Gynecological health education and promotion content

90% of gynecological problems do not require excessive anxiety. The three things of daily cleaning, regular screening, and timely medical treatment are far better than the private health products and Internet celebrity lotions you spend thousands of dollars to buy. It is also 100 times more reliable than the "cancer scare" you searched on Baidu in the middle of the night.

Speaking of this, I have to mention the pitfalls of private parts care that many people have stepped on. I just saw a 22-year-old girl last week. I saved half a month's salary to buy a complete set of private parts whitening and antibacterial care products. After taking a bath every day, I have to rinse the vagina with lotion. It was just a slight vulvar itching. When I came here for a check-up, it was already a serious vaginal flora imbalance, and the lactobacilli were almost completely gone. Regarding the care of private parts, different schools of medicine actually have different views: traditional concepts always say that "cleaning thoroughly" is required, and many elderly people also recommend washing private parts with salt water and soapy water. ； However, the latest gynecological guidelines of Western medicine clearly state that the vagina itself has a self-purification function. The internal weakly acidic environment and resident flora are natural protective layers. Any form of vaginal lavage is excessive intervention. You only need to rinse the vulva with warm water every day. ； The view of traditional Chinese medicine is relatively flexible. If there is indeed vulvar itching and abnormal leucorrhea caused by damp and hot injection, you can use mild traditional Chinese medicine lotion to relieve it, but it is also forbidden to flush it into the vagina. When I was in the clinic, I met the most exaggerated girl. She carried 3 bottles of different private parts sprays with her. She sprayed them after sitting for a long time and after going to the toilet. It turned out that she had vulvar contact dermatitis, which was caused by those messy fragrances and preservatives.

What delays things more than messy cleaning is the indifference of many people to gynecological screening. Sister Zhang, who was transferred from two cancer screenings in the community last month, is 45 years old and has been menopausal for 3 years. She feels that she has stopped having sex a long time ago and does not need a gynecological examination at all. If it were not for the free community examination, she would not go there at all. The result was found to be HPV16 positive. Fortunately, it was an early stage of precancerous lesions, which could be solved with a small conization. If it takes another six months, she may have to have a uterine removal. There are also different opinions about the frequency of screening: one school of thought believes that women under 25 years old have strong immunity and can turn negative on their own even if they are infected with HPV. They only need to do TCT screening, and there is no need for joint HPV testing. ； There is also a view that as long as you have had sexual intercourse, it is recommended to do TCT every 3 years starting from the age of 21, and TCT+HPV combined screening every 3-5 years after the age of 25, until you are 65 years old and you can stop if there are no abnormalities. Oh, by the way, some people asked if getting the HPV vaccine eliminates the need for screening? There are indeed studies that believe that the screening interval can be appropriately extended after vaccination with the nine-valent vaccine, but mainstream guidelines still recommend regular check-ups even if you are vaccinated. After all, the vaccine cannot cover all high-risk subtypes, so don’t use the vaccine as a gold medal to avoid death.

Another question that people ask the most is whether uterine fibroids, breast hyperplasia, and ovarian cysts detected in physical examinations are okay. Will they become cancerous? I have seen too many girls sitting in the clinic crying with their physical examination reports, feeling that they are about to have cancer. The current clinical views on this issue are not completely unified: some conservative doctors will recommend that as long as the nodules do not become rapidly enlarged or cause discomfort, follow-up visits can be performed once every six months without intervention. ； Some doctors will also suggest that if the patient is very anxious, even if the nodule is small, minimally invasive resection can be considered to avoid long-term emotional stress that may cause other problems. The current general consensus is that uterine fibroids less than 5cm in diameter and without symptoms of menstrual cramps or pressure on the bladder and rectum do not require medication or surgery at all. ； 90% of breast hyperplasia is physiological, and is related to the menstrual cycle, emotional stress, and staying up late. If the pain is severe, adjust your work and rest and take some medicine to soothe the liver and regulate qi to relieve the pain. There is no need to buy so-called knot-removing health products. Last time I met a girl who took Internet celebrity loose knot tea for three months. The hyperplasia did not go away, and her liver function first went wrong.

As for the menstrual taboos that are causing so much controversy on the Internet, I don’t think it’s necessary to be too dogmatic. Some people say that you should never wash your hair and eat ice during menstruation, otherwise you will suffer from uterine cold and infertility. ； Some people also say that Western medicine has no explanation for palace cold, and you can treat it as you like. In fact, it all depends on your personal constitution: if you have dysmenorrhea or diarrhea during menstruation, you should avoid exposure to ice. After washing your hair, blow dry it with hot air in time. Do not blow cold air on wet hair. ； As long as you are in good health at ordinary times, you will not feel uncomfortable eating ice cream or washing your hair during menstruation. There is no need to hold it in, and there is no need to be PUAed by the so-called "menstrual taboos". Oh, by the way, some people asked if they can have sex during menstruation? This also depends on the situation. If both parties are well cleaned and you are not feeling uncomfortable, it is not completely impossible. However, if you have gynecological inflammation or severe menstrual cramps, it is definitely not recommended. There is no need to suffer for this.

To put it bluntly, gynecological health is really not that mysterious. Don’t scare yourself, and don’t mess around. If you really feel uncomfortable, don’t go to Baidu to get a seat. Go directly to a regular hospital to get a gynecological number. For more than ten yuan, it’s more reliable than anything else~