What are the routine gynecological examinations?

Routine gynecological examinations, routine leucorrhea testing, cervical cancer screening, and pelvic ultrasound. These annual physical examinations for ordinary people can basically cover the screening of most common gynecological diseases. There is no need to add unnecessary expensive items.

Last week, I accompanied a 26-year-old girl from the department to go for a physical examination. She had always heard people around her say that gynecological examinations were embarrassing and painful. When she arrived at the door of the clinic, she was still wondering whether to give up. Finally, she followed me through the process and said, "So that's what happened. She had been so scared for half a year."

That routine physical examination sounds scary, but it actually means that the doctor first visually checks the condition of the vulva, vagina, and cervix to see if there are any redness, swelling, growths, etc., and then feels the position and size of the uterus and appendages with his hands to see if there are any tenderness or abnormal masses. The whole process only takes a minute or two, and there is almost no pain. Many people here also ask "Can I do this if I don't have sex?" There are currently two different clinical treatment ideas. One is that if there is no abdominal pain, abnormal bleeding, or abnormal leucorrhea, and there is no family history of gynecology, it is not necessary to undergo vaginal internal examination. Switching to anal examination can also achieve the purpose of basic screening and avoid damage to the hymen. ； But another point of view also reminds that if you have unexplained lower abdominal pain or non-menstrual bleeding, you should tell your doctor in time even if you have no sexual intercourse. You still need to do an evaluation when necessary. Don't ignore the problem just because you are embarrassed.

Routine leucorrhea treatment is the most cost-effective item. When doctors take some vaginal secretions for examination during a physical examination, they can check whether there are mold, bacteria, trichomonas infections, and the balance of vaginal flora. Many people always feel that their private parts are itchy and their leucorrhea turns yellow and green. I always thought it was "suffering from internal heat", but in fact, a check-up worth more than ten yuan can clarify the problem, and prescribe the right medicine and it will be cured quickly. My best friend endured it for three weeks last month, and finally she was so itchy that she couldn't sleep before going for a check-up. It was just a common fungal vaginitis. If she had checked it out early, she would have avoided many sins.

Nowadays, everyone is paying great attention to cervical cancer screening. Many people go to the clinic and directly call for it. This screening includes two items: TCT and HPV. There is also a lot of controversy in this part. Some people say that both must be done together to be accurate. Some say that one alone is enough. In fact, the current clinical consensus is that women under 25 years old have relatively strong immunity. Even if they are infected with HPV, most of them can turn negative on their own. TCT alone is enough every year.； Two combined screenings are recommended for those over 25 years old, with an accuracy of over 90%. Even if you take the nine-valent or quadrivalent HPV vaccine, you cannot skip this step. There used to be a 34-year-old sister in the community. After taking the nine-valent HPV vaccine, she felt that everything was fine.

As for the pelvic ultrasound that everyone often does, it is the familiar B-ultrasound. It is used to check whether there are fibroids, cysts, polyps in the uterus and ovaries, and whether the thickness of the endometrium is normal. It is divided into transabdominal and transvaginal. If you have sex, you can choose transvaginal. You don’t have to hold in your urine, and you can see more clearly. If you don’t have sex, you can do transabdominal, just hold your urine in advance. Many small fibroids and ovarian cysts without any symptoms are detected by this method.

Oh, by the way, it is best to go for a gynecological examination 3-7 days after the menstruation is clear. Do not have sex, do not put vaginal medicine in the first two or three days, and do not do vaginal douching, otherwise it will easily affect the accuracy of the results.