February 24, 2020


Complete Health & Fitness Reporter

4 questions you have to ask your gynecologist (even if you’re ashamed)

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In the most intimate you have to give everything and nothing is more intimate than your sexual health. If your flow smells weird, you have a wart in a compromised site or, sometimes, you have urine leaks, lose your shame and tell your gynecologist because he can help you.

Either because you take away from it, because you don’t see yourself talking to a stranger about these things or because, directly, you’re embarrassed, there are multiple gynecological problems (such as warts, the smell of flow or doubts with your contraceptive ) that ” We forget ”to comment when we are before the gynecologist. But everything (can the shameful loss of urine), has a solution. The first step? Trust your gynecologist, who will give you the right answers.

My flow smells, is something wrong with me?

The vaginal discharge is produced by the output of fluid from the vaginal walls and the sum of the cervical mucus, which goes from the neck of the uterus. The normal flow of a healthy woman varies in quantity and consistency throughout the hormonal cycle. During the first half of the cycle until ovulation is more liquid and abundant; while in the second half it is scarcer and thicker. Under normal conditions, it is colorless and does not have a strong smell. “But if changes occur in some of these characteristics: color (green, yellow, lumpy white) or smell (smelly or” fish “) or symptoms such as vulvar or vaginal itching appear, you should go to the gynecologist to rule out a possible infection”, warns there. Ana Román, head of the Gynecology Service of the La Moraleja University Hospital.

The solution: These infections may be due to an imbalance in the composition of the physiological vaginal flora that favors the overgrowth of some microorganisms, such as candidiasis; but on other occasions, they are produced by an external pathogen transmitted during sexual intercourse. If something changes or smells weird down there, it’s time to go to the gynecologist to test you and discover the culprit.

Sometimes my urine leaks, does it have a solution?

A healthy woman should not leak urine (and if you doubt it, a woman who has had children is a healthy woman, don’t regulate those urine leaks because she was pregnant). You always have to consult to know why these uncomfortable escapes occur. It can be for relaxation of the pelvic floor, the use of certain medications, stress or bladder very reactive to sensations. Almost all cases have a solution, or at least, they improve with treatments.

The solution: The gynecologist is the doctor who evaluates the type of incontinence and its “severity” to offer the patient the therapeutic options available today. These options vary from pelvic floor strengthening exercises, physiotherapy, drugs, CO2 laser or, ultimately, surgical intervention.

Is there a 100% effective way to prevent pregnancy?

There are multiple options of contraceptive methods whose effectiveness is measured by the so-called Pearl Index (IP). The lower the IP, the greater the effectiveness of a contraceptive. The available contraceptive methods can be reversible ( barrier methods, hormonal, copper IUDs) or irreversible (tubal ligation and vasectomy ). Irreversible are those that offer 100% contraceptive security.

The solution: “A 30-year-old woman without children should not opt ​​for tubal ligation as a contraceptive method since there are other very effective reversible options, such as the levonorgestrel IUD among others. Irreversible methods are indicated when a woman or a man has already fulfilled their complete genetic desires, ”explains Dr. Ana Román If that woman wants maximum contraceptive safety, “I would recommend the use of LARC (Long-Acting Reversible Contraception). No method is 100% safe, but LARCs have very low pregnancy rates, less than 1%, ”says Dr. Mercedes Herrero Conde specialist in Gynecology and Obstetrics at HM Hospitals.

I got a wart, is it serious?

The vulvar lesions are varied, so you have to always consult us appear one to know what it is. “Some appear due to infection: HPV, molluscum contagiosum, genital herpes, syphilis … On other occasions, they are a reflection of general diseases, such as some rheumatologic or dermatological conditions. There are even injuries that can be malignant: melanoma, vulvar cancer, ”warns Dr. Mercedes Herrero Count.

The solution: Although the appearance of warts on the vulva does not necessarily indicate that it is condylomas, it is necessary to go to the gynecologist’s office to establish an adequate diagnosis. “ Condylomas are warts caused by the infection of low-risk serotypes 6 and 11 of the Human Papillomavirus (HPV) and may be present on the labia majora and labia, on the vulvar fork, in the perianal region, in the vagina or the cervix, ”says Dr. Ana Román

Multiple treatments depending on the size and extent of the condylomas. Among them are local treatments in the form of ointment or cream (cytotoxic or immunomodulators), their destruction by laser, cryotherapy or electrocoagulation or surgical excision.

If I wear an IUD, can it fall?

“This is a typical myth. The IUD is placed inside the uterus. On a few occasions, it can move or even be expelled. For this, routine gynecological controls are carried out, ”says Dr. Mercedes Herrero Count. This question of contraceptives that “migrate” also usually occurs among users of the vaginal ring, but the reality is that this vaginal ring should not be “placed” in a specific way. Whenever inside the vagina it performs its function. He is thin and flexible, so the sexual partner does not notice in relationships.

The solution: The IUD is placed in such a way that its visible threads are left through the external cervical opening to facilitate its subsequent extraction that the couple can notice. A visit to the gynecologist to “trim them” solves the problem.