Introduction: Some people say that "fear breeds rumors", and people always hold the attitude of "believing what it is, not believing what it is", so no matter how absurd it seems, there are always people who believe it. If someone tells you in a circle of friends that "×× is carcinogenic" and "×× may be a precursor to cancer" every day, you will believe it sooner or later. In order to crack down on online rumors and spread scientific health concepts, Check Health.com selected the article "Gynecological Rumor Shredder: Did you get it?" by Professor Ding Xilai, former deputy chief physician of Peking Union Medical College Hospital and now chairman of the Committee of Gynecological Experts in the United States. ",to help you stay away from the six common gynecological rumors.

check the health net _ is the corset belt helpful for postpartum recovery?

rumor: girdle can help thin waist shape!

Truth: Abdominal girdle is harmful and useless, so try not to use it

In recent years, in order to avoid postpartum body deformation, or to lose weight as soon as possible and restore the appearance before pregnancy, many pregnant women will choose to use abdominal girdle or gauze to tighten their abdomen to shape, but this has great disadvantages.

In fact, when you think about it, you will know that the things in a person's stomach are fixed. If the abdomen is tied tightly, it will inevitably increase the tension of the pelvic floor, which will make the relaxed pelvic floor worse.

First of all, long-term use of corset will hinder the blood circulation below the abdomen and cause discomfort in the lower abdomen. Secondly, the corset belt will also affect the natural opening and closing of the lungs, resulting in insufficient oxygen supply to the body, headache, dizziness, poor breathing and other discomfort. Thirdly, the girdle will also affect the normal peristalsis of the intestine, and then affect the digestive function. The most important corset will increase the risk of uterine prolapse and urinary incontinence due to the increase of abdominal pressure.

In fact, abdominal shaping depends more on abdominal muscle strength than external restraint. It is suggested that pelvic floor muscles should be rehabilitated after operation, and then abdominal muscles should be exercised.

check the health net _ do you need pelvic floor muscle training after caesarean section?

Rumor: Cesarean section after pregnancy will not affect pelvic floor muscles

Truth: Pregnancy has a certain impact on pelvic floor muscles, and vaginal delivery aggravates the impact

Normal abdominal pressure affects the uterus, pushing the uterus towards the sacrum and coccyx; In the second and third trimester of pregnancy, the abdominal pressure increases, the waist protrudes forward, and the abdomen protrudes forward and downward. When the uterus is pushed downward in the direction of vagina, the pelvic floor muscle strength and fatigue will decrease due to the continuous action of pressure, and the pelvic floor tension and pressure will decrease, and then the ability of different types of muscle fibers will gradually decrease and relax, resulting in symptoms of pelvic floor dysfunction. Therefore, increasing the gravity of the uterus in the middle and late pregnancy is a chronic injury to the female pelvic floor itself. Therefore, whether it is a natural delivery or caesarean section, the pelvic floor function of women has been damaged to varying degrees during pregnancy, and it is necessary to carry out some pelvic floor muscle repair training. The recovery of postpartum pelvic floor function should follow the principle of gradual, timely and appropriate, and perseverance.

Check Health Network _ Does cervical erosion need treatment?

Rumor: Cervical erosion is a very serious gynecological disease, which needs surgical treatment

Truth: Cervical erosion is not a disease, so you don't need to worry too much

It's really sad to see patients coming from other places to see cervical erosion all over the country, and sometimes why a "minor illness" that is not a serious problem at all has become the heart disease of so many people.

Cervical erosion is only an external manifestation, most of which are physiological and only a few are pathological. Physiologically, most of them are columnar epithelial migration caused by high estrogen level. During the growth period, the estrogen level is high, which is manifested as cervical erosion. After menopause, the estrogen level drops, and the cervix is smooth, just like growing a few "acne" without treatment at all.

Another part of pathological symptoms may be caused by eversion of cervical canal mucosa caused by cervical laceration after delivery, and only a few may be similar manifestations caused by cervical inflammation, cervical neoplasia and even cervical cancer, so the primary disease should be treated.

The attention paid to cervical erosion is mainly due to many people's belief that cervical erosion is related to cervical cancer (both of which can cause contact bleeding and sometimes have similar appearance), and a few doctors are boasting and misleading because of economic interests, which makes women's psychological pressure too great and become "heart disease". In fact, there is no necessary connection between them. The real prevention and early detection of cervical cancer mainly depend on regular check-up of TCT and HPV.

