Infertility ovarian function you need to detect

Core Tip: after you wake up the morning basal body temperature measured with the mouth of the table body temperature, basal body temperature record and plotted curve to understand the ovarian function, with or without ovulation, ovulation and corpus luteum function date.

1. Basal body temperature

Wake up the morning after the body temperature measured by mouth form, record and basal body temperature graph plotted in order to understand ovarian function, with or without ovulation, ovulation and corpus luteum function date. General continuous measurement of more than three months. Under normal circumstances, the first half of the menstrual cycle (ie, follicular phase), basal body temperature lower, about 36.5 ℃, lower ovulation, progesterone after ovulation under the influence of body temperature to 36.5 ℃ ~ 37 ℃ or so, until the period cramps Shiyou down, this temperature curves called "bipolar temperature", indicated ovulation, normal luteal phase less than 12 days, the temperature rise of not less than 0.3 ~ 0.5 ℃. The latter half of the menstrual cycle, such as body temperature does not rise by the "single-phase type of temperature", means no ovulation. If the temperature rise is not more than 3 weeks after the fall and have amenorrhea, which may be pregnancy.

2. Cervical mucus examination

Cervical mucus is the secretory cells lining endocervical secretion by ovarian secretion of estrogen and progesterone, so the available amount of cervical mucus, transparency, viscosity, crystallization and changes in epithelial cells to determine ovarian function, cervical mucus crystallization commonly used in clinical morphology, the diagnosis of infertility, pregnancy, amenorrhea, and dysfunctional uterine bleeding, etc. have a certain value. Tweezers or forceps inserted into cervical mucus taken at 0.5cm tube, placed on glass slides, to be dried, examined under a microscope

(+++) Smear covered with typical crystalline ⑴ straight slender, leafy branches and more typical of fern crystals, indicating that estrogen levels peak, close to or is in the ovulation period.

⑵ more typical crystalline (+ +) wide and chunky crystal fern fronds, and a curved, indicating moderate effects of estrogen found in about 10 days menstrual cycle.

⑶ not typical crystalline (+) form more, or the like after the rain tree, branch short and sparse. Some slender and curved, like snapdragon-like, indicating that the slight effect of estrogen, more common in the period shortly after a clean.

⑷ amorphous (-) only epithelial cells and white blood cells, suggesting that low estrogen levels.

⑸ elliptical body length than the 2 to 3 times white, oval-shaped, showing the multi-line rows. After the pregnancy hormones that influence ovulation, about 22 days in the menstrual cycle, about the most typical. Ellipsoid appears, may be pregnant.

3. Endometrial Check

1 to 3 in the premenstrual days or via check within 12 hours of early endometrial, send pathological examination. Such as pathology results illustrate the secretory endometrium ovulation, no ovulation proliferative endometrium.

4. Vaginal cytology (vaginal smear)

Vaginal epithelium by direct effects of ovarian hormones, with estrogen and progesterone have different changes in the amount of the performance, which can be understood through the vaginal smears of ovarian function. The degree of vaginal epithelial cells keratosis is proportional to the level of estrogen in the estrogen under the influence of cells gradually reach full differentiation and maturation, a nuclear dense, narrow, eosinophilic cytoplasm stained red. Therefore, the keratinized cells from the index smear and nuclear density index, reflecting the level of estrogen.

Derived from the vaginal wall smear, fixed, Papanicolaou stain, microscopic examination keratinocytes <20% as "mild estrogen effect." Accounted for 20 to 60% of the "moderate impact";> 60% were for "high impact." Normal women vaginal keratinocytes cyclical changes, since the gradual development of follicles with menstruation, estrogen gradually increase, keratinocytes gradually increased, accounting for about 25 to 40%, 50% of ovulation, then smear the addicted dense cytoplasmic staining of nuclear acidic surface of red cells in the main cells were large, flat, decentralized, background clean. Progesterone after ovulation keratinocytes under reduced by about 10 fold to 20% of cell accumulation, background blurred. Middle cells increased, and the emergence of round cells showed that ovarian function down the bottom. Bottom cell <20%, as "mild estrogen low", accounting for 20 to 40 who is "moderate low"> 40% of "high low"> 40% as "high low" through vaginal exfoliated cells of the endocrine examination for dysfunctional uterine bleeding, amenorrhea, and threatened abortion in cases of diagnosis and treatment of reference.