What should I check at the hospital for irregular menstruation?

What should I check at the hospital for irregular menstruation?

First, the doctor will ask about the patient's medical history in detail to understand the specific characteristics of the patient's menstrual disorders. The purpose of a general gynecological examination is to check whether the patient has organic lesions, such as cervical polyps, uterine fibroids, etc. The purpose of a gynecological B-ultrasound examination is to check whether there are endometrial lesions, fibroids, ovarian lesions, etc. The purpose of the six sex hormones and thyroid function tests is to check whether there are endocrine disorders. Coagulation function tests show that if there are abnormalities in coagulation function, irregular menstruation will also occur.

Specific needs: 1. On the second day of menstruation, six hormone tests should be performed to check endocrine levels, determine ovarian reserve function, and see if there are any endocrine abnormalities, such as hyperprolactinemia, hyperandrogenemia, and endocrine abnormalities of polycystic ovaries. 2. B-ultrasound is required to evaluate whether there are any abnormalities in the uterus and ovaries, whether there are polycystic changes in the ovaries, and whether there are any irregular menstruation caused by submucosal fibroids of the uterus. 3. Thyroid function needs to be checked, because sometimes hyperthyroidism or hypothyroidism can also lead to endocrine instability and irregular menstrual cycles. 4. Blood routine and coagulation function need to be checked. For example, if there are few platelets, it will lead to more menstrual bleeding, and abnormal coagulation function will also lead to more menstrual bleeding. 5. Liver function needs to be checked, such as biochemical liver and kidney function. Abnormal liver function can also lead to abnormal coagulation factors and changes in menstrual volume. For example, patients with hyperprolactinemia, if the prolactin value in the blood is above 100, should undergo nuclear magnetic resonance imaging if necessary to exclude irregular menstrual cycles caused by pituitary adenomas.