What are the time, items and precautions for gynecological (pregnancy preparation) examinations? I. Examination time Examination items suitable at different times in the menstrual cycle: 1. Examination items suitable during vaginal bleeding: bleeding from intercourse, bleeding from cervical erosion, postmenopausal bleeding 2.Checkup items 3~7 days after menstrual cleansing: IUD or IUD removal, cervical treatment, hysteroscopy, hysterosalpingography, tubal lavage, tubal aeration, etc. 3. Suitable examination items near the onset of menstruation or on the first day of menstruation: diagnostic scraping, for menstrual cycle disorders and those suffering from infertility, to understand ovarian function and the presence or absence of ovulation. However, if there is persistent irregular vaginal bleeding, or sudden heavy bleeding with abdominal pain, fainting or swelling, you cannot wait until after the menstrual cycle is clean, otherwise the condition will be delayed. Second, checkup items If you have been married for more than 1 year and have not succeeded in getting pregnant, or have gynecological diseases, you need to have an exclusionary examination of your body at this time. In order to clarify the real cause of the disease. 1. Routine screening examination: mainly refers to the examination of medical history and non-invasive to exclude systemic diseases. 2.Vulvar examination: to observe the development of vulva and any other abnormalities. 3.Vaginal and abdominal joint examination: suitable for married people, the doctor can understand the abnormalities of vagina, cervix, uterine adnexa and other reproductive organs through palpation. 4.A combined anal and abdominal examination: suitable for unmarried, the doctor can understand the abnormalities of the vagina, cervix, uterine adnexa and other reproductive organs through palpation. 5.Vaginal, rectal and abdominal combined examination: the doctor can check the position of the uterine body, the size of the uterus, the condition of the posterior wall of the uterus, the main ligament, the uterosacral ligament, the rectal fossa of the uterus, the vaginal-rectal septum, the medial wall of the pelvis and the rectum through palpation for thickening, pressure pain and tumor. 6.Hysteroscopy: It can directly see the structure and endometrium of the uterine cavity, whether there are adhesions, polyps, etc. 7.Laparoscopy: It can directly see the situation of uterine adnexa and the whole pelvic organs and tissues, whether there are tumors, the nature and size of tumors, whether there are inflammation and adhesions, the degree and scope of adhesions, etc. 8.Uterine cavity and fallopian tube imaging: to understand whether the uterine cavity and fallopian tube structure is normal, whether the endometrium is uniform, whether there are adhesions and polyps, etc. 9, tubal lavage: to understand whether the development of the fallopian tubes is normal and whether there are adhesions and patency of the tube lumen. 10.Tubal aeration: to check the patency of the fallopian tubes, which is rarely used nowadays due to the high false positive rate. 11.Basal body temperature measurement: to understand the function of the corpus luteum and ovulation. 12.Cervical mucus crystallization examination: to understand the ovarian function with or without ovulation. To help diagnose menstrual disorders, infertility, early pregnancy, etc. 13.Vaginal exfoliative cell cycle smear: to understand the level of estrogen, ovarian function and ovulation, etc. 14.White belt microscopy: to check vaginal cleanliness and pathogenic bacteria such as Trichomonas, Candida, gonococcus, mycoplasma and chlamydia. 15.Cervical smear: to find out whether there are tumor cells, mainly used for screening. 16.Cervical biopsy: further take the corresponding cervical tissue for pathological examination when tumor is suspected. 17.Diagnostic scraping and segmental scraping: endometrial polyp, tumor and check ovarian function for ovulation. Note: The following 10 points must be noted before going to the hospital for interventional or invasive gynecological examinations to avoid affecting the smooth conduct of the examination and the accuracy of the test results. 1. Before the examination, it is best to wash the vulva with water to help the doctor observe the vulva. However, you should not rinse the inside of the vagina for 24 hours to avoid rinsing away abnormal secretions that may affect the test results. 2. Avoid intercourse and the use of vaginal lubricants and drugs three days before the examination to avoid the semen and drugs affecting the test results. 3. Wear clothes that are easy to put on and take off to facilitate the examination. And do not wear makeup to avoid affecting the doctor’s observation. 4, ultrasound examination of the uterus and adnexa pelvic area requires drinking water and holding urine half an hour to one hour before the examination to keep the bladder full in order to observe the uterus and ovaries. 5, there are medical records and various auxiliary diagnostic checklists, certificates to remember to bring all, for the doctor to check before the examination to understand your body’s previous situation. 6.Recall in advance to organize and briefly summarize your situation, to be able to report to the doctor objectively, truthfully and accurately, such as the first menstruation, the last 3-6 months (menstrual cycle, time of menstruation, last menstruation, basal body temperature chart), the last delivery, IUD, bleeding, amenorrhea and menopause, the specific time when you had surgery, unmarried pregnancy, STD, etc. 7. If you have bleeding, tell us the time, amount, color and shape of the bleeding, and keep the vaginal discharge for the doctor’s reference or pathological examination. 8. If you have a history of drug or food allergy, you should explain the name or type to the doctor. 9. Know in advance which specialist clinic and specialist you want to see on which day, so as not to miss the specialist clinic time. To avoid infection after the examination, you should pay attention to the following points 1. Change your underwear and pay attention to the cleanliness of your vulva. Do not use tampons or menstrual cups, but choose sanitary napkins, each napkin pad should not exceed 8 hours. 2. Do not take a tub bath, you can choose to take a shower. But such as abdominal incisions such as laparoscopy can only avoid the wound dressing and then use warm water for bathing, 5-7 days after surgery can be removed and remember to avoid showering to prevent infection of the surgical incision and avoid affecting the healing of the surgical opening, 48 hours after the removal of the stitches can only shower. 3, no intercourse, different examination items have different restrictions on the time of intercourse after the examination. If there is more than bleeding or abnormal leucorrhea, it is forbidden to have intercourse and go to the hospital for examination. Intercourse is prohibited for at least 2 weeks after tubal imaging and tubal lavage/ventilation. Other examinations are generally prohibited for at least 3 days. 4. Do not take drugs that affect blood clotting function to avoid bleeding. 5, pay attention to rest to avoid rain and cold and eat spicy and stimulating food.