Dr. Howard Smith Oncall

Vidcast:  https://youtu.be/qKHCTsn6kFo   A new, more sensitive anti-Müllerian hormone (AMH) blood test can accurate predict a woman’s last cycle.  Reproductive biologists at the University of Colorado and Harvard studied 1537 women from 42 to 63 years.   The new AMH testing doubled the investigators’ accuracy in pinpointing a woman’s last menstrual cycle compared with the conventional methods using bleeding patterns or less sensitive tests.   An accurate menopause determination tells women when they may stop birth control and permits better timing for uterine fibroid surgery.  The more sensitive AMH determination also fine-tunes the estimate of remaining eggs allowing women, postponing motherhood, a measure of freedom from that ticking clock in their minds.   Joel S Finkelstein, Hang Lee, Arun Karlamangla, etal. Anti-Mullerian Hormone and Impending Menopause in Late Reproductive Age: The Study of Women's Health Across the Nation. The Journal of Clinical Endocrinology & Metabolism, 2020; DOI: 10.1210/cline