Diagnosis of Menstrual Disorders

Diagnosis of Menstrual Disorders

The doctor will ask about your symptoms and health history. You will also be asked about your periods. A physical exam will be done. A pelvic exam may also be done.

Heavy Bleeding (Menorrhagia)

Tests

These tests may be done to look for a cause of heavy bleeding:

  • Blood tests—to measure hormones and check for bleeding disorders
  • Ultrasound—to view pelvic organs
  • Hysteroscopy—A tube is passed to the uterus through the vagina to view the uterus
  • Endometrial biopsy—tissue is scraped from the uterus and looked at using a microscope

Lack of Periods (Amenorrhea)

Blood Tests

A blood test will be done to find out whether the woman is pregnant. The test can also look for:

  • Too much or too little thyroid hormone
  • Too much prolactin in the blood
  • Too much or too little luteinizing hormone
  • Too much or too little follicle stimulating hormone

Genetic tests may also be done to find the cause.

Images

An MRI scan may be done to check for pituitary tumor.

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References

Abnormal uterine bleeding. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/abnormal-uterine-bleeding. Updated October 10, 2019. Accessed November 14, 2019.
Amenorrhea. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/amenorrhea. Updated January 16, 2018. Accessed November 14, 2019.
Bleeding Disorders in Women. US Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/ncbddd/blooddisorders/women/index.html. Updated April 25, 2018. Accessed November 14, 2019.
Klein DA, Poth MA. Amenorrhea: an approach to diagnosis and management. Am Fam Physician. 2013 Jun 1;87(11):781-788.
Last reviewed September 2019 by EBSCO Medical Review Board Elliot M. Levine, MD, FACOG
Last Updated: 11/24/2020

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