Menstrual postponed what to do when the check?

I. Basic check

1. ovarian function check ① ② endometrial biopsy; vaginal cytology; ③ cervical mucus crystallization checks;

④ serum E (2), P determination; ⑤ base temperature determination.

2. check the pituitary function

(1) direct determination of blood LH, FSH levels and PRL level: If FSH > 40IU/L tips ovarian failure; if PRL > 25ug/L tips hyperprolactinemia, LH and FSH as in normal or low value, further for pituitary stimulation test.

(2) pituitary stimulation test: If injection LHRH15-45 minutes with the release of LH increases three times before injection, description of pituitary favourable response to exogenous LHRH, amenorrhea causes to the hypothalamus.

If no vaccination or elevated LH value unknown show increased pitutary stimulation test (??) , The lesion in the pituitary. 3. Sella CT know no pituitary adenoma.

4. except for the sex chromosome abnormalities.

5.B-check for understanding ovarian cystic changes are no more.

Second, further examination

1. understand the laparoscopy, gonad State without dysplasia and polycystic ovary, premature ovarian failure, etc.

2. remove the magnetic resonance imaging. pituitary microadenoma

If you find amenorrhea, should go to the hospital in a timely manner to identify the cause, treatment for patients.

If you don't fight for longer, amenorrhea, uterine and ovarian will shrink, the more powerful, the treatment effect.

(Edit: Zheng Yan internships, MD)