According to the survey of women by the World Health Organization, about 41% of women of childbearing age have varying degrees of gynecological inflammation; The incidence rate of married women is as high as 70%. Such a high incidence rate is also related to the negligence of women themselves. Now many people have a physical examination once a year, but it is estimated that few people specialize in gynecological examination. Some people refuse because of fear, some people think they don’t need to do it when they are young, and some people don’t know what gynecological examinations to do
According to statistics, only about 49% of women do gynecological examination every year, and more than half of them do gynecological examination at an interval of more than one year, which largely leads to the increase of the incidence of various gynecological diseases year after year. Regular gynecological examination can not only grasp the health status in time, but also find gynecological diseases early and treat them in time, which has virtually become a “talisman” for women.
What should I check for gynecological physical examination? What are the precautions?
Precautions before physical examination
Even virgins should have regular physical examination; Women who have sex life should ensure that they have a women’s examination at least once a year; In addition, as long as there are discomfort symptoms, such as vulva pruritus, irregular menstruation, abnormal leucorrhea, etc., it is also recommended to see a doctor in time.
In order to improve the accuracy of physical examination results, pay attention to the following points before physical examination:
1. Selection of time
There are many vaginal bacteria in women during menstruation, and they will remain in the vagina during the process of endometrial abscission. At this time, some gynecological examinations may not only affect the results, but also cause bacterial infection and gynecological diseases. Avoid menstruation. The best time is 3 days after menstruation.
2. Avoid sex
Couples are forbidden to live within 3 days before physical examination to avoid interference factors such as vaginal wear and abnormal secretions, which will affect the test results.
3. Avoid over cleaning the vagina
Many women will carefully clean the vagina with toiletries before physical examination to reduce peculiar smell and avoid embarrassment, but this is equivalent to modifying the “result” to a certain extent. Doctors can’t accurately understand the situation in the vagina at ordinary times, which may delay the condition.
Don’t eat too greasy and indigestible food or drink three days before the physical examination. It’s best to fast in the morning of the physical examination. Finally, it should be noted that the clothes should be loose, and it is better to wear a skirt.
Tip: if you have had surgery or are taking some drugs, you should inform the doctor before physical examination.
These gynecological examinations must be done
1. Routine inspection
Gynecological routine examination is also called pelvic examination. Doctors visually observe whether there are abnormalities in vulva, vagina and cervix (with the help of vaginal speculum); Touch the belly to judge whether the size, shape and position of uterus and ovary are abnormal. This basic examination can help find common diseases such as vulva and vaginitis, cervicitis, hysteromyoma, ovarian cyst and uterine prolapse.
Tip: the examination of colposcopy into the vagina may cause damage to the hymen. Women living asexually do not need this examination.
Usually hold your feet before doing B-ultrasound, so as to see the condition of uterus, fallopian tube and ovary more clearly. This examination can help find endometrial diseases, hysteromyomas, cervical diseases, ovarian cysts, etc., and can see about 80% of gynecological diseases; It can also check the development of embryos in the first trimester of pregnancy.
Tip: gynecological B-ultrasound examination has three ways: abdomen, vagina and colorectal, which should be selected according to the situation.
3. Breast ultrasound
In addition to self-examination of the breast, breast ultrasound can more accurately reflect breast problems. Over the age of 20, breast ultrasound is performed once a year. Breast hyperplasia, breast fibroadenoma, breast nodule, breast cancer and other issues are clear at a glance. But for women over 40 years old, molybdenum target examination is more recommended. Breast pain and swelling may be breast hyperplasia; If you touch a mass with smooth surface, clear edge and movable, it may be breast fibroma (benign); On the contrary, if the mass is deep, the boundary is unclear and the texture is hard, it may be a breast malignant tumor. It is best to have a breast ultrasound as soon as possible.
4. Routine examination of leucorrhea
Leucorrhea routine examination is also a common gynecological examination. In fact, it is to observe vaginal secretions under a microscope to see whether there are problems such as vaginal cleanliness and inflammation. Can detect Trichomonas, mold and bacterial vaginal infection.
Abnormal condition of leucorrhea
* white or pale yellow foam like leucorrhea, characterized by Trichomonas vaginitis, accompanied by pruritus vulvae.
*Curd massive leucorrhea, characterized by Candida vaginitis, is often accompanied by severe vulvar pruritus or burning pain.
*Gray homogeneous fishy leucorrhea, common in bacterial vaginosis.
*Purulent leucorrhea with odor is often caused by acute vaginitis and cervicitis caused by Trichomonas or gonococcus.
In case of the above situation, we must go to the hospital for examination as soon as possible, further clarify the etiology and treat early.
5. Six gonads
This is mainly to check the hormone level, which is suitable for diseases caused by endocrine problems, such as irregular menstruation, vaginal bleeding, etc.
6. Both TCT and HPV tests are used to screen cervical cancer. The incidence rate of cervical cancer is the second among the common malignant tumors in women. The earlier the treatment is found, the better the treatment. Therefore, early screening is very important. TCT, also known as liquid-based thin-layer cytology screening, is an international cytological examination technology for cervical cancer. According to relevant data, the detection rate of cervical cancer cells by TCT is more than 95%; HPV test is a method to check for human papillomavirus (HPV).
In short, TCT is to see whether cervical lesions occur; HPV to see if there is a cause of cervical cancer (continued HPV infection can lead to cervical cancer)
Suggestion: women who have sex can be examined once a year. If the examination results are normal for three consecutive years, it can be postponed to once every two years.
The above six are the most basic gynecological examinations. If you have special conditions, you need further targeted examinations.
How to protect women’s health
In addition to the most basic gynecological examination, what else can we do to protect women’s health?
1. Develop hygiene habits
Do not use bathtubs, baths, bath towels and other sanitary ware in public places; Wash your lower body with clean water every day, change your underwear frequently and expose yourself to the sun (try to choose cotton, soft and loose underwear); Do not have sex during menstruation, and prohibit sex within 30 days after abortion.
2. Sit soon and keep exercising
Sitting for a long time, especially wearing tight pants, will increase the chance of damp and muggy pudenda, which is conducive to the reproduction of bacteria and fungi; In addition, not exercising will increase the probability of obesity, easily disrupt various hormone activities in the body, cause endocrine disorders, and also lead to various gynecological diseases. It is recommended to exercise at least 2-3 times a week for about 30 minutes each time.
3. Control blood sugar and eat reasonably
The increase of blood sugar content will lead to the rapid reproduction of harmful microorganisms such as bacteria and fungi in the vagina and induce vaginitis. Therefore, women should pay more attention to blood glucose indicators, eat less greasy and stimulating food and eat a balanced diet. In addition, women can properly eat soybeans and their products to balance the estrogen balance in the body.