Normal menstruation should be about 30 days. It is normal to come seven days earlier or seven days later. If menstruation comes once every 15 days, once every 40 days, or once every one or two months, this is abnormal menstruation. Irregular menstruation also means irregular ovulation, so it is difficult to calculate the time of ovulation, which will be very troublesome when getting pregnant. Therefore, there is a possibility of unexpected pregnancy in this situation. (1) Female infertility examination - Systematic examination In addition to a full-body examination, a reproductive system examination should also be performed. In addition to general visual and palpation examinations, colposcopy and internal examination (bimanual or trimanual examination) are also required to gain a preliminary understanding of the general conditions of the vagina, uterus, cervix, fallopian tubes, ovaries and pelvic cavity, such as whether the size and position of the uterus are normal, whether there are any lumps or tenderness in the fallopian tubes, uterus and ovaries, whether there is any pain when the uterus is lifted, and the mobility of the appendages. (2) Female infertility test - to estimate the occurrence of ovulation and predict the ovulation period: this can be determined through B-ultrasound, basal body temperature measurement, cervical mucus examination or hormone measurement. (3) Female infertility examination - endometrial examination: When necessary, a biopsy can be performed to understand the functional status of the endometrium. In addition, a menstrual examination is a reliable method to understand the presence of ovulation or the functional status of the corpus luteum. At the same time, it can also understand the size of the uterine cavity and rule out uterine cavity lesions such as tuberculosis and uterine fibroids. (4) Female infertility examination - endocrine function test: for example, measuring serum estrogen and progesterone levels at different times of the menstrual cycle to understand the ovarian function; measuring the basal metabolic rate to understand the thyroid function; conducting adrenal function tests and serum prolactin measurements, etc. (5) Female infertility examination - Fallopian tube patency test: including fallopian tube ventilation or fluid permeation test and hysterosalpingography, mainly to understand whether the fallopian tubes are patency, whether the uterus and fallopian tubes develop normally, and whether there are any deformities. It also has a therapeutic effect on those with poor patency of the fallopian tubes (such as mild adhesions). (6) Female infertility examination - immunological examination: Some infertility cases are related to the presence of anti-sperm antibodies in the body, so sometimes relevant immunological examinations are also required. In order to understand the presence of antisperm antibodies, in addition to antisperm antibody testing, it can also be learned indirectly through post-coital tests, in vitro sperm penetration tests, etc. (7) Female infertility examination - X-ray examination of the brain (sella turcica): to determine whether there is a tumor or other lesion in the pituitary gland. (8) Female infertility test - chromosome test |
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