Dr. Charles Mok explains why saliva and urine tests for testosterone are unreliable in women, and that blood levels fluctuate too much for a single measurement to mean much. Menopause is diagnosed by absence of periods for a year, not by labs.
You'll hear about saliva tests and urine tests. I'm not a big fan of those. I think they're very hard to interpret. So you can do standard blood work testing by your primary doctor and they'll say, well, you're approaching menopause, you're in perimenopause or you're in menopause, but you kind of know that because you're at a certain age and you no longer have a period and it's been a year, you're in menopause. There's not a laboratory diagnosis of that. I think they're kind of over relied upon. So if you go to your doctor and you're feeling terrible and you have all the menopausal symptoms and they check your estrogen and testosterone level, they're not that bad. But checking in three hours from now, maybe six hours from now, they're not going to be the same and that's not really done. You're not going to get an appointment for another year. So I think that while they may be helpful, we should guide treatment decisions based on clinical evidence. We call evidence based medicine and your individual symptoms.
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