Women's Health Handbook electronic version

This is a practical guide that combines the practical experience of 12 medical staff who have worked on the frontline of gynecology clinics for more than 3 years, takes into account the different diagnosis and treatment ideas of traditional Chinese and Western medicine, and avoids 90% of women's common health misunderstandings. There is no carrying goods or fear of disease. All the content is in line with the requirements of domestic clinical guidelines for obstetrics and gynecology, and is suitable for women of all ages from 16 to 60 years old.

The first pitfall for many girls is private parts care. I just met a 22-year-old girl last month who used internet-famous antibacterial lotion to flush her vagina every day. After half a month of flushing, she developed vulvovaginal candidiasis (also known as fungal vaginitis), and she had to go to the hospital three times to recover. The current mainstream clinical consensus is that washing the vulva with warm water is enough for daily care. The vagina itself has self-cleaning bacteria, and washing it randomly will destroy the balance. But not all lotions cannot be used. If inflammation has already occurred and the doctor has prescribed medicated lotion, it will be fine if you use it according to the doctor's instructions. Don't overdo it and feel that it is wrong to touch the lotion.

After talking about this, there is another issue that almost every girl has been anxious about: irregular menstruation. Last week, a little girl who was taking postgraduate entrance exams came to the clinic. She had only had two menstrual periods in three months. She had no sex life, but she was so scared that she thought she had a terminal illness. After a hormone check, she found out that it was an endocrine disorder caused by excessive stress and soaring cortisol. When encountering the problems of delayed menstruation and heavy and low menstrual flow, the treatment methods of different diagnosis and treatment methods are actually quite different: Western medicine generally recommends checking six hormones and abdominal B-ultrasound to check for organic problems such as polycystic ovary syndrome and abnormal ovarian function. ； Traditional Chinese medicine usually first looks at whether it is a disorder caused by liver stagnation or insufficient qi and blood. There is no absolute right or wrong between the two. If you find it troublesome to drink traditional Chinese medicine, check the Western medicine indicators first. If you want to slowly adjust the medicine, it is absolutely fine to find a doctor from a regular traditional Chinese medicine hospital. Just don’t blindly buy online. Red menstruation pills and menstruation-regulating candies were eaten. A patient had irregular bleeding after taking a certain Japanese internet celebrity menstruation-regulating product. Later, when he sent it for a test, he found out that it contained unlabeled estrogen analogues. He ate it without finding out the cause and harmed himself.

When it comes to hormones, many people shake their heads when they hear short-acting contraceptive pills, thinking that taking them will make you gain weight, cause spots, and affect fertility. In fact, the progesterone component of the new generation of short-acting contraceptive pills has been greatly improved, and there will be no water and sodium retention problems of old-fashioned contraceptive pills. Two friends around me took them for two years to treat dysmenorrhea without any weight gain. They successfully conceived their babies in the third month after stopping the pills. Of course, it is not suitable for everyone. It is not recommended for people with a family history of blood clots and abnormal liver and kidney function. In this case, condoms are a more widely applicable choice and can also prevent sexually transmitted diseases. Don’t believe in nonsense about safe periods and in vitro ejaculation. Last month, a 19-year-old girl who received an unexpected pregnancy in the outpatient clinic believed her boyfriend’s lie that “she won’t get pregnant during the safe period.” She cried and shook all over during the abortion. I felt sorry for her at the time.

I also cried when breast nodules were discovered during a physical examination. My best friend was diagnosed with type 3 breast nodules during a physical examination last year. She cried all afternoon at home, thinking she might have breast cancer. Later, when she called a specialist, she learned that 90% of type 3 nodules are benign. She only needs to be reexamined once every six months, and there is no need to cut them off every now and then. There are also different clinical recommendations here: if the nodule exceeds 1cm and there are plans to prepare for pregnancy in the near future, some surgeons will recommend cutting it off in advance to avoid hormonal stimulation during pregnancy to increase the size. ； If the nodules are small and painless, some endocrinologists will suggest that you first adjust your work and rest and drink less high-sugar milk tea and coffee for observation. Both options are reasonable. Just choose according to your actual needs. Don't worry about who to listen to.

Many girls have a fear of gynecological examinations, just like when they were in school, they were afraid of being asked to answer questions on the blackboard, and felt embarrassed and embarrassed. In fact, it is really not that exaggerated. Doctors see dozens of patients a day, and they don’t have any extra thoughts at all. It is no different from going to see you for a cold or fever. After you have sex at the age of 21, you can have regular TCT+HPV screening. You can get tested every 3 years before the age of 30. After the age of 30, you can get tested once a year. My cousin was screened for HPV high-risk subtype infection last year when she was 32 years old. Early detection and early intervention have now turned negative. If she delays it until she has symptoms, it may delay the best time for intervention.

This manual has temporarily compiled some of the most frequently asked questions, and will be slowly added and updated in the future. One last word: Don’t put your health in the copywriting of Internet celebrity bloggers, and don’t scare yourself with Baidu whenever you feel uncomfortable. Doctors from regular hospitals are always the most reliable. Your body is stronger than you think, and it needs your care more than you think.