My wife is having peramenapaise symptoms what should she ask her doctor to test for

For women experiencing perimenopausal symptoms, there are several tests that might be beneficial to discuss with a healthcare provider:

1. Thyroid Function Tests: It's important to rule out thyroid issues as they can mimic or exacerbate perimenopausal symptoms like fatigue and mood swings 1.

2. Autoimmune Disorders Screening: Sometimes symptoms are related to autoimmune conditions, and screening can help identify these 1.

3. Nutritional Deficiencies and Anemia: Tests for various nutritional deficiencies and anemia are recommended because these conditions can overlap with perimenopausal symptoms 1.

4. Comprehensive Hormone Panel: Although blood tests for hormones are not always helpful in diagnosing perimenopause, a comprehensive hormone panel can still provide insights. Important hormones to check might include estradiol, testosterone, cortisol, and sex hormone binding globulin (SHBG) 2.

5. Progesterone and Prolactin Levels: Particularly important for women, maintaining a track of progesterone and prolactin levels can provide insights into hormonal balance 2.

Timing these hormone tests in relation to the menstrual cycle is crucial to get accurate readings. It's typically advised to do this consistently at the same phase of the cycle 2. Consulting with a healthcare provider to tailor these tests based on specific symptoms and medical history would be advisable.