What are the examination items for pathological amenorrhea?

Pathological amenorrhea is a type of amenorrhea. Specific examination items include:

Gynecological examination

Pay attention to the development of the vulva and the distribution of the vagina, whether there is clitoral hypertrophy, the development of the vagina, whether the vagina and hymen have obstruction, deformity, or atrophy, and whether the ovaries are enlarged.

Physicians should pay attention to the patient's general development and nutritional status

Attention should be paid to general development and nutritional status, and the intelligence level and physical deformity of the amenorrhea patient should be observed. If necessary, the height, weight, finger distance and development of secondary sexual characteristics should be measured, and attention should be paid to whether the patient is obese, hirsutistic, or has galactorrhea.

Ovarian function test

Vaginal mucus crystallization test is used to understand estrogen levels; cervical mucus crystallization test is used to understand estrogen levels and whether there is any influence of progesterone; basal body temperature measurement is used to further understand whether ovulation and corpus luteum function occur; estrogen and progesterone level measurement can understand ovarian function.

Hysteroscopy and laparoscopy

Hysteroscopy can determine whether the depth, width, and shape of the uterine cavity are deformed or have adhesions, and can also take samples of the endometrium for pathological changes. Laparoscopy can directly visualize the appearance of the uterus and gonads to exclude congenital developmental abnormalities, and an ovarian biopsy can be performed if necessary. Hystero-tubal iodized oil angiography can determine the shape of the uterine cavity, whether it is deformed, whether the fallopian tubes are unobstructed, and exclude tuberculosis. Drug tests and progesterone and estrogen tests can observe whether the endometrium reacts.