Patients with dysfunctional uterine bleeding should undergo a comprehensive physical examination

Patients with functional uterine bleeding need timely treatment and a comprehensive physical examination before treatment to further clarify the cause.

1. Observe the patient's development and nutritional status to see if there is any sign of anemia, whether there is yellowing of the skin and mucous membranes, bleeding spots, hemorrhagic purpura, etc., and the blood pressure and pulse.

2. Gynecological examination: Those with vaginal bleeding should undergo disinfection examination, and unmarried women should undergo rectal examination. Care should be taken to exclude bleeding related to pregnancy, as well as bleeding caused by inflammation, tumors, etc.

3. Laboratory tests: routine blood tests, platelet count, bleeding and clotting time, reticulocyte count, liver function test, urine pregnancy test if necessary, and blood human chorionic gonadotropin.

4. Basal body temperature measurement to understand whether ovulation and corpus luteum function occur; cervical mucus crystals and vaginal exfoliated cells examination to understand estrogen levels and whether there is any progesterone effect; blood estrogen, progesterone and gonadotropin levels; thyroid function test;

5. Diagnostic curettage: Diagnostic curettage is recommended for patients with heavy bleeding, ineffective conservative treatment, or inability to exclude endometrial lesions. Segmental diagnostic curettage should be performed during the operation, paying attention to the size and shape of the uterine cavity, whether the uterine wall is smooth, and the nature of the scraped material. The curettage should be comprehensive, and the bilateral uterine horns should not be missed. If necessary, the operation can be performed under the guidance of hysteroscopy. In order to understand whether there is ovulation, corpus luteum function, and to exclude endometrial tuberculosis, curettage can be performed within 12-24 hours of menstruation; if the endometrium is suspected of irregular desquamation and incomplete corpus luteum atrophy, curettage can be performed on the fifth day of menstruation; for patients with irregular bleeding or prolonged bleeding, curettage can be performed at any time while taking anti-infection measures.

6. Hysteroscopic examination: It can detect the presence of polyps, small submucosal fibroids, etc. in the uterine cavity.