What tests should be done for scanty menstruation? This is how science does it

Many women have less menstrual flow. Because the reasons behind this are complicated, ordinary people don’t know what’s going on with them. Therefore, it is best to go to a regular hospital for a systematic examination. The current examination methods for this situation are as follows:

1. Methods for diagnosing oligomenorrhea:

1. Pelvic B-ultrasound (or vaginal B-ultrasound): It has reference value for diagnosing miscarriage, ectopic pregnancy, endometriosis, polycystic ovary syndrome, intrauterine adhesions, etc. (see the diagnosis of each disease for details).

2. Gynecological examination: Check for any special abnormalities in the internal and external genitalia. If you have polycystic ovary syndrome, both ovaries will be slightly enlarged. If you have endometriosis, one or both ovaries will be enlarged and cystic, adhered to the uterus, with a fixed and retroverted uterine body and a nodule palpable in the isthmus of the uterus.

3. Carefully inquire about the medical history: previous menstrual history, history of amenorrhea, fertility history, history of abortion, history of chronic diseases or medications that affect menstruation, history of gynecological diseases, etc.

4. Blood endocrine examination: Examination items such as T, PRL, FSH, LH, E2, P, etc. are of reference value for the diagnosis of polycystic ovary syndrome, premature ovarian failure, anovulatory functional uterine bleeding, etc. (see relevant chapters). Taking sex hormone drugs may affect the results of blood endocrine report.

To sum up, this is the method to diagnose the cause of scanty menstruation. Once the diagnosis is confirmed, targeted treatment should be carried out in a timely manner. Do not delay the disease and cause serious consequences.

2. If the menstrual volume is scanty, you should first draw blood to check the levels of various hormones to understand whether there are any abnormalities in the hormone levels in the body, and insist on measuring the basal body temperature for 2-3 cycles to understand whether ovulation has occurred; at the same time, you can do a tuberculin test and an erythrocyte sedimentation rate test to determine whether there is tuberculosis activity. If there is endocrine abnormality or anovulation, targeted treatment should be carried out according to different situations such as which hormones are abnormal and whether fertility is desired; in addition, B-ultrasound and six sex hormone tests should be performed on the third day of the menstrual period. The advantage of B-ultrasound and six-item sex hormone test is that it can determine whether the problem is ovarian function or endocrine disorder, and then provide symptomatic treatment.

3. What tests should be done for scanty menstruation?

1. If there are abnormalities such as low fever and cough, a tuberculin test and erythrocyte sedimentation rate test should be performed to rule out the possibility of tuberculosis;

2. Measure basal body temperature. Basal body temperature can reflect whether ovulation is normal and whether the corpus luteum function is normal. This method is simple and can diagnose some diseases without going to the hospital.

3. If menstruation decreases after miscarriage, the uterus should be examined by B-ultrasound to see if there is adhesion or if there is a problem with the endometrium;

4. The level of hormones is the main way to understand the hormone levels in the body. Whether there are any abnormalities can be known by testing the serum. The examination is best performed on the third day of the menstrual cycle. If it is not possible to perform the examination at this time, the time of examination should be noted, because the examination results at different times are different. Make good diagnosis of relevant diseases;

5. If there is any doubt, hysteroscopy can also be used to understand the condition of the uterus.