According to the survey of the World Health Organization, one third of cancers can be prevented, one third can be cured if found early, and one third can relieve pain and prolong life. Cervical cancer, ovarian cancer, breast cancer, hysteromyoma and other common diseases can be found and treated early through physical examination. Because of this, gynecological examination is an indispensable "amulet" for women.
Regular content
Routine gynecological examination includes: routine gynecological examination: including the size, shape and position of vulva, vagina, cervix and uterus, as well as the examination of fallopian tubes and ovaries.
Routine examination of leucorrhea: including mould, trichomonas, vaginal cleanliness and bacterial vaginosis.
Vaginal B-ultrasound examination: a new gynecological examination technique, which is mainly used for the diagnosis of endometrial diseases, cervical diseases, uterine fibroids and ovarian tumors, as well as the examination of embryo development in early pregnancy.
Cervical curettage: Cervical curettage is the simplest and most effective diagnostic method for extensive screening of cervical cancer. TCT is a more accurate method than cervical curettage cancer screening.
Breast examination: Computer-based near-infrared scanning mammography is the latest instrument for breast examination. Using near-infrared camera can find many invisible lesions conveniently, efficiently and painlessly.
specific items
Including routine vaginal discharge, colposcopy, B-ultrasound, cervical cancer screening, breast examination, urine routine, avoiding sexual life the day before physical examination, and taking vaginal medicine or oral gynecological medicine once.
Six inspections
According to the survey data, almost all gynecological malignant tumors are found in routine physical examination. The survey also shows that about 8% of women give up gynecological examination provided by the company's physical examination every year.
Why did they give up? In addition to fear of pain, shyness and embarrassment, there may be some unpleasant experiences in the past. In fact, the purpose of the examination is to obtain physical information, take action in time when there are minor abnormalities, and exchange health with the least cost.
Only doctors can see its health truth by visual inspection. But many people are shy and refuse to check for fear that they are not beautiful enough.
It is the doctor's duty to examine the patient. Doctors don't comment on the beauty and ugliness of individual bodies. We are more concerned about whether there are abnormal changes, such as the smell, color and characteristics of secretions, and whether there are abnormal protrusions.
What does vulvar examination tell us: vulvar examination will not cause any discomfort, and you need to overcome your shyness and incorrect body posture. Doctors can intuitively find health details that you can't find yourself, such as genital warts and human papillomavirus infection, which will leave traces on the vulva. Once the doctor finds an abnormality, he can guide you to treat it as soon as possible, and don't let small lesions become big problems.
The cervix is a place where women are prone to accidents. Cervicitis, cervical erosion, cervical precancerous lesions and cervical cancer are all possible health crisis events in this area. Many people don't want to do this test because they are afraid of pain. I wonder how hard the doctor will use when doing cervical curettage.
TCT is the name of New Hundred Liquid-based Cytology, which is a screening technique for cervical lesions. It can find 100% of cervical cancer. During the examination, the doctor only needs to gently wipe the cervical part with a small brush and take some exfoliated cells, so he can do this examination, which is completely painless because there is no pain nerve in the cervix.
What does TCT check: this check is not used to check cervical erosion, because it is something that doctors can see clearly with the naked eye; TCT is a cytological examination used to detect cervical cancer, which can be found at the first time. All women who have sex should be examined once a year.
TCT is a cytological examination. If there is a problem, the doctor will advise you to do colposcopy to see what your body looks like intuitively. What scares people here is, will it hurt to put such a big thing in it?
It does hurt a little, but it's only a slight fall. Colposcopy is an invasive examination. Doctors use normal saline and far-infrared radiation to disinfect vulva.
What does colposcopy tell us: we can find out whether there are special protrusions and lesions in the vagina, and at the same time, we should do in-depth examination for those who have done cervical TCT examination. If precancerous lesions or severe cervical erosion are found in the cervix, the doctor will perform surgery under colposcopy. After the examination, the doctor will leave sterile and bloodsucking gauze and take it out of the hospital 24 hours later. So colposcopy is similar to a minor operation. After the examination, it is best to stay in bed and wait for further examination results.
Vaginal B-ultrasound can know more clearly about vagina, ovary and uterus without holding urine, and get more health information than abdominal B-ultrasound.
Compared with waiting for urine, transvaginal B-ultrasound saves more time, and because the probe extends into the vagina, it is more convenient for doctors to know the state of body accessories. Because you don't have to hold your urine, you won't feel oppressive and urinate.
What does transvaginal B-ultrasound tell us: Transvaginal B-ultrasound can find gynecological diseases such as hysteromyoma, endometrial cancer, ovarian tumor and hydrosalpinx, which is of diagnostic value for ectopic pregnancy, early pregnancy, pelvic mass and inflammation. It is recommended to know the ovulation process of ovary by vaginal B-ultrasound, which is very suitable for women who are preparing to have a baby. For women with difficult pregnancy, before a painful salpingography, vaginal B-ultrasound can be done several times in different periods to observe the working conditions of ovaries and uterus and find out the reasons for difficult pregnancy.
If you can't get pregnant smoothly, the doctor may suggest that you do a vaginal B-ultrasound dynamic observation of your menstrual cycle. If your ovaries function normally, but you don't get pregnant smoothly, the doctor will recommend you to have this test. This examination is said to be very painful.
It does hurt a little, because you need to inject contrast agent, but the examination time is not long. As long as you cooperate well, the exam will be finished soon.
What does this examination tell us: this examination should be carried out 3~7 days after menstruation is clean, and those with irregular menstruation can be delayed to 10 day after menstruation. The examination is mainly to observe whether the fallopian tube is unobstructed. Because the sperm and the egg meet in the fallopian tube, they become a small fertilized egg after completing the initial combination and settle in the uterus along the fallopian tube. If tubal nowhere, sperm can't meet eggs. The purpose of the examination is to find out whether the fallopian tube is unobstructed.
Except for a few days after giving birth to a child, the breast is controlled by surgery in a general hospital.
According to the data of the physical examination center, about 60% of professional women have hyperplasia of mammary glands, and more than 8% have breast lumps. In this era when many people have sub-health problems, breast examination is compulsory for all adult women, and Asian women should pay more attention to it-the average age of Asian women suffering from breast cancer is much earlier than that of western women.
The reason why women are afraid of breast examination is that they are afraid of embarrassment, because nipples may become hard during breast examination, and the size of breasts is also a concern of many women.
Although the medical classification of breast belongs to surgery, we often meet women who come to obstetrics and gynecology for breast examination, and we can't refuse. Now we generally use B-ultrasound or molybdenum target to check breast health problems, which is more scientific than palpation. Women whose breasts are too small to be molybdenum targets can do B-ultrasound, and then do magnetic resonance examination if there is any problem. The reason why breast examination can't be missed: Breast cancer is a killer of women's health, and it is also one of the tumors with the highest cure rate after early detection. The latest data show that the cure rate of breast cancer patients who are found early and treated in time is close to 90%. Because the onset age of breast cancer in Asian women is relatively early, it is necessary to have a B-ultrasound examination every year and at least a molybdenum target after the age of 35; Women over 40 years old with breast hyperplasia and nodules should have a molybdenum target examination every year.