Be wary of one of the gynecological over-medications Celiac disease

  Overmedication refers to unnecessary testing and treatment of patients by doctors or medical units or by pharmaceutical manufacturers for profit-making purposes. It causes harm to patients and wastes money. It has become a chronic problem in the medical industry.  The term “cervical erosion” is used to describe the origin of the term “cervical erosion”: the cervical epithelium consists of the squamous epithelium of vaginal origin and the columnar epithelium of cervical canal origin, and the cervix appears smooth when covered by the squamous epithelium. When covered by the columnar epithelium, the cervix appears granular pink, which is somewhat like celiac disease and is therefore called cervical erosion; it is a normal physiological phenomenon. The higher the estrogen level, the heavier the “celiac disease”, in other words, the younger the celiac disease, the heavier the celiac disease, but this celiac disease has no relationship with cervical cancer. Older people can have a smooth cervix and still have cervical cancer, while younger people do not have a smooth cervix, which is not the same as having cervical cancer. It may be considered as cervical erosion and treated, but it is actually normal. Treatment is only needed when there is abdominal pain, increased leucorrhea, yellow smell or purulence, which means cervicitis. Cervical cancer is currently the most prevalent gynecological malignancy in the world and the only malignancy for which the cause has been clearly identified. High-risk human papillomavirus (HPV) infection is the cause of cervical cancer, and there are many types of HPV, the most common ones are 16 and 18. Irregular hospital visits for cervical cancer screening or lack of knowledge of doctors in this area are the main reasons for the high incidence of cervical cancer in China today.  The first thing that should be done when you are diagnosed with cervical erosion is to go to a regular hospital and get diagnosed by 2 or more specialists, as some of them are not good at this. The TCT test can be repeated once every 3 years if it is normal, or once every 5 years if the HPV is normal.  For young women, the HPV infection rate is as high as 50% or more due to an active sex life, but due to the high immunity of the body, it mostly turns negative within 9-18 months, so screening is not done before the age of 20 and HPV screening is not done before the age of 30. The focus of gynecological care at this time is on contraception and STD prevention. After the age of 65, screening can be stopped if the tests are normal for many years because the likelihood of HPV infection is low. Screening is focused on ages 30-60. Screening is not needed if the uterus has been removed for benign diseases such as fibroids. There are more than 100 known types of HPV, of which low-risk types are the cause of condyloma acuminata. Only a very small number of high-risk HPV types are persistently infected to cause cervical cancer precancerous lesions. There are two types of HPV tests, one is quantitative and the other is high-risk typing, which must be done when the quantitative increase is high.  Nowadays, many young women are subjected to various excessive treatments due to the so-called cervical erosion. Besides paying the economic cost, more serious is the damage to the cervix caused by inappropriate treatments that affect future fertility. The reasons for this are, on the one hand, the patient’s fear of cervical cancer and, on the other hand, the doctor’s lack of knowledge or the pursuit of profit. Random treatments such as cervical laparoscopy and microwave cause damage to the function of the cervix, resulting in infertility or miscarriage and premature birth. Remember not to undergo random cervical treatment before the age of 30. In addition, there is no drug with definite efficacy against HPV, do not carry out the so-called drug treatment, for general infection can be drug treatment.  Whether patients with high-risk HPV can get pregnant is a concern for many people. According to relevant reports, it is possible to get pregnant with high-risk HPV infection, but only if it does not cause other lesions, such as condyloma acuminata, malignant lesions of the cervix, etc. Therefore, firstly, early detection and complete treatment of high-risk HPV infection should be given, followed by curing the cervical lesions before preparing for pregnancy. However, to completely cure HPV infection, advanced testing methods are needed, and only accurate test results will allow for better treatment and prognosis of HPV infection.  HPV currently has no evidence of adverse effects on the fetus, but lesions above CIN III can worsen during pregnancy, especially in patients who have been diagnosed with cervical cancer. The two HPV vaccines that have been approved for marketing are both primarily for subtypes 16 and 18, which can reduce the incidence of cervical cancer by approximately 75%. Therefore, even if the vaccine is administered on time, routine screening for early detection of cervical cancer caused by other HPV high-risk subtypes is still needed.