Gynecological diseases that adolescent girls may suffer from

　　There are several reasons why people think they are different from older girls: the most important of them is that they are all girls who have just had menarche, and the function of their hypothalamic-pituitary-ovarian reproductive endocrine axis is not yet complete.

　　They are also not as sexually active as 18- to 20-year-old girls, and they have fewer infections sexually transmitted diseases and chances of pregnancy, but they have a greater chance of developing tumors related to developmental disorders. Despite these differences, these adolescent girls are still likely to experience the same symptoms as adult women. Gynecology question.

　　It is easy for adolescent girls to gradually mature, but there are also many girls who are complacent about undergoing physical examinations, but are afraid to face Pelvic examination . For this reason, when they go to gynecological examination or medical treatment, it is best not to crowd them with adult women, and doctors should also adopt a relaxed and more steady attitude towards them. Don’t make adolescent girls feel like they are patients.

　　If the doctor asks questions, he should ask them personally if possible, not the mother who is accompanying him. The most important thing is for doctors to be compassionate. express interest in what they have to say, and maintain a non-judgmental attitude if it involves sexual elements.

　　As a gynecologist, you should kindly and patiently explain to the girls using anatomical diagrams, tables, etc., and introduce the instruments and equipment to be used. Young patients are also assured that their privacy will be kept confidential and protected, and that doctors will not disclose it to anyone, including their mothers, without their own consent.

　　pinched leg syndrome

　　A 9-year-old girl often loses focus during class, twists her body on the chair, sometimes suddenly her legs become stiff, and her face becomes red and sweaty. The teacher repeatedly criticized her to no avail, and the ADHD treatment also did not work. So she went to the hospital. Hospital Brain CT, EEG and other examinations were performed and all were normal. Finally, he was diagnosed with "Pinched Leg Syndrome" at the sexual medicine clinic. This is a physiological phenomenon common among school-age children, especially girls.

　　There are many reasons for this phenomenon, such as unclean genitals, tight underwear, sexual abuse and other factors that cause genital irritation. When the legs are twisted and twisted, a sexual impulse and pleasure can be produced. When the legs are straight, it means that the orgasm has been reached. Pinched leg syndrome does not belong to children who have poor self-control, but if they develop this habit over time, it will make them feel inferior and fearful, which will affect their physical and mental development.

　　Experts believe that penile or clitoral erection is caused by a series of reflex activities and is a normal phenomenon. Children will have this instinctive physiological reaction from about 1 to 2 years old. Therefore, parents do not need to panic when this happens. The situation can be restrained or controlled by psychological and behavioral correction under the guidance of a doctor.

　　In addition, be careful not to wear tight pants for your children, keep your private parts clean, and don't touch your children's genitals casually, let alone do it for fun. This phenomenon is less common in girls after the age of 10, but masturbation with a more specific purpose may also occur.

　　late sexual maturity

　　Delayed sexual maturation refers to a condition in which, despite otherwise normal development, the condition remains primary amenorrhea . There may be several causes, including physiological or constitutional delays, serious genetic, anatomical or endocrine disorders, and possibly even life-threatening conditions. If a girl has no pubic hair by the age of 13 and has not yet menstruated by the age of 14, this shows delayed sexual maturity and needs to be evaluated.

　　Irregular menstruation

　　(l) Irregular menstrual periods: Many adolescent girls have irregular menstrual cycles and blood volume. In the first few years after menarche, the interval between menstrual cycles can be up to two or three months. This is normal and they are generally not worried about it. However, if the interval is longer and secondary amenorrhea occurs, they seek medical attention and help.

　　Many girls' menstrual periods can last 10 to 12 days. It is difficult to judge the amount of bleeding based on their own descriptions, so the hemoglobin level becomes a reliable indicator. If the hemoglobin level is less than 12 g/100 ml, treatment is needed.

　　If it's as low as 7 grams or less, you'll need to be hospitalized and given more aggressive, intensive treatment. Most other aspects of the body are very healthy It is rare for girls to have heavy menstrual bleeding, but once it occurs, it needs to be treated and cannot be ignored. If a girl is not taking oral contraceptives but has spotting between cycles, it may be the first symptom of malignant tumors in the reproductive system.

　　Secondary amenorrhea: The main cause of secondary amenorrhea in adolescence is temporary dysfunction of the hypothalamic-pituitary-ovarian axis function, and organic causes are less common. Pregnancy is also a factor that needs to be eliminated when diagnosing secondary amenorrhea. Due to the influence of early puberty and negative social trends, some girls have sexual relations prematurely without knowing anything about pregnancy. They are not discovered by their parents or teachers until late in pregnancy.

