in HDL particles; often called "good cholesterol" because it removes excess cholesterol and carries it to the liver for removal.Low-density lipoprotein cholesterol (LDL-C) — calculates the cholesterol in LDL particles; often called "bad cholesterol" because it deposits excess cholesterol in walls of blood vessels, which can contribute to atherosclerosis. Usually, the amount of LDL cholesterol (LDL-C) is calculated using the results of total cholesterol, HDL-C, and triglycerides.Triglycerides — measures all the triglycerides in all the lipoprotein particles; most is in the very low-density lipoproteins (VLDL).Very low-density lipoprotein cholesterol (VLDL-C) — calculated from triglycerides/5; this formula is based on the typical composition of VLDL particles.Non-HDL-C — calculated from total cholesterol minus HDL-C.Cholesterol/HDL ratio — calculated ratio of total cholesterol to HDL-C.






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The free T4 are tests thelps evaluate thyroid function. The free T4 test is used to help diagnose hyperthyroidism and hypothyroidism. Free T4 is the active form of thyroxine and is usually ordered along with or following a TSH test. This helps the doctor to determine whether the thyroid hormone feedback system is functioning as it should, and the results of the tests help to distinguish between different causes of hyperthyroidism and hypothyroidism.

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Tests T3 Uptake, T4 (Thyroxine) Total, and Free T4 Index (T7) for use in the diagnosis of hypothyroidism and hyperthyroidism.


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The Thyroid-stimulating Hormone (TSH) Blood Test is for differential diagnosis of primary, secondary, and tertiary hypothyroidism. The TSH test is also useful in screening for hyperthyroidism. This assay allows adjustment of exogenous thyroxine dosage in hypothyroid patients and in patients on suppressive thyroxine therapy for thyroid neoplasia.



Did you know over 1 million women in the US alone start menopause each year? Menopause can cause a lot of symptoms that often leave women with questions.

The good news is there are menopause tests available that can let you know exactly where you stand. There is no reason to go through menopause in the dark.

Nowadays, we have the tools and technology to take our health into our own hands. So keep reading this guide to learn all about menopause and the proven benefits of menopause tests.

What is Menopause?

Menopause is the time in your life that signifies the end of your menstrual cycles. Menopause is a biological process between 40 and 50, with an average age of 51 in the US.

Women also experience a phase called perimenopause, which is when your body begins to transition towards menopause. Perimenopause can start at different ages but typically occurs when you're in your 40s.

Your estrogen and hormone levels start dropping, which brings on the symptoms of menopause like hot flashes and mood changes. Doctors usually officially diagnose menopause after 12 consecutive months without a period.

Causes and Risk Factors for Menopause

Typically women enter menopause in their 40s and 50s, but certain risk factors can interrupt the normal flow of a woman's reproductive system. When this happens, menopause can occur before 40, referred to as premature ovarian failure.

Risk factors include previous pelvic surgery and removal of both ovaries. Other risks include chemotherapy and radiation, chromosomal defects, and autoimmune diseases like rheumatoid arthritis.

Signs and Symptoms of Menopause

In the years that lead up towards menopause, you'll start to experience different signs and symptoms, including:

  • Hot flashes
  • Irregular and missed periods
  • Night sweats and chills
  • Trouble sleeping
  • Changes in mood
  • Slower metabolism
  • Thinning of hair
  • Breast changes like loss of fullness

Remember, changes in menstruation vary, and most of the time, you'll experience irregular periods before they stop altogether. You'll also notice shorter menstrual cycles that occur closer together.

Complications of Menopause

After menopause, you no longer have the protection of estrogen and other reproductive hormones. This can increase your risk for conditions like:

Your risk for heart disease goes up when your estrogen levels decline. And high blood pressure and cholesterol levels during menopause increase this risk even further.

Your risk for osteoporosis goes up after menopause. During your first few years of menopause, your body is adjusting to the hormonal changes, and you can lose bone density at a faster rate during this time.

