Reproductive health maintenance

The core of reproductive health maintenance is never the passive waiting of "if you are not sick, don't worry about it", nor the ineffective anxiety of following the trend of buying Internet celebrity health products, but long-term individualized management that takes into account your own age, living habits, and physiological status, taking into account both physical health and psychological comfort.

Last week, I met a 28-year-old Internet operator girl at the clinic. She took out half a bag of private part care solution, antibacterial gel, and the "firming essence" snatched from an internet celebrity's live broadcast room from her canvas bag. She said that she uses it every day, but recently her vulva has been itching and her vaginal discharge has a fishy smell. It was found that the vaginal flora is imbalanced, and the pH value has soared to 6. In a healthy state, this value is only 3.8 to 4.4. In the past, traditional obstetrics and gynecology said that "healthy people should not use anything, just wash the vulva with water." But now there are also evidence-based nursing teams saying that if you have just finished your menstrual period, soaked in a hot spring, or had sex, and you have a lot of secretions and are afraid of residues, use a It's okay to wash down the vulva with a mild acidic and mild care solution with a matching pH value. Just don't put it in to rinse the vagina if you get hot-the flora there is more delicate than the ecosystem of your living room. Flushing it carelessly will only wash away the good bacteria and make room for harmful bacteria.

Don’t think that reproductive health is a woman’s business. The young man who came for a pre-pregnancy checkup last month was even more unjust. He was a 32-year-old fitness fanatic. He wore tight compression pants and rode a spinning bike for 40 minutes every day to go to the gym. His sperm motility was nearly 30% lower than the normal value. He was still confused and said, "I usually rarely catch colds, so how can there be a problem?" ”Traditional urologists will definitely recommend not to be exposed to high temperatures, not to sit for long periods of time, and not to wear tight pants in the three months before pregnancy. However, recent sports medicine research has shown that as long as you do not ride a spinning or bicycle for more than one hour a day, ordinary exercise will not affect sperm quality at all. On the contrary, staying up late for a long time, eating and drinking, smoking and drinking will have a much greater impact.

To be honest, after so many years of outpatient service, I find that what is more troublesome than physical problems is the shame everyone feels about reproductive health. Last year, there was a 25-year-old girl who had bleeding during intercourse for 3 months before she dared to come. She was afraid that her parents would know, the doctor would look down on her, and an acquaintance would see her during the registration. It turned out to be a cervical polyp as big as a fingernail, and it could be removed in 10 minutes at the outpatient clinic. She was so frightened for half a year that she couldn't even sleep well. Nowadays, scholars in the field of public health have been calling for reproductive health examinations to be included in routine physical examinations, and not to attach any moral judgment to such examinations. However, some scholars who do ethics research have mentioned that cultural acceptance in different regions is different, and promotion cannot be one-size-fits-all. For example, in remote areas, we can start with the popularization of maternal and child health care to slowly eliminate everyone's prejudices.

By the way, don’t believe in the IQ tax of “ovarian maintenance” and “testicle massage”. The ovaries are deep in your pelvic cavity, separated by several layers of belly, fat, and muscles. They can’t be touched by external massage for a long time. Last time, I treated a 30-year-old woman for ovarian maintenance. She was massaged so hard that the corpus luteum ruptured. She spent more than 8,000 yuan in the hospital. She cried in pain. It’s true that she paid for the pain. There are also oral "Yangchao Pills" and "Kidney-protecting Pills". Most of them are ordinary health care products, which are useless. Some even add hormones in violation of regulations. There is no place to cry when menstruation is disrupted.

In fact, to put it bluntly, reproductive health is no different from brushing your teeth every day or doing eye exercises. They are all daily maintenance of your body. There is no need to treat it as something shameful, and there is no need to worry too much about it. When you are not feeling uncomfortable, you should have a regular schedule, wear less tight pants, and take safety measures when having sex. If you feel uncomfortable, go directly to a regular hospital to register. Don't blindly search Baidu to diagnose yourself. It is better than anything else.