What are the diagnostic points for menstrual irregularities? What tests should be done for irregular menstruation

Irregular menstruation is a common gynecological disease, and there are many patients in daily life. There are also many manifestations of irregular menstruation, and we should pay attention to any abnormalities, especially immediate examination.

Symptoms of menstrual irregularities

1. Color of menstrual blood: normal blood is dark red, and there are small pieces of deciduous endometrium, cervical mucus, Vaginal epithelium cells, and no blood clots in the blood. Menstrual blood is as light as water, and only pink or black purple is abnormal. If the menstrual blood is completely a clot and it is not normal, there may be other bleeding parts. It is necessary to seek medical attention as soon as possible to ensure health.

2. Advance of physiological day: advance of menstruation means that the Menstrual cycle is shorter than 21 days, and more than 2 consecutive cycles, which belongs to the ovulatory dysfunctional uterine bleeding foundation, and Menstrual disorder is biphasic in temperature. The Follicular phase is short, only 7-8 days, or the Luteal phase is shorter than 10 days, or the temperature rise is less than 0.5 ℃.

3. Mid menstrual bleeding (also known as inter menstrual bleeding and ovulatory bleeding): refers to the bleeding between two regular normal Menstrual cycle, which is caused by endometrial shedding due to the temporary decrease of estrogen level and the loss of hormone support for the endometrium.

4. Menstrual period (also known as menstrual period): Women's menstrual period is approximately 2-5 days. The general pattern of menstruation is that there is not much menstrual blood on the first day, it increases on the second or third day, and gradually decreases afterwards until the menstrual blood is clean. This is because on the first day, endometrial detachment has just begun, and on the second and third days, the amount of endometrial detachment and bleeding also increase. The uterus is stimulated, contracts strongly, and excretes a large amount of menstrual blood. Some people, after their menstrual blood is clean, come back a little after a day or two, commonly known as menstrual blood turning back. This is not a disease, but a normal phenomenon. However, some women have a menstrual period of 10 to 20 days, and their menstrual flow is endless; Some menstrual periods are extremely short, just passing in a flash. Both of these phenomena are abnormal.

5. Menstrual extension: The menstrual period is normal, normal, but prolonged, with a period exceeding 7 days or even 2 weeks of cleansing. People with inflammation usually have lower abdominal pain, which worsens during physiological days. They usually have a large amount of vaginal discharge, a yellow white color, a strong texture, and a taste. Patients with incomplete corpus luteum atrophy are accompanied by excessive menstrual flow; Patients with prolonged endometrial repair still have a small amount of persistent vaginal bleeding after the normal menstrual period.

6. Menstrual blood volume: The menstrual volume of women varies from person to person, generally ranging from 20 to 100 milliliters. Generally speaking, it is normal to replace sanitary napkins and paper 3-5 times a day. If there is too much menstrual blood, changing into a sanitary napkin and paper will immediately get wet, and menstrual blood flow is also abnormal. Heavy menstrual bleeding may be functional uterine bleeding caused by factors such as mental strain, environmental change, malnutrition, metabolic disorder, etc. Excessive expiration of menstrual blood can lead to anemia, and the cause should be identified and treated. Of course, if the menstrual flow is too low due to abnormal uterine or ovarian conditions or systemic diseases, this situation is also abnormal, and timely medical attention should also be sought. Excessive menstrual flow is more common among adolescent girls. The main reason for this is during puberty, when ovarian function is not yet fully mature and a portion of menstruation is anovulatory. No ovulation, no corpus luteum, no corpus luteum, no progesterone deficiency. Therefore, the endometrium can only be in the proliferative phase and cannot reach the perfect secretory phase. The shedding of endometrium does not completely affect the Uterine contraction and Heavy menstrual bleeding. If this situation is not noticed, anemia symptoms such as pale complexion, weakness, and dizziness should also be treated for a long time.