Can you see gynecological diseases during menstruation?

Unless it is menstrual disease, menstrual period is generally not suitable for gynecological diseases.

B-ultrasound is basically ok.

Sohu Blog > Health Follow Me > Journal > Health Education 2007-03-2 1 | Choose a "good day" to see gynecology.

Ms. Zhang's menstruation was advanced and delayed for almost half a year, but she has been afraid to go to the hospital. I heard that my colleague Ms. Li was going to the hospital in Sheung Wan, so I went with her. After arriving at the hospital, they successfully signed up and entered the gynecological clinic respectively. When Ms. Li walked out of the clinic happily, she found Ms. Zhang sitting in a chair in the corridor in dismay. What's the problem? Is it serious? Don't! It is because Ms. Zhang is in her menstrual period that the doctor can't check it out. She finally made up her mind to come to the hospital, but she came for nothing. Ms. Li asked inexplicably, don't you understand that you have to choose a date to see gynecology? Ms. Zhang shook her head helplessly.

Do you know that you should choose a date to see a gynecologist?

1. Avoid gynecological examination during menstruation.

During menstruation, the uterine orifice is slightly enlarged, the endometrial wound is not repaired, the pelvic cavity is congested, and the frequency and intensity of uterine contraction increase. At this time, gynecological examination can easily bring bacteria into the uterine cavity, causing inflammation of reproductive organs such as endometrium and fallopian tubes. In addition, during gynecological examination, endometrial debris falling off during menstrual period can squeeze into uterine muscle wall, fallopian tube and even pelvic cavity, thus causing endometriosis and dysmenorrhea. Therefore, it is forbidden to do gynecological examination during menstruation. The diagnosis and treatment of diseases related to gynecological examination, such as irregular menstruation, abnormal leucorrhea, abnormal external vagina, small abdominal mass, newly diagnosed infertility, ring removal or ring removal, are not suitable for menstrual period.

However, if there is persistent irregular vaginal bleeding, or sudden massive bleeding, accompanied by abdominal pain, syncope and mass, you should see a gynecologist immediately regardless of menstrual period, so as not to delay treatment.

2. 3-7 days after menstruation is clean, suitable for seeing gynecology.

At this time, the endometrium has been completely repaired, and the vaginal environment is relatively stable, which is not easy to cause intrauterine infection. In addition, this is also the time when the cervix is most open during the menstrual cycle, which is more convenient for instrument inspection. Unless the gynecologist has special requirements, it is best to see a doctor within 3-7 days after menstruation is clean. If you want to do tubal fluid examination, hysterosalpingography, ring or ring removal, hysterography, cervical treatment, etc. Do it 3 ~ 7 days after menstruation is clean, and the best time is 3 days after menstruation is clean. Vaginal secretion hanging drop test is often used to check whether there are trichomonas and candida in the vagina, which should be done three days after menstruation is clean; The time of hysteroscopy should be within 5 days after menstruation is clean, and it is forbidden to have the same room until the day of examination.

3. Time requirements for diagnostic curettage

In order to determine ovulation and luteal function, curettage should be performed 6 hours before menstruation or menstrual cramps; If you suspect that the endometrial shedding is insufficient, you should curettage on the fifth day of menstrual cramps; Irregular bleeding can be scraped at any time, which is not only helpful for diagnosis, but also has hemostatic effect; When endometrial tuberculosis is suspected, curettage should be performed before menstruation 1 week or within 6 hours of menstrual cramps. This is because the premenstrual endometrium is thick, if there is tuberculosis, the positive rate is high at this time, and culture should be done at the same time as curettage.