Can I have a physical examination during my menstrual period

Whether a physical examination can be conducted during menstruation depends on the specific examination items. Basic examinations such as blood routine and liver function can be performed normally, but gynecological examinations and urine routine are recommended to avoid menstruation. The feasibility of menstrual physical examination is mainly related to the sensitivity of the selected items to hormone levels or specimen cleanliness. For blood tests such as blood biochemistry, thyroid function, and tumor markers, fluctuations in estrogen levels caused by the menstrual cycle usually do not significantly affect the test results. Partial imaging examinations such as chest X-rays, electrocardiograms, abdominal ultrasound, etc. can also be performed as usual. However, invasive gynecological procedures such as cervical scraping and colposcopy may increase the risk of infection, and mixing menstrual blood with urine samples can lead to false positives for urine red blood cells and urine protein. It is recommended to postpone such testing until 3-7 days after the end of menstruation.

Special attention should be paid to hormone related special examinations, such as the six items of sex hormones, which require blood collection at specific time points during the menstrual cycle for clinical significance. Mammography may worsen swelling and pain due to glandular congestion one week before menstruation. In addition, anemic patients should avoid drawing blood during peak menstrual periods to prevent worsening of weakness symptoms. It is recommended to inform the doctor in detail about the current menstrual cycle before the physical examination, and have a professional physician evaluate and adjust the examination plan. Three days before the physical examination, sufficient sleep should be maintained, and vigorous exercise and high-fat diet should be avoided. On the day of the menstrual examination, choose loose clothing and bring hygiene products for backup. After completing the blood draw, press the needle hole for more than 5 minutes and drink warm water to replenish body fluids. If choosing to postpone the examination, it is recommended to schedule a physical examination after the end of menstruation. It should be noted that some items require fasting for 8-12 hours. When abnormal indicators appear in the physical examination report, clinical indications should be combined for comprehensive judgment, and if necessary, re examination and comparison should be conducted at different stages of the menstrual cycle.