What's going on with the ups and downs below?

The bloating feels down there depends on which part. If it is in the lower abdomen or reproductive system, you may have a gynecological disease. Because in the early stages of many gynecological diseases, no matter if there is inflammation in any part of the body, you may feel bloating in the lower abdomen. The bloating down there may also be accompanied by redness and swelling of the vulva. You need to first do a routine examination of leucorrhea, as well as a pelvic and vaginal B-ultrasound, and a routine gynecological examination to confirm where exactly the problem is in the body.

Gynecological examination items

1. Routine examination of leucorrhea: detection of vaginitis caused by various pathogenic microorganisms, such as fungi, trichomonas, clue cells, pH value, cleanliness, chlamydia, etc.

2. Exfoliative cytology: This is the main method of cancer prevention screening and is of great value in diagnosing cervical precancerous lesions and early cervical cancer.

3. Pelvic and vaginal B-ultrasound: can detect uterine fibroids, ovarian cysts and other diseases at an early stage.

4. Electronic colposcope: It can magnify the vulva, vagina, cervix, etc. by 4-50 times, and can detect certain tiny lesions that cannot be seen by the naked eye. It is of great value for the early detection and diagnosis of cervical precancerous lesions.

5. Routine gynecological examination: Gynecologists perform vaginal examination and bimanual examination to make a comprehensive assessment of the patient's gynecological condition.

6. Hysteroscopic and laparoscopic examination: For gynecological symptoms with unclear causes or that require further diagnosis, examination can provide guidance for treatment early.

7. Laparotomy: It is not widely used in clinical practice. However, laparotomy is required to clarify abdominal masses and long-term unexplained symptoms.

8. Vulvar examination: Mainly check whether the skin of the vulva is smooth, whether the color is normal, and whether there are ulcers, dermatitis, growths, and hypopigmentation.

9. Vaginal examination: Check whether the surface of the vaginal mucosa is smooth, whether the texture is normal, whether there are bleeding spots, and whether the properties and odor of vaginal discharge are normal.

10. Cervical examination: Observe whether there are tumors, ulcers, erosions, polyps on the cervix, whether the cervix is ​​normal in size, whether the surface is smooth, whether the texture is too hard, and whether there is uterine prolapse.

11. Examination of the uterus and its appendages: Understand the location of the uterine fundus, whether it is active, and its texture. If the uterus is enlarged, too hard, or has an uneven surface, these are abnormal phenomena and require further examination.

12. Colposcopy: Colposcopy cannot directly confirm whether a person has cancer, but it can assist in biopsy for cervical cancer examination. According to statistics, the diagnosis rate of early cervical cancer is as high as about 98% when biopsy is taken with the assistance of a colposcope.

Other tests

1. Laparoscopy: This examination is expensive, but has a higher accuracy. It is not suitable for the first visit, but when the cause cannot be found after repeated examinations, laparoscopy can understand the pelvic adhesion situation and perform a fallopian tube patency test at the same time, but it requires anesthesia and hospitalization.

2. Check the fallopian tubes: If the previous gynecological examinations are normal, you need to do a fallopian tube permeability test 3 to 5 days after the menstruation ends. This is the simplest method. If the fallopian tubes are blocked, treatment is required to clear them.

3. Check reproductive hormone levels: including estrogen, progesterone, androgen, follicle-stimulating hormone, luteinizing hormone, prolactin, testosterone, human chorionic gonadotropin, etc. A blood test is required between the 2nd and 5th day of menstruation.