Can a B-ultrasound detect menstrual irregularities?

Feb 08, 2023 Source: Cainiu Health
Disease description:

I've been married for a year. Before marriage, my menstrual cycle was completely normal without any abnormalities. However, after marriage, I noticed that my menstruation has become irregular. I want to go to the hospital for a B-ultrasound examination. Can a B-ultrasound detect menstrual disorders?

Doctor's answer (1)
Dr. Lv Aiming
For women with menstrual irregularities, a simple ultrasound may not be sufficient to diagnose the specific cause. For example, menstrual disorders caused by ovarian endocrine dysfunction may show no apparent pathological abnormalities on ultrasound examination. Before identifying the exact cause, it is necessary to test six key hormones. Some women may have menstrual irregularities due to polycystic ovary syndrome (PCOS) or hyperprolactinemia. Generally, after testing the six hormones, elevated levels of androgens or prolactin can be observed, while color Doppler ultrasound may show no specific changes.