The so-called primary menopause refers to the situation where menstruation has never occurred, which can be called a primary disease. Of course, this is a more popular term. There are many types of menopause, mainly caused by different factors. Primary diseases are not very common, accounting for about 20% of the menopausal population. In addition, the examination items for primary diseases are relatively complicated. Below is a detailed introduction to this aspect: 1. Have typical symptoms 2. Full body examination Pay attention to general development and nutritional status, neuropsychiatric type, intelligence level, and physical deformity. If necessary, measure height, weight, finger length, and development of secondary sexual characteristics, including obesity, hirsutism, and galactorrhea. 3. Gynecological examination Pay attention to the development and distribution of the vulva, whether there is clitoral hypertrophy, the development of the vagina, whether the vagina and hymen are obstructed, deformed, or atrophied, the richness and size of the ovaries, and whether the ovaries are enlarged. 4. Uterine examination (1) Laparoscopic examination: to understand the depth, width, and shape of the laparoscope, to see if there are any deformities or adhesions, and to examine the endometrium for any pathological changes. (2) Laparoscopic examination: Direct observation of the appearance of the uterus and gonads to exclude congenital developmental abnormalities and, if necessary, obtain an ovarian biopsy. 5. Ovarian function test (1) Vaginal mucus crystal examination: understand estrogen levels. (2) Cervical mucus crystal examination: to understand the estrogen level and whether there is any influence of progesterone. |
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