Gynecological health education and promotional materials

[Core tip] All women, regardless of age and whether they are sexually active, are recommended to undergo a special gynecological screening once a year.； For daily private parts care, just clean the vulva with warm water. Do not buy and use Internet celebrity products for private parts care, whitening, and tightening. ； When vulvar itching, abnormal bleeding, abdominal pain and other discomforts occur, go to the gynecology department of a regular hospital as soon as possible. Do not self-medicate or believe in non-professional popular science content.

Last week I met a 21-year-old girl in the clinic. When she walked into the clinic, she was so tired. She lifted her pants and saw that her vulva was swollen and shiny. After asking, I found out that she had followed the trend and bought a private parts whitening essence recommended by a certain Internet celebrity blogger. After using it for three days, she was so itchy that she couldn't sleep. She thought she was "detoxifying" and endured it for a week before coming. Originally it was just an imbalance of the bacterial flora, which could be cured by applying some ointment in two or three days. In the end, it turned into contact dermatitis, costing nearly a thousand yuan, and suffered a lot.

When it comes to private parts care, there are really too many misunderstandings. A few years ago, there was a popular saying that you need to use weak acidic lotion to clean your vagina. Many daily chemical brands have followed suit and released various private parts shower gels. To be honest, the vagina of a healthy woman has its own self-purification function. The resident lactobacilli will stably maintain a weak acid environment. If you use lotion every day, the beneficial bacteria will be washed away, and pathogenic bacteria will take the opportunity to multiply, which can easily induce vaginitis. Of course, this does not mean that all lotions cannot be used. If it is a medicinal lotion prescribed by a doctor for inflammation, just follow the doctor's instructions and use it according to the course of treatment. When you are not sick, don't just buy daily chemicals. Just wash the vulva with water. Remember to wash the vulva. Don't wash the inside of the vagina casually. That is not the place you should clean.

Oh, by the way, there are still many people who think, "I don't have a sex life, so there is no need for a gynecological examination." This is really harmful. Last year, I treated a 15-year-old girl who suffered from stomach pain on her right side for almost two weeks. Her parents always thought it was due to bad food or menstrual cramps. Finally, she fainted from the pain and sent her to her. It was found that the ovarian cyst was torsion. When she was sent to her, the tissue was already necrotic, so only one ovary could be removed. It was a pity. If I had done an abdominal B-ultrasound half a year earlier and had found the cyst and dealt with it promptly, I would never have reached this point. Girls who are not sexually active don’t have to be afraid. They don’t need vaginal ultrasound. Most of the problems can be diagnosed by abdominal B-ultrasound or anal diagnosis. Those who are sexually active should also undergo TCT and HPV screening every year to detect cervical pre-cancerous lesions. Don’t think that just because you are young, you will be fine. Now the age of onset of cervical pre-cancerous lesions has long been reduced to more than 20 years old.

Speaking of HPV, many people ask if having the HPV vaccine eliminates the need for screening? It should also be said here that the current HPV vaccine cannot cover all high-risk subtypes. Even if it is nine-priced, annual TCT and HPV screening are still required and cannot be lazy. As for the price, don’t be obsessed with the nine-price treatment, whichever one you can get an appointment with. The two-price and four-price treatments have the same protective effect on the core subtypes 16 and 18 of cervical cancer. Early treatment and early protection are much more cost-effective than waiting two or three years for the nine-price treatment. And menopausal aunts, don’t relax. The risk of endometrial cancer and ovarian cancer increases after menopause. You must also keep up with annual B-ultrasound and cervical cancer screening. Don’t think that you won’t have gynecological problems after menopause.

There is also a saying that has been circulating for decades, saying that "cervical erosion is a serious disease and will turn into cancer if not treated." This statement has long been deleted from medical textbooks. The so-called cervical erosion is actually cervical columnar epithelial ectopia, which is a normal physiological phenomenon and does not need to be treated at all. Of course, it should be mentioned here that some cervicitis and cervical precancerous lesions will also show a state similar to "erosion". Therefore, if a physical examination finds similar conditions, do TCT and HPV to check the lesions first. If there is no problem, don't worry about it. Don't be fooled by unscrupulous institutions into doing Lip knife or red light treatment. Not to mention the cost, it may also affect future fertility.

When it comes to dysmenorrhea, it is estimated that 90% of girls have heard that "it will be better after getting married and having children." This is half true and half wrong. If it is primary dysmenorrhea, which means it has been painful since the first menstruation, there is no organic disease, and the cervix has become loose after giving birth, and the menstrual blood can be discharged smoothly, it may indeed be relieved. But if the pain starts later and gets worse every time, then you should be alert to whether it is secondary dysmenorrhea caused by endometriosis or adenomyosis. Let alone giving birth, the longer you delay, the worse the pain will be, and it may also affect fertility. There are also many girls who are so painful that they dare not take ibuprofen because they are afraid of addiction or side effects. It is really unnecessary. Take one or two pills every month and it will be gone after metabolism. It is not addictive at all. It is much more useful than drinking ten cups of ginger tea and brown sugar water.

To be honest, there is really nothing to be ashamed of when it comes to gynecological problems. Our clinic receives dozens or hundreds of patients a day, and you will forget who you are when you turn around. There is no need to be embarrassed at all. Don’t search online when you feel a little uncomfortable. After searching, you will feel that you have a terminal illness. Don’t believe the “private detoxification” and “firming gel” in the circle of friends. Most of them are daily necessities with small brand names. They have no therapeutic effect at all. If you put them in, they may corrode the mucous membranes. It is better to take more care of your body, have regular physical examinations every year, and go to a regular hospital if you feel uncomfortable.