7 Gynecologists at # 1 Question Patients Ask

Jeg er i alderen af ​​WebMD, til Google, spise symptomer på åbne en Pandora æske, mens offline gamle sproghistorier spredte tvivlsomme fortællinger om, hvad man kan forvente af vores kroppe. Without a visit to the hospital, it is almost impossible to get a fair answer to the multiannual question: “Is it normal ??!” This is especially true for sexual and reproductive health problems in view of the sustained social taboo about discussions about vaginer. So we brought the doctor house to you – and according to the healthcare providers we asked, there are a few confusion points that are almost universally shared.

Her besvarer syv OB / GYN’er deres patients 1 mest stillede spørgsmål om sex, anatomi og reproduktion.

1. “Ser min vulva normalt ud?”

“Mange kvinder har spørgsmål om deres vulva,” specifikt om hvordan dets udseende sammenligner med andre “, siger Dr. Rebecca C. Brightman, professor of obstetrics, gynecology and reproductive science at Mount Sinai.” They ask, “Is my skede normal? “Men de mener virkelig,” Er min vulva Normalt? “There is no such thing as a” normal “vulva. There is a lot of variation. Many women need reassurance about it.”

Den mest troede vulva myte? “På alles har til perfekt symmetrisk labia minora,” vulvaens indre lænber. Det er ikke tilfældet, forsikrer Brightman. “Asymmetry is normal, and labia minora comes in different shapes and sizes, the way the penis comes in different shapes and sizes.” In most cases, Brightman’s insecurities indicate that we do not have enough real data about the aesthetic variation of women’s women’s parts (thanks, porno). Most of her patients who ask this question, she says, just seek to be armed with this information. “My practice has always been the best.”

Patienterne also tends to ask Brightman about what she sees on pubic hair grooming, and “the majority of the women I see in their twenties and thirties do a kind of care,” she says, adding, ved hårfjerning can føre til indgroede hår, næsen i huden og glid og irritation. Disse kan igen gøre det lettere at indgå en STI. “Der er noget der skal siges for hår som buffer,” siger hun.

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2. Er det normalt, at en bryst er større end den anden?

“Ingen til bryster er ens, og jeg synes, det er virkelig vigtigt for kvinder at vide det,” siger Brightman. “Asymmetry is very common, especially in young people. It tends to level out with age.” Having said that, asymmetric breasts differ from having a clear lump. “There is a thought that selvbrystprøver can create anxiety, but I urge my patients to do it because I think it’s important to know your breasts and understand what is normal for du. In that way you can discuss it with your healthcare provider if you feel something new or notice changes. “

3. “Hvor meget smerte er normalt i min periode?”

Dr. Courtney Lim, en OB / GYN ved Michigan Medicine, bemærker, at around 90 percent of women with reproductive age experiences pain with their periods. “It can be cramp or pain, but sometimes it may be more persistent, accompanied by nausea or diarrhea. There is a wide range of ‘normal’ – and what people perceive as normal can not be.”

Desuden bare fordi periodesmerter er almindelige, there is no reason why women should accept it, she says. For mild symptomer “Vi anbefaler først at begynde med ikke-steroide antiinflammatoriske stoffer (NSAID’er) som ibuprofen.” Men sometimes adds that pain in periods may be so severe that “it affects a woman’s life and her ability to function normally and go to school or work. If over-the-counter treatments do not help, then it is safe at recommending a doctor, and you should always be sure to ask your gynecologist about these questions. “

For mange gynækologiske og reproduktive sygdomme, som endometriose og polycystisk ovariesyndrom (PCOS), går udiagnostiseret, fordi kvindernes smerte ofte ikke er rapporteret eller afskediges. I recently researched nearly 2,500 women experiencing chronic pain, said 66 percent that they felt that the doctors treated their pain differently because of their gender. Find en læge, der tager dine klager alvorligt. “[Smerte] bør ikke være trivialiseret, især hvis det påvirker det daglige liv,” siger Lim. “It is important for women to know there is behandlinger.”

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4. Er det farligt at tage forældremyndighed, der får min tid at forsvinde?

