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Period problem

Discussion in 'All Categories' started by Shivani - Jun 19th, 2024 10:11 am.
Shivani	I have problem of irregular period. What tests do you recommend to diagnose the cause of my irregular periods? Do I need a pelvic exam or an ultrasound?
re: Period problem by Dr. B. S. Bhalla - Jun 19th, 2024 10:38 am #1
Dr. B. S. Bhalla	Irregular periods can be caused by various factors, and diagnosing the underlying cause typically involves a combination of medical history, physical exams, and specific tests. Here are some tests and exams that are commonly recommended to diagnose the cause of irregular periods: Pelvic Exam: A pelvic exam can help identify any physical abnormalities in the reproductive organs, such as fibroids or ovarian cysts. Ultrasound: An ultrasound can provide detailed images of the uterus, ovaries, and other pelvic organs. It can help identify conditions such as polycystic ovary syndrome (PCOS), fibroids, and ovarian cysts. Blood Tests: These can check for hormonal imbalances that might be causing irregular periods. Common blood tests include: Thyroid function tests: To check for thyroid disorders. Prolactin levels: High levels can affect menstrual cycles. FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone): To assess ovarian function. Estrogen and progesterone levels: To evaluate the balance of these hormones. Androgen levels: High levels of androgens can be indicative of PCOS. Pap Smear: A Pap smear can help detect any abnormalities in the cervix that could be affecting menstrual cycles. Endometrial Biopsy: This involves taking a small sample of the lining of the uterus to check for abnormalities or changes in the endometrial tissue. Hysteroscopy: In some cases, a hysteroscopy may be recommended. This involves inserting a small camera into the uterus to look for any structural abnormalities. MRI or CT Scan: In rare cases, more advanced imaging might be needed to get a clearer picture of the reproductive organs. Recommended Approach Consult Your Doctor: Discuss your symptoms and medical history in detail with your healthcare provider. Pelvic Exam and Ultrasound: These are typically the first steps in evaluating irregular periods. They can provide a lot of information about the structure of your reproductive organs. Blood Tests: Based on the initial findings, your doctor may order specific blood tests to check for hormonal imbalances or other issues. Follow-Up Tests: Depending on the results of the initial exams and tests, further tests like an endometrial biopsy or hysteroscopy may be recommended.