Summary of lectures on women’s health knowledge

The three lectures on women's health knowledge held for women aged 18-60 in the community ultimately covered 217 people. The on-site health consultation conversion rate reached 42%, and 92% of the knowledge points reported by participating audiences could be directly implemented. However, there were also core problems of "insufficient content adaptability and low reach rate for young and middle-aged people". The overall completion score was 85 points, which fell short of the preset target of 90 points.

Let me tell you the most impressive scene first. The second lecture on breast health had just ended. The 52-year-old Aunt Zhang squeezed the examination sheet and squeezed in front of the breast surgeon of the tertiary hospital. Her voice was trembling: "It has been almost half a year since my nodule was detected. The private hospital said that if it is not cut, it will become malignant. I have all the money. Can you help me see if I really need surgery?" ”The doctor read her report. It was BI-RADS Category 3, with clear borders and a diameter of less than 1cm. He told her on the spot that the malignant transformation rate of Category 3 nodules was less than 2%. She only needed to review it once every six months, and there was no need to go under the knife. My aunt called the private hospital to cancel the appointment on the spot. When she left, she repeatedly held the hand of our staff to thank her. It’s funny to say that out of the 100 official promotional leaflets we had printed, there were more than 30 copies left. Instead, the doctor’s handwritten notes on breast self-examination techniques and prescriptions for external cleaning were all snatched away.

This time we specially invited two doctors of Chinese and Western medicine to speak on the same stage. We originally wanted to cover more needs, but unexpectedly we encountered a very interesting collision of opinions on the spot. When talking about daily gynecological care, Western medicine doctors repeatedly emphasized, "Don't use Internet celebrity lotions casually, let alone rinse the vagina. Under normal circumstances, warm water is enough to wash the vulva. Indiscriminate washing will destroy the balance of vaginal flora." Many aunts in the audience nodded and said that they used to buy lotions when they felt itchy. The more they washed, the more uncomfortable they became. The Chinese medicine doctor next to him also added: "It's not completely unusable. If you have been eating a lot of spicy food recently, staying up late a lot, and your leucorrhea is yellow and itchy. If you have a damp-heat constitution, you can boil some cork and sophora flavescens in warm water and wash it for two or three days. The key is not to use it blindly, it depends on your body's reaction." ”

Later, the conversation about whether food taboos should be avoided during menstruation was even more lively. A little girl in 1998 raised her hand and said that she never leaves her hand on iced milk tea all year round. She also drinks it during menstruation. She has never had menstrual cramps. The taboo food mentioned by the older generation is simply superstitious.； The 60-year-old Aunt Li next to her immediately answered and said that when she was young, she secretly ate popsicles during her period, but now her waist hurts so much that she can't straighten up during her period. The two doctors did not give a standard answer, but said that individual differences are too great. If you don't feel uncomfortable after eating ice, there is no need to restrict it. If it hurts so much, don't be greedy. There is no need to endure it for the sake of "science", and there is no need to torture yourself for the sake of "tradition". You can do whatever it takes to feel comfortable.

Of course, there are a lot of pitfalls this time. If you look at the statistics, you will know that 80% of the people who come are middle-aged and elderly women over 40 years old, and the total number of girls between 20 and 30 years old is less than 20. Later, we asked a few young girls living in the community and found out that we had previously relied on the owner group@everyone and posters on the community bulletin board to send out notices. People did not read it at all. Even if they occasionally saw it, when they heard that the lecture was about "gynecological health," their first reaction was "that is what middle-aged and elderly people need." They had no idea that we also prepared content related to HPV vaccination, polycystic treatment, and contraception. There was also a mother who had just given birth to a child for half a year. She sat in the last row during the lecture. After the lecture, she secretly pulled me and asked me. She said that she now leaks urine when she coughs and sneezes. She was embarrassed to ask in front of everyone, if she has been like this after giving birth and can it be cured? We later temporarily added a 15-minute one-on-one consultation, and she said that she had been suffering from it for almost three months and thought it was normal. She didn't know that repairing the pelvic floor muscles would improve it.

After the show, we held a small meeting with doctors and community workers, and we have almost figured out the direction for the next adjustment: we will not hold lectures for all age groups in the future, but will have separate sessions. The sessions for those aged 20-35 will focus more on HPV, menstrual migraines, polycystic cysts, and scientific contraception that everyone is concerned about. The sessions for those aged 35 and above will focus on breast screening, menopausal care, and pelvic floor muscle repair. The time will also be changed to weekend evenings so that office workers can come. There will also be a simultaneous online live broadcast, so those who don’t have time to come to the venue can watch the replay. A one-to-one privacy consultation area has been set up in advance to make sure that no one is embarrassed to speak.

To be honest, this event was not perfect, and there were even a lot of omissions. But before I left, the aunt who was diagnosed with vaginitis and dared not go to the hospital for half a year told me that after hearing it today, she realized that it was just a common inflammation and it was not a shameful thing. She had already made an appointment to register with the gynecology department next week. With these words, the busy work of staying up late to change PPT, contacting doctors, and running to venues for the past half month was all worth it.