Gynecological diseases are defined as diseases that affect the female reproductive system. Ataşehir Florence Nightingale Hospital Specialist in Gynecological Oncology Prof. Dr. Selçuk Ayas said, “The organs of the reproductive system are the uterus, fallopian tubes, ovaries, and external genitalia. Gynecological disorders have a very significant effect on a woman’s sex life. Some of these diseases should not be underestimated as they can negatively affect a woman’s reproductive potential and in some cases can be life threatening.” he draws attention to the 10 most common complaints that push women to go to the gynecologist.
1. DO YOU SEE PAINFUL PERIODS?
Periods that are painful enough to interfere with daily activities are divided into two types: primary and secondary. There was no pelvic disease associated with painful primary menstruation. The pain usually starts a few hours before or with the start of your period and can usually last for a few hours and spread throughout the day. Since the pain is spasmodic, the patient experiences painful contractions in the lower abdomen, which may radiate to the back and middle of the thighs. Treatment is to improve general health and painkillers are used. It is indicated that ultrasound can be performed to exclude any pelvic pathology. Secondary painful periods are associated with an underlying pelvic disease. Possible and frequent causes are chronic pelvic infections, chocolate cysts, uterine fibroids. The typical characteristics of the pain are that it is dull, located in the back and front, and does not radiate anywhere. It appears 3-5 days before menstruation and is relieved by the onset of bleeding, and treatment focuses on the cause, not the symptom.
2. DO YOU HAVE PROBLEM SEEING COINS?
The absence of menstruation is divided into physiological and pathological. Physiological amenorrhea; It occurs before the onset of the first menstruation, during pregnancy, during breastfeeding and after menopause. Pathological amenorrhea occurs when there is a related disease. Pathological amenorrhea is also subdivided into primary and secondary. In primary amenorrhea, be aware that the normal upper age limit is 15 years to start menstruation. A girl who does not menstruate before the age of 16 is defined as primary amenorrhea. It can be caused by developmental abnormalities such as the absence of a vagina, chromosomal abnormalities such as Turner syndrome, thyroid and adrenal insufficiency. Treatment is appropriate to the cause. Secondary amenorrhea is defined as the absence of periods for 6 months or more in a woman who has had normal periods. Some of the reasons include; tuberculosis, chocolate cyst, polycystic ovary syndrome, ovarian tumors, stress, hypothyroidism, malnutrition, diabetes. Treatment is specific to the cause.
3. ARE YOU FIGHTING POLYCYSTIC SYNDROME?
It is stated that one of the most common problems in young girls is polycystic ovary syndrome. Stressful and sedentary lifestyles are considered the most important factors that facilitate the emergence of the problem. It is a syndrome characterized by obesity with amenorrhea, excessive hair growth and enlarged ovaries with numerous small cysts.
It is mainly characterized by excessive production of testosterone by the ovaries. These patients have enlarged ovaries and numerous follicular cysts with a diameter of 2 to 9 mm located near their outer wall. In this problem, patients complain of increasing obesity, especially abdominal obesity, menstrual cycle abnormalities, infertility, excessive hair growth and the presence of acne. Patients also develop insulin resistance and are more prone to diabetes. Processing is carried out on a case-by-case basis. It emphasizes weight control, balanced diet, yoga and exercises. Medications are used depending on the situation and symptoms. Infertility can be overcome with assisted reproduction.
4. DO YOU HAVE FIOS?
It is stated that the most common disease of the uterus is fibroids. Benign tumors are more common in women. At least 20% of women in their 30s have uterine fibroids, and most of them cause no symptoms. The conditions they cause include heavy menstrual bleeding, irregular bleeding, painful menstruation, infertility, painful intercourse, miscarriage or premature birth, recurrent pregnancy loss, lower abdominal or pelvic pain and abdominal hypertrophy. Treatment is mostly surgical, and surgery is planned based on the age and severity of the patient’s condition.
