When menstruation is early, what tests should be done at the hospital?

Patient's question:

18 days of menstruation, had sex with her husband on the 13th of this month, and there was a little blood. On the 14th of the morning, menstruation came, which is four days earlier than usual. The menstrual bleeding is abnormal, like dripping blood.
History of treatment and effectiveness: Before this, menstruation was normal.
What help do you want: Is it gynecological inflammation? What tests should be done at the hospital?

Doctor's answer:

Hello, the menstrual cycle of a woman is approximately 28 days. If the menstrual cycle always comes earlier by more than 7 days, or if there are two periods within one month, it is called "Menstruation Premature," also known as "Menstruation Coming Earlier" or "Early Menstruation." If it only advances by 3-5 days and there are no other obvious symptoms, it falls within the normal range. Occasional advancement by one cycle does not count as Menstruation Coming Earlier. The menstrual cycle always comes earlier by more than 7 days. It is recommended to promptly undergo abdominal ultrasound monitoring, cervical examination, and tests for six sexual hormones. It is advised to go to a professional and reputable hospital for examination and treatment. Eat more meat, eggs, and dairy products; as well as vegetables like rapeseed, small cabbage, cabbage, spinach, amaranth, celery, lotus root, mustard greens, green garlic, cauliflower, bell peppers, tomatoes, carrots, mushrooms, and fresh mushrooms.

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