What are the general checks required for women’s health check-ups?

Ordinary healthy women without special medical history or special needs can just pay attention to the core items through regular physical examinations every year. There is no need to blindly follow the trend and buy "exclusive goddess packages" that often cost thousands. Many premium items are actually marketing IQ taxes.

Last week, I accompanied my niece, who had just worked for two years, to choose a physical examination package. As soon as the sales came up, she was recommended a 3999 package that included "ovarian anti-failure assessment" and "gynecological toxin screening". Optical genetic testing accounted for 1,800. In fact, she is 22 years old and has no sex life and has no discomfort. These items are not necessary for even half a dime.

Let’s talk about the general basic items first. Don’t think that these have nothing to do with women’s health. Height, weight, blood pressure, hematuria, liver and kidney function, blood lipids, blood sugar, and thyroid ultrasound are all basic items. I met a 27-year-old girl with polycystic syndrome a while ago. She skipped blood sugar and blood lipid checks for three consecutive years. This year, it was found that her fasting blood sugar has reached the pre-diabetes stage. It is very troublesome to treat it together with polycystic.

After the general examination, among the gynecological-specific items, the last thing you don’t have to worry about is whether to do it or not. The first is the routine gynecological examination plus leucorrhea routine. Many people think that there is no need to do it if you don’t have sex. In fact, if you have recurrent vulvar itching and abnormal leucorrhea, you can do an anal examination and take vulvar secretions for testing even if you don’t have sex. The hymen will not be damaged and there is no psychological burden. Then there is the gynecological ultrasound. Those who have had sexual intercourse can choose transvaginal ones. They can see clearly without having to hold in their urine. Many people are afraid of embarrassment and pain. In fact, if you relax, the whole process only takes one minute. They use disposable condoms and there is no problem of infection. If you are really resisting, you can also do abdominal surgery, but you have to hold your urine in advance.

There are two types of early cancer screening that everyone is most concerned about. In fact, there are only two types of cancer screening that need to be done routinely. One is cervical cancer screening. Those over 25 years old who are sexually active can do TCT plus HPV combined screening. If the results are normal twice in a row, they can be screened once every 3-5 years. There is no need to do it every year. One more thing to say here, there is a lot of controversy now. Many people say that if you take the HPV vaccine, you don’t need to be screened. In fact, this is not true. The vaccine can only cover up to 9 high-risk subtypes and cannot prevent all cervical cancer risks. You still need to be screened. The other is breast cancer screening. A breast ultrasound every year is enough for those under 40 years old. Mammography can be added for those over 40 years old. If there is a family history of breast cancer, you can start combined screening as early as 30 years old. My cousin’s mother got breast cancer at the age of 38. She has been doing ultrasound plus mammography every year since she was 32 years old. So far, there has been no problem. This is the significance of early screening.

If you have special needs, you can add more items. For example, if you are preparing for pregnancy, you can add thyroid function and TORCH screening. If your menstruation is often delayed, you can add six sex hormones and AMH to evaluate ovarian function. There is really no need to add items indiscriminately unless there are special circumstances. You will spend a lot of money and be scared to death by abnormal results that have no clinical significance.