Anovulatory menstruation can be initially determined by symptoms, and if symptoms are suspicious, further laboratory tests, such as hormone level measurement, ultrasound, etc., should be done to confirm the diagnosis.
1. Symptoms, anovulatory menstruation is usually irregular, most women have amenorrhea before menstruation, and after a period of amenorrhea, vaginal bleeding suddenly occurs, the amount of bleeding is sometimes more or less, and most of the women bleed for a long period of time, and some of them have bleeding for more than 10 days. Only individuals have normal menstrual cycles.
2. Laboratory examination, the patient has the above performance, should be further examined ultrasound and hormone six and so on to confirm the diagnosis.
(1) Ultrasound, regular ultrasound examination can understand the development of follicles and whether there is ovulation. If the ultrasound is checked several times during a menstrual cycle, but no dominant follicle is seen, it means no ovulation.
(2) Hormone six, the expected time of ovulation check check LH, if there is no peak, indicating no ovulation; in addition, the menstrual cycle of the 22 days or so can be drawn blood test progesterone, such as progesterone significantly higher indicates that there is ovulation, and vice versa, it means no ovulation.
Anovulatory menstruation is most common in adolescent women, perimenopausal women, and patients with polycystic ovary syndrome. In adolescent and perimenopausal women, if the bleeding is not prolonged and the amount of bleeding is small, no special treatment is needed. Prolonged anovulation in fertile women not only causes infertility, but also increases the prevalence of endometriosis, so it is necessary to intervene reasonably according to the individual situation.