What items should be checked for scanty menstruation

Nowadays, with the increasing pace of social life, many girls will have menstrual problems. When menstrual problems occur, the first thing they think of is to go to the hospital for examination. So, if the menstrual volume decreases, what items should be checked?

If a woman's menstrual flow is light, clinical practice generally involves a blood test for hormone testing to determine whether there is a problem with the hormone secretion system in the uterus, ovaries or pituitary gland. Secondly, you can observe ovulation status by drawing a basal body temperature chart or ultrasound. For abnormalities in growth hormone metabolism, such as small menstrual flow caused by insufficient progesterone, the problem can be improved by supplementing progesterone copper; if it is caused by abnormalities in the ovulation period, ovulation disorders need to be treated with surgical treatment or other methods.

1. Medical record check: Understand the past menstrual history, whether there is a history of amenorrhea, pregnancy history, history of artificial abortion, whether there is a history of chronic diseases or taking drugs that affect menstruation, whether there is a history of gynecological diseases, etc.

2. Gynecological examination: Check whether there are any unique abnormalities in the internal and reproductive organs, and determine which symptoms may be caused based on the abnormalities in the sexual organs, and then conduct further examinations.

3. Ultrasound examination: Pelvic ultrasound or vaginal ultrasound can be performed. Through B-ultrasound examination, the ovulation status of women can be observed, and whether women have symptoms such as endometriosis, polycystic ovary syndrome and intrauterine adhesions can be diagnosed. If women have a history of ectopic pregnancy or multiple miscarriages, it can also be observed whether the scanty menstrual flow is caused by these reasons.

4. Six sex hormone tests: Blood tests to check the levels of hormones such as follicle-stimulated growth hormone (FSH), progesterone (LH), estradiol (E2), progesterone (P), testosterone (T), and lactation hormone (PRL) to determine whether women have endocrine abnormalities and to decide on treatment methods based on the test results.

What new items should I check for less menstruation?

1. Six items of sex hormones

The main reason for the small amount of menstrual flow is related to endocrine. Therefore, the doctor will suggest that you take a blood test for six items of sex hormones to find out whether the small amount of menstrual flow is related to endocrine. For friends who want to check six sex hormones, it is recommended to have a blood test on the third day of menstruation, as the test results will be more accurate. If you check your sex hormones at other times, you need to tell your doctor which menstrual cycle you are in so that you can compare the relevant data.

2. B-ultrasound examination

The cause of scanty menstrual flow may also be related to the ovaries. Therefore, doctors will also recommend patients to undergo B-ultrasound to check the ovaries. B-ultrasound examination generally displays data such as ovarian size, egg number, follicle size, uterine size, endometrial thickness, etc., to determine whether the scanty menstrual flow is related to the ovaries.

3. Routine inspection of leucorrhea

In addition to being related to endocrine and ovarian diseases, scanty menstrual flow may also be caused by gynecological inflammation. In this case, a routine leucorrhea examination can be performed on the patient to diagnose whether gynecological inflammation exists. If the scanty menstrual flow is caused by gynecological inflammation, it is necessary to actively treat the underlying disease so that the menstrual period can be restored.