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Symptoms » Heavy periods » Diagnostic Tests
 

Diagnostic Tests for Heavy periods

Diagnostic Test list for Heavy periods:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Heavy periods includes:

  • Physical examination
    • Examine for signs of bleeding disorder - e.g. widespread bruising, swollen joints, bleeding gums.
    • Speculum examination looking for cervicitis, cervical "erosion", cervical cancer, cervical polyps
    • Bimanual pelvic examination to feel for signs of fibroids, pregnancy, pelvic inflammatory disease, ectopic pregnancy
  • Blood tests
    • Full blood count (looking for anemia due to blood loss and reduced platelets indicating a bleeding disorder)
    • Iron studies
    • Electrolytes and renal function tests
    • Thyroid function tests
    • Pregnancy test
    • Coagulation profile to help rule out acquired or hereditary bleeding Disorders
    • More sophisticated bleeding disorder tests depending on suspicion - e.g. von Willebrand's disease, platelet function studies, platelet antibodies.
    • ANA autoantibodies looking for systemic lupus erythematosus (SLE)
  • Urine tests
    • First pass urine PCR test for Chlamydia and gonorrhea, if suspect pelvic inflammatory disease
  • Pap smear
  • High Vaginal swab - for microscopy and culture.
  • Endocervical swab - for Chlamydia, if suspect pelvic inflammatory disease.
  • Radiological investigations
    • Transvaginal pelvic ultrasound scan can detect fibroids and thickened endometrial lining (lining of the uterus)
    • CT Scan of abdomen and pelvis may be indicated
  • Hysteroscopy with endometrial sampling - may be useful for detecting endometrial polyps, fibroids, endometrial cancer.
  • Dilatation and curettage - collects a larger quantity of endometrial lining for microscopic evaluation. It is most invasive than hysteroscopy and endometrial sampling.
  • Laparoscopy - may be required to diagnose endometriosis, pelvic inflammatory disease or other pelvic disease.

Home Diagnostic Testing

These home medical tests may be relevant to Heavy periods causes:


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