A 46-year-old woman presents to the GP with irregular heavy periods, hot flushes, and mood changes. She requests HRT. Her GP suspects perimenopause. A...

Question

A 46-year-old woman presents to the GP with irregular heavy periods, hot flushes, and mood changes. She requests HRT. Her GP suspects perimenopause. According to NICE NG23, does she need blood tests before starting HRT?

Accepted Answer

No blood tests are required - menopause can be diagnosed clinically in women aged ≥45 with typical symptoms, and HRT can be started empirically

Answer

FSH must be checked before starting HRT in all women

Answer

A full hormonal profile (FSH, LH, oestradiol, progesterone) is mandatory

Answer

Anti-Müllerian hormone should be checked

Answer

TFTs must be checked before starting HRT

uk-drcog MCQ (SBA): Clinical Diagnosis of Perimenopause - No Bloods Needed

A 46-year-old woman presents to the GP with irregular heavy periods, hot flushes, and mood changes. She requests HRT. Her GP suspects perimenopause. According to NICE NG23, does she need blood tests before starting HRT?