　　Primary amenorrhea affects hypothalamic function and causes secondary menstruation. There may be several causes, including physiological or constitutional delays, serious genetic, anatomical or endocrine disorders, and possibly even life-threatening conditions. If a girl has no pubic hair by the age of 13 and has not yet menstruated by the age of 14, this shows delayed sexual maturity and needs to be evaluated.

　　Dysmenorrhea

　　Dysmenorrhea rarely occurs in girls under 15 years old because primary dysmenorrhea rarely occurs in anovulatory cycles. Many girls have 6 to 18 anovulatory cycles after menarche. Secondary dysmenorrhea and other abnormalities may signal organic damage. Thus, any patient complaining of pain in the genitals and lower abdomen needs to undergo a gynecological examination, regardless of her age or previous sexual activity. Of course, the gynecological examination of girls is carried out through digital anal examination.

　　Premenstrual syndrome (PMS)

　　Most women, including adolescent girls, experience premenstrual discomfort, but the vast majority of their symptoms are mild and do not seek counseling and treatment. Most girls who seek medical help for premenstrual syndrome complain of edema or Acne Growing too fast. Girls can be asked to keep a menstrual diary for at least one cycle, so that the accurate relationship between symptoms and menstrual periods can be found, and premenstrual syndrome can be further classified.

　　If some people have symptoms throughout their cycle, the diagnosis should not be PMS. Premenstrual syndrome, with its predominance of anxiety-related symptoms, can be distinguished from the depressive form of premenstrual syndrome. Women with anxious premenstrual syndrome have increased estrogen and decreased progesterone in the luteal phase; women with depressive premenstrual syndrome have decreased estrogen and increased progesterone in the luteal phase.

　　lower abdominal pain

　　Genital-related lower abdominal pain is uncommon in adolescent girls; the most common causes of lower abdominal pain in this age group are intermenstrual pain and atypical dysmenorrhea. However, occasionally organic injuries, such as ovarian tumors or sudden changes in ovarian tumors (torsion, bleeding, and rupture), can also cause lower abdominal pain. Therefore, all girls who complain of subumbilical abdominal pain must undergo a gynecological examination including digital anal examination and bimanual examination of the abdomen, and must not take it lightly.

　　Leucorrhea

　　Girls' perineal skin is thin and tender, without fat pads and pubic hair. It is not protected and is prone to injury and infection. Mothers sometimes take girls to see a doctor because of increased leucorrhea. Some girls are also worried about the increase, color change and stickiness of their leucorrhea. Especially those girls who have had sexual relations are more afraid that changes in leucorrhea may mean contracting sexually transmitted diseases.

　　In fact, changes in the color and properties of leucorrhea are relatively common. For example, the color of leucorrhea will turn yellow after taking a hot water bath. Leucorrhea is the result of estrogen stimulating the vaginal epithelium. Proteinous, sticky, clear and transparent vaginal secretions and fleshy vaginal tissue are often its components. When a patient has a history of unclean sexual intercourse and abnormal leucorrhea, vaginal secretion culture should be performed as a preventive measure to rule out the presence of sexually transmitted diseases.

　　Leucorrhea and vaginal bleeding during menstruation may also be caused by the girl's exposure to diethylstilbestrol during the fetal period. For example, the mother took this drug when she was trying to prevent habitual miscarriage. Once the above symptoms occur, the girl should be followed up regularly and receive appropriate examinations. When encountering other changes in leucorrhea, corresponding examinations should also be carried out to rule out various infections.

　　Girls between the ages of 18 and 20 have complaints that are closer to those of adult women, and most of their menstrual cycles are ovulatory. Their menstrual cycles are no longer as irregular as those of girls, but the incidence of dysmenorrhea is greatly increased. If lower abdominal pain occurs, their incidence of gynecological diseases is also higher than that of girls aged 13 to 17 years old. If abnormal leucorrhea occurs, the possibility of sexually transmitted diseases increases.

　　However, some girls are prone to a kind of "venereal disease phobia" because they fail to grasp the scale when they are in love, or they fail to withstand their boyfriend's sweet talk and have sexual relations. This usually happens when the boyfriend is having sex or playing with the woman's feelings afterwards. The girl cannot bear the psychological shock and is too sad.

　　The psychological imbalance made them deeply regretful, and their depression immediately made them suspect that they had a sexually transmitted disease, so they sought medical treatment everywhere, even being deceived by quacks. They did everything possible to "wash away" this stain. The result was that even though repeated tests and cultures were negative, they were still worried, crying all day long, and feeling depressed. If appropriate psychological treatment is given at this time, obvious results will often be achieved.

　　In short, adolescent gynecological problems are undoubtedly age-specific, and the above contents are important clues when considering diagnosis. When a girl develops unusual gynecological symptoms or vaginal infection, the possibility of sexual abuse or vaginal foreign bodies caused by masturbation must be considered.