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7 questions for the gynecologist Dmitry Lubnin about imaginary diseases
Bashny.Net
Is it worth it to take the extra tests, drink expensive vitamins which infections and disease do not need to treat? On the most pressing women's issues meets obstetrician-gynecologist, candidate of medical Sciences, author of "an Honest conversation with Russian gynecologist" Dmitry Lubnin.
How to cure human papilloma virus? Whether because it might be cancer?
Drug that kills a virus does not exist, so in vain not to swallow expensive pills, don't do injections and IVS. There is a vaccine that creates immunity, which is already included in the vaccination calendar in Europe and the United States. Basically it is designed just for girls who have not started sex life. Another virus, not. And a condom from it is not always save.
However, not all so is terrible. You found a virus? It is not an indicator and certainly not a harbinger of cancer. The doctor should pay attention not to the analysis, and the state of the cells of the cervix. How to know if everything is okay with them? Using Cytology or a more modern analysis of liquid-based Cytology, which allows to determine not only the presence of the virus, but also its concentration. What is the probability that a woman infected with HPV will develop cancer? It is not as great as it seems patients some doctors. Cervical cancer is a disease of those who do not go to the gynecologist in years. He does not develop for a year or two. This is a lengthy stage-by-stage process. Unexpected cancer can only be on the condition that a woman, say, five to seven years was not a doctor. If you visit the gynecologist all the time, no "surprises" will not. Even the precancerous stage can be stopped.
Everywhere talking about the epidemic of genital herpes. How to protect yourself?
– No epidemics, not now. If to the doctor five days in a row come patient with chlamydia, it might be a false sense that the infection has intensified. But it was an accident. And if you count all patients divided by years of practice, it may be that the diagnosis of "chlamydia" met him less often. Just all five of the women with this infection came in one week, and that there was an "epidemic". And with herpes. Its the same as always.
To protect from herpes is impossible. Antibodies to this virus have almost all people, that is most encountered him. But the virus breaks only for those who have impaired immunity due to stress or any other factors. Herpes can be called a disease of poor immunity. Even though it can be transmitted sexually in genital and oral contact, to be infected, not all and the main defender of this virus is cell-mediated immunity of the person.
Gynecologists often prescribe very expensive women's vitamins. Their really have to drink?
The effect of the use of such drugs is, if you are a person suffering from this deficiency. Eating a balanced diet all your important vitamins and minerals come from food and additional supplements are not needed. If doctors prescribe vitamins simply, without a diagnosis of "deficiency", then they are probably only doing this to have something to prescribe. You have come to the doctor as to leave him without a prescription? The only exception is the situation when the patient is planning pregnancy. Then vitamins are necessary.
Go to the doctor with complaints of pain during menstruation, and he says: birth, and everything goes. Is it really so?
– Painful menstruation is called dysmenorrhea. It can be primary and secondary. Primary has no reason and is connected with the fact that the uterus is incorrectly accumulates in their layers of prostaglandins – substances which, on the one hand, lead to a reduction of muscle fibers, and on the other – can cause pain. In other words, this form of the disease – a kind of immaturity of the uterus, and she will do after childbirth.
Secondary dysmenorrhea is associated with the presence of other gynecological disorders – endometriosis, fibroids, inflammation of the uterus or appendages. In this form the rule "give Birth to – pass" is not valid because the cause of pain is undiagnosed disease. Primary dysmenorrhea is treated by medicines from the category of non-steroidal anti-inflammatory drugs. They will block the accumulation of prostaglandins. Should not when you are already on a wall climb from the pain, and two days before the onset of menstruation. Secondary dysmenorrhea can be cured, if only to eliminate the root cause.
Many gynecologists hasten women with pregnancy. At what age to give birth anymore?
