Lab tests to consider in Menopause

Can a blood test reveal if I am in perimenopause? Yes, but only sometimes! Let's dive deeper into this transformative journey.

Perimenopause, the precursor to menopause, brings a symphony of changes—physically and hormonally. Hormone levels change, spiking or decreasing during perimenopause, fluctuating weekly. Relying solely on blood tests might not paint the whole picture. Hormone levels can be "normal" even when symptoms persist, and we are sent home without insight on how to feel better. That is why menopause is left unrecognized, and a whopping 73 % of women going through it choose not to seek relief because they believe there is a lack of practical and effective solutions.

I will always believe my client’s symptoms before any diagnostic test. Yet, a blood test is a necessary and comprehensive approach beneficial for yearly doctor visits or more during menopause.

The Significance of Blood Tests:

Blood tests, a medical mainstay, offer information about your health—hormones, nutrients, organ function, and more.

Wondering about the differences between Functional Medicine Lab Testing and Conventional Lab Testing during this transformative phase of life?

Regarding diagnostic lab tests covered by insurance for perimenopause versus functional medicine tests, there are notable differences in the types of tests typically ordered and the perspectives they offer. Remember that insurance coverage can vary, and the specific tests covered may depend on the policies of individual insurance providers. Here's an overview of standard diagnostic lab tests covered by insurance for perimenopause and some functional medicine tests that might be considered if persistent and unbearable symptoms are taking a toll on your life. Functional lab testing may be worth your investment in delving deeper into the root causes of menopausal discomfort.

Common Diagnostic Lab Tests Covered by Insurance for Perimenopause:

1. Hormone Panels:

   • Estrogen Levels: Measurement of estrogen levels can help assess ovarian function.

   • Progesterone Levels: Progesterone levels are crucial for evaluating the menstrual cycle and assessing reproductive health.

   • FSH (Follicle-Stimulating Hormone) and LH (Luteinizing Hormone): Elevated FSH levels and changes in the FSH/LH ratio can indicate changes in ovarian function.

2. Thyroid Function Tests:

   • TSH (Thyroid-Stimulating Hormone): Measures thyroid function. Thyroid dysfunction can impact menstrual cycles and exacerbate perimenopausal symptoms.

3. Cholesterol Levels:

   • Total Cholesterol, LDL, HDL, Triglycerides: These tests are often part of routine health screenings and can provide insights into cardiovascular health, which can be particularly important during perimenopause.

4. Complete Blood Count (CBC):

   • Hemoglobin, Hematocrit, White Blood Cell Count, and Platelet Count: These tests assess overall blood health.

5. Bone Density Testing:

   • Dual-Energy X-ray Absorptiometry (DXA or DEXA) Scan: Measures bone density and assesses the risk of osteoporosis, which can be a concern during perimenopause.

Functional Medicine Lab Tests for Perimenopause:

1. Comprehensive Hormone Panels:

   • DHEA (Dehydroepiandrosterone): Assesses adrenal gland function.

   • Cortisol Levels: Evaluate the stress hormone cortisol and its diurnal rhythm.

   • Testosterone Levels: Testosterone plays a role in women's health and can impact energy levels and libido.

2. Nutrient and Micronutrient Testing:

   • Vitamin D, B vitamins, Iron, and Magnesium: Deficiencies in these nutrients can contribute to symptoms such as fatigue and mood changes.

3. Adrenal Function Testing:

   • Salivary Cortisol Testing: Multiple cortisol measurements throughout the day to assess adrenal function and the body's stress response.

4. Food Sensitivity Testing:

   • IgG Antibody Testing: Identifies potential food sensitivities that may contribute to inflammation and hormone imbalance.

5. Lipid Panel

   The term "Lipid Panel" refers to a blood test that measures the fats in your blood, including cholesterol and triglycerides. Is another panel expressly indicated for menopausal women. As hormones change, cholesterol levels change, so monitoring them is a good idea.

6. Genetic Testing:

   • MTHFR and COMT: Genetic variations that can impact methylation and hormone metabolism.

7. Gut Health Testing:

   • Comprehensive Stool Analysis: Assesses the health of the gastrointestinal tract, which can influence hormone metabolism and absorption of nutrients.

8. Comprehensive Female Hormone Panel

   The DUTCH Complete test is the first go-to functional lab when thinking about peri and postmenopausal women. It assesses the sex and adrenal hormones to gauge the menopause transition. It also tests for cortisol and melatonin to gain a better understanding of sleep quality as well as organic acids, which can assess the metabolism as well as some nutrient and neurotransmitter deficiencies, which are associated with physical and emotional symptoms.
   

1. Insurance Coverage:

   • Diagnostic lab tests covered by insurance are often more standardized and focused on well-established markers. Functional medicine tests may not be covered and can be more expensive.

2. Holistic Perspective:

   • Functional medicine tests aim to provide a more holistic view of an individual's health by examining various aspects such as hormones, nutrition, and stress.

3. Personalized Treatment Plans:

   • Functional medicine practitioners often use test results to develop personalized treatment plans that address the root causes of symptoms.

4. Collaboration with Healthcare Providers:

   • Individuals must work with healthcare providers who can interpret test results and guide appropriate interventions.

Ultimately, the choice between diagnostic lab tests covered by insurance and functional medicine tests for perimenopause depends on individual health goals, preferences, and financial considerations. While menopause can sometimes bring uncomfortable symptoms, it shouldn't be challenging. Enter nutritional therapy – your supportive ally in this transformative phase! Nutritional therapy crafts a holistic plan tailored to your unique needs by detecting specific imbalances and deficiencies. This personalized approach alleviates discomfort and empowers you to navigate this transition gracefully, allowing you to fully savor the joys of late adulthood. Working with Hello Palate can help navigate the options and develop a comprehensive approach to managing perimenopausal symptoms. I encourage you to reach out today for a consultation with me.