What are the methods for diagnosing miscarriage tendency?

Miscarriage cannot be said to be a disease, but sudden or habitual miscarriage is not normal and will make people very nervous. However, how to diagnose miscarriage is a very important issue. I believe that many people are very concerned about this issue. So, let us understand the diagnosis of miscarriage tendency.

Ask about the medical history in detail: whether there is a history of amenorrhea, whether there is vaginal bleeding, the amount and nature of the bleeding, whether there is abdominal pain and other discharge, etc.

The amount of uterine bleeding during abortion is generally greater than that of ectopic pregnancy; it is also different from other abnormal pregnancies. Ectopic pregnancy is mostly vaginal bleeding; the bleeding of hydatidiform mole is often dark red, and may bleed repeatedly, or even heavily, but there is usually no abdominal pain, and there are rarely other discharges, which can help confirm the diagnosis.

All these situations can be easily distinguished by combining the pregnancy and childbirth history and the presence or absence of contraceptive measures. If there is any doubt, diagnostic curettage can be performed, and the diagnosis can usually be confirmed through pathological examination; it is also conducive to treatment. Many cases of miscarriage are indeed misdiagnosed as functional uterine bleeding. Patients with uterine fibroids have no obvious history of amenorrhea but have a history of menorrhagia and infertility. If the uterus is large and the myonuclei can be touched, the diagnosis will be more clear.

Abdominal pain: Abdominal pain in abortion and hydatidiform mole is generally mild and paroxysmal, mostly in the center of the lower abdomen. Ectopic pregnancy is severe pain in the lower abdomen on one side, which may affect the whole abdomen and gradually subside after 1 to 2 days. There is usually no lower abdominal pain in functional uterine bleeding. Uterine fibroids may cause a feeling of heaviness in the pelvis or mild pain.

Bimanual examination: pay attention to the position, size, shape, and hardness of the uterus; whether the isthmus of the uterus is particularly soft, as if the uterine body and cervix have lost continuity; whether there are lumps, tenderness, or resistance in the appendages on both sides; whether there is erosion or bleeding at the cervical opening, or whether there are cervical polyps; and whether the bleeding is coming from the uterus. If it is a miscarriage, the bleeding must be coming from the uterus.

Only after asking and examining the patient's condition can we determine whether the patient has had a miscarriage and whether there are any measures to save the pregnancy. Otherwise, no one can say that the patient will definitely have a miscarriage. For those who have a weak constitution and are prone to miscarriage, they must pay attention to their physical conditioning, because whether a woman has a miscarriage or not is also closely related to the quality of her physical constitution.