Now many medical institutions in the name of free gynecological check-ups, not to go to the hospital is okay, to the hospital is a large number of diseases, common cervical erosion, pelvic effusion, ovarian cysts, HPV infection, uterine fibroids, these diseases to many women friends brought panic, if immediately after the start of a variety of treatment, not only to spend money, and may not cause unnecessary harm to the body. “80% of women who go to the hospital for a physical examination will find gynecological diseases”, when I see such information, I think it must be our medicine has gone wrong. This article is to help women clear their doubts and avoid misconceptions about gynecological diseases. 1, cervical erosion: this used to be diagnosed as a disease by doctors in the past, but in recent years the medical profession has recognized that cervical erosion is not a disease, is a normal physiological phenomenon, because women in the reproductive age, with the rise of estrogen, the original located inside the cervical canal epithelium extended outward to the outside of the cervix, looks like “erosion “The actual fact is that it is not a disease, almost every person will have, so free physical examination found “celiac disease” root need not be afraid, only symptomatic cervicitis, such as the phenomenon of increased yellowing of the leucorrhea, only need to consider treatment. The diagnosis of celiac disease has been eliminated from medical school textbooks since the 8th edition of obstetrics and gynecology textbooks in 2008, but there are still many doctors who have not updated their concepts and are still making the diagnosis and treatment of celiac disease. The use of LEEP knife to treat “celiac disease” is a potential risk for future childbirth and premature births in the future. Figure 1. The cervical area that looks like “celiac disease” is actually a normal cervical area. Figure 2. “Celiac disease” is actually the result of the outward extension of the columnar epithelium. It is also common to find pelvic fluid through ultrasound, usually without symptoms, and there is no need for special treatment for a small amount of pelvic fluid. Nowadays, many hospitals start to give intravenous antibiotics when pelvic fluid is found, which not only costs money but also causes disorders of the flora. If the amount of pelvic fluid is too much, it belongs to the nature of ascites to be investigated and requires some necessary examination in internal medicine. 3, ovarian cysts: body check on the ovaries found cysts is a very common phenomenon, but cysts are probably divided into physiological cysts and pathological cysts, in fertile women’s ovaries every month there will be follicles mature, and then ovulation, before ovulation, usually see the presence of cysts, such cysts generally do not need to do any treatment, observation is good. For ovarian cysts found unintentionally during checkups, if you are not sure, you can usually observe them for 3 months to see if they disappear after 3 months, you don’t need to do any treatment. It is common to see advertisements for certain drugs that claim to cure ovarian cysts, but they are mostly frauds. If there is really a problem with pathological cysts, they usually require surgery, while physiological ones will disappear without treatment. Figure 3: Ovarian cysts 4. HPV infection: HPV testing is a new method of screening for cervical cancer, in fact, HPV infection is a viral infection that has always existed, but recent studies suggest that high-risk HPV infection is the culprit of cervical cancer, hence the term combined screening, which increases the sensitivity of cervical precancer diagnosis by combining HPV and cervical cytology scraping. sensitivity. Unfortunately, there is no treatment for HPV (this is not what Dr. Gong said, it is an international opinion) and HPV positivity is common in young women. If you find out that you are positive for HPV, you don’t need to worry about it all day long, most people will be cleared up in time (so now international guidelines don’t recommend screening for HPV for women under 30 years old), and the current advice is to “treat the disease not the virus” because there is no cure for the virus. The chaos seen in China now is the proliferation of various HPV treatments, with many manufacturers claiming that their drugs can treat HPV infection, but in fact, they capture the patient’s nervousness, and if they go for treatment, they are actually overdoing it. There are also a lot of claims out there, such as HPV infection can not have sex, can not get pregnant, can not give birth naturally, are no scientific basis for the claim. 5, uterine fibroids: in the reproductive years of women, uterine fibroids is also the most common kind of gynecological tumor, it is a hormone-dependent disease, usually with the increase in age, the incidence is also increasing, but usually after menopause will shrink with the decline of estrogen. Therefore, for fibroids that are asymptomatic and unintentionally detected by ultrasound, surgical treatment is usually not necessary and regular checkups are sufficient. Our statistics show that about 1/3 of women may eventually have fibroids before menopause, but the majority of women with fibroids do not require surgical intervention to treat them. Figure 4: Uterine fibroids Free is always the most expensive, so you need to be vigilant about all kinds of free medical checkups, so you don’t suffer from a big injury because of a little cheapness.