Today, a postmenopausal mother came to the clinic complaining of: itching all over the body, lower body (vulva) obvious more than ten days. Especially at night when sleeping, aggravated itching unbearable, always have to do up scratching, no peace of mind. She was given anti-inflammatory and anti-allergy medications at the local hospital, but to no avail. She denied abnormal leukorrhea and vaginal bleeding, and denied any other disease history. As a result, in the simple gynecological routine examination, found that its vulvar pubic hair was seen at the wriggling parasites and eggs, its in no abnormal. Naked eye can diagnose typical pubic lice (estimated that young doctors do not necessarily seen) instructed to shave the pubic hair, sulfur soap external wash, apply sulfur ointment or lindane cream, generally very good results. If the gynecological examination in a timely manner, the old mother could have been a few days less suffering from the pain of pubic lice bites. The. So what are the symptoms that indicate that you need to go to the hospital for a gynecological examination? What items are included in a gynecological examination? How can you find out early without overdoing it? Then follow my footsteps together to look down: the following six cases recommended timely gynecological examination 1, vulvar itching: vulva is a particularly sensitive part of the gynecological lesions and external stimuli can be caused by itching, so that people have trouble sleeping, eating, sitting and lying down. Vulvar itching mostly occurs in the clitoris, labia minora, and can also spread to the labia majora, perineum and perianal area. 2.Abnormal vaginal bleeding: it can be divided into regular vaginal bleeding with cycle and vaginal bleeding without cycle. Postmenopausal vaginal bleeding or bleeding during sexual intercourse should not be neglected, which is often closely related to reproductive tract tumors. Abnormal leukorrhea: If the leukorrhea is yellow or greyish yellow, thin foamy, bean dregs-like secretion, purulent, bloody or watery leukorrhea, it is often a signal of inflammation or reproductive tract tumor, and should be examined in time. 4, irregular menstruation: irregular menstruation is often a sign of gynecological diseases such as endometriosis, ectopic pregnancy, adnexitis, ovary and uterus. 5, lumbosacral pain and lower abdominal cramps: often a manifestation of pelvic inflammation, endometriosis or tumor compression. 6, dysmenorrhea: dysmenorrhea in a few people may be related to excessive uterine position in anterior or posterior flexion, cervical stenosis, reproductive tract malformation, etc. More importantly, secondary dysmenorrhea such as endometriosis needs to be excluded. All of them may affect future fertility and should be treated promptly. Specific items of gynecological examination: 1. Routine gynecological examination: Vaginal examination and bimanual examination by gynecologists can make a comprehensive assessment of the patient’s gynecological condition. (1) Vulvar examination: mainly check whether the skin of the vulva is smooth, whether the color is normal, and whether there are ulcers, dermatitis, redundant organisms and hypopigmentation. (2) Vaginal examination: to see whether the surface of the vaginal mucosa is smooth, whether the texture is normal, whether there are bleeding spots, and whether the vaginal secretion is normal in character and odor. (3) Cervical examination: observe whether there is any swelling, ulcer, erosion, polyp on the cervix, whether the size of cervix is normal, whether the surface is smooth, whether the texture is too hard, and whether there is uterine prolapse. (4) Uterus and adnexa examination: to understand the position of the uterine fundus, whether it is active, how the texture is, if the uterus is enlarged, too hard, the surface is not smooth are abnormal phenomena, need to do further examination. 2.Leukorrhea routine examination: to detect various pathogenic microorganisms causing vaginitis, such as mold, trichomonas, clue cells, PH value, cleanliness, chlamydia and so on. 3.Shedding cytology: this is the main method of cancer prevention and screening, which is of great value in diagnosing cervical pre-cancer and early cervical cancer. Married women need to check cervical TCT once a year, or TCT plus HPV joint screening once every three years. 4.Pelvic and vaginal ultrasound: it can detect uterine fibroids, ovarian cysts and other lesions at an early stage. 5.Electronic colposcopy: magnifying the vulva, vagina and cervix by 4-50 times, it can find certain tiny lesions that cannot be detected by the naked eye, and it is valuable for the early detection and diagnosis of pre-cancerous lesions of the cervix (in). 6. Hysteroscopy and laparoscopy: for gynecological symptoms whose causes are not clear or which require further diagnosis, the examination can provide early and clear guidance for treatment.