ESR, leucorrhea bacterial culture, B-ultrasound pelvic scan, hysterosalpingography, diagnostic curettage, and finally hysteroscopy and laparoscopy can identify the cause of dysmenorrhea as early as possible. Hysteroscopy can find small lesions missed during curettage, such as small myomas, polyps, ulcers, etc., and provide valuable diagnostic evidence. It can be performed after diagnostic curettage. Through bimanual and trimanual examinations, some causes of dysmenorrhea can be found, such as uterine malformation, uterine fibroids, ovarian tumors, pelvic inflammatory disease, etc. Rectal examination can determine whether the uterosacral ligament is nodular and thickened, which is particularly important for the early diagnosis of endometriosis. Other examinations: such as erythrocyte sedimentation rate, leucorrhea bacterial culture, B-ultrasound pelvic scan, hysterosalpingography, diagnostic curettage and finally hysteroscopy and laparoscopy can identify the cause of dysmenorrhea as early as possible. |
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