After menopause, your vagina and urethra lose their elasticity, causing you sometimes to experience a strong urge to urinate or a leakage of urine. 

You'll also notice a decreased desire for sexual activity. Menopause can cause vaginal dryness and discomfort during sexual intercourse. 

Menopause also causes changes in your metabolism, causing you to gain weight easier than you did before.

Diagnosis of Menopause

Most of the time, your signs and symptoms like no period for 12 consecutive months are enough to tell you that menopause is starting. 

But often, symptoms like irregular periods can be due to other medical causes, so your doctor often recommends specific blood tests to check your hormone levels.

Treatment of Menopause

Menopause doesn't require any specific medical treatment but instead, treatments focus on symptom relief and managing chronic conditions as you age.

One of the most effective treatments for menopause is estrogen therapy. Doctors often prescribe a low dose of estrogen for a short time. If you still have your uterus and ovaries, you'll often be prescribed progestin too. Short-term use of hormone therapy helps prevent bone loss and heart disease.

Vaginal estrogen is also an option and can be administered directly into your vagina via a vaginal cream or ring. Vaginal estrogen releases only a small amount of estrogen that gets absorbs by your vaginal tissues. You'll get relief from vaginal dryness and pain with sexual intercourse.

Some women also need a low dose of antidepressants for a time. Certain medications like serotonin reuptake inhibitors can decrease hot flashes and improve mood.

Lab Tests for Menopause

Testing for menopause and during menopause is a great way to diagnose menopause and to monitor the balance of your hormones and biomarkers.

You can find comprehensive lab tests for menopause at Ulta Lab Tests. Standard menopause lab tests include:

Follicle stimulating hormone testing (FSH) is often measured to confirm menopause. Typically in menopause, your FSH will consistently remain elevated.

luteinizing hormone test (LH) measures how much of this hormone is in your blood. LH is involved with your ovulation, menstruation, and more. When you start menopause, your LH levels will rise.

Your total estrogen level is also measured. Estrogen is responsible for the development of female sex organs and regulating your menstrual cycles. Your total estrogen levels decrease once menopause begins.

Anti-Mullerian hormone (AMH) measures your ovarian reserve and predicts an average time when menopause will begin.

Other blood tests helpful for menopause testing include:

Frequently Asked Questions

Many women have the most questions about the hot flashes that occur in menopause. Although the exact cause isn't completely understood, hot flashes are thought to occur due to changes in your brain and hypothalamus.

If your hypothalamus senses you're too warm, it will try to cool you down by making you sweat. The good news is most hot flashes diminish after six months, though some women can have them for longer.

And remember, just because you've entered into menopause doesn't mean you don't need annual pap tests and mammograms. After menopause, these screenings become more crucial than ever.

Menopause Tests

Choose Ulta Lab Tests for all your menopause tests and needs. Our lab tests provide you with accurate results which allow you to take control of your health.

Our affordable pricing includes a doctor's order, and you don't need a referral or insurance either.

Once you order your menopause lab tests, you'll have secure and confidential results within 24 to 48 hours, depending on the test.

Take charge of your health by ordering your tests from Ulta Lab Tests.

Menopause is the stage in a woman’s life when her regular menstrual periods have ceased for 12 months, at least, and she cannot become pregnant any longer. This is a natural part of a woman’s aging process. Menopause can take place at any time after 35 years old, but typically it takes place when a woman is in her late 40s to her early 50s. For American women, the average age for the onset of menopause is 51 years old. 

Throughout a woman’s child-bearing years, the hormones progesterone, estradiol, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) work together on a monthly basis to grow and release an egg from the woman’s ovaries (ovulate) and to either support the beginning stages of pregnancy or regulate the monthly menstrual cycle. As menopause nears, the cyclical production of progesterone and estradiol are less consistent and occur less frequently.

The start of the menopausal process is referred to as perimenopause or menopausal transition. It can start at some point when a woman is in her 40s but could take place in her late thirties. This process is a gradual one and normally takes between two to five years for it to complete.

