If you're not having periods, how can you tell if you've passed the menopause?

[TheyreMadITellYouMaaaad]

Peri-menopausal, HRT and Mirena, therefore virtually no periods. Have gone as long as 6m without any sort of period, not even spotting.

If I dont know whether I have had my last period, how will I know whether any spotting is a period or something abnormal? Presumably any post-meno spotting needs checking out.

[pinkfrocks]

you won't is the short answer. But as the Mirena makes the lining thin it's highly unlikely that any bleeding is from cancer which tends to evolve - I understand- from hyperplasia. This is a question for your dr who prescribes both the coil and HRT. If you are worried then they may arrange a scan.

[LifeHuh]

A blood test can show your hormone levels and thus whether you are post- menopausal . I am on Tamoxifen and haven 't had a period for years, have had regular blood tests to see if I've made it to menopause though !
In your case I think I'd go to your doctor if you have any odd symptoms, then they can test if they think it's necessary to know.

[pinkfrocks]

The thing is though that a blood test if someone is using HRT will not give a reading of their own hormones. The OP would have to stop the oestrogen and remove the coil and give it a few months to clear from her system before having a blood test.