Menopause Check | Wechseljahre Hormon-Test: can a microbiome test help?

Whether a microbiome test can help with menopause is not yet scientifically established. There is emerging evidence from animal and small human studies that the gut microbiota can influence estrogen metabolism (the so-called 'estrobolome'). However, the evidence for clinical utility of a microbiome test for diagnosing or managing menopausal symptoms is currently weak. Hormonal changes during menopause are primarily assessed via blood or saliva tests for estradiol, FSH, and LH. A microbiome test may provide complementary insights but should not replace standard hormone diagnostics. The evidence base is largely exploratory and insufficient for actionable recommendations. Be cautious of marketing claims that promote a microbiome test as a 'menopause check'. A more evidence-based approach combines hormone levels, symptom tracking, and lifestyle guidance.