Menopause Test at Menopause Centre Singapore
What Is Menopause?
Menopause is a natural part of ageing that signifies the end of a woman’s reproductive years. It occurs when oestrogen and progesterone levels decline, leading to the cessation of menstruation. A woman is considered postmenopausal after 12 consecutive months without going through her period.
Most women experience menopause between the ages of 45 and 55. For some, the transition can be physically, emotionally, and mentally overwhelming. We understand these challenges and are here to help you overcome them with compassion and confidence.
Many women begin experiencing physical and psychological changes during perimenopause, the years leading up to menopause. These changes can be subtle at first and are often mistaken for stress or ageing.
Taking a menopause test is not necessarily to ‘prove’ that you are officially in menopause, but rather to provide clarity on the symptoms you are experiencing and how to manage them. This is especially important today, as women are living longer and may spend a significant portion of their lives in menopause.
More than 75% of women in Singapore experience menopausal symptoms, around 25% describe them as severe, and about one in three women experience long-term symptoms that can last seven years or longer.
Taking a menopause test helps you take a proactive approach to your help, especially as conditions like osteoporosis and urogenital and vaginal health issues become more prominent during menopause.
A menopause assessment is suitable for women who want clarity about their hormonal health, whether they are approaching menopause or already experiencing symptoms.
You should consider the test if you:
- Are in your early 40s to early 50s (typical perimenopause age range).
- Have irregular menstrual cycles: shorter, longer, heavier, lighter, or unpredictable.
- Experience common menopausal symptoms, such as:
- Hot flashes or night sweats
- Sleep disturbances
- Mood changes or irritability
- Vaginal dryness or discomfort
- Low libido
- Brain fog, forgetfulness, or difficulty concentrating
- Sudden weight changes or stubborn belly fat
- Joint aches and fatigue
- Suspect early or premature menopause, especially if you’re under 40 and experiencing symptoms.
- Want to check fertility or family-planning considerations, as women can still get pregnant in perimenopause.
- Have a family history of early menopause, osteoporosis, or hormone-related conditions.
- Have undergone treatments that may affect hormones, such as:
- Surgical removal of ovaries
- Chemotherapy or radiation
- Autoimmune conditions
How Do I Know I Am Menopausal?
Changes in menstrual cycles are an early indicator. Some women experience irregular cycles, shorter or skipped periods, or other menopause symptoms. A menopause test, which may include a blood test for menopause, can help confirm hormonal changes.
Menopause—Major Symptoms Checklist:
- Hot flushes & night sweats: Sudden waves of heat, often accompanied by sweating and flushing, can heavily disrupt sleep and daily comfort.
- Mood swings & irritability: Fluctuating hormone levels can cause emotional highs and lows, leading to hard-to-manage irritability or anxiety.
- Fatigue & sleep disturbances: Difficulty falling or staying asleep, often due to night sweats or hormonal shifts, resulting in daytime exhaustion.
- Vaginal dryness & reduced libido: Decreased oestrogen levels can lead to vaginal discomfort, pain during intercourse, and a lower sex drive.
- Frequent urination or incontinence: Weakening pelvic floor muscles and hormonal changes can cause urgency and/or leakage.
- Brain fog & memory issues: Difficulty concentrating, forgetfulness, or mental sluggishness due to hormonal fluctuations.
- Joint pain & body aches: Reduced oestrogen levels may contribute to inflammation and stiffness in joints and muscles.
- Weight gain & slower metabolism: Hormonal shifts can lead to fat gain, particularly around the abdomen, and make weight management harder.
- Hair thinning & dry skin: Declining oestrogen affects collagen production, leading to drier skin and increased hair shedding.
Menopause—Lesser Known Symptoms:
- Tingling sensations
- Burning mouth syndrome
- Dizziness & balance issues
- Heart palpitations
- Digestive issues
- Increased body odour
- Tinnitus (ringing in the ears)
- Allergies & sensitivities
- Gum problems & dry mouth
If you’re experiencing changes that feel unfamiliar, don’t ignore them. Menopause affects every woman differently, and recognising your symptoms is the first step toward feeling your best.
What to Expect During a Menopause Test
At Prologue Wellness, our comprehensive menopause assessments cover hormone analyses, bone density tests, cardiovascular health checks, and more. Our Core Hormone Wellness Panel includes comprehensive blood tests for:
- Testosterone
- Estradiol
- Progesterone
- Free T4
- Free T3
- Follicle Stimulating Hormone
- Luteinising Hormone
- Prolactin
- Thyroid Stimulating Hormone
Our assessments also include referrals to our sister brand, Prologue The Lifestyle Medical Clinic, for doctor consultations, medical screening and Hormone Replacement Therapy (HRT) suitability.
Interpreting Your Menopause Test Results & What the Numbers Mean
Menopause test results help assess where you are in the menopausal transition, but hormone levels can fluctuate especially during perimenopause. Results are always interpreted alongside symptoms, menstrual history, and overall health.
