The embodiment of gynecological health

The core manifestation of gynecological health is never that all the indicators on the physical examination report are perfectly stuck within the reference range, but that you have no persistent abnormal discomfort, your physiological state is within its own stable regular range, and you have the right to choose and know about your reproductive health.

I just met a 22-year-old girl in the clinic last week. She stood outside the clinic and shed tears while clutching her leucorrhea routine report. She asked if her cleanliness level 3 was severe inflammation. When asked, she had no itching, odor, or burning sensation. She just stayed up late the day before to catch up on a project and drank three cups of iced milk tea. The secretion just happened to be excessive during ovulation. Nowadays, the consensus of Western medicine in obstetrics and gynecology no longer regards simple abnormality of cleanliness as a criterion for judging inflammation. The vagina itself has a self-purifying function. Indiscriminate use of medication to wash it will destroy the balance of the flora. If you go home and rest regularly and avoid exposure to cold things, most of the time it will recover on its own. From the perspective of traditional Chinese medicine, it is generally judged that the condition is due to cold and dampness, and a prescription for foot soaking with ginger and mugwort leaves or a warm tea substitute is given. Both approaches are fine, but the key point is not to over-treat.

In addition to the issue of discharge, the most frequently asked question is whether menstruation is regular. To be honest, too many people have a deep misunderstanding of the "regularity", and they have to take it every 28 days, and it takes exactly 7 days to call it normal. I have seen too many girls blindly take Internet celebrity menstruation supplements just to miss two or three days, a little more or a little less, and end up with endocrine disorders. The normal range now recognized by academic circles is actually very wide: as long as your cycle does not fluctuate by more than 7 days, each bleeding lasts for 3 to 8 days, and the menstrual volume can reach 20ml (about the amount of a mineral water bottle cap) and no more than 80ml (the amount of half a can of Coke), then there is no problem at all. There is a 30-year-old patient who has been menstruating every 35 days since he was a child. In order to adjust to a "standard 28-day cycle", he took a certain Internet celebrity menstruation pill for half a year. The final physical examination revealed endometrial hyperplasia, which was not worth the gain.

Oh, by the way, there is also dysmenorrhea. Don’t always believe what the older generation says, “Just get married and have children.” This statement is actually quite controversial. The experience of the older generation is aimed at primary dysmenorrhea without organic disease. After giving birth, the cervical opening relaxes and prostaglandin secretion changes, and it is indeed possible to alleviate it. ； But if it is secondary dysmenorrhea caused by endometriosis, adenomyosis, or chocolate cyst, waiting for the baby to be born may actually make the disease bigger and bigger. Last month I saw a 28-year-old girl who had had dysmenorrhea for 5 years and had never been checked. She took ibuprofen every time it hurt. Her family said it was normal and she didn’t need to worry about it. Finally, a physical examination before pregnancy preparation revealed that the vaginal cyst had grown to 6cm, which had affected ovulation. She had to undergo surgery before she could prepare for pregnancy. As for the treatment plan for dysmenorrhea, there is no standard answer. If you want to take ibuprofen to relieve the pain, it is absolutely fine. If you are afraid of side effects, it is also feasible to find a regular Chinese medicine practitioner to do moxibustion or drink traditional Chinese medicine for treatment. Just don't believe in any IQ tax products that "detoxify" and "warm the palace."

In fact, many people have overlooked one point. Gynecological health also includes your sense of control over your own body: you know how to prevent pregnancy correctly, and you will not skip short-acting contraceptive pills or wear condoms just to accommodate your partner.； I won’t be tricked by unscrupulous beauty salons into doing things like private parts pinking, ovary care, and uterine detoxification. ； After having sex, remember to do TCT and HPV screening every year. If you feel uncomfortable, dare to go to the gynecology department of a regular hospital to register. You will not delay treatment because of embarrassment. There was a patient who was deceived by a beauty salon into doing a private parts whitening program, which resulted in burns to the vulva mucosa and secondary infection. It took him half a year to recover. If he had known more common sense, he would not have suffered this problem at all.

To be honest, there is really no unified standard answer to gynecological health. After all, everyone's physique and living habits are very different. Don't compare blindly with the standards on the Internet, and don't take the vague discomfort seriously. Being able to live a comfortable life and knowing the state of your body is much more important than all the normal conclusions on the physical examination report.