Through the perimenopause stage, hormone levels may fluctuate on a month to month basis from high to low, and ovulation and periods can become irregular. A woman might have her period one month and then not have another one for several months. During perimenopause, some women might discover that the intensity and frequency of their periods increase. Although it is expected that there will be irregularities throughout the menopause transition period, all changes should be discussed with the woman’s healthcare provider so that she can make sure that her symptoms are not being caused by some other condition other than fluctuations in hormones. Perimenopausal women also need to be aware that although it is not as likely, women who are in transition may still become pregnant. 

Associated Health Issues

After a menopausal woman has not had a period for twelve months, the transition is usually considered to be complete. At that point, she enters the post-menopause stage. At this point, her ovaries have stopped producing progesterone and estradiol, and she is not ovulating any longer and cannot become pregnant. Although this is part of the natural aging process, there are certain health issues associated with post-menopausal and menopause stage of life: 

  • Decreased estrogen levels might result in an increased risk of developing osteoporosis. Changing estrogen levels might also contribute to a woman developing heart disease.
  • Vaginal tissues tend to thin (atrophy), which can cause susceptibility to infection, vaginal dryness, and chronic irritation.
  • Reduced levels of estrogen are also accompanied by reduced production of elastin and collagen, which are the two proteins that are responsible for maintaining the integrity of the skin. As those levels are reduced, the skin becomes more susceptible to being injured, dryer, and thinner.

As a woman continues to age, menopause occurs naturally. However, it also may happen for various other reasons as well. Surgical menopause takes place when a woman’s ovaries are removed, as with a hysterectomy or with ovarian cancer. Since that removal stops hormone production by the ovaries (since they are no longer there), it can result in certain menopausal symptoms developing shortly after surgery. Menopause may also take place in women who are in very poor health, with pituitary gland disorders, or with excessive exposure to chemotherapy or radiation.

Women who experience hormonal irregularities and menopausal symptoms before they are 40 years old were referred to in the past as having “premature menopause.” They are now said to have “primary ovarian insufficiency” or “premature ovarian failure. Some of those women might still become pregnant despite having these conditions.

Symptoms and Signs

During menopause, a woman’s body will undergo several changes. Some of the most common symptoms and signs of menopause happen when estrogen levels begin to drop. A woman might experience the following:

  • Changes in the frequency of menstruation and flow intensity (including more frequent or heavier periods for some women)
  • Hot flashes
  • Night sweats
  • Decreased sex drive (libido)
  • Rapid mood swings that range from euphoria to depression
  • Sudden urge to or increased frequency to urinate
  • An increase in bone loss which can result in osteoporosis
  • Vaginal dryness that might lead to pain during intercourse
  • Increased risk of heart disease (due to potential increases in LDL “bad” cholesterol levels in the blood)

Tests

Not every woman who has gone through or is going through menopause will need to have laboratory tests performed. However, women who might have premature ovarian failure with menopausal symptoms or who might be at risk for other health issues, like osteoporosis, might have one or more of these tests done: 

Follicle-stimulating hormone (FSH): to determine whether a woman is nearing, transitioning, or undergone menopause. The FSH level, in general, increases during the transition phase.

Estradiol: to measure estrogen production by the ovaries and to evaluate whether the woman has a normal menstrual cycle.

Thyroid function testing (TSH and free T4): to test the thyroid gland’s functioning, which may slow as women age, affect menstruation, or cause certain symptom that are similar to those that are found with menopause

Anti-Mullerian hormone (AMH): for predicting when menopause will begin and/or when a woman is worried about fertility loss

Other tests that might be ordered include the following:

Lipid profile: for testing increased LDL (“bad”) cholesterol and triglycerides and decreased HDL (“good”) cholesterol for assessing risks for developing cardiovascular disease.

Comprehensive metabolic panel (CMP): for testing kidney and liver function, particularly when hormone replacement therapy (HRT) is being considered.

Complete blood count (CBC): for determining whether there is an adequate number of white and red blood cells in the blood.