Kya menopause ka koi test hai?

Mukhtasar jawab NICE NG23 se aata hai, jin hidayat par England ke doctor chalte hain. Woh kehta hai ke 45 aur is se zyada umar ki baqi sehatmand auraton mein perimenopause (mahwari band hone ke aas paas ka waqt) laboratory test ke baghair pehchana jata hai, haal hi mein shuru hone wale hot flush ya raat ke paseenon aur mahwari mein kisi bhi tabdeeli se (1.3.1). Pakistan Menopause Society ki 2026 ki sifarishaat bhi isi jagah pahunchti hain: 45 aur is se zyada umar ki, aam alamaat wali sehatmand auraton ke liye koi laboratory test nahin.

Jo test maujood hain woh hormone ke khoon ke test hain, zyada tar FSH aur estradiol, jo estrogen ki buniyadi shakal hai. In ki apni jagah hai, zyada tar kam umar auraton ke liye. Jo yeh nahin kar sakte, woh hai 45 se zyada umar ki aurat ko yeh batana ke woh perimenopause mein hai ya nahin.

Perimenopause aahista, seedhi saadi kami nahin. Yeh jhoolta hai.

Women's Health Concern, jo British Menopause Society ka mareezon ke liye hissa hai, kehta hai ke perimenopause se pehle aur is ke dauran, FSH aur estrogen donon aik aurat se doosri aurat mein aur ghante ghante mein bohat badal sakte hain. FSH normal ho sakta hai aur saath bohat si alamaat bhi. Yeh adad na aap ko tabdeeli ke daur mein kisi jagah rakhe ga, na yeh naape ga ke yeh kitna mushkil hai, aur estrogen ki aik reading ka aap ke mehsoos karne se bohat kam taalluq hai.

British Menopause Society ki doctoron ke liye hidayat estradiol ke baare mein bhi yehi kehti hain: perimenopause mein yeh be-tarteebi se aur bohat zyada oopar neeche ho sakta hai, aur aam khoon ke test yeh utaar charhao pakar nahin sakte.

Aik nateeja aik lamha dikhata hai. Normal nateeje ka matlab yeh nahin ke kuch nahin ho raha.

Hidayat kya kehti hain, yeh aap ki umar par tika hai.

• 45 aur is se zyada umar mein, NICE kehta hai ke perimenopause ya menopause pehchanne ke liye estradiol, anti-Müllerian hormone aur kai doosre test istemaal na kiye jayen (1.3.4). Pakistan Menopause Society kehti hai ke tashkhees laboratory ke bajaye alamaat aur history se karein.
• 40 se 45 tak, NICE kehta hai ke jab alamaat hon aur mahwari ka chakkar badla ho to menopause ki tasdeeq ke liye FSH test par ghaur kiya ja sakta hai (1.3.6). Pakistan Menopause Society kehti hai ke is par ghaur karein agar nateeja mashwara badal de. NHS ki website kehti hai ke agar aap 45 se kam hain to GP kabhi kabhi khoon ke test kar sakta hai.
• 40 se kam umar mein, test tashkhees ka hissa hai. NICE kehta hai ke ande dani ka waqt se pehle kaam chhor dena (POI), ke liye 4 se 6 hafte ke farq se liye gaye khoon ke do namoonon mein barha hua FSH chahiye, kabhi aik nahin (1.7.2 aur 1.7.3).
• Hormone wali family planning par, NICE kehta hai ke combined contraception ya zyada miqdar wala progestogen lene wali auraton mein menopause pehchanne ke liye FSH istemaal na kiya jaye (1.3.5). Women's Health Concern kehta hai ke jab family planning ki wajah se mahwari band ho, to FSH ya estradiol ki satah bhi shayad kaam ki na ho, aur aap ki alamaat aur un ka asar sab se aham baat hai.

Thook, peshaab aur hormone panel

Women's Health Concern kehta hai ke kuch private laboratoriyon ke beche jane wale peshaab aur thook ke hormone teston ke peeche aisa koi achha saboot nahin ke in ke nateejon ka doctori lihaz se koi matlab hai. European Menopause and Andropause Society (EMAS) khoon ke teston ke baare mein is se aage jati hai: woh kehti hai ke LH, estradiol, progesterone aur testosterone ki satah menopause ki tashkhees mein kisi kaam ki nahin. Private hormone panel par aap ko yehi naam nazar aa sakte hain. Agar koi clinic ya lab aap ko perimenopause ki tasdeeq ke liye khoon ka hormone panel pesh kare aur aap ki umar 45 se zyada ho, to NICE aur Pakistan Menopause Society donon kehte hain ke aam taur par is ki zaroorat nahin. Paise dene se pehle yeh poochna bilkul theek hai ke is ka nateeja kya badle ga.

Apni alamaat ke saath jayen, kisi nateeje ke saath nahin. Doctor phir bhi doosri wajoohat ko radd karne ke liye khoon ke test karwa sakta hai, aur Women's Health Concern lagataar alamaat wali auraton se yehi kehta hai ke isi liye kisi maahir ko dikhayen. Agar test likha jaye, to poochein ke woh kya dhoond raha hai.

Kamre mein sab se kaam ka saboot aap khud hain. Women's Health Concern aap ki mahwari ka pattern, aap ki alamaat aur un ka aap par kitna asar hai, aur aap ki sehat aur khandaan ki history ko sab se aham batata hai. To tareekhein saath le jayen: aap ki pichhli chand mahwariyan kab aayin, aur kya woh qareeb qareeb aa rahi hain, door door, zyada bhaari ya halki. Alamaat ki aik list saath le jayen, apne lafzon mein bhi aur doctor ke lafzon mein bhi. Appointment ki tayyari aur alamaat ka record rakhna batate hain ke kaise.

Kuch baaton ko kisi test ka intezar nahin karna chahiye. 12 mahine mahwari na aane ke baad khoon aana, jinsi taalluq ke baad ya do mahwariyon ke beech khoon aana, aur achanak bohat bhaari khoon aana, yeh sab Pakistan Menopause Society ki khatre ki nishaniyon ki list mein hain (section 2.3). In ke liye jaldi doctor ko dikhayen.