How to do pelvic CT

In fact, many people nowadays do not pay much attention to their physical condition, which can easily cause some difficult-to-cure diseases in their bodies. Therefore, it is still necessary to do regular gynecological examinations, such as pelvic CT. This type of examination can very intuitively know whether there is a possibility of lesions in your pelvis, and you must relax when doing this examination.

Basic requirements for pelvic examination: ① Be gentle; ② Ask the patient to empty the bladder before examination, and those with full stools should be examined after defecation; ③ Generally, pelvic examination should be avoided during menstruation, except for those with abnormal bleeding. Disinfect the vulva and use sterile gloves and instruments before examination to prevent infection; ④ The hip pad should be replaced for each person examined to prevent cross infection; ⑤ In the lithotomy position, the examiner faces the patient and stands between the patient's legs. Critically ill patients should not be moved and can be examined in bed; ⑥ Bimanual examination and vaginal speculum examination are prohibited for unmarried patients who deny sexual life, and anal and abdominal examination should be performed.

If it is really necessary, after obtaining the consent of the patient and his family, you can try to enter slowly with the index finger or conduct the examination under anesthesia. ⑦ The temperature in the gynecological examination room should be moderate, and patients should keep warm when it is cold; the environment should be as quiet as possible to make patients feel comfortable and at ease. ⑧Avoid pelvic examination during menstruation. If abnormal vaginal bleeding requires a gynecological examination, the vulva should be disinfected first, and sterile instruments and gloves should be used for the examination.

⑨ When a male doctor examines an unmarried patient, there must be other women present to reduce the patient's nervousness and avoid unnecessary misunderstandings. ⑩ For patients with suspected uterine or adnexal lesions and abdominal wall hypertrophy or high tension, if the pelvic examination cannot clearly understand the condition of the uterus and adnexa, a B-type ultrasound examination should be performed, and a gynecological examination can be performed under anesthesia if necessary.

4. Other examinations

(1) Pelvic and vaginal B-ultrasound can detect uterine fibroids, ovarian cysts and other lesions at an early stage.

(2) Colposcopy Colposcopy cannot directly confirm whether a person has cancer, but it can assist in biopsy for cervical cancer examination. According to statistics, the diagnosis rate of early cervical cancer is as high as about 98% when biopsy is taken with the assistance of a colposcope.

(3) Hysteroscopy can simultaneously understand the condition of the endometrium and the patency of the fallopian tubes.

(4) Laparoscopic examination: This examination is very expensive, but has a higher accuracy. It is not suitable for the first visit, but when the cause cannot be found after repeated examinations, laparoscopy can understand the pelvic adhesion situation and perform a fallopian tube patency test at the same time, but it requires anesthesia and hospitalization.

(5) Check the fallopian tubes. If the previous gynecological examinations are normal, you need to do a fallopian tube permeability test 3 to 5 days after the menstruation ends. This is the simplest method. If the fallopian tubes are blocked, treatment is required to clear them.

(6) Check the reproductive hormone levels including estrogen, progesterone, androgen, follicle-stimulating hormone, luteinizing hormone, prolactin, testosterone, human chorionic gonadotropin, etc. A blood test is required between the 2nd and 5th day of menstruation.