Many women have some “problems” after their gynecological checkups, to a greater or lesser extent. Whether or not these “problems” need to be treated and how to treat them bother many people. In this regard, we have asked our experts to respond as follows. Does the presence of fluid in the pelvis mean that there is pelvic inflammatory disease? Pelvic fluid is a frequent finding on ultrasound examinations, and some people are distressed by this finding. It is very important to interpret pelvic fluid correctly. Pelvic fluid can be categorized into physiological pelvic fluid and pathological pelvic fluid. Physiologic pelvic fluid is because the pelvis is the lowest part of the abdominal cavity in the body, when there is exudate or leakage of fluid will drain to the pelvis, thus forming pelvic fluid. Some normal women may have pelvic fluid on ultrasound results during menstruation or ovulation without any symptoms. No treatment is needed at this time and regular observation is sufficient. Those with pathologic pelvic effusion should go to the hospital in time for symptomatic treatment. Does celiac disease need treatment? Many women are found to have “cervical erosion” in their medical checkups. In fact, after excluding cervical lesions, celiac disease does not always need treatment. As most of the cases of celiac disease are pseudo-celiac disease, if the presence of cervical lesions is not confirmed by TCT and/or HPV testing, simple celiac disease does not require treatment. Do cervical cysts need treatment? The diagnosis of cervical cysts often appears in ultrasound results, and many female patients are very concerned about treatment, and some are even more mentally burdened as a result. Cervical cysts, also known as cervical natriuretic cysts (can be called natriuretic cysts), like cervical erosion and cervical polyps, are a manifestation of chronic cervicitis. The cause of its formation is similar to the face of acne, is in the process of healing cervical erosion gland duct mouth is blocked and formed, most do not need treatment. Can negative 3D color ultrasound replace gynecological examination? Some people think that a negative 3D color ultrasound can replace a gynecological examination, which is actually a misunderstanding. Negative 3D color ultrasound is one of the very important means for the examination and diagnosis of tumors on the uterus, cervix, ovaries and oviducts, but the diagnostic significance of tumors on the cervix and vagina is more limited, so it can’t replace the gynecological examination, and even more so, it can’t replace the screening of cervical cancer. What are the contents of gynecological examination? Gynecological physical examination: examination of vulva, vagina and pelvis, and if necessary, examination of vaginal secretion according to the situation. Cervical cancer screening: cervical exfoliative cytology (e.g. TCT) should be carried out once a year, and the examination interval can be extended under the guidance of doctors after the examination results have been normal for 3 consecutive years, and combined with cervical HPV examination can improve the detection rate of cervical lesions. Negative ultrasound: to detect uterine, ovarian and pelvic lesions (every six months for those with a family history of gynecological malignancy). What should I pay attention to when having a gynecological examination? The best time for gynecological examination is 3 days after menstruation. However, if there is persistent irregular vaginal bleeding, or sudden heavy bleeding accompanied by abdominal pain, fainting, or the appearance of a mass, one should not mechanically wait for the examination after the menstrual period has been cleared, in order to avoid delaying the condition. Patients are advised to wash the vulva with water before the consultation, and should avoid sexual intercourse as well as vaginal medication the day before so as not to affect the results of laboratory tests and examinations. How should women perform daily care? Rinse the vulva with warm boiled water every day. Vulvar washing instruments should be clean and specialized. Unnecessary vaginal douching is wrong and can cause dysbiosis, leading to vaginal infectious diseases. Frequent sexual intercourse and vaginal douching can raise the vaginal pH, which is not conducive to the growth of Lactobacillus.