Which items must be checked in women’s health examination?

In fact, there is no "one-size-fits-all must-check list" that is suitable for all women. Currently, the clinically recognized must-check items are formulated based on age, marriage and childbearing history, family history, and living habits. Blindly following the unified online list can easily miss checks or waste money.

Last week, I accompanied my 26-year-old unmarried cousin who had no history of sexual intercourse for a physical examination. She searched the list in advance and made a bunch of gynecological items. As a result, the outpatient doctor only prescribed basic blood routine, liver and kidney function, thyroid function, abdominal color ultrasound, and breast ultrasound. He also crossed out the HPV screening that she specially added, saying that it was completely unnecessary for her current situation and was a waste of money.

Many people always think that gynecological programs are only done by those who are married or have sexual intercourse. In fact, this is not the case. It’s just that the screening methods are different in different situations. Just like whether you wear sneakers or high heels, it depends on which way you walk today, right?

Take the cervical cancer screening that everyone is most familiar with. There are actually different views in the academic community: one is that if the HPV and TCT joint screening is completely negative for two consecutive years, and the usual sexual partners are regular and there is no irregular bleeding, the test can be done again in 3-5 years without having to bother with taking samples every year.； However, some clinicians believe that young people now have more open sexual concepts. If they have too many sexual partners or have a history of cervical inflammation or lesions before, it is more prudent to check once a year to avoid missed diagnosis.

When I was helping at the physical examination center last month, I met a 31-year-old girl. For three consecutive years, she only had breast palpation during physical examination. She always felt that she would not have any problems because she was young. However, when the doctor touched her this year, she found a small moving hard lump in her left breast. After additional ultrasound, it was found that it was a grade 3 nodule, almost 1 centimeter in size. Fortunately, it is benign and regular review is enough. Generally speaking, women under 35 years old have dense breast glands, so they should give priority to breast ultrasound. If they are over 35 years old, they should consider mammography. Young girls should be prescribed mammography without having to undergo surgery. Although the radiation dose is low, it is better not to touch unnecessary radiation.

Many women who are over 45 years old and entering perimenopause will ignore bone density screening. There was a 52-year-old aunt who stepped on a small stool at home and fell off, and directly fractured her femoral neck. When she was sent to the hospital for a bone density check, she found that she had severe osteoporosis. If she had been screened two or three years earlier, she would have taken more calcium and vitamin D, and spent more time in the sun, and she would not have fractured after a fall. Also, if you still have menstrual disorders, hot flashes and night sweats at this age, it is also necessary to take six hormone tests, which can help you determine whether menopause is coming and whether adjustments are needed.

If you have a family history, such as if your mother, grandmother or biological sister has suffered from breast cancer, ovarian cancer, or cervical cancer, it is best to have the corresponding screening time 5-10 years in advance. Don’t get stuck on the public age line, etc. Early detection and early peace of mind.

You really don’t need to worry about whether the online must-check list is suitable. Before going for a physical examination, spend 5 minutes to find a general practitioner or gynecologist to talk about your situation. The items prescribed are the most suitable "must-check items" for you. The money you spend is also used wisely. How good.