How to check uterine amenorrhea

Uterine amenorrhea is mainly diagnosed through gynecological examination, imaging examination and hormone level detection. Targeted treatment is taken after the cause is identified. Common causes include endometrial damage, intrauterine adhesions, uterine dysplasia, etc. Treatment methods include drug therapy, surgical treatment and assisted reproductive technology.

1. Gynecological examination

Gynecological examination is an important means of preliminary assessment of uterine amenorrhea. The doctor examines the size and shape of the uterus and whether there are any abnormalities through palpation and inspection. If necessary, a cervical smear test is performed to rule out cervical lesions. Gynecological examination can help determine whether there are problems such as uterine malformations and intrauterine adhesions.

2. Imaging examination

Imaging examination is the key method for diagnosing uterine amenorrhea. Common examinations include ultrasound examination, hysteroscopy and magnetic resonance imaging (MRI). Ultrasound examination can observe the morphology of the uterus, the thickness of the endometrium and the presence of space-occupying lesions. Hysteroscopy can directly observe the internal conditions of the uterine cavity and find problems such as adhesions and polyps. MRI is suitable for complex cases and provides more detailed anatomical information.

3. Hormone level detection

Hormone level testing helps determine whether amenorrhea is related to endocrine disorders. Common test items include follicle-stimulating hormone FSH, luteinizing hormone LH, estrogen and progesterone. Through hormone level analysis, we can understand the ovarian function and the regulation of the hypothalamus-pituitary-ovarian axis, and rule out amenorrhea caused by endocrine factors.

4. Endometrial biopsy

Endometrial biopsy is an important means of evaluating endometrial function. By taking a small amount of endometrial tissue for pathological examination, it can be determined whether the endometrium has problems such as inflammation, hyperplasia or atrophy. The biopsy results help to clarify the specific cause of amenorrhea and guide subsequent treatment.

5. Other examinations

Depending on the condition, other tests such as chromosome analysis and thyroid function tests may be performed. Chromosome analysis is suitable for patients suspected of having a genetic disease, and thyroid function tests can rule out amenorrhea caused by abnormal thyroid function.

The examination of uterine amenorrhea requires a combination of multiple methods, and targeted treatment should be taken after the cause is determined. Early diagnosis and intervention can help improve the prognosis and restore the menstrual cycle and reproductive function. It is recommended that patients undergo systematic examinations under the guidance of a doctor and develop a personalized treatment plan.