Two periods after blood test showed I was in Menopause

[kfarrands]

I am 47 years old.  Last August I stopped having my period, so my doctor ordered a blood test to find out if I'm in menopause.  I had the blood test done in November of 2015, my FSH level was 51.4 and the doctor told me I'm in menopause.  In January of 2016 just 2 months after having the blood test, I had a period that was very heavy.  I then had another period in March that was normal.  Now it has stopped again.  My OBGYN is insisting I have an ultrasound and biopsy.  I feel this is a bit much considering I never went a full year without a period.  How accurate are the FSH tests?  I still feel premenopausal.  I am moody, tired, bloated, tired, and all of the symptoms that go along with being premenopausal.  Is it really necessary to have a biopsy when I still fee premenopausal and never went a full year without my period.

[old_before_my_time]

You raise very valid questions. You are not truly menopausal until you've gone a full year without periods. The FSH is not a good test because during perimenopause it can fluctuate a lot. So you may get a "menopausal" result / reading with one blood draw and then another blood draw may show you are still cycling.

Although the erratic hormone levels / cycles can cause the lining to get thicker than it does during the years we ovulate regularly, our bodies usually do a good job of thinning it out by the time we enter menopause.

If you do decide to have an ultrasound, it is best to have it done 1 or 2 days after your period ends when the lining is thinnest. A biopsy seems overkill if your lining is not abnormally thick.

Best of luck to you!