What kind of tests should middle-aged women do if they don’t have menstruation?

　　I am a middle-aged woman, only 41 years old this year, but I have not had my period for two months. I thought Hospital Go for a checkup. What tests should I do in a situation like mine?

　　1. Basic inspection

　　1. Ovarian function test:① Uterus Endometrial biopsy; ② vaginal exfoliated cell examination; ③ cervical mucus crystal examination; ④ serum E2 and P measurement; ⑤ basal body temperature measurement.

　　2. Pituitary function test

　　(1) Directly measure blood LH, FSH and PRL levels: if FSH>40IU/L, it indicates ovarian failure; if PRL>25ug/L, it indicates hyperprolactinemia; if LH and FSH are at normal or low values, further pituitary stimulation test is required.

　　(2) Pituitary excitement test: If the LH released 15-45 minutes after the injection of LHRH increases more than 3 times compared with before the injection, it means that the pituitary gland responds well to exogenous LHRH, then amenorrhea The reason is the hypothalamus. If the LH value does not increase after injection or the increase is unclear, it means that the lesion is in the pituitary gland.

　　3. CT examination of the sella turcica to determine whether there is a pituitary adenoma.

　　4. Chromosome examination excludes sexual development abnormalities.

　　5. B-ultrasound examination to understand whether there are polycystic changes in the ovaries.

　　2. Further inspection

　　1. Laparoscopy: Understand the status of gonads, whether there is dysplasia, polycystic ovaries、premature ovarian failure Wait for changes.

　　2. Magnetic resonance examination: remove pituitary microadenoma.

　　If amenorrhea is found, you should go to the hospital promptly to find out the cause and receive symptomatic treatment. If it is not treated promptly, the longer the amenorrhea lasts, the more severe the uterus and ovaries will shrink, and the worse the treatment effect will be. The above examinations are listed in more detail. In the actual medical treatment process, you should still rely on the doctor's guidance, try to do the minimum number of examinations, and find out the cause as soon as possible.

　　The arrival of menstruation can respond well female For middle-aged women, if menstruation suddenly stops coming, don’t take it lightly. Remember to go to the hospital for a check-up!