It is strongly recommended that all women must do these four tests during physical examination.

Original six-story demon tower

Photo: Huang Zi | Written by: Six-story Demon Tower | Editor: Ayue

▲ Image source: homemade in the eleventh clinic

Have not had sex all the time, can you not do gynecological examination?

First of all, answer the first question: even if you have never had sex, you need to have a gynecological examination.

Of course, here we should distinguish between broad and narrow gynecological examinations. When it comes to gynecological examination, many fairies first associate it with gynecological examination.

It requires women to lie on a special gynecological examination bed, and doctors can open the yin channel through a speculum (duck-billed forceps) to check the yin channel and the cervix, and if necessary, take samples and check the secretion of the yin channel and the exfoliated cells of the cervix, and then know whether there is any abnormality in the uterus and bilateral ovarian fallopian tubes through Shuang Hezhen or triple diagnosis.

The gynecological examination that our doctors usually say includes a series of laboratory tests such as ultrasound and tumor markers, in addition to physical examination.

For female friends who have never had sex, gynecological examination is definitely not suitable, but this does not mean that we don’t need gynecological examination.

We should not actively ignore or passively refuse gynecological examination because we have never had sex.

Yaota met many female patients who had never had sexual life in clinical work. It was precisely because of the wrong idea that there would be no gynecological diseases without sexual life that the best treatment opportunity for the disease was delayed. Among them, there were many cases of malignant tumors, which can be said to be a lesson of blood.

What makes me feel most sorry is a patient not long ago. She never had sex, so she never had a gynecological examination. She had a gynecological B-ultrasound by chance and found a tumor in her uterus. She sought some Chinese medicine treatment by mistake, but it didn’t work. One day she came to our hospital because of acute abdominal pain.

We thought it was just a simple fibroid degeneration, but after the operation, we realized that the condition was far more serious than we thought. The final postoperative pathology was uterine sarcoma, a highly malignant uterine tumor.

After surviving the postoperative rehabilitation period and unusually uncomfortable chemotherapy, I thought everything was going well. However, less than a month after the end of chemotherapy, the tumor recurred and metastasized to the intestine, and she underwent laparotomy again.

The last time I contacted her, she told me, Yaota, I won’t go to your hospital. The tumor has metastasized to the lungs. I’ll go to another hospital. Later, I didn’t see her update her circle of friends. I don’t know how she is now, but I can still remember her strong smile.

▲ Image source: giphy

Forgive the demon tower. I’m old, and I feel it. It’s a bit far.

What tests should I do if I have no sex life?

Then answer the second question: even if we have never had sex, we can still do gynecological B-ultrasound (transabdominal or anal ultrasound); You can also check yin secretion, tumor markers and hormone levels. And from the point of view of gynecological physical examination, although we can’t do Shuang Hezhen, we can learn about pelvic cavity through anal examination when necessary.

Gynecological B-ultrasound: It can help us to know the thickness of endometrium, whether there is abnormal echo in uterine cavity (such as endometrial polyp and submucosal myoma), whether there is abnormal echo in myometrium (such as hysteromyoma and adenomyosis) and whether there is abnormal echo in ovarian fallopian tube (such as ovarian tumor and hydrosalpinx);

Yin secretion: it is not that there will be no yin inflammation without sexual life! Doctors can use a cotton swab to get yin secretion for laboratory examination without opening the yin channel with a speculum.

Tumor marker: This test is more routine and simple, that is, blood drawing. Among many tumor markers, CA125, which is closely related to female diseases, is the most common and you know the most. Generally speaking, CA125 will be elevated in many cases, such as before and after menstruation, endometriosis, adenomyosis, pelvic inflammatory disease and ovarian malignant tumor.

Hormone level: including six items of sex hormones, AMH and other tests, we often need to use the results of six items of sex hormones to help doctors judge the condition when diagnosing and treating female endocrine diseases such as abnormal uterine bleeding and polycystic ovary. AMH can help us understand the reserve function of female ovaries and better guide pregnancy preparation. These are also blood tests.

▲ Image source: giphy

What will happen if I accidentally do the yin examination?

The third question: What will happen if you accidentally do the yin examination?

Before answering this question, first of all, we need to be clear. First, we can’t choose not to check out because of fear or concern. Second, when we ask the doctor, we should clearly tell the doctor that I have never had sex before, so as to avoid the possibility of accidentally doing yin examination to a great extent.

Through the description of gynecological physical examination in Yaota, I believe you may have guessed that the following may happen to women who have no sexual life after yin examination.

ache

Yin Dao flap (common name hymen) is a mucous membrane with certain elasticity. With the invasion of speculum, yin Dao flap has not broken yet, but it will induce vulvar pain due to expansion. At this time, something must be done to stop it.

Rupture and bleeding of yin valve

Some female friends have high elasticity of the yin valve, and there may be no obvious pain in the process of entering the speculum, but with the opening of the upper and lower leaves of the speculum, the yin valve will basically rupture or even bleed during this process.

At this time, it is necessary to compress the wound to stop bleeding. Generally, a sterile cotton ball will be selected, and it will be removed after 5 to 10 minutes of compression to observe the bleeding of the wound.

Because the yin flap is thin, there are often some capillaries distributed here, which can basically stop bleeding through compression. However, if it happens to damage a relatively large blood vessel, it may be necessary to stop bleeding through suture if necessary, but this situation is very rare.

infect

If this happens unfortunately, you must pay attention to the cleanliness of the vulva after the bleeding stops, so as to avoid infection of the wound. Of course, this kind of situation is also very rare, because this kind of wound of yin mucosa usually heals very quickly.

Yao ta Xiao tips

If the doctor gives you a gynecological B-ultrasound checklist, you must see clearly whether it is through the yin channel, abdomen or anus before paying the fee. If it is through the yin channel, or if you feel that you can’t accept the transanal B-ultrasound examination, you must find a doctor to change the checklist.

Original title: "It is strongly recommended that all women must do these four tests during physical examination (whether they have sex or not)"

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