What should be checked for uterine bleeding

Uterine bleeding usually requires gynecological ultrasound, six hormone tests, diagnostic curettage, hysteroscopy, and coagulation function examination. These tests can help clarify the cause of bleeding, such as endometrial polyps, uterine fibroids, endocrine disorders, or coagulation disorders. Gynecological ultrasound is a basic examination that can observe the thickness of the endometrium, the presence of fibroids or polyps, and other structural abnormalities. The six levels of sex hormones are evaluated by drawing blood to assess ovarian function and endocrine status, and to determine whether bleeding is caused by hormonal fluctuations. Diagnostic curettage can quickly stop bleeding and obtain endometrial tissue for pathological analysis, ruling out endometrial hyperplasia or cancer. Hysteroscopy can directly observe lesions in the uterine cavity, such as submucosal fibroids, adhesions, or early cancerous lesions, with more accurate localization. Coagulation function tests can rule out blood system diseases such as thrombocytopenia or coagulation factor deficiency. If the bleeding is related to pregnancy, it is also necessary to check for human chorionic gonadotropin. Doctors will choose a combination of examinations based on age, bleeding patterns, and accompanying symptoms. For example, adolescent women focus on hormones and coagulation function, while perimenopausal women prioritize excluding organic lesions.

It is necessary to record the bleeding cycle, amount, and accompanying abdominal pain in daily life, avoid excessive fatigue and vigorous exercise, and keep the external genitalia clean to prevent infection. During bleeding, it is recommended to use cotton sanitary pads and change them regularly to avoid sexual activity. Eating iron rich foods such as red meat, animal liver, and spinach can prevent iron deficiency anemia. If the bleeding suddenly increases or is accompanied by dizziness and fatigue, seek medical attention immediately. After completing the examination according to the doctor's advice, receive medication or surgical intervention based on the cause, regularly check ultrasound and hormone levels, and avoid using hemostatic or menstrual adjustment drugs on your own.