1.When can I take a shower after surgery? If the surgery is not complicated and the patient can resume activities soon after surgery, when can he/she take a shower? A study from Taiwan divided 444 surgical patients with 1-2 types of incisions into 2 groups, one group took a shower 2 days after surgery with open dressing, and the other group took a shower 10 days after stitch removal. The results showed no difference in incision infection rates between the two groups! The study concluded that it was safe to take a shower 2 days after the initial wound healing after surgery. The question arises, do you dare to let your patients take a shower 48 hours after surgery? Do you use water to touch the wound when bathing or can you use body wash? Do patients dare to wash? 2. Is it necessary to perform myomectomy rotation in a bag? There has been so much discussion in recent years related to laparoscopic rotators, and with it, a wide variety of bags for laparoscopic myomectomy! A study that included 104 patients who underwent laparoscopic myomectomy with and without a pouch for spinotomy, comparing various indicators such as operative time, spinotomy time, ease of spinotomy and operative complications, showed no difference. However, this alone does not answer the question of the title, as we are concerned about the safety of spinotomy, which requires long-term data to be clear, such as the recurrence of postoperative leiomyosarcoma or tumor implantation in the abdominal cavity, etc. After all, this bag has just been released, so use it first if you have the conditions, and then decide to stay or go after years of research results. 3.How long is it suitable to get pregnant again after abortion? 1 month, 3 months, or 6 months? A study followed 1,100 women who had miscarried before 20 weeks and found that those who tried to get pregnant again within 3 months were more likely to get pregnant and more likely to have a live birth than those who waited more than 3 months. In addition, the incidence of pregnancy complications was similar in both groups. Therefore, the authors concluded that if you have moved on from the psychological trauma of your last miscarriage, then there is nothing to worry about and you can always get pregnant again. Note that the psychological trauma of early miscarriage seems to be greater than the physical trauma, so it is important for the expectant parents to have psychological guidance after the miscarriage! 4, FDA dose adjustment on early pregnancy medication abortion In the FDA early pregnancy medication abortion program released in April 2016, the gestational week for which medication abortion is indicated was extended from 7 weeks to 10 weeks. The amount of mifepristone was changed from 600 mg orally to 200 mg orally, and the amount of misoprostol was changed from 400 mcg orally to 800 mcg sublingually, and misoprostol can be purchased without a physician’s prescription. The amount of mifepristone has been reduced and the amount of misoprostol has been increased. The Americans did this, do we have to change it? 5. Ovarian Cancer Screening Protocol in the General Population The United Kingdom Trial of Ovarian Cancer Screening (UKCTOCS) is the largest randomized controlled trial of ovarian cancer screening to date, examining the role of CA 125 and transvaginal ultrasound (TVUS) in screening for ovarian cancer in the general population. The trial was conducted with three control groups: an unscreened group, a TVUS group (one TVUS per year) and a combined screening group (CA 125 checked annually, followed by TVUS if abnormal). At a median follow-up of 11 years, the detection rate of ovarian cancer within the combined screening group was 0.7%, compared with 0.6% in the TVUS and unscreened groups. The results do not appear promising. Screening for ovarian cancer in the general population is not recommended. The results seem to overturn our experience that annual ultrasound can’t actually be helpful in screening for ovarian cancer! On reflection, however, the results of this study do not seem to fit the national context. The primary health care in the UK ensures that almost everyone has a routine annual checkup, and the unscreened group is actually doing a full body checkup, while many of the ovarian cancer patients we see in the clinic have not had a checkup or ultrasound for years. If this study is placed in China, especially in remote areas, there may be positive results. 6.Can acupuncture treat hot flashes? Can acupuncture stop pain and improve hot flashes in perimenopausal patients? Studies have shown that it does, but it is just a placebo effect. Currently, the strongest evidence for this question comes from a controlled clinical study. The study included 327 patients with perimenopausal hot flashes, with the study group treated with acupuncture and the control group treated with sham acupuncture, which is the stimulation of the skin with something like a toothpick. After 8 weeks of treatment, there was a significant 40% improvement in hot flashes in both groups, but unfortunately there was no difference between the two groups. So, the placebo effect of acupuncture was still evident.