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Tests
Your doctor may ask you about your medical history. Be prepared to explain the following:
- Timing of contractions in relation to the start of your period
- Type of pain
- Any recent changes in pain
- Irregular periods
- Vaginal discharge
- Pain during sex
- Infertility
- History of pelvic infections
- Age at first period
- Recent treatments you’ve had
- Things that make your pain worse
The doctor may do a pelvic exam to see if there is a problem. If there is concern about infection, a blood test may be recommended. Other tests may also be ordered:
- The doctor may order a pregnancy test if menstruation is irregular or if a woman is not using birth control regularly.
- An ultrasound may be needed if the doctor finds an abnormal object during the pelvic exam or if you have new menstrual pain.
- Your doctor may order a laparoscopy. This is a minor surgical procedure that allows your doctor to look directly into your pelvic cavity with a fiber optic scope. This procedure is done through a small incision.
- Hysteroscopy: Another procedure involves inserting a hysteroscope (a thin tube) into your vagina so your doctor can see the cervix and inside your uterus. This procedure does not require an incision and can be done in your doctor’s office.