Gynecological Health News

90% of the "gynecological abnormality warnings" you see on social platforms are anxiety-mongering. There are only three types of signals that really require medical treatment. Most minor discomforts in the private parts do not require random purchases of antibiotics and private parts lotions.

Last Wednesday, we picked up a 22-year-old girl at the outpatient clinic. When she came in, she couldn't sit still. She said she had been itching for almost two weeks. She took out a bunch of Chinese herbal lotions and private parts gels that she bought online. She said that a blogger said, "Yellowing leucorrhea is bacterial vaginosis. If not treated early, it will rot the cervix." I washed it for half a month, but the more I washed it, the more itchy she became. A routine check of the leucorrhea showed that there were no pathogenic bacteria, but the vaginal pH value soared from the normal 3.8-4.5 to 6.2, and the bacterial flora was completely disordered. I prescribed some lactic acid bacteria suppositories for her and asked her to just wash it with water and not stay up late or eat butter hotpot every day. She would be almost fine within a week.

When it comes to abnormal leucorrhea, in fact, the industry has always had different judgment standards: traditional clinical experience will use the color, character, and amount of leucorrhea as one of the references for judging inflammation. However, in recent years, more and more evidence-based medical opinions believe that as long as there is no itching, burning pain, or fishy odor, simple yellowish leucorrhea and occasional increase in leucorrhea are probably just because you have stayed up late, eaten spicy food, and the ovulation period has arrived. There is no need for intervention at all. Indiscriminate use of drugs will destroy the self-cleaning function of the vagina.

Oh, by the way, a lot of people come to me recently to ask about HPV positivity. Many girls come in with the positive report form and cry, saying that they are going to get cervical cancer. Regarding whether HPV should be intervened with drugs, two schools of thought are now very clear: one school believes that interferon and biological protein dressings can be used to assist in regulating local immunity and speeding up the rate of negative conversion. ； The other school is the clear guideline given by the American College of Obstetricians and Gynecologists (ACOG): Transient HPV infections under the age of 30 do not require medication at all, as long as the TCT results are normal, they have a regular schedule and moderate exercise, and 90% of people can be cleared by their own immunity within 1-2 years. My own clinical observation shows that as long as a 20- to 25-year-old girl doesn't stay up until two or three o'clock every day, the probability of turning negative within half a year can reach more than 80%. There is really no need to spend tens of thousands of dollars to buy some "HPV negative-converting medicine", which is all IQ tax.

A few days ago, there was a quarrel in the best friend group, asking whether my aunt can wash her hair? The older generation always said that exposure to cold water during menstruation would cause colds in the palace and headaches. My mother still tells me not to wash my hair during menstruation. But in fact, there is no clinical saying that "you cannot wash your hair during menstruation". As long as you use hot water and blow dry with hot air immediately after washing, and do not blow cold air or sleep with your hair wet, there will be no problem at all. On the contrary, I produce a lot of oil and sweat a lot during menstruation. If I go a week without washing my hair, the bacteria that breed may cause scalp folliculitis. I wash my hair on the first day every time I come to visit my aunt, and I have never seen my dysmenorrhea get worse in so many years.

Oh, by the way, there is no need to memorize the three types of signals that need to be alerted to at the beginning. You can just pay more attention to your physical feelings: The first is unexplained non-menstrual bleeding, especially bleeding after intercourse and postmenopausal bleeding. Don’t delay. Come to the hospital for a checkup immediately. Last month, there was a 48-year-old aunt who had postmenopausal bleeding for half a year. It was found to be a precancerous lesion on the cervix. Fortunately, it was discovered early and she was fine after a conization. The consequences would be disastrous if it were delayed for half a year.； The second is that the pain is so painful that it affects your normal life. Whether it is painful menstruation that makes you unable to get out of bed even after taking ibuprofen, or it is usual sexual intercourse pain or unexplained lower abdominal pain that lasts for several days. Don’t bear it. It may be endometriosis or chronic pelvic inflammatory disease. ； The third is abnormal growths on the private parts, or itching or odor that lasts for more than a week, and there is no improvement at all after washing with clean water for three or four days. Don't blindly search Baidu on your own. Come to the hospital and do a few dozen leucorrhea routine.

To be honest, I have been working as a clinician for almost 10 years, and the most common gynecological diseases I have seen are not serious gynecological diseases, but problems caused by frightening myself. The vagina is a small environment with its own ecology, and beneficial bacteria are the security guards guarding this environment. If you flush lotions and gels into it every day, you are driving away the security guards, and pathogenic bacteria can easily get in. One final word, don’t save on annual gynecological examinations. TCT+HPV only costs a few hundred yuan in total, which is 10,000 times more cost-effective than buying a bunch of useless private parts care essential oils and firming gels.