26/05/2026
Testing for perimenopause can be tricky, as hormone levels may fluctuate significantly from day to day. Because of this, perimenopause is often best identified through a combination of symptoms, cycle changes and long-term hormonal patterns, rather than relying on a single hormone test alone.
Common signs may include:
đź©·Irregular cycles
❤️Heavy periods
🧡Worsening PMS
đź’›Irritability & mood swings
đź’šFatigue & brain fog
Tracking your cycle can also provide valuable insight. Monitoring fertility signs such as basal body temperature (BBT) and cervical fluid patterns over time may help identify changes in ovulation and hormonal trends commonly seen in perimenopause.
When hormone testing is used, multiple tests over time are often more helpful than a once-off result, as this allows us to observe patterns and shifts in hormone function.
Some common hormone trends seen in perimenopause may include:
âś… LH: often higher in late perimenopause & menopause
âś… Progesterone: often declines in early perimenopause due to changes in ovulation
âś… Oestrogen: may fluctuate between high and low levels
âś… AMH: may decline as ovarian reserve changes
It’s also important to remember that many other health concerns can mimic or worsen perimenopausal symptoms, including thyroid dysfunction, PMOS, insulin resistance, stress, poor sleep and nutrient deficiencies.
If you’re in your late 30s or early 40s and suspect you may be entering perimenopause, working with a practitioner can help provide a more comprehensive assessment and personalised support. Hormone testing is not always necessary or recommended, and should always be interpreted alongside your symptoms, health history and cycle patterns.
✨ My Perimenopause eBook is designed to help you better understand the hormonal changes of this transition, recognise common symptoms and support your body naturally.
Head to the shop at www.helenanetscher.com.au to purchase your copy or book a consultation for personalised support 🫶🏽
