Gynecological health knowledge

90% of common gynecological discomforts have nothing to do with chaos in private life. There is no need to be ashamed of it. Regular work and rest + regular screening are 100 times more effective than stocking a cabinet of Internet celebrity care products and self-examination on Baidu.

When it comes to private parts care, the first thing many people think of is to wash them clean. Last week I met a 22-year-old girl who just graduated and rented a house. She felt that the shower in the rental house was not clean enough. She specially stocked up three bottles of private part washes with different fragrances from Internet celebrities, and washed them morning and night. Sometimes she would use the provided irrigator to wash them. As a result, she was itching to the point of being unable to sit still after only half a month. When I checked, she found that the vaginal flora was severely imbalanced, and the lactobacilli were almost gone. In the past, our elders always said that the private parts should be washed frequently to be hygienic. Now the mainstream obstetrics and gynecology guidelines actually recommend that rinsing the vulva with warm water is enough for daily care, and try not to rub shower gel there. Some people also asked whether weak acidic care solution can be used? It’s not totally impossible. Once you’ve had your checkup, the doctor says you can use it only when you need it. If you use it for routine cleaning, it will damage your own protective barrier. Especially those douching products that are advertised as "draining dirt" and "firming", take my advice and throw them away once every time, there is no benefit.

There are also many people who stare at their leucorrhea every day, looking at the online comparison chart one by one, and are scared to death if there is even the slightest change. In fact, you really don’t need to be so sensitive. During ovulation, it becomes like egg white, becomes a little thicker before coming to the aunt, or even turns a little yellow just after the aunt leaves. As long as there is no itching, peculiar smell, tofu dregs or yellow-green abnormality, it is considered normal. I have seen too many girls think that excessive leucorrhea is "dirty" and they wear panty liners every day. As a result, the pads are not breathable and the vulva becomes red and itchy due to stuffiness, which makes them sick even if they are not sick. In this case, I usually don't prescribe medicine, so I just ask her to go back and stop the pads and wear pure cotton loose underwear. After a week of check-up, she is basically better.

Speaking of the point where everyone is most likely to be fooled, "cervical erosion" is definitely unavoidable. In the past few years, private hospitals liked to use this to deceive people, saying that if they did not perform surgery, they would become cancerous. They deceived countless people. Now everyone knows that this is not a disease, but a normal columnar epithelial ectopia that does not require treatment, but don’t overdo it and think that as long as you use these four words, you don’t need to worry about it at all. If you usually have intercourse bleeding or leucorrhea with blood streaks all year round, you still need to do TCT and HPV screening to rule out the possibility of disease. Neither extreme is advisable.

Speaking of HPV, it is also the hardest hit area. Many people are devastated as soon as they find out they are positive. They either feel that they are definitely going to get cervical cancer, or they suspect that their partner is cheating. It’s really not necessary. 80% of people will be infected with HPV once in their lifetime. Most of them are transient. If your immunity is normal, you will become negative within two years. You may be infected in public swimming pools, hotel bath towels, and even shared toilets. This is not evidence of "indiscretion" at all. Last time, there was a 30-year-old mother who was found to be HPV16 positive. She cried at home all afternoon. Her husband also had a conflict with her. I didn’t prescribe any medicine, so I asked her to run for 30 minutes every day and go to bed before 10 o’clock. Don’t just take the "yin-converting medicine" sold online. After a year, she came back for a review and she turned negative. Oh, by the way, no matter how many times you receive the HPV vaccine, you must undergo regular cervical cancer screening. The vaccine only reduces the risk, not a talisman. Don’t forget this.

Let’s talk about the issue of dysmenorrhea that everyone is concerned about. Many girls are so painful that they break into cold sweats and still carry it. They feel that taking painkillers has side effects and they become dependent on them. It’s really not the case. For primary dysmenorrhea (pain that starts from menarche, and no organic disease is detected), if you take one or two ibuprofen pills a month, there will be no problem at all, and it will be much more comfortable than having to endure it. You can also use it if it is useful for drinking brown sugar water or keeping your baby warm. Don’t listen to other people saying it is useless. Your own comfort is the most important thing. But if it has never hurt before, and suddenly it starts to hurt more and more in recent years, don’t bear it, be sure to get checked out to rule out the possibility of endometriosis. If the disease is delayed for a long time, it will indeed affect pregnancy. Early detection and early intervention are the best.

In fact, having said so much, gynecological health really does not have so many scary twists and turns. Many times, everyone's anxiety comes from shame. They feel that having gynecological problems is their own fault. They are embarrassed to go to the hospital and buy products blindly, which turns small problems into big ones. It's really not necessary. Our bodies are stronger and more delicate than you think. Do less and don't believe in the messy IQ tax. If you have any problems, go to a regular hospital to get a consultation. Ten thousand dollars is worth 10,000 times better than just guessing at home.