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Even before perimenopause, hormones naturally fluctuate with your cycle and may be different from cycle to cycle, so Dr. Rosser doesn’t put too much stock in hormone testing for this purpose.
Hormone replacement therapy (HRT) can be used to treat hypoestrogenism and menopause related symptoms, and low estrogen levels in both premenopausal and postmenopausal women. Low-dose estrogen medications are approved by the U.S. Food and Drug Administration for treatment of menopause-related symptoms.
The most widely used and most effective treatment for many perimenopause and menopause symptoms, including hot flashes and vaginal dryness, is hormone therapy (HT), says Nanette Santoro, M.D ...
The most important risk factors for osteoporosis are advanced age (in both men and women) and female sex; estrogen deficiency following menopause or surgical removal of the ovaries is correlated with a rapid reduction in bone mineral density, while in men, a decrease in testosterone levels has a comparable (but less pronounced) effect.
Bone loss due to menopause occurs due to changes in a woman's hormone levels. The menopausal transition, and postmenopause itself, is a natural change, not usually a disease state or a disorder. The main cause of this transition is the natural depletion and aging of the finite amount of oocytes ( ovarian reserve ).
Testing serum LH and FSH levels are often used to assess hypogonadism in women, particularly when menopause is believed to be happening. These levels change during a woman's normal menstrual cycle, so the history of having ceased menstruation coupled with high levels aids the diagnosis of being menopausal.