Diagnosing hormonal imbalances involves several steps: - Medical History and Physical Examination: Initial assessment includes a detailed medical history and physical exam. - Blood Tests: Measuring levels of key hormones such as estrogen, progesterone, FSH, LH, and thyroid hormones. - Imaging Studies: Ultrasound or MRI may be used to assess ovarian and uterine structures. - Specialized Tests: In some cases, tests like the glucose tolerance test for PCOS or bone density scans for menopause may be needed.