When the delay first occurs, everyone's first reaction is that they might be pregnant. Because many people have recently experienced delayed menstruation and often feel nauseous, this does not rule out the possibility of early pregnancy reactions, but it is also important to pay attention to choosing a good treatment plan based on your physical condition. In addition, you need to understand the condition of the vagina and cervix to rule out problems that may be caused by inflammatory infection. Inspection items Gynecological speculum examination Understand the condition of the vagina and cervix, rule out abnormal development of the pregnant woman's reproductive organs, and provide a channel for the baby to be born smoothly; observe whether the vaginal mucosa is congested, whether the color and amount of vaginal secretions are normal, and whether there is any odor; see whether the cervix is eroded and whether there are cervical polyps; especially when bleeding occurs during early pregnancy, observe whether the cause of bleeding is related to the vagina and cervix, to provide a basis for treatment. Leucorrhea examination Find out whether there are Trichomonas or fungi in the vagina, and if necessary, conduct chlamydia, mycoplasma, and gonococcal tests. If the above microorganisms are present, it is easy to cause ascending infection, affect embryonic development and induce miscarriage. Cervical smear test Because blood volume increases and blood supply is abundant during pregnancy, if a tumor occurs in the cervix, timely treatment can improve the survival rate. Therefore, this examination is mainly to understand the morphology of cervical epithelial cells and rule out the occurrence of cervical tumors. Of course, cervical smear examination is a relatively basic examination method. When doubts arise, further colposcopy or cervical biopsy pathological section can be performed to confirm the diagnosis. Gynecological triple examination The main purpose is to understand whether the size of the uterus is consistent with the month of menopause and whether the embryo is developing normally. When the size of the uterus does not match the month of menopause, an ultrasound examination is required to rule out uterine fibroids, uterine dysplasia, and embryonic dysplasia. If uterine fibroids are present, it is necessary to estimate the size and location of the fibroids and whether they will affect the growth and development of the embryo and require timely termination of pregnancy, and to estimate the nature of the fibroids as much as possible. At the same time, the doctor's examination also includes whether the bilateral adnexa are normal. When the ovaries are enlarged, it is necessary to distinguish whether it is a functional enlargement caused by pregnancy or an organic enlargement. If it is functional enlargement, it will naturally subside after three months of pregnancy. If it is benign organic enlargement, surgery should be performed as soon as possible after three months of pregnancy to reduce the miscarriage rate. Ultrasonography Ultrasound examinations are performed 40 and 60 days after menstruation to understand the implantation site of the embryo sac and the development of the embryo. Obstetric registration examination was performed 4 months after pregnancy, and ultrasound follow-up was performed according to obstetric requirements. Other tests Choose according to your own situation. If you suffer from heart, liver, kidney, thyroid disease, etc., you need to consult an internist to find out whether continuing the pregnancy will increase the risk. If spontaneous abortion occurs repeatedly, a comprehensive examination of both husband and wife during early pregnancy is very necessary. |
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