An ovarian examination is a functional examination of the ovaries to understand ovarian function. Prevent and treat ovarian diseases in a timely manner. Inappropriate people: menstruating women. Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. Cysts less than 5 cm in diameter may be non-neoplastic cysts, most of which can disappear on their own, but regular operative ovarian cyst surgery should be performed if there is an increase in regular follow-up. Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. After the examination, regular census must be carried out, and ovarian tumors can often be found in time.

Basic Information

Specialist classification: gynecological examination classification: ultrasound

Applicable gender: whether women are fasting: not fasting

Analysis results:

Below normal:

Normal value:
no

Above normal:

negative:
No other diseases.

Positive:
Prompt for other diseases that require further examination.

Tips: Forbidden sexual intercourse for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. Normal value

The basal body temperature is constant.

Vaginal exfoliated cells were examined without abnormal lesions.

Cervical mucus crystallization examination, cervical mucus is normal.

Determination of blood steroid hormones, normal concentrations of estrogen and progesterone.

Clinical significance

Abnormal results:

(1) Determination of basal body temperature Progesterone slightly increases body temperature through the body temperature regulation center, resulting in basal body temperature in the normal menstrual cycle as a biphasic type, that is, the basal body temperature in the second half of the menstrual cycle is 0.4 ° C ~ 0.6 ° C higher than the first half , suggesting that ovarian function has ovulation and corpus luteum formation.

(2) Vaginal exfoliated cells were examined to observe the percentage of cells in the table, middle and bottom layers. The higher the percentage of superficial cells, the higher the estrogen level. Smear of patients with premature ovarian failure has varying degrees of estrogen depression or sustained estrogen mild effects.

(3) cervical mucus crystallization test estrogen makes the cervical mucus thin, long drawing, and the appearance of fern-like crystals, the more obvious and thicker the fern-like crystal, suggesting that the estrogenic effect is more significant. If there is a row of ellipsoids on the smear, it suggests that it has been affected by progesterone on the basis of estrogenic effects.

(4) Determination of blood steroid hormones for radioimmunoassay of estradiol, progesterone and testosterone. If the concentration of estrogen and progesterone is low, it indicates that the ovarian function is abnormal or depleted. If the testosterone value is high, it suggests that there may be diseases such as polycystic ovary syndrome, ovarian masculinizing tumor or testicular feminization.

People who need to be examined: middle-aged and older women.

Positive results may be diseases: ovarian inflammation, physiological ovarian cysts, gastrointestinal cancer metastasis ovary, chocolate cysts precautions

Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. Cysts less than 5 cm in diameter may be non-neoplastic cysts, most of which can disappear on their own, but must be followed up regularly. If there is an increase, surgery should be performed immediately.

Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. After the examination, regular census must be carried out, and ovarian tumors can often be found in time.

Inspection process

The uterine cavity is dilated by expanding the uterine cavity, and the cold light source is introduced into the uterine cavity through the hysteroscope through the fiber guide beam and the lens. The cervical canal, the cervix, the endometrium and the fallopian tube opening are observed under direct vision so as to be intuitive and accurate for the lesion tissue. Take the material and send it for pathological examination.

Not suitable for the crowd

Inappropriate people: menstruating women.

Adverse reactions and risks

Nothing.