- FSH (Follicle-Stimulating Hormone) – FSH rises as ovarian function declines, though levels may vary month to month.
- Higher levels suggest declining ovarian activity
- May be normal early in perimenopause and rise later
- Persistently elevated levels may indicate approaching menopause
- Estradiol (E2) – Estradiol is the main estrogen hormone and declines as menopause approaches.
- Lower levels are common with irregular periods
- Decline contributes to hot flushes, sleep issues, and vaginal dryness
- Fluctuations may cause mood changes and irritability
- AMH (Anti-Müllerian Hormone) – AMH reflects ovarian reserve and helps assess menopausal progression.
- Naturally declines with age
- Low levels are common in perimenopause
- Supports diagnosis but does not confirm menopause alone
- LH (Luteinizing Hormone) – LH often rises alongside FSH as ovarian function decreases.
- Higher levels suggest reduced ovarian activity
- Helps distinguish perimenopause from other hormonal conditions
- Most useful when interpreted with FSH and estradiol
- Thyroid Profile (TSH, Free T4, Free T3) – Thyroid disorders can mimic menopause symptoms.
- Helps rule out thyroid imbalance
- Important in midlife when thyroid issues are more common
- Clarifies whether symptoms are hormonal or thyroid-related
- Additional Markers (If Needed) – Further tests may assess long-term health risks and guide prevention, including:
- Vitamin D (bone and immune health)
- Lipid profile (cardiovascular risk)
- Glucose and metabolic markers
- Bone health indicators (osteoporosis risk)
Menopause: Other Crucial Health Assessments
In the years leading to and following menopause, the rate of many chronic conditions, such as heart disease, diabetes and cancer, also increases, making regular screenings essential:
Breast cancer screenings (40+ years): Every 1-2 years, or as your doctor advises.
Colon cancer screenings (50+ years): Every 10 years with a colonoscopy or more frequently with other tests.
Pap smears for sexually active women: Every 3 years or every 5 years if combined with an HPV test.
Your Flourishing Season Starts at Our Menopause Centre
FAQ
What is perimenopause?
Perimenopause is the transitional phase before menopause when hormonal changes cause symptoms like irregular periods and hot flushes.
How long does perimenopause last?
Perimenopause can last from a few months to several years.
How is menopause diagnosed?
Menopause is diagnosed after a woman experiences 12 consecutive months without a period.
Can I take a perimenopause test to confirm menopause?
Yes, you can.
How can I manage menopause and perimenopause symptoms?
Lifestyle Changes
- Exercise regularly to support bone and heart health.
- Eat a balanced diet rich in calcium and vitamin D.
- Avoid triggers like caffeine, alcohol, and spicy foods.
- Practice relaxation techniques to reduce stress.
- Try alternative therapies* (e.g. acupuncture, black cohosh).
*Efficacy varies.
Self-Care Strategies
- Carry a fan and water bottle for hot flush relief.
- Wear breathable fabrics to stay calm and cool.
- Use vaginal moisturisers for dryness.
Is Menopause Hormone Therapy (MHT) safe?
MHT can be effective for many women, but it’s vital to discuss benefits and risks with your doctor.
Can lifestyle changes help manage menopause symptoms?
Yes. Regular exercise, a balanced diet, and stress management can alleviate symptoms.
Can I get pregnant during menopause?
If you are still menstruating—even irregularly—pregnancy is possible.
Which menopause symptom relief supplements are best for hot flashes, brain fog, and irritability?
Certain menopause supplements may help support common menopause symptoms, including magnesium, B-complex vitamins, omega-3 fatty acids, vitamin D, and specific herbal extracts. Effectiveness varies from person to person, and guidance from a qualified practitioner ensures supplements are chosen and dosed appropriately for your symptoms and health history.
What are the safest non-hormonal options to relieve menopause discomfort and improve daily life?
Non-hormonal support often focuses on lifestyle optimisation, stress regulation, nutrition, targeted supplementation, and nervous system support. Mindful movement, strength training, sleep hygiene, and evidence-based wellness therapies can significantly improve comfort and quality of life without hormone therapy.
Do sleep aids and relaxation products work for menopause-related insomnia?
Sleep aids and relaxation tools can be helpful when used thoughtfully. Magnesium, calming botanicals, breathwork, and nervous-system-supportive practices may improve sleep quality. Addressing underlying contributors such as stress, blood sugar balance, and temperature regulation is key for sustainable improvement.
Do vaginal moisturisers and lubricants help with menopause-related dryness?
Yes. Vaginal moisturisers and lubricants can effectively improve comfort, reduce irritation, and support intimacy. Regular moisturiser use helps maintain vaginal tissue hydration, while lubricants provide immediate relief during intimacy. Choosing hormone-free, pH-balanced products is generally recommended.