Women's health care knowledge courseware

There is no universal "universal health formula" for women's health. The core principles are hierarchical management throughout the life cycle, avoiding the misunderstandings of pseudo-science popularization on the Internet, and individualized adjustments based on one's own situation. Any health care advice that is divorced from age, basic diseases, and living habits is a scam. **

I have been working in gynecology clinics for almost 10 years, and I have seen too many people step into the trap. They either rely on Internet celebrity popular science to explain their own conditions, or they make up for it after listening to what relatives and friends say is good. In the end, small problems turn into big troubles. I just met two very typical cases last week: a 22-year-old college student ate only boiled vegetables for three months in order to lose 20 pounds, and ended up with amenorrhea. He also drank Internet celebrity dehumidification tea every day and said he wanted to adjust his metabolism. ； Another 47-year-old sister heard from her best friend that taking estrogen supplements can fight aging. She bought imported estrogen online and took it for half a year. After a physical examination, she found three breast nodules, which scared her to death.

For example, everyone has heard of "drinking brown sugar ginger tea for dysmenorrhea". The opinions of the two sides are very different: the traditional Chinese medicine system believes that for the type of dysmenorrhea that is cold during menstruation, the blood clots are dark, and the pain can be relieved by holding a hot water bottle, warm brown sugar ginger tea can indeed relieve the discomfort.； But from the perspective of Western medicine, brown sugar is sucrose with a small amount of minerals. Drinking it is not much different from drinking two more cups of warm water or holding a hot water bottle. If you have insulin resistance and high blood sugar, drinking it will increase the metabolic burden. Oh, by the way, many people say that you should not take ibuprofen for dysmenorrhea, for fear of addiction or side effects. It is really not necessary. Take it 1-2 times a month, 1 pill each time. After metabolism, there is no residue at all. It is much less harmful than if you carry the pain to vomiting or stress to stomach cramps.

Oh, by the way, girls in their twenties should really not mess around with their bodies. I have seen too many people who wear midriff-baring clothes to expose their ankles in the winter, or who only eat an apple a day to lose weight. They either suffer from pelvic inflammatory disease or lose weight due to polycystic ovary syndrome. They lose a lot of hair, don’t have menstruation for half a year, and finally regulate menstruation for more than half a year. The money spent is enough for you to buy dozens of sweaters and delicious food for a whole year. You really can’t do it.

Many sisters who are over 30 years old always spend money on anti-aging essences and beauty salon projects. In fact, it is better to spend half a day every year for a routine gynecological examination: HPV+TCT screening, breast ultrasound, and uterine appendage ultrasound. These three items add up to only a few hundred yuan, and can screen out more than 90% of the risk of malignant gynecological lesions in advance. Oh, by the way, don’t listen to the nonsense on the Internet that HPV positivity means improper private life. It’s really not the case. When your immunity is low, you can get infected by using public toilets or using unclean bath towels when staying in hotels. 80% of women may be infected with HPV once in their lives. Most people can become negative in 1-2 years by relying on their own immunity. Don’t buy those “HPV negative medicines” that cost thousands of dollars. Currently, there is no medicine that can directly kill the HPV virus. Those medicines are all IQ taxes.

Let’s talk about estrogen supplementation during menopause, which is particularly controversial. Many people are afraid of getting cancer when they talk about taking hormone supplements, and many people think that taking supplements will make them look younger forever. Both of these statements are too extreme. The current academic consensus is that if you do not have a high-risk history of breast nodules, uterine fibroids, or blood clots, and the symptoms of menopausal hot flashes, insomnia, and emotional irritability are particularly severe, you can supplement estrogen in small doses under the guidance of a doctor, which can greatly improve your quality of life. ； But if you have related underlying diseases, or if you are not uncomfortable, there is really no need to make up for it, let alone go to a beauty salon to do "ovarian care". Those essential oils can moisturize the skin at most, and cannot penetrate into the abdominal cavity and touch the ovaries. Last month, I met an older sister who did ovarian care for half a year, and finally found a 3 cm ovarian cyst. Fortunately, it was benign, otherwise she would have died unjustly.

There is another misunderstanding that is particularly easy for people to fall into. It is always said that "women who are angry will get breast nodules and thyroid nodules." This statement really puts a lot of burden on women. The core reason for the formation of nodules is fluctuations in hormone levels, and emotions are only a small trigger. Don't blame yourself for your bad temper as soon as nodules are detected. Vent when you need to, and blame when you should. Holding your breath all the time is not good for your health. I used to have a 32-year-old patient with grade 3 breast nodules. She cried every time she came for a follow-up check-up. She said she shouldn't have quarreled with her husband or vented her anger on her boss. I told her to think differently. It was the person who made you angry who was wrong. Why should you take the blame on yourself? Later, when she went back, she really thought about it and didn't take anything to heart. After half a year's review, the nodules had really shrunk. Of course, this was an exception. It doesn't mean that venting can eliminate the nodules, but it means not to put unnecessary psychological shackles on yourself.

To be honest, after doing outpatient clinics for so many years, my biggest feeling is that the female body is really smart. If you treat it well, it will give you feedback. If you mess around, it will also give you signals. Don't always rely on the popular science on the Internet to force yourself to use it on yourself, and don't just listen to what others say and use it on yourself. If you feel something is wrong with your body, go to a regular hospital to register first. It is more reliable than searching Xiaohongshu for three hours or asking eight best friends. Oh, by the way, one last thing to add: Most of those who say you "must warm the uterus, replenish qi and blood, and eat donkey-hide gelatin" want to make money from you. If you feel comfortable, eat it. If you feel angry or have acne or menstrual bleeding, stop immediately. Your own feelings are the most important health care standards.