25-year-old women must have annual physical examination items

Vaginitis, cervicitis, pelvic inflammatory disease, vulvitis... are very common gynecological diseases. According to a gynecological disease survey around 2000, the most common age for these inflammations is around 25-30 years old, so regular check-ups every year seem particularly important. So, what are the routine physical examination items that 25-year-old women must have every year? Let's have a simple understanding and understanding of this issue. I hope the following points will be helpful to everyone!

What kind of checkups do women need to do every year after they turn 25?

Gynecologists emphasize that women over the age of 25 should go to the hospital regularly for clinical examinations. Clinical examination includes physician's palpation and instrument inspection. In terms of instrument inspection, it is divided into two categories: radioactive molybdenum target inspection and non-radioactive color B-ultrasound inspection. At present, the internationally accepted standard is that for healthy breasts (note, breasts) over the age of 25, it is sufficient to have a color B-ultrasound examination of the breasts once a year. However, if breast examination reveals any abnormalities (breast lumps, masses, or other diseases with uncertain tumor characteristics), it is necessary to check once every six months. In addition, if there is a typical family history, such as relatives with ovarian cancer and breast cancer (mother, menstrual period, grandmother, aunt, grandmother, etc.), then the time to care for the breasts should be earlier, and the time for breast examination should also be relatively earlier. In fact, how to examine breasts is closely related to age.

For young women, breast B-ultrasound is the preferred examination method.

If abnormal phenomena such as lumps and cysts are found in breast B-ultrasound, women under 40 years old are not recommended to undergo mammography for further confirmation, but magnetic resonance imaging (MR) is recommended. This is because, the mammography examination is a test using radioactive substances. For young breasts, especially women in their 20s, the breast tissue is very dense and the glandular duct tissue has not declined. If a mammography examination is used, when the radiation passes through the breast, it will be absorbed by the glandular duct. The mammography photographs taken in this way are not only blurry, unable to distinguish the difference between the lumps and the glandular ducts, but also cause young women to absorb a lot of radiation in vain.

At the age of 40, add molybdenum target

It is generally recommended that women start mammography and breast ultrasound examinations at the age of 40. "This type of examination method can obtain very accurate breast cancer diagnosis results." Director Liao Ning emphasized. However, if there are three women in the family suffering from breast cancer, or there is more than one ovarian cancer patient in the maternal family, the time for B-ultrasound and molybdenum target examinations should be started earlier at the age of 35.

The two cannot replace each other

Some people think that molybdenum target is harmful to breast tissue and very painful, so they are unwilling to do this kind of examination. Can it be replaced by B-ultrasound? The answer is: the two cannot replace each other. When treating different diseases, molybdenum target and breast B-ultrasound have their different purposes and uniqueness. Mammography has a relatively high diagnostic accuracy for early breast cancer that manifests as thickening. B-ultrasound is different. Its ability to detect thickening is lower, but its ability to detect cysts and lumps is better than that of molybdenum target. Especially for some special tumors, such as papilloma, B-ultrasound shows its strong power. In the 1970s, governments in various European and American countries, including the United States, launched a large number of group-based early screening projects for breast cancer, including mammography screening projects. They found that annual mammography examinations can increase the diagnosis rate of breast cancer in women over 40 years old and reduce the mortality rate of breast cancer. Therefore, for women over 40 years old (regardless of whether they are married or single, with or without children), it is recommended to use mammography as a screening method and insist on having a mammography examination once a year. This is the most basic practice in the entire breast cancer diagnosis and treatment guidelines at this stage, and it is also a very important method for screening breast cancer.

Routine breast examinations are important!

Because the causes of breast cancer are relatively complex, no direct factor that affects its occurrence has been found so far. Unlike cervical cancer, it does not have a specific causative virus infection - human papillomavirus infection (HPV), which can be used as a specific test indicator for cancer screening. Therefore, even if you have checked for two consecutive years and found no abnormal breast changes, this should not be a reason to be complacent. You still need to persist in breast cancer screening every year. There are generally two peak periods for the onset of breast cancer. The first peak is between 45 and 55 years old, and the second peak is after 65 years old. It does not mean that the risk of breast cancer disappears after menopause. On the contrary, the incidence of breast cancer reaches a peak after menopause at the age of 65. Therefore, it is very important for women to persist in having regular breast examinations once a year after menopause.