Who Do I See for Perimenopause? Do I Need Hormone Testing? - Day 65

How Do I Know If I’m in Perimenopause? Do I Need Hormone Testing or HRT?

How do you know if you’re in perimenopause, do you need hormone testing, and what doctor should you see for perimenopause or HRT? In Day 64 of the Body Recomposition Revolution, we’re answering the question that comes after learning about estrogen, progesterone, testosterone, menopause and HRT: Okay...now where do I actually start?

We break down why your symptoms, menstrual changes and medical history may tell your provider more than one random hormone test, why you often do not need hormone labs to identify routine perimenopause, and why ACOG does not recommend routine hormone testing before starting hormone therapy for typical menopause symptoms.

You’ll also learn who to call first, when a menopause specialist or endocrinologist may make sense, what to ask an HRT or hormone optimization clinic, why you should be cautious about chasing arbitrary “optimal” hormone levels, and the simple roadmap for getting help:

SYMPTOMS → PROVIDER → EVALUATION → TESTING IF NEEDED → TREATMENT IF NEEDED → FOLLOW-UP

The goal isn’t to ask, “Which hormones should I take?”

It’s to ask, “What am I experiencing, what could be causing it, and what am I actually trying to improve?”

TODAY’S 3 RAC RECOMP TARGETS

1. TRACK: Write down your 3 biggest symptoms today and rate each from 1–10.

2. PRE-LOG: Log tomorrow’s food tonight so you go into the day with a plan instead of trying to piece your nutrition together as you go.

3. NO NAKED CARBS: Pair your carbohydrates with a source of protein.

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Follow @RACFitness_ for the episode infographics, body recomposition education, and evidence-based fitness strategies for women 35+.