Gynecological health science

Don't wash your private parts indiscriminately, do regular screenings, don't try medicine blindly if you feel uncomfortable, and don't be overly anxious about the rest.

I just met a 22-year-old girl in the clinic last week. She has only been working for half a year. She buys scented private parts lotion from a blogger every day. She even irrigates her vagina when taking a shower. After half a year of washing, she was so itchy that she couldn’t sit still in meetings. She also searched for a guide and stuffed it with metronidazole for three days. When she came to check, the flora was in a mess, and even the normal lactobacilli were almost gone. There are currently two voices regarding the care of private parts. One thinks that you can only use warm running water to rinse the vulva on a daily basis, and the other thinks that you can occasionally use a weak acidic care solution. In fact, there is no conflict between the two: clean water is enough for daily cleaning. If the vulva becomes stuffy and uncomfortable after exercise, or the doctor prescribes medical care during the recovery period from inflammation. After cleaning the vagina, just use regular products to cleanse the vulva. Don’t touch any Internet celebrity lotions that claim to be able to remove odors, tighten the vagina, and kill HPV, let alone blindly irrigate the inside of the vagina—the vagina’s own microecological balance is much smarter than the lotion you bought for hundreds of dollars. Just like a good stomach, you have to fill it with disinfectant every day. It’s not weird if it doesn’t go bad. Oh, by the way, don’t wear tight-fitting shark pants or lace underwear every day in the summer. The temperature and humidity in a stuffy day are enough for bacteria to breed for eight hundred generations. Pure cotton and breathable ones are a bit ugly, but they can really save a lot of trouble.

Speaking of messing around, another pitfall that everyone easily falls into is being too lazy to do the screening. Yesterday, there was a 45-year-old eldest sister. The work unit does routine physical examinations every year, and HPV and TCT are never included. This time I came to check for bleeding in the same room, and it was already CIN level 2. Fortunately, I found it not too late, and it can be solved by a conization. Different guidelines do have differences in the starting time of screening. The American guideline recommends that screening be started after the age of 21. In China, it is recommended that the screening be started after 3 years of sexual intercourse or after the age of 25. TCT every 3 years is enough before the age of 30. After the age of 30, it is recommended to do TCT+HPV combined screening every 5 years. It can be stopped when there are no abnormalities at the age of 65. It must be mentioned here that the HPV vaccine does not eliminate the need for screening. The vaccine can only cover the highest risk subtypes and cannot prevent all risks. There is really no need to do the necessary examinations.

Oh, by the way, there is another controversial question that has been widely asked: Is cervical erosion a disease? Last month, I met a girl who said she had been diagnosed with "severe cervical erosion" at a private hospital and was tricked into having a liposuction surgery. Fortunately, she went to a public hospital to ask first. This word has actually been deleted from obstetrics and gynecology textbooks a long time ago. It is essentially cervical columnar epithelial ectopia, which is a normal physiological phenomenon. As long as your TCT and HPV results are normal, you don’t need to treat it no matter how many degrees of erosion you have. If you encounter someone who says you need surgery or medication for cervical erosion, just turn around and walk away.

There are also many people who find it troublesome to go to the hospital. If they feel itchy or have abnormal leucorrhea, they search for symptoms and buy medicine. A while ago, a mother suffered from itching for a week. I read on the Internet that clotrimazole was used for fungal vaginitis. The more I used it for two weeks, the more itchy I came to check for trichomonas vaginitis. I prescribed metronidazole for a week and it was cured. It doesn’t mean that you have to go to the hospital for a minor problem. If it is just a slight itching, there is no odor, and the leucorrhea has not turned into tofu/yellow-green, you can first change to pure cotton underwear, stop wearing tights, and wash it with clean water for two days and observe it. If it does not relieve after more than three days, you must first check the routine of leucorrhea before using it. Medicines - There are too many types of vaginitis, including mold, bacteria, trichomonas, mixed infections, and senile vaginitis. The accuracy of your own guess at the symptoms is really not as high as the probability of winning "one more cup" when you buy milk tea. Using the wrong medicines and causing chronic inflammation over and over again is really troublesome.

I have been in the gynecology department for almost 8 years, and I have seen too many things that scare me. I think I have cervical cancer when I have some blood during ovulation. In fact, it is hormone fluctuations. I don’t need to worry about it once in a while. If it is abnormal for more than three months in a row, I will check again.； Some people cry out for surgery when a 1cm ovarian cyst is found. In fact, it is most likely physiological. It may disappear on its own after the next menstrual period is over. In fact, to put it bluntly, gynecological organs are just an ordinary part of your body. There is no need to treat them like a scourge and avoid medical treatment, nor do you need to bother with "special exquisite care". Just treat them with a normal attitude. If you really have problems, go to a doctor in a regular hospital, which is more reliable than any personal care products or folk remedies.