– The doctor has no right to insist on pregnancy and rushed. His goal is to give after the examination of reliable information about the situation and his recommendations. When evaluating opportunities to become pregnant must consider not only the chronological age of the patient, but also biological. There are women who have 30 years of excellent full ovaries. The doctor sees that before menopause is still far away, and therefore there is a high probability give birth safely in 40. Sometimes the reverse happens: at the age of 32 a woman can be only a couple of follicles, there is a great possibility that menstruation in such a patient will end in 40-42 year simply because so ordered by genetics or is a consequence of the surgeries, diseases.
Fear of late delivery is not necessary. Yes, the higher the frequency of genetic pathologies and with age can deteriorate the condition of the uterus. There is a new blood test, which is 8-9 weeks with high probability shows the genotype of the fetus, and in the case that something is wrong, allows you to terminate the pregnancy early on. But, of course, to postpone the first birth at age 35 years later is not worth it for the reasons listed above, and also due to the fact that late births are a risk factor for developing breast cancer and certain other diseases.
How to choose hormonal contraception? Do I need to take some tests?
– Today one of the tablets differ from each other only a different combination of components. A woman's body will perceive either one combination or another. Here, as with shoes. Is that the size of your, but not your shoes, and there are shoes that sits like a glove. To check whether you fit the shoes, or tablet, you can only empirically. Therefore, no analysis to be done, they do not indicate neither you nor the doctor what drug to choose. Every new contraceptive that appears on the market, is not a brand new phone that drastically change the performance of these devices, as just another new combination as another shade of lipstick. A doctor can help to pick up the pills the only way to know if the patient has no contraindications to them. And that's all. Next is to decide what to use – the pills, the patch or vaginal ring. How to understand that contraception is approached? You should not feel bad you don't have anything to miss. If during the first months of use of the drug has side effects, it needs to be replaced.
Is it necessary to cauterize cervical erosion?
– In General, erosion or ectopia – so the name of the disease sounds about right, needs treatment in only two cases. First – if the ectopia is quite large, the woman starts, too abundant, preventing her discharge. And second, when surface vessels ectopia injured during intercourse, leading to bloody discharge. If you have found this disease, but it occurs with no symptoms, no atypical cells, not need to do anything, just observe. published
P. S. And remember, only by changing their consumption — together we change the world! ©
Source: www.wday.ru/krasota-zdorovie/encyclopedia-zdorovia/jenskie-strahi-7-voprosov-ginekologu/
How to cure human papilloma virus? Whether because it might be cancer?
Drug that kills a virus does not exist, so in vain not to swallow expensive pills, don't do injections and IVS. There is a vaccine that creates immunity, which is already included in the vaccination calendar in Europe and the United States. Basically it is designed just for girls who have not started sex life. Another virus, not. And a condom from it is not always save.
However, not all so is terrible. You found a virus? It is not an indicator and certainly not a harbinger of cancer. The doctor should pay attention not to the analysis, and the state of the cells of the cervix. How to know if everything is okay with them? Using Cytology or a more modern analysis of liquid-based Cytology, which allows to determine not only the presence of the virus, but also its concentration. What is the probability that a woman infected with HPV will develop cancer? It is not as great as it seems patients some doctors. Cervical cancer is a disease of those who do not go to the gynecologist in years. He does not develop for a year or two. This is a lengthy stage-by-stage process. Unexpected cancer can only be on the condition that a woman, say, five to seven years was not a doctor. If you visit the gynecologist all the time, no "surprises" will not. Even the precancerous stage can be stopped.
Everywhere talking about the epidemic of genital herpes. How to protect yourself?
– No epidemics, not now. If to the doctor five days in a row come patient with chlamydia, it might be a false sense that the infection has intensified. But it was an accident. And if you count all patients divided by years of practice, it may be that the diagnosis of "chlamydia" met him less often. Just all five of the women with this infection came in one week, and that there was an "epidemic". And with herpes. Its the same as always.
To protect from herpes is impossible. Antibodies to this virus have almost all people, that is most encountered him. But the virus breaks only for those who have impaired immunity due to stress or any other factors. Herpes can be called a disease of poor immunity. Even though it can be transmitted sexually in genital and oral contact, to be infected, not all and the main defender of this virus is cell-mediated immunity of the person.
