Gynaecological Routines

Gynaecological Routines

Gynaecological Routines, every woman enters the childbearing age after her first menstruation and her body begins to undergo changes. In a hormonal pattern that is repeated every month, women also need routine check-ups. But unfortunately, most women prefer to go to the doctor only when this order is disturbed or think of postponing the gynaecological examination, which they describe as a nightmare, as much as possible. The feeling of embarrassment naturally contributes to this desire to postpone. It should not be forgotten that; timely and routine examinations can prevent many diseases in the early stages and prevent negative situations that may arise later with very simple measures to be taken.

Gynaecological Routines, which is of great importance in terms of women’s health, is carried out by an obstetrician-gynecologist in an appropriate examination environment and is very important for women’s health, sexual health and reproductive health. As a result of this examination, disease prevention, early diagnosis and treatment of disease, treatment of infection, treatment of infertility, diagnosis and treatment of future health problems are possible, and the risks of the person are minimised to the lowest possible level.

When should I start routine check-ups?

Of course, the earlier the Gynecological Routines are started, the earlier the diseases are diagnosed and a healthy life is taken. After the first menstruation, around the age of 13-15, which is not necessarily the beginning of sexual life, the first doctor’s interview is appropriate. Some hormone tests performed during menstruation may be requested and the ovaries and uterus are examined by abdominal ultrasound. During this period, questions about sexual development and sexuality can be answered. Since the age of first sexual experience abroad is around 14-15 years old, information about sexually transmitted diseases and ways to prevent pregnancy is given.

If you are 21 years old and have not yet been examined by a gynaecologist, you should definitely pick up the phone immediately, make an appointment and go for a routine check-up.

How often should routine check-ups be repeated?

Gynaecological Routines examinations should be repeated every year and an ultrasound examination should be performed. When it comes to Gynaecological Routines, a swab (pap smear) should be taken from the cervix during the examination. The purpose of this test is to make an early diagnosis of cervical cancer, which is the fearful dream of women, to catch it at the earliest stage and to make appropriate treatment.

The smear test is part of normal gynaecological examinations and you will never feel any pain while taking the smear during your gynaecological examination. Pap smear, which is an easy and very simple test, is taken by standard methods or a liquid-based method and examined by pathologists and the result is obtained within 1-2 days. The most important point to be considered when taking a smear is to take separate samples from the canal connecting the cervix to the uterine cavity and from the vagina.

What is a smear test? What is it used for?

Smear is a very effective screening method during Gynaecological Routines. In this way, abnormal cells are detected extremely early and their progression towards advanced cancer can be prevented with appropriate treatment methods. In a study conducted in the USA, it was found that deaths from cervical cancer decreased by 72% as a result of the widespread use of the smear test. The smear test also provides information about the woman’s hormonal status and infections and plays an important role in the early detection of recurrences after cancer treatment. Since cervical cancer is one of the most common cancers and screening has shown a significant reduction in morbidity and mortality, all women should be screened with a smear test.

The starting age is based on the transition to sexual life. There are some reasons that increase cervical cancer, the most important of which are: smoking, polygamy (the woman herself or her partner), those who have their first sexual experience at a very early age and carriers of a virus called HPV.

Gynaecological Routines

What is HPV, who is infected and how should I protect myself?

One of the importance of Gynaecological Routines is that HPV is a virus that causes sexually transmitted genital warts, and some types have been found to cause cervical cancer, especially cervical cancer, vagina and vulva cancers. Following the discovery of HPV’s relationship with cervical cancer, extensive research on this virus began to yield results and as a result, HPV vaccines have been produced since 2007 and have taken their place in health markets.

What is HPV vaccine, what is it used for?

One of the main purposes of Gynaecological Routines is to prevent precancerous (cervical precancerous) lesions of the cervix and cervical cancers (cervix cancer). In addition, genital warts have also been tried to be reduced by preventing HPV infection. HPV vaccine is currently available in pharmacies under two different names. Although it is still controversial, the age group for vaccination is between 9 and 26 years old in recent studies.

However, the most ideal is to be done to people who have never had sexual intercourse, so it is ensured that the person has not received the HPV virus before, but vaccines can be done at any age in suspicious cases. However, as the age progresses, protection decreases and the possibility of effectiveness decreases as the possibility of exposure to HPV increases. Nevertheless, there is no objection to vaccination at a late age. The vaccine can be given even at the age of 40.

When should women who want to have children go for a check-up?

The need for a routine Gynaecological Routines also arises in cases of childbearing. If a newly married couple is in an unprotected relationship for at least one year and cannot have children, infertility is diagnosed. There are some cases where there is no need to wait for 1 year. Since treatments can be started earlier in couples such as those who have married at a late age, those with significant menstrual irregularities or suspected early menopause, those who experience infertility due to serious male factor, it is essential to have some tests for examination and fertility measurement by the gynaecologist.

What should be the controls before and during menopause?

Menopause and menopausal transition is an important part of Gynaecological Routines and is one of the conditions that require routine gynaecological examinations. Menopause is very important for women’s health and is a period that needs to be treated carefully. The reason is; 40-45 per cent of cancers occurring in the female body originate from the genital organs, these; Breast cancer, ovarian cancer, uterine cancer, cervical cancer, external genital organ cancers. The most common ages of these diseases are between 40-55. If women can show the necessary attention during this age period, there is a great chance of progress in terms of catching diseases early.

Women in the menopause period should undergo a Gynaecological Routines every 6 months. (In this examination, the breasts should be examined and women should be taught to check their own breasts once a month). Ultrasound examination should also be performed during the gynaecological examination. A vaginal smear test should be performed once a year. In recent studies, this interval is slightly increased, that is, this interval can be increased to 2-3 years in those who do not have problems in annual smear screening for several years. After the age of 40, every woman should have a mammogram once a year. In suspicious cases, general surgery breast specialists should be asked for help.

As a result, Gynaecological Routines have their own risk factors and risk areas to be screened in every age period, so although it is a very special and feared examination for every woman, routine controls should be visited and your doctor’s recommendations should be followed.

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Gynaecological Routines