How is miscarriage diagnosed in women?

With the advancement of medicine, the methods of abortion are no longer limited to traditional methods. Different methods of abortion have different treatment principles and diagnostic methods. Today, the editor will introduce to you how women diagnose abortion.

First, determine whether a miscarriage

(1) Inquire about the patient's medical history in detail: whether there is a history of amenorrhea, whether there is vaginal bleeding, the amount and nature of the bleeding, whether there is abdominal pain or other discharge, etc.

(2) Bimanual examination: Pay attention to the position, size, shape, and hardness of the uterus; whether the isthmus is particularly soft, as if the uterine body and cervix have lost continuity; whether there are lumps, tenderness, or resistance in the appendages on both sides; whether there is erosion, bleeding, or cervical polyps at the cervical opening; and whether the bleeding is coming from the uterus. If it is a miscarriage, the bleeding must be coming from the uterus.

(3) Auxiliary examination

Secondly, we should determine what kind of miscarriage

Different types of miscarriage have different labor processes and different treatment principles, so it is necessary to determine what type of miscarriage it is.

1. Ask in detail about past pregnancy history, past medical history, and family genetic history. If there is a suspected history of genetic disease, a family tree should be drawn.

2. Conduct systemic and gynecological examinations.

3. Carry out necessary tests and auxiliary examinations: for males: routine semen analysis, blood type, chromosomes, etc.; for females: vaginal cell smear, cervical score, basal body temperature, blood type, chromosomes, B-ultrasound examination of uterine development for abnormalities, etc.

Finally, it should be determined whether there are complications of abortion

Abortion must be differentiated from functional uterine bleeding, tubal pregnancy, hydatidiform mole, uterine fibroids, choriocarcinoma, etc. In addition, various types of abortion should be differentiated in order to make a clear diagnosis and choose different treatments according to different types.