How do I look for gynecological problems?

  How do I look for gynecological problems?  People inevitably get sick, and when they get sick, they have to go to the hospital. For women, the most painful and embarrassing thing is to go to the gynecologist. Always feel that going to the gynecologist is not clean, as if they have done something ugly. The most important thing is that you have to be able to delay, but you can’t stand it anymore. In fact, readers know that most people do not have any unclean diseases, and to go to the hospital is not necessarily to see a doctor, preventive health care to do physical examination is also to go to the hospital.  It is difficult to muster the courage to come to the hospital, after the front and so on million wait their turn, many people can not say what they came to do. Some are clouded with a bunch of words, but there is no focus; some are stammering and nervous, incoherent; some even do not know why they came. The patient is anxious, the doctor is also anxious, the doctor speaks loudly, the patient is uncomfortable, and as a result, the disease is not seen, they hold a stomach of anger. So during your waiting period, you should recall your situation carefully and rationalize your thoughts a little, so that you can save time and ask more questions, but also let the doctor feel that you are easy to communicate.  1, the reason for coming to see the doctor: I cite the words of the patient, it is easier for you to understand, “itchy below for a few days” “leucorrhea, very yellow in color, smelly” “menstruation does not come for several months” “I have too much menstrual flow,” “I have an uncomfortable belly,” “I came for a routine checkup,” and so on and so forth. You should tell the doctor how many days you have had these discomforts, whether you have taken any medication or gone to the hospital in between, and whether you have gotten better afterwards. After you tell us the main problem, the doctor will ask if there are any other discomforts according to the situation. If your condition is complicated, it is recommended to talk about the main problems and treatment first, and then let the doctor ask slowly. It is best not to sit down and just say what tests were done, the doctor does not know what the problem is, it is difficult to remember what you said.  2, menstrual marriage history: including the usual menstrual punctuality, whether the amount of menstruation is normal, whether there is dysmenorrhea, whether there is sexual life, what kind of contraceptive measures to take, now fight not intend to have children, etc.. Some patients resent the doctor asking these questions: “I’m just looking for vaginitis, and I have to ask if I have contraception? When did I get my period?” These are all necessary. This is because on the one hand, some diseases are related to the timing of menstruation, and on the other hand, gynecological medications should not be used casually. If the patient does not have strict contraception, it would be difficult in case she gets pregnant and is afraid to have this child because the doctor uses medication. Therefore, you must tell your doctor truthfully, for example, some people use safe period contraception, in vitro ejaculation contraception, etc., which are not very effective contraceptive methods, and you must not say that you will definitely not get pregnant. Also, you should not hide your sexual history. I often meet little girls who have not had their periods for several months, and when asked if she has had sex, she refuses to admit it, but once she is examined, she is pregnant for several months.  There are also people who mistake sexual contact for sex, such as some contact outside the vagina alone, where the penis is not inserted into the vagina, etc. If the mistake of sexual intercourse leads the doctor to do a gynecological vaginal examination or vaginal ultrasound, it may cause the hymen to rupture. However, some do have no sexual intercourse and the hymen is intact, but the ejaculation is at the vaginal opening and pregnancy is possible due to the swimming of sperm. Therefore it needs to be described to the doctor specifically, not self-perception of having or not having sexual intercourse.  3. Past conditions: If you have had some major diseases in the past, such as heart disease, kidney disease, asthma, hepatitis, hyperthyroidism, etc., you should tell your doctor voluntarily, even if you have been cured. Likewise, previous surgeries such as appendicitis surgery, ovarian mass surgery, etc. should be informed.  (1) Doctors are reluctant to bring previous medical records, especially when the condition is complex and the patient does not understand it. Even if the computer is advanced now, it is not possible to find out all the information about the visit, moreover, it takes extra time to check the computer.  (2) If you have a special condition that needs to be hidden from your family, it is best to visit the doctor alone and not have your family accompany you.  (3) A person should see a doctor and several family members should enter the consultation room together. For complex diseases, or special cases such as being too young or too old, or having difficulty communicating in language, the doctor will have a family member accompany the patient. The general situation of the visit, only the patient himself, many family members, a variety of opinions make the doctor at a loss, listen to who is good?  (4) You don’t know anything about your condition. Some patients come to see the doctor themselves, but they ask their family members everything. “Husband, when did I have my last period?” “Husband, what is the name of the medicine I am taking?” This can waste time during the visit. Of course, it does not include when you need to hide your condition for cancer patients, etc.  (5) One person registers and several people see the doctor. “Doctor, stop by and help me with my sister’s results.” “Doctor, please check my daughter’s results too.” There is no “by the way” to see a doctor, just as there is no “by the way” to get sick. Doctors are responsible for their patients, not just by looking at them, but also by taking into account their specific situation.  (6) Deliberate concealment of important medical conditions. We often encounter patients who are suspected of having ectopic pregnancy in outside hospitals, but say they have never been tested, hoping to test the level of the hospital. Doctors know about previous tests in order to better judge the condition, not to copy the test results of other hospitals. Ectopic pregnancy, which may not be uncomfortable in the early stage, must be judged by examination. If there is an urgent case, we will deal with it as soon as possible; if there is a difficult condition, a specialist consultation may be required.