The endocrine system, the general controller of the body, controls the overall function of the organism through the regulation of hormone secretion. Endocrine disorders caused by various reasons can lead to a series of diseases and damage women’s physical and mental health. According to statistics, more than 90% of women have more or less endocrine disorders, such as chloasma, abnormal leucorrhea, irregular vaginal bleeding, breast lumps, irregular menstruation and so on. Many times, we go to gynecology department for discomfort, but we find that we can’t get to the root of the disease after a long turn, until the doctor suggests us to do endocrine examination. So, what is the role of gynecological endocrine examination? Under what circumstances is a gynecological endocrine examination necessary? When there is a problem with menstruation Menstruation is a natural physiological phenomenon that accompanies women throughout their lives and is the physiological change most directly related to hormone levels. There are various manifestations of menstrual changes caused by endocrine problems, and you should think that you should go to a gynecologist for an endocrine examination when some of the following situations occur Excessive mental tension 1. Premenstrual tension syndrome, which is mainly a disorder of the nervous system caused by endocrine imbalance, can generally be relieved by self-regulation. If you are in a state of chronic tension with heavy physiological reactions, you can go to the gynecology department for endocrine examination and, if necessary, oral hormone medication under the guidance of a doctor. 2.Excessive pain. Dysmenorrhea and painful intercourse are problems that women often face, especially dysmenorrhea. The general degree of dysmenorrhea is within the tolerable range. For long-term unbearable dysmenorrhea, you should not just take painkillers to endure it, you should go for a gynecological endocrine examination to see if you have endometriosis. 3, excessive menstruation, which is caused by a variety of reasons, uterine fibroids is one of the important factors. Uterine fibroids are closely related to estrogen levels. In addition, luteal dysfunction can also lead to excessive menstrual flow. When vaginal itching is recurrent For unexplained long-term, recurrent vaginal itching, endocrine factors need to be considered and endocrine tests should be performed. Blind use of drugs without finding the root cause of the problem will not only fail to cure the problem, but will lead to drug resistance and chronic diseases. Ms. Lin has been married for 3 years, but every time she has sex, she feels vaginal dryness and no pleasure, and her husband is not happy about it. After several visits to the gynecologist, the test results were normal. It was not until she had a gynecological endocrine examination that she found that her gonadotropin and estrogen levels were significantly lower than normal, and that her low libido and vaginal dryness were related to low estrogen levels. Female sexual dysfunction, in endocrine diseases, is mainly manifested by low libido, insufficient genital engorgement during sexual stimulation, low vaginal exudate and insufficient slippage. Female libido is importantly related to the level of sex hormones, but it is also influenced by various factors such as psychological state and feelings. There are also women who have sexual function problems that manifest as an excessive sexual desire, even interfering with the normal order of life, and also require combined hormone therapy after endocrine examination. When encountering menopausal problems When women in their 40s experience bone and joint pain, extremely pronounced mood swings and nervous symptoms, they should go to the gynecology department for an endocrine examination, as this is likely to be a physical reaction caused by changes in hormone levels. When bleeding is abnormal Normal menstruation is regulated and controlled by the hypothalamic-pituitary-ovarian axis system and presents regular uterine bleeding. Abnormal uterine bleeding caused by abnormal secretion of sex hormones due to dysfunction of the neuroendocrine function regulating reproduction is called functional uterine bleeding, or gonorrhea for short. Functional uterine bleeding is mainly characterized by irregular vaginal bleeding without a cycle, intermittent bleeding, sometimes more and sometimes less, or continuous bleeding for 1 to 2 months, which may cause anemia in severe cases. In severe cases, it can lead to anemia. The diagnosis and treatment can be assisted by gynecological hormone level measurement. For women of childbearing age, gynecological bleeding is a common condition and its early stages are easily overlooked. Women of childbearing age should be extra vigilant when the following symptoms occur and should be promptly examined at a hospital and, if necessary, treated with combined hormone therapy: 1. mid-menstrual breakthrough bleeding despite a normally regular menstrual cycle; 2. sporadic menstruation with excessive menstrual flow; 3. a menstrual cycle of less than 21 days; 4. spot bleeding before menstruation.