What questions are asked during a gynecological examination?

Nowadays, medical experts have been advocating that women should have regular gynecological examinations, because many gynecological malignancies do not have any obvious symptoms in the early stages of the disease. Many diseases are detected during gynecological examinations. If they are detected in time and receive corresponding treatment, they can be exchanged for health at a low cost. This is a very effective method. However, many women avoid gynecological examinations because of some problems that make them unwilling to undergo gynecological examinations. So, what questions will be asked during a gynecological examination?

1. Vulvar examination: the most basic gynecological examination

Only doctors can see its true health status through estimation. But many people are shy and refuse to be tested because they are afraid that they are not beautiful enough.

In fact, it is the doctor's duty to examine the patient. Doctors will not judge the beauty or ugliness of the patient's body. They are more concerned about whether there are any abnormal changes, such as smell, color and characteristics of secretions, whether there are any abnormal protrusions, etc.

What does vaginal examination tell us: vaginal examination will not cause any discomfort, and you can get rid of your shyness and inappropriate body attitudes. Doctors can detect health details that you cannot find through estimation, such as genital warts and HPV infection, which can leave marks in the private parts. Once the doctor finds any abnormality, he can guide you to receive treatment as soon as possible to prevent small problems from becoming big problems.

2. Cervical TCT examination: a must for women who have sex

The cervix is ​​an accident-prone area for women. Cervicitis, cervical erosion, cervical precancerous changes, cervical cancer, etc. are all health risks that may occur in this area. Many people are reluctant to do this test mainly because it is too painful and they don't know how much effort the doctor will put in when doing a cervical scraping.

TCT is the name of the new Prepace liquid-based cytology test, which is a cervical lesion screening technology that can detect 100% of cervical cancer. During the examination, the doctor only needs to use a small soft-bristled brush to gently wipe the cervix to obtain some fallen cells. This test is painless because the cervix has no pain nerves at all.

What does TCT test check: This test is not used to check cervical erosion, because that is something that doctors can see with the naked eye; TCT is a cytological test used to check cervical cancer, which can detect cervical cancer at the first time. All women who have sex should have a check-up once a year.

3. Colposcopy: Patients with TCT problems should undergo colposcopy

TCT is a cytological examination. If you have any questions, your doctor will recommend a colposcopy to visualize the deepest part of your body. The worry here is, will it be painful to put something so big in?

It does hurt a bit, but it's a mild pain. Colposcopy is an invasive examination, and the doctor uses saline and far-infrared direct radiation to disinfect the private parts.

What does colposcopy tell us: It can detect whether there are abnormal bulges and lesions in the vagina. At the same time, it can perform in-depth examinations on people who have undergone cervical TCT examinations. If precancerous changes or severe cervical erosion are found in the cervix, the doctor will perform surgery under colposcopy. After the examination, the doctor will leave a gauze for disinfection and blood absorption, which will be removed at the hospital after 24 hours. Therefore, colposcopy is similar to a minimally invasive surgery. After the examination, it is best to rest in bed and wait for further examination results.

4. Intravaginal B-ultrasound: clearer and more comprehensive

Vaginal B-ultrasound does not require holding urine, and can more clearly understand the conditions of the vagina, uterus, ovaries and uterus. Compared with abdominal B-ultrasound, it also provides more health services.

Compared with the need to hold urine and wait, intravaginal B-ultrasound saves time, and because the camera is extended to the female genitals, it is more convenient for doctors to understand the condition of the human appendages. Because you don't have to hold your urine, you won't feel any discomfort or urinary urge.

What does intravaginal B-ultrasound tell us: Intravaginal B-ultrasound can detect gynecological diseases such as uterine fibroids, endometrial cancer, uterine and ovarian tumors, and hydrosalpinx. It also has diagnostic value for ectopic pregnancy, early pregnancy, pelvic masses, inflammation, etc. It is highly recommended that intravaginal B-ultrasound can be used to understand the ovulation process of the uterus and ovaries, which is especially suitable for women who are preparing for pregnancy. For women who have difficulty getting pregnant, before doing the painful ultrasound, they can do several vaginal B-ultrasounds at different time periods to observe the function of the uterus, ovaries and uterus to find out the cause of the difficulty in getting pregnant.

5. Imaging: A must-do test for women who have difficulty conceiving

If you cannot get pregnant successfully, your doctor may recommend that you do a dynamic observation of vaginal B-ultrasound during your menstrual cycle. If your ovaries are normal but you cannot get pregnant successfully, your doctor will recommend you to do this test. This test is said to be particularly painful.

It is indeed a bit painful because contrast agent needs to be injected, but this examination does not take long. As long as you cooperate well, the examination can be completed quickly.

What this test tells us: This test should be carried out 3 to 7 days after the menstrual period ends. For those with menstrual disorders, the time can be delayed to 10 days after menstruation. The examination is mainly to observe whether the bilateral fallopian tubes are smooth. Because the sperm and egg meet in the bilateral fallopian tubes, they undergo the initial fusion to become a small sperm-egg combination, which then travels along the bilateral fallopian tubes to settle in the uterus. If the fallopian tubes are blocked, sperm cannot reach the egg. The purpose of the examination is to find out whether the fallopian tubes on both sides are unobstructed.

6. Breast examination: Every woman must have a breast examination

Except for the few days after giving birth, breast surgery is under the jurisdiction of the surgery department in general hospitals.

Statistics from hospital physical examinations show that approximately 60% of working women have breast hyperplasia, and more than 8% of women have breast lumps. In this era when many people are suffering from sub-health problems, breast examinations are a routine physical examination item that all adult women must undergo. Asian women should pay more attention to this - the age structure of breast cancer onset in Asian women is much earlier than that in Western women.

The reason why beauties are afraid of breast examinations is mostly because they are afraid of embarrassment. During breast examinations, nipples may become hard. Breast size is also an issue that many women care about.

Although breast cancer is classified as a surgical specialty by medical classification, we often encounter women who come to the obstetrics and gynecology department for breast examinations, and we cannot refuse them. Nowadays, we usually use B-ultrasound or molybdenum target to check breast health problems, which are more scientific than palpation. Women with very small breasts who are not suitable for molybdenum target can have B-ultrasound and then have an MRI if there are any problems.

The reason why you can’t miss breast examination: Breast cancer is a killer of women’s reproductive health and one of the tumors with the highest cure rate after early detection. The latest data show that the cure rate of breast cancer patients who are discovered and treated in time at an early stage is close to 90%. Because Asian women develop breast cancer at a relatively early age, annual B-ultrasound examinations are very necessary, and mammography should be done at least once after the age of 35. Women over 40 who have breast hyperplasia or lumps should have a mammography examination every year.

After reading the introduction above, I believe that women have a certain understanding of gynecological examinations. Many women worry and are anxious because they do not understand gynecological examinations. They imagine how painful, embarrassing, and scary this kind of examination is. In fact, gynecological examinations are not what you imagine. As long as you treat gynecological examinations correctly and regard them as a vital part of your own health, there is no doubt about the necessity of gynecological examinations. If you have any questions during the examination, consult a doctor and then do as the doctor instructs.