Aspirin should be avoided, if possible, because it may cause bleeding. Many cases cannot be prevented, but can be treated. A history and physical exam are done first. In some cases, this is all that is needed to determine the cause. Blood and urine tests are commonly done, including a pregnancy test and a complete blood count or CBC , to make sure the woman has not lost too much blood.
Further tests are often related to the suspected cause.
Other blood tests or special x-ray tests may be ordered. Occasionally, a laparoscopy to explore the woman's female organs may be done in some cases. Too much blood loss can result in anemia , or a low blood count. Other long-term effects are primarily related to the underlying cause. For instance, pelvic inflammatory disease may result in infertility , or the inability to have children.