Women's health knowledge lecture

Do regular medical screenings corresponding to your age group, respect the true feelings of your body, and don’t treat innate female physiological traits as a disease and over-treat.

Last week when I was out for a clinic, I met a 22-year-old girl. She saved three months of living expenses and went to a beauty salon to get a "luxury package of ovarian care." She suffered severe pain in her lower abdomen the same night after the treatment and was sent to the emergency room. She was found to have a ruptured corpus luteum. She spent nearly 10,000 yuan on the surgery alone, and she is still at fault with the beauty salon to this day. At this point, someone must have asked, is ovarian care all a lie? Not entirely true. Regular Chinese medicine gynecologists will indeed improve uterine cold, dysmenorrhea and other problems through moxibustion, acupoint stimulation, etc., but only if they are operated by qualified doctors, and they will never rub your belly vigorously with the so-called "imported ovary maintenance essential oil" - you must know that the ovaries are hidden deep in the pelvic cavity under normal conditions, and the force of ordinary massage cannot touch them. If you happen to encounter the luteal phase or have an ovarian cyst, pressing hard may cause problems.

When it comes to women’s health, menstruation is definitely what everyone is most anxious about. I often receive private messages in the background asking me, "Is my menstrual flow two days less than before being due to premature ovarian failure?" ”“Should I take progesterone if my period is a week late? ”Here we will also explain the judgment criteria of different systems: the normal range of Western medicine is that the menstrual cycle is 21-35 days, and the volume of each menstrual period is 20-80ml, which is roughly the amount that can soak 1-4 packs of ordinary sanitary napkins during the entire menstrual period. If you have been clean for 3 days since menarche, and the cycle has been stable at about 30 days, that is completely normal, and there is no need to take supplements blindly. But if it is accompanied by dark menstrual color, severe dysmenorrhea, and cold hands and feet, formal TCM syndrome differentiation and conditioning can indeed improve the discomfort. The premise is that you have to go to the hospital to see a doctor for a pulse check. It cannot be solved by just buying two boxes of internet celebrity deer fetus ointment and donkey hide gelatin cake in the live broadcast room. I once had a best friend who took Internet-famous deer fetus ointment for half a year to "replenish qi and blood". Finally, it was found that prolactin was abnormally elevated. Instead, she stopped menstruating for more than two months. It took a long time to stop taking the medicine and adjust her condition before returning to normal.

Another question that people ask a lot is how to conduct a gynecological physical examination. Many girls are deceived by medical examination institutions and spend thousands every year for a full set of gynecological examinations. In fact, it is not necessary at all: if you have sex before the age of 25, a TCT+HPV test once a year is enough. After the age of 25, if you are negative twice in a row, you can have a test every three years. It is a waste of money not to have a test every six months. As for breast nodules and thyroid nodules that many people are too scared to sleep after being diagnosed, the current consensus is that nodules of Category 3 and below need no change as long as they are re-examined every six months and do not require intervention at all. If you are so anxious that you have to touch them several times a day and cannot sleep well, it is perfectly fine to go to a Chinese medicine doctor to prescribe some prescriptions to soothe the liver and relieve depression to relieve swelling and pain. There is no need to argue whether "Chinese medicine is useless" or "Western medicine treats the symptoms but not the root cause". Whatever makes you comfortable is suitable for you.

Oh, by the way, there are also women’s health care products that are very popular right now, such as cranberry, collagen, sheep placenta, and grape seeds. Many girls buy a bunch of them at once, and eat them on time every day. I met a 38-year-old patient before who took 8 kinds of health supplements every day in order to resist aging. After half a year of taking the medicine, a physical examination showed that his liver function was abnormal, and his transaminases were three times higher than the normal value. He stopped all health supplements for two months before the symptoms came down. There has always been great controversy about health supplements. The mainstream view in nutrition is that as long as you eat normally and eat enough vegetables, meat, eggs, and staple foods every day, there is no need to supplement these, unless you are a vegetarian, pregnant, or have clear nutrient deficiencies. ； However, some studies have shown that for people who often stay up late and eat irregularly, proper supplementation of B vitamins can indeed relieve fatigue. The key is not to be greedy for too much, do not take health products as medicine to cure diseases, and do not think that taking them can replace normal meals and exercise.

To be honest, I have been practicing gynecology for 12 years, and I have seen too many girls kidnapped by various rhetoric of "women need to be refined" and "women need to love themselves". They treat normal physiological phenomena as diseases, spend a lot of money, and end up hurting their bodies. You really don’t need to be so harsh on your body. You won’t suffer from premature ovarian failure if you stay up all night occasionally. You won’t get cold in the uterus if you eat a couple of mouthfuls of ice. It’s not a big problem if your menstrual flow is missing for two days. If you really feel uncomfortable, don’t scare yourself by checking it out on Baidu, and don’t believe in the “personal experience” of bloggers. Spend half a day to go to a regular hospital to get a gynecological number. It will work better than anything else.