Diagnosis begins with a gynecologist evaluating a patient’s medical history and a complete physical examination including a pelvic examination. A diagnosis of menorrhagia can only be certain when the physician rules out other menstrual disorders, medical conditions, or medications that may be causing or aggravating the condition. Other diagnostic procedures for menorrhagia may include the following:
* blood tests
* Pap test - test that involves microscopic examination of cells collected from the cervix; used to detect changes that may be cancerous or may lead to cancer, and to show non-cancerous conditions, such as an infection or inflammation.
* ultrasound (Also called sonography.) - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.
* biopsy (endometrial) - a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present.
* hysteroscopy - a visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.
* dilation and curettage (D & C) - a common gynecological surgery which consists of widening the cervical canal with a dilator and scraping the uterine cavity with a curette.
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