One of the most common questions from women after the age of 40–45 is: “Which tests should I take to find out whether menopause is approaching?”
Testing FSH, AMH, inhibin B or estradiol may seem logical if you want to look ahead and prepare. However, from the perspective of evidence-based medicine, these tests cannot reliably predict when menopause will begin.
No single test can determine the exact timing of menopause. AMH (anti-Müllerian hormone) does reflect ovarian reserve, but it cannot answer the question of “when.” FSH levels may rise several years before the final menstrual period, but they fluctuate greatly and a single result is not informative.
Even if we knew the exact date, we could not substantially change it. The age at which menopause begins is influenced largely by genetics. No “supportive” regimen, supplement or diet can significantly delay it.
However, genetics are not a verdict. While we cannot change the date written in our DNA, lifestyle factors—including nutrition, stress, physical activity, smoking and chronic health conditions—can affect how perimenopause is experienced and how pronounced its symptoms may be.
The goal is not to predict the exact date, but to help your body go through this transition with the best possible quality of life.
Chasing Numbers Can Increase Anxiety
A low AMH result can be alarming, even when it is completely expected for a woman’s age and has no direct effect on her current well-being.
Trying to identify the exact timing of menopause can create unnecessary stress. Chronic stress itself may worsen sleep, mood and the perception of symptoms during perimenopause.
Instead of focusing on a “day X,” it is more helpful to focus on the things you can influence now.
What Can Support a More Comfortable Transition
Regular gynaecological check-ups and timely treatment of health concerns.
A balanced diet with enough protein, fibre, vitamins and minerals.
Correction of confirmed deficiencies, such as iron or vitamin D deficiency, together with a doctor.
Regular physical activity to support bone, muscle, cardiovascular and mental health.
Maintaining a healthy weight.
Good sleep and stress-management habits.
Attention to emotional well-being and access to psychological support when needed.
Support for sexual and emotional health also matters. Past experiences, body image, relationship dynamics, stress and anxiety can all influence how a woman feels during this stage of life. Working with a qualified psychologist, psychotherapist or sexologist can be helpful if these concerns affect well-being.
When blood vessels, bone tissue, the nervous system and mucous membranes receive appropriate care long before ovarian function declines, the transition may be easier to manage.
The most useful strategy is not “take tests and find out the date.” It is supporting your health now—both physically and emotionally—so that your quality of life remains high, whether menopause begins at 48 or at 55.