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Period problem
Discussion in 'All Categories' started by Shivani - Jun 19th, 2024 10:11 am.
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
Dr. B. S. Bhalla
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.
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