[Nursing Science] Gynecological consultation calendar, don't go to the doctor in vain

As a member of the female team, have you ever rushed to see a gynecologist but had a wasted trip? Was it because you were not fasting or because you had your period? Gynecological examinations have more requirements than routine examinations, because different examination items are determined according to the menstrual period.

A complete menstrual cycle includes the follicular phase and the luteal phase. The "standard" menstrual cycle in textbooks is 28 days, with bleeding for 5-6 days, but it is not actually that strict.

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1. The best time for different gynecological examinations:

Taking the first day of menstruation as the beginning of a menstrual cycle, the best time for different gynecological examinations is as follows:

Day 2-4:

Sex hormone testing requires blood drawing during menstruation, which can reflect ovarian function.

Suitable for people: irregular menstrual cycle, infertility, etc.

Day 10-14:

That is 3 to 7 days after the end of menstruation, which is suitable for most examinations.

Suitable for: The best time to visit for common gynecological diseases or routine gynecological surgeries; salpingography, cervical cancer screening, examination of gynecological secretions, etc.

Day 10-15:

Monitor ovulation, which is also the best time to conceive. Basal body temperature after ovulation (sublingual body temperature when getting up early and not active)

Suitable for people: patients who are preparing for pregnancy, after drug treatment, or need to monitor ovulation for assisted reproduction.

Day 22-28:

One week before menstruation, blood was drawn to assess luteal function.

Suitable for people: patients with menstrual disorders, normal menstrual cycles and infertility.

4 abnormalities indicate that you should have a gynecological examination

Gynecological examination includes examination of the uterus and its appendages, vulva, cervix and vagina. If the following conditions occur, you should go to the gynecology department.

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Menstrual abnormalities

The normal menstrual cycle is 21 to 35 days, bleeding lasts 2 to 8 days, and the menstrual volume is 5 to 80 ml (5 ml can soak one daily sanitary napkin).

If the cycle is less than 21 days, be alert to luteal insufficiency;

If the period exceeds 35 days, check for premature ovarian failure and hypothyroidism;

Abnormal bleeding

Bleeding after sexual intercourse, beware of cervical cancer;

Postmenopausal bleeding, check for cervical cancer and endometrial lesions;

Increased bleeding and large blood clots may be caused by uterine fibroids.

Abnormal vaginal discharge

Watery leucorrhea, a significant increase in leucorrhea, and changes in odor and color should alert you to inflammation and cervical lesions.

Lower abdominal pain

Be alert to pelvic inflammation, corpus luteum rupture, endometriosis, urinary stones, and tumors compressing pelvic tissues.

4 details to avoid a wasted trip

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Dress: Wear loose clothing, no jumpsuits.

Sexual life: Women with abnormal vaginal discharge, itching caused by external factors, and women who want to undergo cervical cancer screening or transvaginal ultrasound should refrain from sexual intercourse and vaginal douching, and should not apply vaginal medications, for 48 hours before seeing a doctor.

Whether to hold urine: Women who have not had sex usually undergo abdominal ultrasound, and they must hold urine before the examination; women who have sex are recommended to undergo transvaginal ultrasound, and they need to urinate and empty their bladder before the examination.

Fasting: For sex hormone testing, it is recommended to draw blood on an empty stomach around 9 am. Stop taking hormone drugs one month before the test as directed by your doctor.