What tests should be done if menstruation is not coming?

Most women pay great attention to their menstruation, because menstruation is an important sign of women's reproductive ability. However, some women have abnormal menstruation due to physical reasons or irregular living habits. Therefore, in response to this situation, female friends should go to the hospital for a prompt check to see if there is something wrong with their body. So what tests should be done for the case of amenorrhea?

1. What tests should be done if menstruation is not coming?

It is recommended to go to the hospital as soon as possible for an ultrasound and routine gynecological examination to determine the cause and receive symptomatic treatment. The commonly used inspection methods are as follows:

1. Ask about the medical history in detail, find out the possible causes, and the patient should strive to provide accurate information.

2. Comprehensive physical examination to check for any serious systemic diseases.

3. Pelvic examination to initially understand whether there are any deformities, tumors or inflammation in the reproductive organs.

4. Auxiliary examination: B-ultrasound examination: reflects the condition of the uterus, ovaries and pelvic cavity.

5. Cytological examination: Check ovarian function and exclude malignant lesions.

6. Biopsy: It is used to determine the nature of the lesion and is mostly used for the diagnosis of tumors.

7. Endocrine measurement: Currently, pituitary gonadotropin, prolactin, and hormones secreted by the ovaries, thyroid gland, and adrenal cortex can be measured. Simple methods commonly used in clinical practice to understand ovarian function include vaginal smear, cervical mucus, basal body temperature and endometrial biopsy.

8. X-ray examination and hysteriodized oil contrast can understand the condition of the uterine cavity and whether there are submucosal myomas or polyps. Anteroposterior and lateral sections of the sella turcica can be used to determine whether there is a pituitary tumor.

9. Hysteroscopy or laparoscopy: observation of lesions in the uterine cavity and pelvic organs.

Perform liver and kidney function and blood system examinations as appropriate, and perform chromosome examinations when necessary.

2. Reasons for missed menstruation

If menstruation is not coming, the first thing to do is to rule out the possibility of pregnancy, followed by gynecological inflammation. After that, you need to consider whether it is an endocrine disorder. Fibroids and cysts can affect menstruation. Finally, it is necessary to consider irregular menstruation. If pregnancy is ruled out, then you need to consider other pathological reasons for delayed menstruation, which may lead to adverse complications such as ovarian anovulation and follicular hypoplasia in women.