What lab tests are useful before starting menopause treatment?
Reviewed by Dr. Ana Lisa Carr, MD, MBA · Last reviewed May 10, 2026
Answer published
Most women in their 40s and 50s with classic symptoms do not need extensive hormone testing before starting evidence-based therapy — the diagnosis is clinical. A baseline workup commonly includes thyroid function (TSH), vitamin D, lipid panel, hemoglobin A1c, and a complete blood count. Estradiol and FSH are not diagnostic by themselves but may be useful in early-onset suspected menopause (under 40) or to clarify ambiguous cases. Your clinician will tailor labs to your history and symptoms.
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