Top 10 tips for women’s health

Don’t take breast nodules and thyroid nodules too seriously； Two gynecological examinations are required every year (TCT+HPV, gynecological B-ultrasound) ； Auntie doesn’t have to bear the pain. She should take ibuprofen instead of brown sugar water. ； Don’t blindly supplement estrogen. Even if you drink soy milk until full, you won’t be able to supplement the amount that can cure the disease. ； Only use warm water for private parts care. The more you use lotion, the worse it gets. ； Just maintain the BMI at 18.5-23.9, which is 100 times more important than the aesthetic standard of 90 pounds. ； Try to get enough sleep for 7 hours every day. The damage caused by staying up late cannot be repaired by the mask or bird's nest. ； For contraception, condoms or short-acting contraceptive pills are preferred. Do not believe in safe periods or in vitro ejaculation. ； Calcium supplementation should be taken as early as possible. Bone density will decline after the age of 30. ； Don't hold your emotions in, sulking will damage your breasts and thyroid more than staying up late.

Don’t believe it. I just met a 27-year-old girl in the clinic last week. Category 3 breast nodules were found in the physical examination. She cried all afternoon and even quit her job. She said she was afraid of cancer and wanted to rest at home. In fact, 95% of breast and thyroid nodules are benign, and the probability of malignancy for type 3 nodules is less than 2%. Follow-up visits once every six months are enough. There is no need to give yourself a "suspended sentence." Here we also objectively talk about different conditioning ideas: Traditional Chinese medicine generally recommends less exposure to cold and less sulking. It is believed that liver stagnation and qi stagnation are the main causes of nodules. Drinking Xiaoyao Pills and rose tea are somewhat useful. ； Western medicine does not have clear dietary taboos. As long as you don’t take health care products containing excessive estrogen for a long time, you can choose according to your own acceptance. You don’t have to worry about whether you can drink iced milk tea for a long time.

Speaking of physical examinations, many girls spend thousands every year on a full physical examination, but miss out on the most important gynecological items. Don't think that you don't need to get checked if you are not married or have no sex life. Last year, I treated a 22-year-old girl who had no sex. She had stomach pain for half a month before she came. It was found that the ovarian cyst had grown to 7 centimeters. If she had done an abdominal B-ultrasound half a year earlier, she would not have had to undergo surgery at all. Girls who are sexually active should remember that TCT+HPV combined screening should be done once a year. Normally, it can be changed to once every three years for three consecutive years. Even if you take the nine-valent HPV vaccine, it cannot be saved. The vaccine cannot prevent all high-risk subtypes of virus infection.

I came across a post a while ago. A girl's aunt was so painful that she was writhing in pain. Her mother refused to let her take painkillers, saying "I won't be able to get pregnant after taking them" and asked her to drink three large glasses of brown sugar water. There is really no need to have this prejudice. Ibuprofen is only taken two or three days a month. It is metabolized very quickly and there is no dependence at all. On the contrary, except for raising blood sugar, brown sugar water is really useless for relieving pain. Of course, if the pain makes you vomit every time and you can't suppress it with painkillers, then don't hold on. It's most likely adenomyosis or endometriosis, and you have to go to the hospital to investigate the cause. Don't just rely on painkillers.

Oh, by the way, I’m really tired of talking about the pitfalls of private parts care. There used to be a girl who was a high school student. She saved her pocket money to buy an internet celebrity's private parts lotion and wash it every day. As a result, she developed fungal vaginitis and it was so itchy that she couldn't sit still in class. Under normal circumstances, the private parts have their own balance of flora. Just flush the outside with warm water. Do not irrigate the inside. Private parts whitening and reddening programs are even more IQ-taxing. Natural pigmentation cannot be removed by these things, but can easily damage the mucous membranes. If you really have itching and odor, check the routine of leucorrhea first and then use the appropriate medication. Don't buy suppositories blindly.

Last time, a girl came to check for amenorrhea. She was 165cm tall and only 82 pounds. In order to fit into size XS clothes, she had not eaten staple food for half a year. Her BMI was only 14.9. She was diagnosed with premature ovarian failure and had to undergo treatment for a year before she finally got pregnant. Don’t be bound by the thin aesthetic. A 160-pound girl who weighs 120 pounds is really not fat. As long as her BMI is within the normal range and her body fat rate is maintained at 20%-25%, she is much healthier than being so thin that her ribs protrude. Of course, it doesn’t mean that it’s good to be fat. If your BMI exceeds 24, the risk of polycystic disease and diabetes will indeed increase. There is no need to pursue extreme thinness. It is most comfortable to stay within the normal range.

Speaking of hormones, many girls are afraid of aging and irregular aunts, so they always want to supplement estrogen. Some people say that drinking soy milk every day can delay menopause. In fact, the isoflavones in soybeans are estrogen-like, and their activity is only one-thousandth of human estrogen. You have to drink 10 cups of soy milk a day to achieve the effective amount. Drinking one or two cups normally will not supplement it to the extent that it can beautify, nor will it induce uterine fibroids as mentioned on the Internet. There is no need to deify or demonize it. If you really need estrogen supplementation during perimenopause, you must find a doctor in a regular hospital to prescribe it. Don't buy "ovary maintenance capsules" from WeChat stores that cost hundreds of yuan a bottle. Many of them secretly add excessive estrogen, which will increase the risk of endometrial cancer if taken for a long time.

I really have to tell my patients about contraception eight hundred times every year. Don’t believe “you won’t get pregnant during the safe period” or “it will be fine if you ejaculate outside your body.” Last month, I received 8 girls who had abortions in the outpatient clinic, and half of them believed these two statements. Condoms not only have a high contraceptive rate, but also prevent sexually transmitted diseases, making them the most cost-effective option. ； If you are allergic to rubber or have a regular partner, short-acting contraceptive pills are also very safe. As long as you have no family history of blood clots and don't smoke, there is basically no problem if you take them before the age of 35. If you have side effects of dizziness and breast tenderness in the first three months of taking them, just change them if you can't bear it. There is no need to force yourself to adapt.

It is really important to supplement calcium as early as possible. When I was 35 years old, my bone density during a routine physical examination was already 0.1 standard deviation lower than the normal value. The doctor said that after the age of 30, women’s bone density begins to decline. After menopause, the loss rate will triple. It will be too late to replenish it when you are old and break a bone after a fall. Drink 300ml of pure milk every day, pump it for 10 minutes and bask in the sun. It is better than any calcium tablets. If the daily milk supply is enough, there is no need to take extra supplements. If you take too much milk, you will easily get kidney stones.

Finally, let me tell you the truth, being sulky is really more harmful to your health than staying up late. My aunt was diagnosed with thyroid cancer last year. She had suppressed quarrels with her uncle for more than ten years before. She took care of all the household chores by herself. After the surgery, she stopped caring about other things. She went to square dance every afternoon and went on trips with her sisters. Now her check-up indicators are normal compared to many young people. Everyone has a bad day. If you feel unhappy, just scold or cry. If you really can't do it, go to the KTV and yell for two hours. Don't hold it in your heart and think about it. It's really more effective than liver-soothing tea or Xiaoyao Pills.

In fact, after all these suggestions are said and done, the essence is not to compete with yourself, and don't be bound by health anxiety and appearance anxiety on the Internet. Your own comfort is more important than any standards. If you really feel unwell, go to a regular hospital as soon as possible. Don't scare yourself by blindly searching Baidu. It's better than anything else.