Check Health Net _ Is the increase of _CA125 ovarian cancer?

rumor: does the increase of CA125 mean ovarian cancer?

Truth: The increase of CA125 is related to many factors, not necessarily cancer.

Some women are very nervous when they take blood tests to check the increase of CA125, and they think that if the tumor marker of ovarian cancer is high, they will have ovarian cancer. Actually, it is not, for example, CA125 will increase in most women with adenomyosis, and CA125 will also increase in many cases such as ovarian chocolate cyst rupture, peritonitis and cirrhosis. Therefore, the increase of CA125 was found alone, and the location and nature of the disease could not be determined. It is suggested to do further detailed examination.

check the health network _ can you get pregnant only if you are in the same room during ovulation?

Rumor: You can get pregnant only when you are in the same room during ovulation

Truth: Relaxing your mood is more conducive to speeding up pregnancy

Nowadays, it is often seen that many newly married couples detect ovulation by measuring their basal body temperature, ovulation test paper and other methods, and guide them to be in the same room, using themselves as a fertility tool, and the whole life has changed. Personally, it is absolutely unnecessary for young couples. Planned pregnancy is more likely to lead to nervousness, and negative emotions such as nervousness will affect pregnancy. Moreover, having a demanding sex life may add a lot of burdens, making it impossible to find feelings, and it will also affect your family life and happiness. In fact, we can see around us, especially the elders, that many first-born children are adopted, while the latter ones are born by themselves; Some tried to get pregnant for many years, even failed to do IVF, but after giving up the family planning and relaxing, they became pregnant themselves. Many friends around me are pregnant in the same room when they think it is absolutely safe, so I personally think that you should fully enjoy life, maybe you will get unexpected joy, and foreign studies think that this kind of boy who can reach orgasm is more likely to have children.

As for the mechanism, it should be extra ovulation. Couples who are newly married or reunited after a long separation are most likely to have extra ovulation. The mechanism is that female ovulation is dominated by nerves and endocrine. When the spirit is excessively excited, nervous, the living environment changes or the physical health changes, ovarian ovulation will be affected, resulting in non-ovulation ovulation. There is not much research in human beings, and my personal understanding is more about stimulating ovulation of many mammals, which is more economical to ovulate in sexual life and can reduce the waste of eggs.

For those who have a history of infertility, promote ovulation, or get married and have children when they are older, I also support the possibility of increasing fertility opportunities by testing ovulation.

check the health network _ can't I have children within six months after taking a chest X-ray?

Rumor: You can't have children for half a year after taking a chest X-ray

Truth: Taking a chest X-ray doesn't have much impact on pregnancy preparation

The first thing to be clear about this controversy is the concepts of perspective and filming. X-ray is a dynamic observation of lung changes, during which rays are always produced; The chest radiograph is a static image, which is projected onto the film after the radiation is released instantly, so the dose received by the chest radiograph is far less than that of fluoroscopy. Within 33 days of pregnancy (calculated from the beginning of the last menstruation of pregnant women) is the key period for external risk factors to affect the embryo. During this period, the embryo may have abortion if it receives excessive X-rays. But if there is no abortion, the risk of other problems in the fetus will not increase significantly. The sensitive period of fetal teratogenesis is from the 33rd day of pregnancy to the end of the 3rd month. Theoretically speaking, pregnant women receiving 5~15rad radiation dose may produce fetal malformation. However, the radiation of X-ray chest film is very small, with a single exposure of .7rad, and it takes 71429 exposures to exceed the minimum standard of 5rad. Moreover, the part irradiated by chest X-ray is not the most sensitive abdomen, so it has little influence on pregnancy. Even if the chest X-ray is taken in early pregnancy, it is considered that this child can be born.

About the author: Professor Ding Xilai, former deputy chief physician of Peking Union Medical College Hospital, now joins the Medical Group of the US-China Yihe Women and Children Hospital as the chairman of the US-China Yihe Gynecology Expert Committee. At present, he is the editorial board of the Journal of Gynecological Clinical Endocrinology. Participated in the research work of the national "Eleventh Five-Year" science and technology support plan "Standardized research on modern treatment of gynecological diseases-standardized treatment of gynecological tumors". He has published more than ten articles in famous academic magazines at home and abroad.