Does menstrual health check-up have any impact?

It can be clearly said that the impact of menstruation on physical examination depends entirely on the specific items. There is no need to do inappropriate items to make up for the physical examination, nor does it need to cancel all physical examination arrangements as soon as the aunt catches up. Just adjust flexibly.

Last week, I accompanied a colleague from my work unit for her annual physical examination. It was her first day and she was ready to go in vain. However, after the nurse at the guidance desk asked her about the situation, she only postponed her registration for a week for gynecological examination, HPV/TCT sampling, vaginal ultrasound, and urine routine. The rest of the blood draw, chest X-ray, electrocardiogram, abdominal color ultrasound, and breast color ultrasound were all done normally. In the final report, except that she was a little hypoglycemic, all other indicators were within the normal range and were not affected at all.

In fact, items that should be avoided during menstruation are basically related to sampling of the reproductive tract and urethra. During menstruation, the cervix is ​​slightly open, and invasive procedures such as internal gynecological examination and vaginal ultrasound can easily bring in bacteria from the outside and cause infection.； Secondly, it is easy to mix menstrual blood during sampling. If TCT sampling is contaminated with menstrual blood, the specimen will be full of red blood cells. It is impossible to see whether there are any abnormal cells, and the test will be in vain. I had a friend who didn't understand this. She did a routine urine test during her menstruation period, but the result was 3+ occult blood in her urine. She thought she had nephritis, so she went to the nephrology department to register in tears. When the doctor asked her if she was on her menstrual period, he asked her to come clean and come back for a follow-up check. It turned out that nothing was wrong. I was scared for several days.

As for the blood drawing items that everyone is worried about, I specifically asked Fa Xiao who works in the laboratory department. Routine blood routine, liver and kidney function, blood sugar and lipids, and thyroid function are not affected by menstrual hormone fluctuations at all. Moreover, the 3-5 tubes of blood drawn for physical examination only add up to about 20ml, which is not as much as the amount of bleeding you have during one menstrual period. It will not cause anemia or other problems at all, and it can be done with confidence. There are also chest X-rays, CT, electrocardiograms, upper abdominal color ultrasound, etc., which have nothing to do with the reproductive system and have no impact at all.

Of course, there are also controversial requirements for some items, such as coagulation function tests. Some institutions will recommend avoiding menstruation, saying that the coagulation function will decrease slightly during menstruation, which may affect the results. However, in fact, this fluctuation in healthy women is completely within the normal reference value range. There is no problem at all in routine physical examinations. Only those who have coagulation abnormalities or need pre-operative examinations will be specifically asked by doctors to avoid menstruation. There is also breast color ultrasound. Many people say that it is not accurate during menstruation. In fact, it is not true. If it is just a routine screening for nodules and lumps, it can be done during menstruation. If you have breast hyperplasia or nodules and want to judge the nature more accurately, you can wait 7-10 days after the end of menstruation, when hormone levels are at their most stable, and do it. The results will be more informative.

If you happen to have your menstrual period on the day of physical examination, don’t panic. When you arrive, explain your situation clearly to the clinician. Postponement of items that should be postponed, and do what you can do first, so as not to have to go through the whole process again. If you have already done a urine test or gynecological related items during menstruation, and the results are abnormal, don’t scare yourself first. Explain the situation of menstruation to the doctor first, and then decide whether to review it again.