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

Either because you take away from it, because you don't see yourself talking to a stranger about these things or because, directly, it gives you shameThere are multiple gynecological problems (such as warts, the smell of flow or doubts with our contraceptive) that we "forget" to comment when we go to the gynecologist's review. But everything (or almost everything), from warts to urine leaks, has a solution. The first step? Trust your gynecologist, which will give you the right answers.

My flow smells, is something wrong with me?

The vaginal discharge It is produced by the outflow of fluid from the vaginal walls and the sum of the cervical mucus, which leaves from the cervix. 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 there are changes in some of these features: color (green, yellow, lumpy white) or smell (smelly or "fishy") or symptoms such as vulvar or vaginal itching appear, you should go to the gynecologist to rule out a possible infection ”, warns the dra. 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 which favors the overgrowth of some microorganisms present in the vagina of all women, 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 must not leak urine (And if you doubt it, a woman who has had children is a healthy woman, do not regulate those losses of urine for having been pregnant). You always have to consult to know why these uncomfortable escapes occur. It can be for pelvic floor relaxation, 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 performs the assessment of the type of incontinence and its "severity" to offer the patient the therapeutic options available today. These options vary from the exercises of pelvic floor strengthening, physiotherapy, drugs, the 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 may be reversible (barrier methods, hormonal, copper IUD) 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 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 the dra. Mercedes Herrero Conde specialist in Gynecology and Obstetrics at HM Hospitals.

Video:Questions you wanted to ask your gynecologist

I got a wart, is it serious?

The vulvar lesions They are very varied, so you have to consult whenever you see one to know what it is. “Some appear for one infection: HPV, molluscum contagiosum, genital herpes, syphilis … On other occasions they are a reflection of general diseases, such as some rheumatologic or conditions dermatological. 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 It does not necessarily indicate that it is condylomas, it is necessary to go to the gynecologist's office to establish an adequate diagnosis. "The condylomas they are warts caused by infection of the low risk serotypes 6 and 11 of the Human papillomavirus (HPV) and they can be present in the labia majora and labia, in the vulvar fork, in the perianal region, in the vagina or in the cervix, ”says Dr. Ana Román

There are multiple treatments that depend on the size and extent of the condylomas. Among them are the local treatments in the form of ointment or cream (cytotoxic or immunomodulators), their destruction by To be, cryotherapy or electrocoagulation or surgical removal.

If I wear an IUD, can it fall?

"This is a typical myth. The IUD is placed inside the uterus. In few occasions it can move or even be expelled. For this they are done gynecological controls routine, ”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 It should not be "placed" in a concrete 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 removal that the couple can notice. A visit to the gynecologist to "trim them" solves the problem.

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