Should I take off my pants when I go to the hospital for a checkup for dysmenorrhea?

I am 18 years old and started menstruating two years ago. My periods are very irregular and I have dysmenorrhea. I have taken a lot of Chinese medicine and I am very worried. Someone suggested that I have a gynecological examination, but I am worried that the hymen will be damaged, so I have not made up my mind. In what cases should I have a gynecological examination for dysmenorrhea? Do I need to take off my pants for a vaginal examination?

1. Dysmenorrhea can be diagnosed by B-ultrasound. Generally, there is no need to take off pants without a vaginal examination. This method of diagnosing dysmenorrhea can help you understand whether there are organic lesions in the pelvic cavity, such as uterine fibroids, ovarian tumors, pelvic inflammation, etc.

2. Laparoscopy: The diagnosis of this type of dysmenorrhea is mainly to determine the location and extent of the lesion, such as pelvic inflammation; it can also confirm endometriosis or take a biopsy; it can identify uterine malformations such as unicornuate uterus, rudimentary horn uterus, bicornuate uterus, etc.; it can identify pelvic masses, such as inflammatory masses, uterine fibroids and ovarian tumors.

3. Hysteroscopy: The diagnosis of dysmenorrhea can diagnose subuterine fibroids, intrauterine adhesions, intrauterine contraceptive device incarceration, endometrial polyps, ulcers and inflammation, etc.

4. Pelvic venography: It helps in diagnosing pelvic venous congestion syndrome and is also helpful in diagnosing dysmenorrhea.

5. Hysterosalpingography: This diagnostic method for dysmenorrhea can help diagnose congenital uterine malformations such as unicornuate, septate uterus, as well as cervical stenosis, uterine adhesions, etc.