What are the taboos when treating gynecological diseases?

Gynecological inflammation is a common and frequently occurring disease among women, including vulvitis, vaginitis, acute and chronic cervicitis, acute and chronic pelvic inflammatory disease and pelvic tuberculosis. Among them, chronic cervicitis (such as cervical erosion, cervical polyps, cervical cysts, cervical hypertrophy and cervical mucositis, etc.), vaginitis (such as Trichomonas, Candida, senile vaginitis and bacterial vaginosis, etc.) and chronic pelvic inflammatory disease (such as chronic endometritis, chronic salpingitis, hydrosalpinx, salpingo-oophoritis, tubo-ovarian cysts, etc.) are the most common. Among the population, at least half of the women have suffered from the above-mentioned gynecological inflammations. However, many female patients have misunderstandings in the treatment of gynecological inflammation. Here, we only summarize the common misunderstandings in treatment as follows, hoping that female patients can get rid of these misunderstandings:

Blindly choose detergent and blindly wash

Washing liquid is a "weapon" favored by women to fight against vaginal inflammation. However, many women buy washing liquid blindly and casually. No matter what the situation, if you feel discomfort in your vulva and vagina, just buy some cleaning liquid to clean it. Even if there is no obvious discomfort, you can still use the cleaning liquid to clean it normally. The use of lotions is very particular, especially the acidity and alkalinity of the lotion. For vulvovaginal candidiasis (i.e. candidal vaginitis), alkaline lotions should be used. For example, the lotion Jieryin, which is commonly used by everyone, is not suitable for this disease, and potassium permanganate solution (PP powder) is also not suitable. Trichomonas vaginitis is characterized by local vaginal itching and the appearance of thin, foamy leucorrhea. In this case, an acidic wash such as chlorhexidine acetate should be used. Cleansing solution and potassium permanganate solution can be used as well. At the same time, vaginitis often requires the use of other drugs such as some suppositories and oral medications; in addition, many women use the wash time for more than the standard treatment course. Because it destroys the balance of the vaginal microecological environment, they are more likely to suffer from vaginitis and cause frequent attacks. It is recommended that patients go to the hospital for regular diagnosis and treatment.

Antibiotic infusions during menstruation to "prevent or treat inflammation"

Unfortunately, not only patients but also many medical workers are still advocating or implementing this practice. This is unscientific! If there is no inflammation, then infusing antibiotics during menstruation is not only useless, but also easily leads to antibiotic resistance, which will have an adverse effect on the future use of antibiotics. If pelvic inflammatory disease does exist, especially acute inflammation, then using antibiotics only during menstruation is not thorough enough, because under normal circumstances the menstrual period is 3-5 days, and a course of antibiotic treatment for acute pelvic inflammatory disease requires 10-14 days, which is bound to result in incomplete control of the inflammation, which will turn into a chronic disease, leading to repeated attacks and prolonged illness. There are countless examples of this. I hope that female friends will get rid of this misunderstanding. Here, I would also like to remind medical workers to be vigilant or not fall into this misunderstanding again.

As long as there is gynecological inflammation, antibiotics are needed

Vaginitis is mostly an inflammation caused by pathogens such as bacteria, fungi, and protozoa. It can be treated with targeted antibiotics, such as metronidazole for anaerobic bacteria (such as bacterial vaginosis) and Trichomonas (trichomonal vaginitis), and spinabilin, nystatin, fluconazole, etc. for fungi (such as vulvovaginal candidiasis). Chronic cervicitis is caused by multiple factors such as endocrine changes, external stimuli, and human papillomavirus infection. It is generally treated with antibiotics. It is important to rule out the possibility of cancer and precancerous lesions. Some do not require special treatment and regular check-ups are sufficient. Symptomatic cases require comprehensive treatment. For example, cervical erosion can be treated with medication, physical therapy, etc.; of course, if it is acute cervicitis, acute pelvic inflammatory disease, or cervical mucositis, "anti-inflammatory drugs" should be used without hesitation, and attention should be paid to the duration of treatment.

Let Chinese patent medicine play a leading role

Due to advertising and the fact that traditional medicine is deeply rooted in people's hearts, most of the Chinese patent medicines for treating gynecological inflammation are very famous, such as Fuke Qianjin Tablets, Huahong Tablets, Jinji Capsules, Jingangteng Capsules, and Wujibaifeng Pills. Many women experience symptoms of gynecological inflammation, such as excessive vaginal discharge, abnormal color and odor of vaginal discharge, itching at the vaginal opening, etc., and are accustomed to seeking treatment with Chinese patent medicines. But whether it is chronic cervicitis, vaginitis or chronic pelvic inflammatory disease, Chinese patent medicine is not the first choice of treatment. Most gynecological Chinese patent medicines have the effect of clearing away heat and detoxifying, can play a good role in regulating endocrine, and can adjust women's physique, but they are slow to take effect and not very targeted. They are generally used as an auxiliary treatment for chronic gynecological inflammation and cannot be used as the first choice of treatment. Otherwise, it will be like "slow soldiers against a strong enemy", and the pathogens that cause inflammation will take the opportunity to spread and develop, thus delaying the disease.

Not following the course of treatment

Many women who are receiving treatment for gynecological inflammation often judge the efficacy of the treatment based on their subjective feelings. When their symptoms improve and their leucorrhea becomes normal, they believe that the disease is cured and often stop taking the medication. Especially in the case of acute pelvic inflammatory disease, once the lower abdominal pain improves, people stop taking the treatment and do not adhere to the course of treatment. Instead of pursuing the enemy with all their strength, they stop using antibiotics. As a result, the treatment is incomplete and the disease turns into chronic pelvic inflammatory disease, with repeated acute attacks, which affect work and life and cause torture. For other gynecological inflammations, treatment and medication basically have a strict "course of treatment" concept. I hope that female patients suffering from gynecological inflammation will persevere and complete the treatment. Persistence is victory! However, there are some women who refuse to stop taking medication even after the treatment course is complete, thinking that the longer the medication is used, the better the effect. This is unnecessary. No matter what kind of medicine, it has its side effects and adverse reactions. Moreover, long-term use of antibiotics can also cause dysbacteriosis. Therefore, everyone must remember to follow the standard and course of treatment!