A 50-year-old woman on the desogestrel POP wants to know if she has reached menopause. Her periods stopped 18 months ago, but she is unsure if this is...

Question

A 50-year-old woman on the desogestrel POP wants to know if she has reached menopause. Her periods stopped 18 months ago, but she is unsure if this is due to the POP. What investigations can help?

Accepted Answer

Serum FSH can be measured; if >=30 IU/L on two occasions 4-6 weeks apart, menopause can be presumed

Answer

No investigation can diagnose menopause while on the POP

Answer

A single FSH level is sufficient

Answer

An anti-Müllerian hormone level is the gold standard test

Answer

Transvaginal ultrasound is required

uk-dfsrh MCQ (SBA): FSH Testing on POP Menopause Diagnosis

A 50-year-old woman on the desogestrel POP wants to know if she has reached menopause. Her periods stopped 18 months ago, but she is unsure if this is due to the POP. What investigations can help?