Testing of FSH, LH and oestradiol is widely performed in women who have some
symptoms of the menopause. What should be the timing of the tests and is it
necessary to measure oestradiol after HRT has been started to obtain adequate
bone-protecting levels? Are resolution of symptoms on HRT a reliable clinical
indicator of adequate bone-protecting oestrogen levels? If a women with high
FSH + LH has a normal oestradiol level, presumably there is no need to start
HRT, but should it be repeated in what time interval?
Paul Caldwell
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GP, Beverley HU17 7AQ, UK
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