Women's infection with high -risk HPV heals. These gynecological diseases can be "healed without medicine", but they need to be reviewed regularly

Wuhan Evening News July 27 (Reporter Qi Yan Correspondent Liu Shanshan) For female compatriots, regular gynecological examinations are a "amulet" of good health, but when they see the "HPV infection" popping out on the inspection report form Diagnosis of liquid "uterine fibroids", many women are unknown, and they are easily scared. In fact, some of these "gynecological diseases" that seem bluffed are not treated, and some need to be treated only to a certain degree.

In December last year, Ms. Dong, 38, participated in the unit's welfare medical examination, and was shocked when she got the results of the medical examination. It turned out that her HPV DNA (high -risk) was positive on the report form. After all, it was easy to cure. The doctor suggested to do a TCT (liquid -based thin layer cell test) and HPV test. I did not expect that the result was "high -risk" and "positive", which was scared.

The next day, Ms. Dong quickly went to a large hospital to hang the expert number of gynecological tumors. Experts give her two schemes: First, no matter it, after two or three months, review; 2. If you really can't rest assured, you can choose to do a vaginal biopsy. Out of fear of this inspection, Ms. Dong decided to temporarily "escape the reality", not to care about it first, just maintain a regular life, healthy diet, downloaded exercise software, and started to pay attention to exercise. Not long ago, she went to the hospital to review again, and she magically found that the TCT was normal, and HPV turned over.

As we all know, HPV (human papilloma virus) is a virus that can directly lead to cervical cancer. High -risk pathogenicity of type 16 and 18 types is higher, but will it heal itself without treatment?

In this regard, Li Xiong, deputy chief physician of the gynecological department of Wuhan Central Hospital, introduced that there are more than 100 types of HPV viruses, and there can be no symptoms after infection. A large number of medical studies have shown that in one or two years, 80%of women's immune systems may be possible Clear HPV that entered the body. If you encounter type 16 or 18 HPV positive, you need to do a vaginal mirror examination; if you encounter other high -risk HPV positives, but the TCT is normal, you can review it in about one year. If it is other high-risk HPV infections (non-16, 18), but TCT has problems, such as finding atypical Septech cells (ASC-US) with unknown meaning, it is also recommended to do a vaginal examination. If HPV is normal, but TCT is asc-US, it can be reviewed around June-December.

Almost every woman will go through a gynecological disease in more than once in her life, Dr. Li Xiong reminds that he should not be frightened by some words. The following gynecological diseases can be observed first and treated treatment.

TOP1 physiological pelvic effusion

During the abdominal ultrasound, the description of "a small amount of pelvic effusion" is often seen on the reporting form, which is not necessary to be nervous. From a medical perspective, the pelvic effusion is not a disease. It belongs to a clinical manifestation and is a description of pelvic effusion in imaging. Under normal circumstances, there will be a small amount of effusion in the pelvic cavity, and the pelvic effusion is divided into physiology and pathological. Women may occur in a small amount of pelvic effusion when ovulation, menstrual periods, or constipation. This is a physiological effusion and does not require treatment.

However, if the amount of effusion is large, dozens of millimeters or multiple places include effusion (post -depression, front depression, nasal fossa, etc.), accompanied by discomfort such as abdominal pain, fever, purulent leucorrhea or merging other gynecological diseases. Considering the pathological effusion when digestive system diseases, these situations need to be treated. Therefore, if patients have the following symptoms, they need to be diagnosed and treated early: ① Slip, lower abdomen, lumbosacral pain; ② resistance decreases; ③ menstrual disorders; ④ infertility.

TOP2 cervical erosion

At present, the word "cervical erosion" has been eliminated, but it is called cervical cylindrical epithelium. Most of the "cervical erosion" is a columnar epithelium that is caused by the changes in hormones. This is a normal physiological phenomenon. Generally, there is no symptoms and no treatment is required. However, if leucorrhea is increased, sticky, and uncomfortable with the feeling of lumbar acid, lower abdomen, etc., the quality of life of patients will be reduced. At this time, the corresponding treatment is needed. Therefore, when you see the "cervical erosion" of the medical examination report, you don't have to be nervous. You should decide whether to do cervical cancer screening and whether you need to deal with it according to the doctor's advice.

TOP3 cervical gland cyst

Many people smell "swollen" color changes. In fact, cervical cysts are just scary. Most of the cervical gland cysts are physiological changes in cervix. If there is a cervical cyst found in the maternal examination, this is mostly a manifestation of chronic cervicitis; in the process of cervicitis healing, the secretions in the cervical gland are hyperplasia of the neonatal scales. Most do not require treatment. Under normal circumstances, small cervical cysts do not have uncomfortable symptoms, do not need to be treated specially, they can be reviewed regularly every year. However, if the cyst is too large (> 10 mm) and affects sexual life or childbirth, you need to seek medical treatment.

TOP4 uterine fibroids

Most of the uterine fibroids are benign. Due to the little risk of fibroids, asymptomatic fibroids can be considered to be expected to observe. 3%to 7%of the prevalence of menopausal uterine fibroids will fade back in half to 3 years after menopause, and most of the volume will be reduced. Therefore, the B-ultrasound can be reviewed at 6-12 months. The size of the fibroids has not changed significantly, and the problem is not big. If the fibroids increase significantly in a short period of time, be careful. If 3-5 months increase 1-2cm, the problem is not large; if 2-3 months increase by more than 2-3cm, you must be vigilant. In addition, if there are some discomfort or postmenopausal fibroids, if it does not change, it will increase, and it should be actively medical treatment. TOP5 uterine endometrial thickening

Endometrial thickening is likely to be a normal physiological phenomenon. For women before menopause, if the gynecological examination shows that the endometrium is thickened, to see if there are menstruation changes and evaluate the menstrual cycle.

In the endometrium of women's uterine, there will be a periodic "growth-thickening-shedding-thinning" process, which is a physiological process completed under the regulation of ovarian hormones. During this period, the endometrium is thickened to 14-16mm.

However, for women who usually do menstruation, menstruation suddenly delayed for 7 to 10 days in the future. Check the B -ultrasound that the endometrium thickened (> 10 mm). At this time, the following possibilities need to be considered: pregnancy; endocrine disorders; endometrial disease. If these conditions occur, you should seek medical treatment in time.

TOP6 HPV virus infection

It is not necessary to treat the HPV virus. Most women can remove it after infection with HPV virus. According to whether the infected HPV is a high -risk type, whether it causes cervical lesions, etc., through the doctor's evaluation diagnosis, and then decide whether to treat it. Women are best to vaccinate HPV virus vaccines on time, because HPV virus infections are a risk factor that causes cervical cancer and cannot be careless.

Dr. Li Xiong emphasized that the gynecological examination report really needs to be valued, but it is not as terrible as we think. We should eliminate the inner misunderstanding and take the inspection report correctly and rationally.

[Edit: Yu Lina]

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