Women should seek prompt examination when they experience menstrual irregularities. The most common examination is endocrine examination, which is especially important when the menstruation is scanty. Nowadays, women are prone to menstrual irregularities, which is largely related to their daily living habits. 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: (1) B-ultrasound examination: reflects the condition of the uterus, ovaries and pelvic cavity. (2) Cytological examination: to check ovarian function and exclude malignant lesions. (3) Biopsy: Determine the nature of the lesion, mostly used for the diagnosis of tumors. (4) 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. (5) X-ray examination: hysteriodized oil contrast can be used to 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 understand whether there are pituitary tumors. (6) Hysteroscopy or laparoscopy: Observe the lesions of the uterine cavity and pelvic organs. (7) Perform liver, kidney function and blood system examinations as appropriate, and perform chromosome examinations when necessary. |
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