Fertility and menopause go hand in hand, and it is an acknowledged fact that fertility decreases in the years leading up to the menopause, so predicting the age at which menopause is likely to commence is a very useful thing.

As shown by a twelve year Iranian study of 266 women, a new test which calculates a hormone called anti-Mullerian Hormone (AMH) found it was probable to pinpoint the age of menopause by measuring the levels of AMH.

AMH is manufactured in the cells of the ovaries and regulates the production of follicles in the ovaries from which eggs develop.

The study was conducted at Shahid Beheshti University of Medical Sciences in Tehran and was led by Dr Fahimeh Ramezani Tehrani. In the study, 266 women aged ranging from 20 and 49 were monitored through blood samples and physical examinations at 3 year intervals over a 12 year timeframe. Researchers then worked out a mathematical model for calculating the age at menopause from AMH levels in the blood. They found that using this technique, it was possible to tell the age at which women reached menopause to within an average of four months.

This could very well be particularly good for identifying women who could have an early menopause and who could then plan on making a family accordingly.

The menopause test does not forecast when women will lose their fertility. Generally this transpires about a decade prior to menopause. However, if physicians know when women goes into menopause, they can calculate pretty nearly the time they will run out of eggs. Scientists say the test could be extremely helpful in determining women who might go into the menopause early, for example, in their late 40s or earlier rather than their mid 50s.

However, we should also be aware that there are other factors that can determine fertility such as the partner's sperm and other clinical complications such as scarred tubes, so the Menopause test ought not to be relied on as the single predictor of a reduction in fertility.

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