Note: When to test: 

For the best results and most optimum levels,  blood draw for the  the estrogen, progesterone, and SHBG-Sex hormone-binding globulin levels should occur sometime  in-between day 17  through day 20 of your cycle (day 1 being the first day of your last period).   On these four days all of the female hormones are at high levels.  If you are no longer having periods,  or if you are having irregular cycles and are not able to determine when you had your last real/full cycle then it will have to be a  guess. 

FSH levels, when checking to see if they are elevated, can be tested anytime expect for mid-cycle  If FSH levels are evaluated or high in range,   standard of practice is to re-check to confirm if FSH levels  remain elevated.

Some of the above listed blood work requires that you fast (no eating for at least twelve hours)  prior to the blood draw. 

The findings of hypothyroidism, diabetes, or  anemia does not rule out that a hormone imbalance or menopause is not also occurring.

The findings of normal thyroid, insulin, and iron levels does not rule out that a hormone imbalance or menopause  is not occurring. 

Medical protocol for Post Tubal Women designed by
Dr Vicki Hufnagel, MD