Gynecological health science knowledge

More than 80% of common clinical gynecological problems (vulvar itching, abnormal leucorrhea, non-menstrual bleeding, dysmenorrhea, etc.) are either caused by bad daily habits or normal physiological fluctuations. There is no need to be shy about buying personal care products and tossing around, and there is no need to hide the disease and avoid medical treatment. Go to a regular hospital for examination early. Most of them are small problems that can be solved at a low cost.

Last week, I received a 22-year-old girl who had just started working in the clinic. She had been wearing tight jeans and high-waisted underwear for half a month. Her vulva was so itchy that she couldn’t sit still. She didn’t dare to go to the hospital. So I searched online and bought a private parts lotion that is said to be “antibacterial and anti-itching”. I rinsed it into the vagina every day, and the result became more and more irritated. The itching became more and more severe, and even the leucorrhea turned into tofu-like dregs. I checked to find out that it was common vulvovaginal candidiasis, which is commonly known as fungal vaginitis. I was prescribed dozens of tamponade and external medicinal lotion. I followed the doctor's instructions and it was all cured within a week. The money spent before and after was not as expensive as the bottle of lotion she bought.

When it comes to lotions, there are actually different opinions in the industry. In the early years, there was indeed a saying that daily use of lotions was more hygienic. Many brands also marketed it under the banner of "washing is healthier", but now evidence-based medicine has made it clear that the vagina itself It has a self-purifying function. Lactobacillus maintains a weakly acidic environment and can block the invasion of most pathogenic bacteria. Daily washing of the vulva with water is enough. If you use ordinary washing liquid to wash the vagina, it will wash away the beneficial bacteria together, destroy the balance of the flora, and flush out the disease even if it is not there. Oh, by the way, here’s an important point: if it’s a medicinal lotion prescribed by a doctor for a disease, it’s fine to use it according to the course of treatment. Don’t just buy health care lotions for daily use.

Let’s talk about dysmenorrhea, which is troubled by many people. The older generation always says, “There is no need to treat dysmenorrhea, just have a baby.” This statement is actually half right and half wrong. If you have primary dysmenorrhea, that is, pain that starts right after menstruation and no organic disease is detected, it is true that many people have loose cervix after giving birth, menstrual blood can be discharged smoothly, and the painful symptoms will be relieved. But if it didn’t hurt before, but then it slowly started to hurt, and it got worse every time, then don’t wait for childbirth to “treat” the disease. It is most likely secondary dysmenorrhea caused by problems such as endometriosis and adenomyosis. Check it early to avoid causing problems. In the past two months, there was a 30-year-old patient who had suffered from dysmenorrhea for five years and had been listening to her mother's advice, thinking that it would be fine after giving birth. However, during a pre-pregnancy check-up, it was found that the chocolate cyst had grown to 4 centimeters. Fortunately, she underwent minimally invasive surgery in time, and her pregnancy preparations are progressing smoothly.

There is also the HPV infection that everyone is very nervous about recently. Many people cry as soon as they get the positive report. They either feel that they are about to get cervical cancer, or they suspect that their partner is unfaithful. In fact, there is really no need to be so anxious. Data shows that 80% of sexually active women have been infected with HPV in their lifetime, and most of them are transient. Their own immunity can clear the virus within 1-2 years. Currently, there is no specific medicine that can guarantee "HPV negative conversion". Those "negative conversion therapies" that sell tens of thousands of yuan for a course of treatment are all IQ taxes. As long as TCT+HPV joint screening is done regularly, there is no need to mess around if there are no abnormalities. Of course, if you are found to have been infected with high-risk HPV for more than one year, you should not be careless. Just follow the doctor's instructions and do a colposcopy to check for lesions and nip the risk in the bud.

Oh, by the way, there is also the "ovary maintenance" that many people ask about. It is a program in a beauty salon that can take care of the ovaries by just applying essential oil and pressing on the stomach. Don't really pay the IQ tax. The ovaries grow deep in the pelvic cavity. Normally, you can't touch them with your hands from the outside, and the essential oils cannot penetrate that deep. On the contrary, the best ovarian care now recognized in the industry is actually not staying up late, drinking less ice, eating a balanced diet, and taking some time to move every week. It is more effective than any sky-high price care program.

I have been practicing medicine for so many years, and I have seen too many girls who feel that gynecological problems are "embarrassing", so they either treat them blindly or carry them by themselves, turning small problems into big troubles. I really want to tell everyone that gynecological problems are just like colds and fevers. It means that a certain part of the body is uncomfortable, and it has nothing to do with whether the sex is clean or whether the private life is messy. Even a girl who has not had a sexual life may get gynecological inflammation when her immunity is low, she has been in a public swimming pool for a few days, or she has taken antibiotics for a period of time due to other diseases. There is absolutely no need to feel shame.

That’s all. If you really feel uncomfortable, don’t go online and frighten yourself with the symptoms. It’s better to go to a regular hospital and get a gynecology number.