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In otherwise healthy women aged over 45 years old with menopausal symptoms there is no need for laboratory tests to diagnose menopause or perimenopause. In younger women measure Follicle-stimulating hormone (FSH) but not Luteinizing hormone (LH).
Menopausal women under the age of 50, still need contraception for 2 years after their last period, women aged over 50 require continued contraception for one year only.
Menopausal symptoms include hot flushes and night sweats, musculoskeletal, urogenital, mood and sexual difficulties.
Menopause in women over 45 years old with a uterus and not using hormonal contraception is defined as not having had a period for one year.
It can be difficult to diagnose menopause in women who are taking hormonal treatments.
In otherwise healthy women aged over 45 years old with menopausal symptoms there is no need for laboratory tests to diagnose:
Do not use the following laboratory and imaging tests to diagnose perimenopause or menopause in women aged over 45 years old:
Inwomen aged 40-45 with menopausal symptoms including achange in their menstrual cycle, use a FSH test to diagnose menopause (howevercontraception still required until menses have ceased for one year)
In women aged under 40 years old diagnose premature ovarian insufficiency based on:
Do not routinely use anti-Müllerian hormone testing to diagnose premature ovarian insufficiency.
Link to section 6.4.1 of Formulary guidance
Menopausal women under the age of 50, still need contraception for 2 years after their last period, women aged over 50 require continued contraception for one year only.
If there is doubt about the diagnosis of premature ovarian insufficiency, referral is advised.
"All routine referrals have been changed to telephone consultation where possible and if required can attend the department for examination and further investigation."
e-Referral Service Selection
Specialty: Gynaecology
Clinic Type: Menopause
Service: DRSS-Western-Gynaecology-Devon ICB-15N
Menopause and Hormone Replacement Therapy (HRT)
Menopause: diagnosis and management NICE guidelines [NG23] Published date: November 2015
Faculty of Sexual and Reproductive Healthcare. Contraception for Women aged over 40 years. July 2010
Developed by NHS Devon's Pathology Optimisation Clinical Group.
This guideline has been signed off on behalf of NHS Devon.
Publication date: December 2016