The evaluation of irregular menstrual periods begins with a history and physical exam, including a pelvic exam.

Physical findings in a woman with irregular menstrual periods include:

• Cervical inflammation
• Cervical polyp
• Tender ovaries:
• Ovarian cysts
• Tender uterus:
• Uterine fibroids

Testing is necessary to determine the cause of irregular menstrual bleeding.

Tests that may be used to evaluate irregular menstrual periods include:

• Blood hormone levels:
• Serum estrogen
• Serum FSH
• Serum LH
• Endometrial biopsy
• PAP smear
• Pregnancy test
• Tests for venereal disease:
• Gonorrhea testing
• Chlamydial testing
• VDRL
• CT scan of the pelvis
• Ultrasound of the pelvis

For more information:

• Dysfunctional uterine bleeding
• Amenorrhea