Patients with amenorrhea should undergo uterine examination and ovarian function examination

Amenorrhea can lead to female infertility. Patients should pay attention to the disease, get checked and diagnosed early, and receive treatment early. Patients with amenorrhea need to know the following two examination methods:

Uterine examination

① Hysteroscopy: understand the depth and width of the uterine cavity, whether there are deformities, adhesions and endometrial pathological changes in the shape, or obtain endometrial pathological examination; ② Laparoscopic examination: directly observe the appearance of the uterus and gonads to exclude congenital developmental abnormalities, and obtain ovarian biopsy when necessary; ③ B-ultrasound examination: understand the shape, size, endometrium, intrauterine glands and bilateral adnexa of the uterus; ④ Iodized oil fallopian tube angiography: understand the shape of the uterine cavity, whether there are deformities, whether the fallopian tubes are unobstructed, and further exclude tuberculosis; ⑤ Drug test: progesterone test, estrogen-progesterone test to observe whether the endometrium reacts.

Ovarian function test

① Vaginal exfoliated cell examination, to determine the estrogen level based on the keratinized cell index; ② Cervical mucus crystal examination, to understand the estrogen level and whether there is any effect of progesterone; ③ Basal body temperature measurement, to understand whether ovulation and corpus luteum function occur; ④ Estrogen and progesterone level measurement. Since multiple hormones are in a pulsed state, blood should be drawn at 8-9 am in order to ensure the authenticity of the results, once every 15 minutes, for 3 consecutive times to take the average value, and continuous measurement must be performed to observe whether there are any periodic changes.