A collection of gynecological health education topics

The core version of the "Complete of Gynecological Health Education Questions" covers 5 major categories of applicable scenarios and 126 high-frequency questions that have been verified by clinical education. It takes into account accuracy, universality and inclusiveness of controversial points. It can be directly used in various scenarios such as popular science lectures, patient education assessments, public welfare publicity, etc. All questions have been adjusted by the medical staff at the gynecology clinics of 3 top-level hospitals and 2 community health service centers, and there is no outdated information or wrong guidance.

To be honest, I first went through a question booklet that classified diseases such as vaginitis, cervical cancer, and menstrual diseases. Later, I found that it was not easy to use at all. If you tell the aunt who has just been diagnosed with fungal vaginitis a question about HPV classification, her mind will be filled with "Did I get the disease because of my lack of hygiene?" and she won't listen at all. Later, I followed the outpatient teacher to run free clinics for more than half a year, and went to middle schools and companies for more than a dozen times to give education, and then I slowly refined the questions into the current version according to the usage scenarios.

For example, most of the questions commonly used in outpatient waiting areas and community free clinics are aimed at the rumor pits that people are most likely to step into, and they will not use too professional terminology to embarrass people. Like "Is it true that there is a saying on the Internet that you cannot wash your hair/drink cold drinks during menstruation?" What are the adjustment methods for people with different physiques? ”We must ask this question every time, and deliberately leave space for different opinions to be expressed: Western medicine believes that there is no clear evidence that cold exposure during menstruation will directly cause gynecological diseases, while traditional Chinese medicine recommends that people with yang deficiency and severe dysmenorrhea should avoid it as much as possible. When answering the question, as long as the applicable boundaries of the two statements are clearly stated, even if the answer is correct, it will not be said across the board which one is right and which one is wrong. And “Is cervical erosion a disease? Is treatment needed? ”“Will taking short-acting contraceptive pills cause obesity/infertility? ”The accuracy rate of these questions is less than 30% all year round. Every time we finish speaking, many people pull us and say, "It's a good thing we came to ask. I almost got tricked into having surgery by a private hospital before."

Oh, by the way, there is also a question about puberty education for middle schools. We specially changed the wording to be particularly euphemistic, just because we are afraid that the little girls will be shy and dare not answer the question. For example, change "What is abnormal uterine bleeding" to "What menstrual symptoms should girls aged 13-18 experience need to promptly inform their parents or seek medical treatment? ”, also added “Will wearing tight jeans affect the health of private parts? ”“Is it normal for breasts to grow differently? ”These are questions that they are usually embarrassed to ask their parents. Last year, I went to a suburban middle school to do missionary work. After the show, a girl pulled me and secretly told me that she had been amenorrhea for half a year. She thought it was because she was under too much study pressure and didn’t dare to tell her. Only after reading the question did she know she needed a check-up. She was finally diagnosed with polycystic ovary syndrome, and she recovered after three months of adjustment. Since then, we have put this question in the top three every time we do puberty missionary work.

If you give missionary questions to women in the workplace, they will be more biased towards their common life scenarios. For example, “What gynecological problems are more likely to occur in women who sit for more than 10 hours? ”“Does being HPV positive mean you will definitely get cervical cancer? What are the differences in follow-up plans for different age groups? ”, here also deliberately avoids two extreme views: it will neither exaggerate HPV positivity as "you will get cancer soon" to sell high-priced health products like some unscrupulous organizations, nor will it downplay and say "don't worry about it at all", but will require the respondents to clearly write down the follow-up requirements for different ages and different types. And “What are the possible causes of bleeding after intercourse? What tests should be done? ”Regarding this question, we have encountered several girls in their 20s who thought they were "exerting too much force" when they developed symptoms. It took half a year to find out that they were high-grade cervical lesions. If they had been discovered early, there would be no need for surgery.

Most of the questions for postmenopausal women are aimed at signals that they tend to ignore, such as "Is bleeding again after menopause a 'rejuvenation'?" Do you need immediate medical attention? ”“Should elderly women treat urinary leakage? What are some ways to improve? ”, many aunts think that "urinary leakage is normal when you are old" and "you don't need to have a gynecological examination after menopause." These questions are specifically designed to correct deviations. Oh, by the way, we have also added a few questions for men. Many people think that gynecology is a woman’s business, but in fact it is not at all. “When a partner has fungal vaginitis, do men need simultaneous examination and treatment? ”“What reproductive-related examinations do men need to do when preparing for pregnancy? ”Every time these two questions are given, at least 60% of the men answer incorrectly. After finishing these questions, many men will take the initiative to remind their partners to have a physical examination when they go back, which is more effective than us telling them ten times.

There is no absolute "standard answer" to these questions. After all, everyone's physique and living habits are different. The purpose of setting these questions is not to test anyone. We just want everyone to stop scaring themselves by searching for "cervical cancer precursors" and "signs of infertility" on the Internet first, and don't believe in "ancestral folk remedies to treat gynecological diseases."