Is a gynecological examination “awkward” and uncomfortable? But the doctor advises you to do it regularly!

Recently, 63-year-old Aunt Li, accompanied by her daughter, came for a physical examination at the Health Service Center . When it was her turn for a gynecological examination, Aunt Li was reluctant at first, saying that she had been menopausal for many years and had no gynecological discomfort at this age. A gynecological examination is required.

After careful questioning by Deputy Chief Physician Wen Wen of the gynecology clinic and her daughter’s patient persuasion, she discovered that Aunt Li had experienced vaginal bleeding after menopause, so she was advised to undergo a check-up. With her consent, the doctor gave her a gynecological TCT and HPV test. When the examination results came out, TCT showed: high-grade lesions within the squamous epithelium, and HPV showed: high-risk type 58 infection.

After getting the results, Aunt Li immediately went to the gynecology clinic for further examination. The colposcopy showed that the cervical epithelium showed CIN-II grade changes, which are precancerous lesions of the cervix. After reasonable advice from the gynecology clinic doctor, Aunt Li was immediately hospitalized for cervical conization and recovered well after the operation. Aunt Li and her daughter sighed: Thanks to this physical examination, the problem was discovered early!

When it comes to gynecological physical examination, many women will think of the word “embarrassing”, and mothers with children often say, “My gynecological examination is very good, and I have been menopausal for many years, so there is no need to do it!” “Delete the gynecological examination” Drop it, spend less money!” Abandon the project for various reasons.

So, is the gynecological examination really not important? of course not! Deputy Chief Physician Wen Wen of the Health Service Center  said: Gynecological examinations are very important. Regular annual physical examinations can help early detection and early intervention of minor problems, eliminate major problems in time, and make female friends healthier!

Scientific knowledge:

1. What can be checked in a gynecological examination?1. Gynecological examination, including vulvar examination, vaginal speculum examination, bimanual examination or trimanual examination. Understand whether there are any abnormalities in the vulva, vagina, cervix, uterus, fallopian tubes, ovaries, and pelvic cavity.

2. Vaginal discharge examination, usually refers to the routine examination of leucorrhea, which can check whether there are bacteria, mold, trichomonas and other vaginal inflammations.

3. Liquid-based thin-layer cell testing (TCT): It is a reproductive tract cytological examination. A special small brush is used to brush out cervical cells, and the impurities in the specimen are separated and observed under a microscope. It is mainly used for cervical precancerous lesions and Initial screening for cervical cancer.

4. Human papillomavirus, that is, HPV. Use a special HPV specimen to brush the cells in the cervical canal for testing to screen for human papillomavirus infection. Those with negative results can be reexamined every 2-3 years.

5. Gynecological B-ultrasound mainly checks the uterus, bilateral ovaries and pelvic cavity for the presence of organic diseases, such as endometrial lesions, uterine fibroids, ovarian tumors, etc. It can be divided into abdominal B-ultrasound and vaginal B-ultrasound.

2. Precautions for gynecological examination:

1. Women who are married or have a history of sexual life can undergo a gynecological examination. Women without a history of sexual intercourse are not required to undergo a gynecological examination. If necessary, a rectal-abdominal examination can be used.

2. Vaginal examination is generally not done during menstrual period, so it is easy to bring bacteria into the vagina and cause infection. Therefore, it is recommended to do gynecological physical examination 3-7 days after menstruation is clean.

3. No vaginal medication or sexual intercourse 48 hours before the physical examination.

4. It is not recommended to use lotion to clean the vagina the night before the physical examination. If there is a lot of secretion, rinse the vulva with clean water.

5. Empty your urine before the examination. Those with constipation should also clear their stool to avoid misdiagnosis due to confusion between fecal mass and pelvic mass.

6. Pay attention to your diet. Before women have a gynecological examination, they should mainly eat light foods and avoid spicy foods.

3. How to cooperate with gynecological examination?

1. During the physical examination, inform the doctor in detail about your past gynecological history, previous pregnancies, time of the last menstrual period, etc., and communicate with the doctor candidly.

2. Wear loose pants to facilitate the examination. During the examination, you should try your best to cooperate with the doctor, relax your body and mind, and keep your abdominal muscles relaxed to obtain the most satisfactory examination results.