5. IS A CHOCOLATE CYST DANGEROUS?
It refers to a condition in which the lining of the uterus is located beyond the muscular layer of the uterus, ovaries, tubes, and sometimes the lower abdomen. Symptoms include painful menstruation, painful intercourse, excessive vaginal bleeding during and between periods, infertility, nausea during menstruation, diarrhea or constipation, and fatigue. Treatment may include hormone therapy such as painkillers, birth control pills, and conservative surgery may be needed to remove the chocolate cyst tissue if treatment fails. Assisted reproductive methods are considered an alternative for infertile women.
6. DO YOU HAVE PELVIC INFLAMMATION DISEASE?
It is generally defined as an infectious and inflammatory disease of the uterus, fallopian tubes, lower peritoneum and surrounding structures (upper genitalia). It is a significant problem in the reproductive health of young women. Its symptoms are listed as lower abdominal pain, fever, lethargy, headache, irregular and excessive vaginal bleeding, painful intercourse, abnormal vaginal discharge. Management includes intensive antibiotic therapy after discovery of the causative organism.
7. BEWARE OF VAGINAL INFECTIONS!
Vaginal infection is called “vaginitis”. It is stated that the most common cause of vaginal infection in women of childbearing age are microscopic organisms. In this problem, sexually transmitted microscopic parasites; sudden, heavy and uncomfortable vaginal discharge, irritation and itching around the vagina, painful urination and increased frequency of urination. Flow; It becomes thin, greenish-yellow, very foul-smelling and frothy. Antibiotics are used in the treatment. “Candida vaginal infection”, which presents as a fungal infection, manifests as intense and severe vaginal itching and vaginal discharge with painful intercourse. Flow; It is thick, curved, white in color and shaped like scales. Adhesion to the vaginal wall often occurs. Vaginal or oral medications are used in the treatment.
8. HOW CAN YOU DEAL WITH MENOPESSIS?
The permanent cessation of menstruation at the end of reproductive life due to loss of ovarian activity is called menopause, and the age of menopause varies between 45 and 55 years. After menopause, the organs of the reproductive system can shrink and women become susceptible to osteoporosis. Postmenopausal women also have an increased risk of cardiovascular disease. It is stated that the hallmark symptom of menopause is hot flashes. Hot flashes are defined as a sudden feeling of heat followed by excessive sweating. In this process, anxiety, headaches, insomnia, irritability and depression can be observed. Other symptoms include painful intercourse, lack of sexual desire, vaginal infections, dryness, painful urination, urinary incontinence, and recurrent urinary tract infections. All of these changes occur due to postmenopausal estrogen deficiency. Vaginal symptoms are associated with fewer side effects, so vaginal hormone therapy works better. Flushing, night sweats, and hot flashes may require systemic hormone therapy as recommended by national professional organizations. Treatment should be given at the lowest dose as soon as possible to avoid serious side effects such as blood clots and breast cancer.
9. DO YOU HAVE A PROBLEM WITH URINARY INCONTINENCE OR PROJECTION OF THE GENITALS?
Urinary incontinence is referred to as the inability to reach the toilet when bending over and standing up during daily work, climbing stairs, coughing, or needing the toilet. With the tests performed in this problem, preventive, drug and surgical treatments are planned depending on the patient’s condition. Genital prolapse can occur with the symptom of a palpable mass in the genital area. Surgery can also be used for the treatment of genital prolapse.
10. SEX AND PAIN
Painful intercourse is said to be the most common sexual dysfunction. It can be structural infection as well as vulva infection, urethral disease, vaginal infection, chocolate cyst, pelvic inflammatory disease, etc. . It can also be caused by various reasons. It is indicated that the treatment is carried out depending on the cause, and often the sexual education of both partners relieves the symptoms.
ANNUAL EXAMINATIONS AND TRAMA PROGRAMS ARE VERY IMPORTANT
Remember that it is very important for your health to communicate with your doctor in the presence of annual gynecological examinations and screening programs, attention to hygiene, a diet rich in vegetables and fruits, the need for regular exercise, stress reduction techniques and unusual symptoms. related to the reproductive system.