Diagnosis of anovulation

There are many common problems in women's bodies, the most common of which are vaginitis and endometritis, which are very common in women. Women need to receive timely treatment after suffering from these diseases, otherwise, when vaginitis and endometritis become serious, they will cause various diseases in women. What is the reason for amenorrhea and ovulation? Physical examination is also required first. What are the diagnostic methods for amenorrhea and ovulation?

Diagnosis of anovulation:

1. It has typical symptoms, such as irregular menstruation, sometimes amenorrhea, sometimes continuous bleeding, or heavy flow like metrorrhagia, or light flow like leakage, alternating between metrorrhagia and leakage.

2. Gynecological examination showed that the uterus was slightly enlarged and soft, with no organic lesions.

3.Basal body temperature is monophasic.

4. The crystals in cervical mucus are fern-shaped crystals without ellipsoids.

5. Hormone measurement: The measurement of H and LH can understand the functional status of the hypothalamus-pituitary-ovarian axis; the measurement of estrogen and progesterone can understand the functional status of the ovaries and whether ovulation occurs.

6. Diagnostic curettage: Pathological examination of the endometrium shows different degrees of proliferative endometrium: such as proliferative stage, hyperplastic stage, hyperplasia, cystic hyperplasia, adenomatous hyperplasia or atypical hyperplasia.

7. Pelvic ultrasound examination showed normal status. Although ovulation monitoring showed follicle development, no dominant follicle was formed and there were no signs of ovulation.

8. Differential diagnosis

(1) Bleeding related to pregnancy: Dysfunctional uterine bleeding often causes a period of amenorrhea and bleeding, while various bleeding related to pregnancy, such as miscarriage, ectopic pregnancy, hydatidiform mole, etc., also have a history of amenorrhea, but at the same time there are pregnancy reactions and a positive pregnancy test. B-ultrasound examination is helpful for differentiation. If differentiation is difficult, diagnostic curettage can be used for differentiation.

(2) Choriocarcinoma: It often occurs after miscarriage or delivery, with continuous irregular vaginal bleeding, positive early pregnancy test or continuous positive blood H(X). B-ultrasound, hysteroscopy, pelvic angiography, etc. are all helpful for differentiation.

(3) Endometrial polyps and submucosal fibroids: They are manifested by increased menstrual flow and prolonged menstrual period, but normal cycle and biphasic basal body temperature. They can be differentiated by hysterosalpingography and hysteroscopy.

(4) Cervical cancer: It also presents as irregular vaginal bleeding, often contact bleeding and bloody leucorrhea. The diagnosis can be confirmed with the help of gynecological examination, cervical scraping and endoscopic examination.

(5) Endometrial cancer: Irregular uterine bleeding, with varying amounts of bleeding, which can be diagnosed through hysteroscopy and diagnostic curettage.

(6) Systemic diseases: such as blood diseases, liver diseases and thyroid diseases may also be accompanied by irregular vaginal bleeding, which can be diagnosed by taking medical history, physical examination and laboratory tests.

After understanding the diagnostic methods of anovulation, women should undergo these diagnoses when they have such problems. However, it should be noted that they must actively cooperate during the diagnosis process. If they do not cooperate with the examination, they will not have a good understanding of their own problems. In addition, the treatment of women with anovulation should also be done according to the doctor's instructions.