A 49-year-old woman presents to the GP with night sweats and asks whether she could be perimenopausal. She has regular periods and no other symptoms. ...

Question

A 49-year-old woman presents to the GP with night sweats and asks whether she could be perimenopausal. She has regular periods and no other symptoms. According to NICE NG23, which is the single most appropriate approach?

Accepted Answer

Diagnose perimenopause clinically based on symptoms in a woman aged ≥45 - no blood tests are required

Answer

Check FSH to confirm perimenopause

Answer

Check oestradiol levels

Answer

Check AMH to determine menopausal status

Answer

Refer to endocrinology

uk-drcog MCQ (SBA): Clinical Perimenopause Diagnosis Over 45

A 49-year-old woman presents to the GP with night sweats and asks whether she could be perimenopausal. She has regular periods and no other symptoms. According to NICE NG23, which is the single most appropriate approach?