“Ofte have I folks who express concern about whether it’s uncertain or whether there is anything in the uterus that builds and should come out,” says Dr. Rachel Seay, professor of gynecology and obstetrics at Johns Hopkins. Jeg en regelmæssig menstruationscyklus fortykker livmoderen for at forberede sig til at være vært for et befrugtet embryo, og hvis der ikke er en, skylder foringen. There is a common misforståelse that when hormone prevention is introduced, the womb of the uterus works in the same way – but does not get the chance to throw, says Seay. That is not the case. Jeg er stedet for “hormonerne holder livmoderens foring meget tyndt, hvilket kan være nyttigt for kvinder, der ønsker at gøre deres perioder lettere, kortere eller helt forsvinder.”

Generelt siger Seay, there is a lot of misinformation out there about what constitutes a healthy period. “I have a lot of advice on what a” normal “menstrual cycle looks like and the variation in length and amount of bleeding. The average adult menstrual cycle lasts 28 to 35 days. Less than half of women have a 28 day cycle , and many women are not aware of it. “

5. “Hvordan påvirker præventionen min frugtbarhed?”

Dr. Aparna Sridhar, professor i obstetrik og gynækologi ved UCLA, bliver ofte spurgt om at tage fødselskontrol i dag kan påvirke en kvindes evne til at blive gravid nedad på linjen. De intrauteriniske enheder (IUD’er) for decades earlier were sometimes associated with pelvic inflammatory diseases, which causes infertility. Men med korrekt funktionspræparater fra det 21. århundrede – whether it is the pill, the plaster, the ring, the lUD or the implant’s discontinuous application, allows almost immediate restoration of fertility, says Sridhar. Kroppen normally only needs a few months to reset. Alligevel siger Sridhar, always consult a doctor before commencing hormonal treatments.

6. “Hvad skal jeg vide om HPV?”

I dag er human papillomavirus (HPV) den mest udbredte seksuelt overført infektion, der påvirker 79 millioner amerikanere på et givet tidspunkt. Otteogtreds procent af de seksuelt aktive mennesker vil indgå på et tidspunkt i deres liv – så næsten each woman who goes to a gyno office has questions about it.

Hvad gør den? Afhænger af belastningen. Mange går uopdagede og forårsager ingen symptomer; andre kan forårsage kønsvorter eller kræft, oftest udmendehalskræft. It is transmitted via skin to skin contact, usually under oral, vaginal or anal sex, and in rare cases, through saliva and no, condoms do not protect against it.

“Der er ingen behandling for HPV,” siger Dr. Mary Rosser, professor i obstetrik og gynækologi ved Columbia University, men du can beskyt dig mod mange, men ikke alle stammer. “Gardasil 9-vaccinen blev for nylig indført for at forhindre HPV’s 9 mest effektive stammer. It works best before people are sexually active, but even if you give it after exposure, it can still protect against HPV,” she adds. “Some women will say,” Well, I’ve already had HPV, so the vaccine will not make me good. “Det er ikke sandt, fordi det er usandsynligt, at du vil have alle ni af disse HPV-typer, vi kan vaccinere imod.”

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Both men and women can get HPV and recommended to be vaccinated. Men mens virussen kan forårsage symptomer i alle køn, det kun kan være opdaget hos kvinder. “Du kan ikke teste for det hos mænd,” siger Rosser.

How can women be tested? By collecting a sample of cells from the cervix, a test that looks like a paw smear, says Dr. Raquel Dardik, a gynecologist at NYU Langone Health. It should be performed routinely among women over 30, while younger women will get one after one abnormal pap smear. Another trick virus plays: “HPV can only be detected in a cardboard smear if the virus is active. If it has been cleared or is” sleeping “, the tests will not detect. The test can not be determined. when virusen blev erhvervet, “tilføjer hun.

7. “Har jeg virkelig brug for en pap smear hvert år?”

Kort sagt nej. “Pap smears” -prøverne gynækologer uses to collect a sample of cells from the uterus – “screen for cancer and pre-cancer in the uterus”, siger Dr. Susann Clifford, en OB / GYN ved Duke University School of Medicine. “Alle kvinder bør vide, at vi begynder at screene i alderen 21 år. Derefter er rutinemæssigt screening hvert tredje år til 29 år, forudsat at der ikke forekommer abnormale undersøgelser. Until a few years ago, pap smears were performed every year but the newest guidelines require less frequent testing. “According to the National Guidelines, doctors typically do not print smears on women under 21 years, even though they are sexually active.

I løbet af 30’erne modtager kvinder papøøver og test for HPV samtidig, and if both samples are normal, they may be tested less often, usually every five years until 65 years.

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