3
Diagnosis and Symptoms of Menopause
Î The Endocrine Society (ES) suggests diagnosing menopause
based on the clinical menstrual cycle criteria. (2|⊕⊕
)
Î If establishing a diagnosis of menopause is necessary for patient
management in women having undergone a hysterectomy without
bilateral oophorectomy or presenting with a menstrual history that
is inadequate to ascertain menopausal status, ES suggests making
a presumptive diagnosis of menopause based on the presence
of vasomotor symptoms (VMS) and, when indicated, laboratory
testing that includes replicate measures of follicle-stimulating
hormone (FSH) and serum estradiol. (2|⊕⊕
)
Health Considerations for All Menopausal Women
Î When women present during the menopausal transition, ES
suggests using this opportunity to address bone health, smoking
cessation, alcohol use, cardiovascular risk assessment and
management, and cancer screening and prevention. (US)
Diagnosis
