Adolescent patients with functional uterine bleeding should carefully choose the examination method

Adolescent patients with functional uterine bleeding should carefully choose the examination method to avoid adverse effects on the body. They should choose the following examination methods under the guidance of a doctor according to their own situation:

Basal body temperature measurement?

The reason for the monophasic type is that the patient's hypothalamic cycle center matures late, so that the hypothalamus-pituitary ovary can only establish negative feedback, but not positive feedback. Therefore, there is no luteinizing hormone peak in the middle of the menstrual period, which prevents the ovulation of mature follicles, so it is anovulatory functional uterine bleeding. This test is safe and more suitable for adolescent patients.

Vaginal smear test?

The estrogen level and cyclical changes can be understood. Since the patient's ovaries do not ovulate, there is no progesterone effect and no cyclical changes. Rare malignant tumors can also be ruled out. It is suitable for adolescent patients with functional uterine bleeding.

Estrogen and progesterone measurement?

There is no cyclical fluctuation, especially progesterone always stays at the level of the proliferation phase, which is the examination method that patients use more frequently.

Diagnostic curettage?

Diagnostic curettage can help understand the endometrial response, exclude intrauterine lesions, and achieve the purpose of hemostasis. It is rare for adolescents to have organic lesions or malignant diseases, and diagnostic curettage is generally not needed to assist in diagnosis, unless there is severe bleeding or drug treatment is ineffective. Diagnostic curettage is the most rapid and effective method of hemostasis. According to statistics, a certain number of patients can stop bleeding immediately and recover naturally after curettage. If curettage is for diagnostic purposes, it should be performed 1-2 days before bleeding or within 12 hours after bleeding.