What should I check when my period is delayed?

When women have delayed menstruation, it is very necessary to go to the hospital for examination in order to understand the physical condition in time and take appropriate treatment measures. Generally speaking, the examinations required for delayed menstruation may include pregnancy test, ultrasound examination, sex hormone test, blood routine test, and other examinations.

1. Pregnancy test

Purpose: To determine whether cessation of menstruation is caused by pregnancy.

Tests: These include blood tests for human chorionic gonadotropin (HCG) and urine tests. The blood test is usually more accurate.

2. Ultrasound examination

Purpose: To observe the size, shape, structure and ovulation of the uterus and ovaries, and to determine whether there is intrauterine pregnancy or gynecological diseases such as polycystic ovary syndrome, endometritis, cervicitis, etc.

Examination method: abdominal B-ultrasound or vaginal B-ultrasound.

3. Sex hormone test

Objective: To evaluate ovarian function and diagnose and differentiate gynecological diseases that cause delayed menstruation.

Examination items: including the detection of hormones such as follicle stimulating hormone FSH, luteinizing hormone LH, prolactin PRL, etc. Serum testing can be performed on the 2nd to 3rd day of menstruation to obtain more accurate results.

4. Blood routine

Purpose: To determine the basic physical condition and to observe whether there is infection, anemia, etc.

Test method: A blood sample is drawn for testing.

V. Other examinations

1. Coagulation function test: understand whether the coagulation function is normal and rule out delayed menstruation caused by coagulation disorders.

2. Liver function test: Evaluate liver function and rule out the impact of liver disease on menstruation.

3. Thyroid hormone test: Understand whether the thyroid function is normal, because abnormal thyroid function may also cause delayed menstruation.

4. Pituitary MRI: When serum prolactin levels are abnormally elevated, this test is performed to rule out the possibility of a pituitary tumor.

5. Hysteroscopy: For patients suspected of intrauterine adhesions, hysteroscopy can be performed to confirm the diagnosis.