Routine gynecological examination

Gynecological routine examination is a routine gynaecological examination of women, divided into gynecological specialist physical examination and related auxiliary examination. It is the first choice that must be carried out before the treatment of the disease. The purpose is to effectively diagnose and examine the specific condition of the patient, and to formulate a treatment plan for the patient according to the actual situation. Pathogens that cause inflammation of the female reproductive tract are no more than two sources, from the original parasites in the vagina, or from externally invaded pathogens. Basic Information Specialist classification: gynecological examination classification: vaginal secretion examination Applicable gender: whether women are fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: Normal vulva, pubic hair is tip-down, triangular distribution, pigmentation of the labia majora, red labia minora, no ulceration of the perineum, dermatitis, neoplasms and hypopigmentation, length of the clitoris Positive: 1. The vaginal abnormality, the patient will have the corresponding clinical symptoms, that is, local itching, burning sensation, etc., the doctor will record in detail and test it. 2. If the cervix is ​​abnormal, it will describe in detail the scale of the erosion (light, medium, and no), the degree of cervical hypertrophy, and the size and position of the neoplasm. Tips: Forbidden sexual intercourse for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. The leucorrhea should be checked before surgery, and no vaginitis can be diagnosed before biopsy can be performed. Normal value Normal vulva, pubic hair is tip-down, triangular distribution, pigmentation of the labia majora, red labia minora, no ulceration of the perineum, dermatitis, sputum and hypopigmentation, clitoris length <2.5cm, pale pink around the urethral orifice, flawless biological. The color of the vaginal mucosa is pale, with wrinkles, no ulcers, sputum, cysts, vaginal septum and double vagina and other congenital malformations. Normal vaginal secretions are egg-like or white paste-like, with no odor and a small amount. Normal cervix around the ridge, with holes in the middle. The normal uterus is inverted pear shape, 7 to 8 cm long, 4 to 5 cm wide, and 2 to 3 cm thick. Most of them have a forward anterior flexion position, medium hardness and good mobility. Clinical significance First, the genital gynecological routine examination: Normal vulva, pubic hair is tip-down, triangular distribution, pigmentation of the labia majora, red labia minora, no ulceration of the perineum, dermatitis, sputum and hypopigmentation, clitoris length <2.5cm, pale pink around the urethral orifice, flawless biological. There are old cracks in the hymen of married women. There are old cracks in the maternal hymen and perineum, or there may be inverted scars in the perineum. When performing routine gynecological examinations, sometimes the doctor will hold the patient down to check for vaginal anterior wall bulging, uterine prolapse or urinary incontinence. If there is a lesion, the doctor is mostly "married" or "produced" when describing it. If there is an abnormality, it will be recorded in detail. Second, vaginal gynecological routine examination: The color of the vaginal mucosa is pale, with wrinkles, no ulcers, sputum, cysts, vaginal septum and double vagina and other congenital malformations. Normal vaginal secretions are egg white or white paste, no odor, less amount, but increased during ovulation and pregnancy. If there is an abnormality, the patient will have the corresponding clinical symptoms, ie local itching, burning sensation, etc., the doctor will record in detail and test it. Third, the routine examination of cervical gynecology: Normal cervix around the ridge, with holes in the middle. The unborn woman has a round shape, and the maternal woman has a "one" shape, which is tough, meaty, and smooth. If the test is normal, it means light, quality, no itching and so on. If an abnormality is found, the scale of the erosion (light, medium, and no), the degree of cervical hypertrophy, and the size and position of the neoplasm are described in detail. Fourth, uterus and accessories gynecological routine examination: The normal uterus is inverted pear shape, 7 to 8 cm long, 4 to 5 cm wide, and 2 to 3 cm thick. Most of them have a forward anterior flexion position, medium hardness and good mobility. The ovaries and fallopian tubes are collectively referred to as "accessories." Normal ovary can be expanded to 3 × 2 × 1cm3 size, can be active, slightly swelled. Normal fallopian tubes cannot be touched. If it is a "median" or "post-position" uterus, if there is no obvious symptoms in the clinic, it is not a serious problem. People who need to be examined: the population before the gynecological examination, middle-aged and elderly women, married women. Positive results may be diseases: intrauterine adhesions, monthly labor, uterine infertility, cervical hypertrophy, pregnancy with cytomegalovirus infection, pregnancy combined with Chlamydia trachomatis infection, pregnancy with genital chlamydia trachomatis infection, endometritis, ovarian Pregnancy, cervical erosion precautions Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. The leucorrhea should be checked before surgery, and no vaginitis can be diagnosed before biopsy can be performed. Requirements for examination: The site of biopsy may be bleeding, so do not have sexual intercourse within 1 to 2 weeks after the examination, and at least half a month after the biopsy, then avoid the inflammatory infection. Vaginal lavage or bath. When vaginal bleeding is frequent, you should go to the hospital for treatment. Inspection process Lying on the examination bed, revealing the lower abdomen, the doctor will use a special instrument for examination. There is no other special symptom except for a little discomfort due to hemorrhoids. Not suitable for the crowd Inappropriate people: 1 week before menstruation, menstruating women. Adverse reactions and risks Nothing.