10 gynecological health education contents

1. Do not use private parts care solution unless you feel uncomfortable.； 2. Regular cervical cancer screening after having sex at the age of 21 ； 3. It is normal for menstruation to be early or delayed within 7 days. ； 4. Most uterine fibroids do not need to be removed ； 5. HPV infection does not mean cervical cancer ； 6. If you have itching in your private parts, don’t buy random plugs. ； 7. My aunt feels that taking ibuprofen is more effective than drinking hot water. ； 8. Short-acting contraceptive pills are not a scourge, and their benefits far outweigh their disadvantages. ； 9. Underwear should be changed every day. Don’t save it and throw it into the washing machine. ； 10. Have a routine gynecological examination at least once a year.

I just treated a 22-year-old girl last week. She was dressed very exquisitely. She said that her private parts had been itchy for almost half a month. She had used seven or eight types of private part shower gels and weak acidic care solutions from Internet celebrities, but the more she washed her, the more uncomfortable she became. A leucorrhea test showed that the bacterial flora was dysbiosis. Here we must also talk about the current controversy: many care solution brands are "compatible with the weak acid environment of the private parts", and some popular science believes that mild care solutions can be used daily. However, our clinical consensus is that the vagina itself has a self-purification function. Washing the vulva with warm water is enough in a healthy state. Using additional cleaning products will destroy the microecological balance. When there is real inflammation, a doctor should prescribe a medical care solution. Don't blindly buy Internet celebrity products.

When it comes to cervical cancer, HPV cannot be avoided. Last month, a 30-year-old girl squatted at the door of the clinic crying with an HPV-positive report sheet, saying that she was definitely going to get cancer. It was really unnecessary. 80% of HPV infections are transient and will be cleared by the autoimmune system in 1-2 years. Only high-risk HPV infections that persist for more than 2 years are at risk of progressing to cervical cancer. Nowadays, many people are rushing to grab the nine-price vaccine. After the age of 26, they feel that vaccination is useless. Here are different opinions objectively: Some people think that the nine-price vaccine covers many subtypes and it is worth waiting a few more years. However, according to clinical guidelines, the second-price and fourth-price vaccine can already cover more than 80% of high-risk carcinogenic subtypes. If you are over 26 years old, the second-price or fourth-price vaccine is more cost-effective. There is really no need to wait for the nine-price vaccine and delay the golden period of vaccination.

I really see too many girls who are anxious about menstruation. One college student had her period five days late. She took 8 pregnancy test sticks at home and bought a bunch of Chinese patent medicines to regulate menstruation. She came to check if there were any problems. She just stayed up all night preparing for the exam recently. Clinically, it is a normal fluctuation for menstruation to be advanced or delayed by 7 days. It may be related to your recent stress, change of environment, or even eating too much ice. You don’t need to feel that you have endocrine imbalance as soon as it is delayed. When it comes to menstruation, we can’t avoid aunt’s pain. Too many girls bear the pain until their faces turn pale. They are worried that they will become dependent on ibuprofen and that it will affect future pregnancies. This is a complete misunderstanding. Ibuprofen is a non-opioid analgesic and has no addictive properties. There are no side effects at all if you take it 2 or 3 days a month. It is much more effective than drinking 10 cups of brown sugar water. Of course, if you didn't have dysmenorrhea before, but suddenly the pain starts to get worse and worse, don't just take medicine, you have to check whether it is endometriosis.

Previously, a 48-year-old eldest sister came over with a physical examination report and said that a private hospital asked her to spend 30,000 yuan for uterine fibroid ablation surgery, otherwise it would become cancerous. I looked at her fibroids, which were only 3 centimeters long. They did not affect menstrual flow or cause symptoms of oppression. She was almost menopausal and did not need to be treated at all. The fibroids would most likely shrink on their own after menopause. The malignant transformation rate of uterine fibroids is only a few thousandths. It is really not that scary. Unless the fibroids are too large to cause anemia, affect pregnancy preparation, or grow rapidly in a short period of time, surgery is needed. Don’t be fooled into over-treatment.

There is another common pitfall: many people go to the drugstore to buy suppositories when their private parts are itchy or have excessive leucorrhea. Last time, a patient treated her fungal vaginitis as a bacterial treatment. After using the medicine for half a month, it became more itchy and caused a secondary infection. Symptoms such as abnormal leucorrhea and itching correspond to too many types of inflammation. The medications for mold, bacteria, and trichomonas are completely different. It only costs a dozen yuan to go to the hospital to check the routine of leucorrhea. Symptoms can be cured with symptomatic medication in 3 days. Don’t waste time by trying blindly.

Many people wave their hands when they hear the word "hormone" in short-acting contraceptive pills. They are afraid of gaining weight, getting spots, and affecting fertility. Many people online also say that short-acting contraceptive pills have serious side effects. In fact, this is also a misunderstanding. The estrogen content of the commonly used third-generation short-acting contraceptive pills is only 20-30 micrograms, which is far lower than the estrogen level secreted by your body. Not only will it not affect fertility, you can prepare for pregnancy normally in the second month after stopping the pill. It can also regulate menstruation, treat acne, and reduce the risk of ovarian cancer and endometrial cancer. The benefits far outweigh the disadvantages. Of course, if you have a history of blood clots, or if you are over 35 years old and have been smoking for a long time, it is really not recommended. You can ask a doctor to evaluate whether you should use it. Don't beat someone to death with a stick, and don't blindly follow the trend.

Finally, let me talk about two little habits that should not be taken seriously: I have met several patients who have suffered from recurrent fungal vaginitis. They always save three or four pairs of underwear in winter and throw them into the washing machine to wash them together with socks and coats. Later, they were asked to change their underwear every day, wash it by hand alone, and expose it to a ventilated and sunny place. Basically, there was no recurrence. Also, regardless of whether you are sexually active or not, you should have a gynecological examination at least once a year. If you are not sexually active, you can do an abdominal B-ultrasound. If you are sexually active, you should do cervical screening and leucorrhea routine. Many problems are not a problem if they are discovered and dealt with early. Don’t skip the check-up if you don’t feel uncomfortable.

In fact, after so many years of attending clinics, my biggest feeling is that many gynecological problems are not big problems in the first place. They are either frightened to themselves or caused by hearing rumors. Remember these few points. If you really have a problem, don’t search randomly. Go directly to a doctor from a regular hospital. It is more reliable than anything else.