Perimenopausal Syndrome Diagnosis

Perimenopausal syndrome refers to a series of symptoms caused by hormonal fluctuations before and after menopause, often misinterpreted as emotional or psychological issues. If not diagnosed and treated in time, it may progress to chronic conditions such as osteoporosis, depression, and hypertension. Clinically, diagnosis mainly depends on symptom inquiry, hormone testing, imaging examinations, and exclusion-based diagnosis.

Diagnostic Basis of Perimenopausal Syndrome

1. Clinical Symptom Analysis

Primarily based on patient complaints, including irregular menstruation, mood swings, hot flashes, night sweats, and sleep disturbances. If symptoms persist for more than 6 months and affect quality of life, perimenopausal syndrome should be strongly suspected.

2. Hormone Level Testing

Elevated serum follicle-stimulating hormone (FSH) and decreased estrogen (E2) are common indicators. Significant hormonal fluctuations can help determine whether a woman has entered the perimenopausal stage.

3. Menstrual Pattern Evaluation

Assessment of whether menstrual cycles are irregular, including prolonged intervals, shortened periods, or abnormal flow changes, is an important basis for early diagnosis.

4. Exclusion of Other Diseases

It is necessary to rule out conditions such as thyroid dysfunction, depression, and diabetes that may cause similar symptoms, to avoid misdiagnosis and improve diagnostic accuracy.

5. Bone Density Testing

Some patients may develop osteoporosis due to decreased estrogen. Bone density testing can be used as an auxiliary indicator to evaluate the impact on bone health.

6. Gynecological Ultrasound Examination

Evaluation of endometrial thickness and ovarian reserve function helps determine endocrine status and exclude uterine structural abnormalities.

7. Cardiovascular Function Assessment

Perimenopausal women may experience palpitations and abnormal blood pressure due to hormonal imbalance. ECG and blood lipid testing can be supplementary tools for comprehensive assessment.

8. Psychological Scale Assessment

Menopausal rating scales (such as KMI) can be used to quantify symptom severity, assisting doctors in determining whether systematic intervention and treatment planning are needed.

9. Family History and Lifestyle Assessment

Inquiry into family history of early menopause, depression, hypertension, and related diseases, as well as lifestyle habits such as diet, sleep, and psychological stress, contributes to comprehensive diagnosis.

Conclusion

The symptoms of perimenopausal syndrome are complex and variable, making diagnosis difficult with a single indicator. Experts at United Life International Medical Center remind women that once persistent symptoms occur, comprehensive evaluation and systematic intervention should be carried out as soon as possible to prevent disease progression and improve quality of life.