Diagnostic Tests and Procedures of Menstrual Cycle Disorders
Do you keep track of the days of your menstrual cycle, listing the
days you bleed and any symptoms you experience? If so, you're going to
be a step ahead when it's time to diagnose your menstrual cycle
symptoms. Having such a journal or calendar helps your doctor see any
patterns that may develop. The doctor can see when you bleed, whether
bleeding is light or heavy, and when you experience pain or other
physical symptoms, as well as when any emotional symptoms you have.
See: Tracking Your Menstrual Cycle
Current guidelines for diagnosing PMS or PMDD require patients to
complete a three month symptom log prior to diagnosis. A pattern of
cyclical symptoms that begin after ovulation and end when menstruation
starts can signal that a diagnosis of PMS or PMDD is correct.
See: The Symptoms of PMSThe Symptoms of PMDD
Because the symptoms associated with menstrual cycle disorders often
mimic the signs and symptoms of other diseases or conditions, getting
a correct diagnosis is imperative. Diagnosing the cause of menstrual
cycle disorders is often a process of elimination and ruling out other
diseases such as clinical depression, anxiety disorders, endocrine
system disorders such as thyroid diseases or polycystic ovary syndrome
(PCOS), and pelvic health diseases.
See: Types of Abnormal Uterine Bleeding
Blood and lab work including a pregnancy test in premenopausal women
is normally the first diagnostic tool ordered by your physician. Other
diagnostic tools and procedures that your doctor can utilize include
endometrial biopsy, diagnostic hysteroscopy, and ultrasounds. Which
diagnostic measure your physician chooses depends on your age,
symptoms, and medical history.
Sources:
"Menstrual Disorders;" Healthy Women.org, NWHRC; accessed 09/13/07.
The American Psychiatric Association, Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition, Washington, DC, American
Psychiatric Association 1994. Robert F Casper, MD; "Patient
information: Premenstrual syndrome and premenstrual dysphoric disorder
(PMDD), Clinical manifestations and diagnosis of premenstrual syndrome
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