Gynecologists often prescribe very expensive women's vitamins. Their really have to drink?
The effect of the use of such drugs is, if you are a person suffering from this deficiency. Eating a balanced diet all your important vitamins and minerals come from food and additional supplements are not needed. If doctors prescribe vitamins simply, without a diagnosis of "deficiency", then they are probably only doing this to have something to prescribe. You have come to the doctor as to leave him without a prescription? The only exception is the situation when the patient is planning pregnancy. Then vitamins are necessary.
Go to the doctor with complaints of pain during menstruation, and he says: birth, and everything goes. Is it really so?
– Painful menstruation is called dysmenorrhea. It can be primary and secondary. Primary has no reason and is connected with the fact that the uterus is incorrectly accumulates in their layers of prostaglandins – substances which, on the one hand, lead to a reduction of muscle fibers, and on the other – can cause pain. In other words, this form of the disease – a kind of immaturity of the uterus, and she will do after childbirth.
Secondary dysmenorrhea is associated with the presence of other gynecological disorders – endometriosis, fibroids, inflammation of the uterus or appendages. In this form the rule "give Birth to – pass" is not valid because the cause of pain is undiagnosed disease. Primary dysmenorrhea is treated by medicines from the category of non-steroidal anti-inflammatory drugs. They will block the accumulation of prostaglandins. Should not when you are already on a wall climb from the pain, and two days before the onset of menstruation. Secondary dysmenorrhea can be cured, if only to eliminate the root cause.
Many gynecologists hasten women with pregnancy. At what age to give birth anymore?
– The doctor has no right to insist on pregnancy and rushed. His goal is to give after the examination of reliable information about the situation and his recommendations. When evaluating opportunities to become pregnant must consider not only the chronological age of the patient, but also biological. There are women who have 30 years of excellent full ovaries. The doctor sees that before menopause is still far away, and therefore there is a high probability give birth safely in 40. Sometimes the reverse happens: at the age of 32 a woman can be only a couple of follicles, there is a great possibility that menstruation in such a patient will end in 40-42 year simply because so ordered by genetics or is a consequence of the surgeries, diseases.
Fear of late delivery is not necessary. Yes, the higher the frequency of genetic pathologies and with age can deteriorate the condition of the uterus. There is a new blood test, which is 8-9 weeks with high probability shows the genotype of the fetus, and in the case that something is wrong, allows you to terminate the pregnancy early on. But, of course, to postpone the first birth at age 35 years later is not worth it for the reasons listed above, and also due to the fact that late births are a risk factor for developing breast cancer and certain other diseases.
How to choose hormonal contraception? Do I need to take some tests?
– Today one of the tablets differ from each other only a different combination of components. A woman's body will perceive either one combination or another. Here, as with shoes. Is that the size of your, but not your shoes, and there are shoes that sits like a glove. To check whether you fit the shoes, or tablet, you can only empirically. Therefore, no analysis to be done, they do not indicate neither you nor the doctor what drug to choose. Every new contraceptive that appears on the market, is not a brand new phone that drastically change the performance of these devices, as just another new combination as another shade of lipstick. A doctor can help to pick up the pills the only way to know if the patient has no contraindications to them. And that's all. Next is to decide what to use – the pills, the patch or vaginal ring. How to understand that contraception is approached? You should not feel bad you don't have anything to miss. If during the first months of use of the drug has side effects, it needs to be replaced.
Is it necessary to cauterize cervical erosion?
– In General, erosion or ectopia – so the name of the disease sounds about right, needs treatment in only two cases. First – if the ectopia is quite large, the woman starts, too abundant, preventing her discharge. And second, when surface vessels ectopia injured during intercourse, leading to bloody discharge. If you have found this disease, but it occurs with no symptoms, no atypical cells, not need to do anything, just observe. published
P. S. And remember, only by changing their consumption — together we change the world! ©
Source: www.wday.ru/krasota-zdorovie/encyclopedia-zdorovia/jenskie-strahi-7-voprosov-ginekologu/
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