The three morning principles for women’s health are

27-year-old Xiao Zhou always undergoes HPV+TCT joint screening every year. This time, low-grade squamous intraepithelial lesions were detected. Because he was discovered early, he didn’t even need surgery. After three months of topical use, the results turned negative after a follow-up test.； Another 34-year-old sister, Zhang, has never had a gynecological examination since she got married. This time she came to see a doctor because of intercourse bleeding. She found out that she had a CIN grade 3 lesion and had to undergo a cervical conization. She will need to be followed closely for several years.

Talking about early prevention, many people's understanding of this matter is either "I don't feel uncomfortable, so I don't need to take precautions", or they pay the IQ tax indiscriminately. They have applied for a lot of cards for ovarian care and breast massage in beauty salons, and gave up on the serious HPV vaccine after about half a year because it was too troublesome. There are actually different views in the industry regarding the pace of prevention: some guidelines recommend that women of childbearing age who are sexually active have a routine gynecological examination once a year, and HPV+TCT negative for 2 consecutive years can be extended to once every 3 years. ； There are also clinical schools that believe that if women do not have multiple sexual partners, no previous history of cervical lesions, and normal immunity, they can even undergo joint screening once every five years. Overly frequent examinations will cause unnecessary anxiety. My personal suggestion is not to stick to strict criteria. If you are sensitive or have a family history of gynecological diseases, it’s okay to get checked every year. It’s better than missing a diagnosis, right? Oh, by the way, there is another misunderstanding that must be mentioned: it does not mean that you do not need to undergo gynecological screening if you have no sexual life. I have seen girls who have just entered high school suffer from ovarian teratoma. If you have long-term irregular menstruation and inexplicable pain in the lower abdomen, don’t be embarrassed, you should get it checked.

No matter how good your prevention is, you can’t be careless. After all, many gynecological diseases really don’t give you any early signs. Let's talk about polycystic ovary syndrome. Many girls just think that it is normal for them to have gained a little weight recently and that their menstrual period is delayed for ten and a half months. They wait until they are trying to conceive and are unable to get pregnant before they check it out. By then, their hormones have been out of balance for several years, and it takes a lot of effort to regulate it. There are also breast nodules. Many people always think that "if it doesn't hurt, it's fine." They don't take it seriously if they feel a lump in the shower. They wait until it hurts before checking it out. Some people have already reached the point of requiring surgery. There is also a controversial point here: many health bloggers call on women to do breast self-examination every month, but our clinic actually recommends that everyone put breast ultrasound/mammography once a year (plus mammography for those over 40 years old). The missed diagnosis rate of self-examination is actually not low, and it is easy to scare yourself. It is normal breast hyperplasia, but it will cause you to lose sleep for several days after being frightened, which is not good for your health.

Finally, let’s talk about early intervention. This matter is most likely to go to two extremes: either you will be scared to death if you find out something is wrong, or you will over-treat.； Or you may feel that "you don't need to worry about it if you don't feel it anyway", which will lead to a serious illness. Take the most common type of HPV positivity as an example. There is now considerable disagreement in the academic community: One group believes that 80% of HPV infections are transient. As long as the immunity is normal, it will turn negative on its own in 1-2 years. There is no need for additional medication at all and regular review is enough. ； The other group believes that for people with low immunity, long-term irregular work and rest, or those infected with high-risk subtypes 16 and 18, immune modulators can be used appropriately to assist in intervention to reduce the risk of disease. I met a 29-year-old girl before who was found to be HPV16 positive. She was so frightened that she couldn't go to class. She spent tens of thousands of dollars looking for home remedies and buying various health care products that claimed to be able to "turn negative". Later, I asked her to stop all the messy medicines, run for half an hour every day, and go to bed before 11 o'clock. When I checked again half a year later, she had turned negative.

In fact, these three morning principles put it bluntly, that is, don’t treat your health as a trivial matter, and don’t be led by anxious marketing on the Internet. If you really have a problem, seek evaluation from a doctor in a regular hospital first, which is better than anything else. After all, our bodies are with us for a lifetime, so it never hurts to take a little extra care.