Had a hysterectomy, still need a gynecological examination?

  The uterus is a relatively important organ for women, but due to some diseases, some women have to choose to have it removed. In clinical work, we found that some women who have undergone hysterectomy have a misunderstanding, that is, they think that there is no need for gynecological examinations. In fact, although the uterus has been removed, but the other reproductive organs are still there, there is the possibility of gynecological diseases, so regular gynecological examinations are still necessary.
Gynecological diseases are not limited to the uterus

  Gynecological diseases mainly refer to diseases of the female reproductive system, and the scope is relatively large, including vulvar diseases, vaginal diseases, uterine diseases, fallopian tube diseases, and ovarian diseases. According to the statistics of the World Health Organization, the order of the prevalence of the top ten gynecological diseases in women is from high to low: cervicitis, irregular menstruation, vaginitis, uterine fibroids, vulvitis, infertility, adnexitis, ovarian cyst, breast Cancer, pelvic inflammatory disease. It can be seen that uterine diseases are only a small part of gynecological diseases.
  In recent years, the incidence of gynecological diseases in China has been increasing, and the proportion of young patients is increasing. In addition to premarital sex and other reasons, unhealthy diet, weak health awareness, careless hygiene during menstruation, and excessive stress, Staying up all night is also an incentive. Compared with 40 years ago, the incidence of ovarian cancer in women in China has increased three times, and the mortality rate has increased by 18%; many women have premature ovarian failure 5-10 years earlier; among women aged 40-55, nearly half Women experience early menopausal symptoms. Therefore, women should have regular physical examinations, even those who have had their uterus removed, should also be actively examined to prevent high incidence of ovarian cancer, pelvic inflammatory disease and other gynecological diseases.
Individualized selection of inspection items

  There are many reasons for choosing a hysterectomy, and the specific methods are also different: some retain the cervix, some retain the ovaries. There are certain differences in the diseases that these people need to prevent and the physical examination items they choose.
  Young patients with uterine fibroids tend to retain their ovaries when undergoing hysterectomy. Such patients, like ordinary women, may be affected by ovarian cancer; even if both fallopian tubes and ovaries are removed, they may also develop malignant tumors in the peritoneum (primary peritoneal cancer). Therefore, treatment for ovarian tumors is still required. Investigation, including routine gynecological examination, pelvic ultrasound examination and tumor marker detection. In addition, a large number of studies have shown that a vaginal ultrasound examination every 6 to 12 months is important for early detection of ovarian cancer.
  Women who have their uterus removed due to uterine fibroids and cervical precancerous lesions should regularly check for cervical lesions through thin-layer liquid-based cytology or human papillomavirus testing.
  Younger women who have both ovaries removed during hysterectomy also need to pay attention to the problem of early menopause. Because compared with natural menopause, menopause through surgical removal of the ovaries tends to have more obvious and more serious menopausal symptoms, and the possibility of cardiovascular events and autonomic nervous system disorders is greater. If there is no contraindication to hormone replacement therapy, it is generally recommended that women under 60 should be given sex hormone supplement therapy under the guidance of a doctor to relieve menopausal symptoms and prevent bone loss and osteoporosis.
Regular gynecological examinations should be done after menopause

  ”Menopausal women naturally draw a line from gynecological diseases”-this idea is also very wrong. Professor Lang Jinghe, director of the Department of Obstetrics and Gynecology of Peking Union Medical College Hospital and chairman of the Chinese Medical Association Branch of Obstetrics and Gynecology, said: A woman can be old enough to not have menstruation, but not old enough to have tumors. Therefore, menopause does not mean that you will not get gynecological diseases. It is recommended that female friends, gynecological examination should be 70 years old, so that hidden dangers can be discovered in advance and treated in time.
  In order to ensure the accuracy of the examination results, middle-aged and elderly women, especially menopausal women, need to do the following before the examination:
  1. clarify their menopausal history, that is, record when menopause started.
  2. Normally, pay more attention to observing the condition of leucorrhea. If abnormal leucorrhea occurs, it should be recorded in time and seek medical attention as soon as possible.
  3. Pay attention to what you wear on the day of the gynecological examination. Loose clothes and shoes should be appropriate.
  4. When you go to the doctor, you should tell the doctor about your confusion in a simple and clear way. If there is any abnormality, you need to describe it in detail as much as possible, and don’t cover it up because of shyness.