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The risk factors for HPV infection are not far away from you
< p>In the past few years, I have encountered more and more young cervical cancer patients. Whenever I see a girl who looks like a flower crying in front of the disease, I feel sorry and at the same time, I always think, how can our mission be done? Better, better…
So I want to tell this story.
A beautiful girl came to the clinic
this day A “beautiful girl” Weiwei came to my outpatient clinic for a gynecological examination(pseudonym). The girl was fair-skinned, beautiful, and fashionable. good age. The so-called routine gynecological examination is generally applicable to women who have been sexually active for more than 1 year. I looked at the age, 21 years old. But it’s not surprising. It’s an adult, so it’s understandable for her to have a check-up. She should also give her a thumbs up, indicating that she is very health-conscious. But the conversation that followed made me restless. “Little girl, you are quite health conscious, is there any discomfort?”“When my boyfriend and I were in XX, we were already very careful, But it’s still bleeding…” The little girl hesitated. “How often did you bleed? How much? How long have you been having sex?” I asked anxiously three times. “Sometimes it comes out, sometimes it doesn’t come out, there’s not a lot of blood, I’ve had sex for five years…”Starting sex too early, having intercourse bleeding, I do have it bad feeling.
I put her for cervical screening
Although women under 25 There is no need to check HPV routinely, because 90% of HPV will turn negative within 2 years of this age, and the risk of cervical cancer is low. However, after the above conversation, I feel that although she is young, but her sex life started early and has symptoms of intercourse bleeding, cervical screening is inevitable. The final result also confirmed my conjecture. One week later, her test results came out, which was high-risk HPV infection accompanied by high-grade squamous intraepithelial lesions of the cervix, and more severe lesions could not be ruled out. In layman’s terms, precancerous lesions.
“Sister Doctor, do I have cancer?” Wei Wei’s eyes dimmed, and tears almost came out of her eyes.
Does precancerous lesions necessarily turn into cancer?
80% of women will be infected with HPV in their lifetime, but most of them can be eliminated by autoimmunity. But if you are infected with high-risk HPV, such as types 16 and 18, it happens that it cannot be cleared by itself, resulting in “persistent infection of high-risk HPV”, which is likely to develop into cervical cancer. Persistent HPV infection typically goes through these stages before developing cervical cancer:1 Low-grade squamous intraepithelial lesionThis is a mild lesion, so there is no need to worry too much. From a clinical point of view, 40% to 50% of patients can recover spontaneously within a one-year follow-up period, 20% to 30% remain unchanged, and 20% to 30% of patients will progress to precancerous lesions. 2High-grade squamous intraepithelial lesionis what Vivi is experiencing” Precancerous lesions”, it usually takes several years to ten years to develop into invasive cancer, so there are many ways to prevent the occurrence of cancer. At such a young age, cervical lesions have reached a high level. I feel sorry for Weiwei, but I am also happy for her, because there is still a chance. Next, she will need to wait for biopsy results and specific treatment options.
Invasive cancer incidence is increasing in young women
In my short practice In the years, the youngest cervical cancer patient I have ever seen is 20 years old, a little younger than Weiwei. The disease does not pick people, and God will forgive anyone. Fortunately, her examination and treatment this time are still in time. The incidence of invasive cervical adenocarcinoma and its variants has increased rapidly over the past few decades, especially in younger women, according to epidemiological reports. Most of the current views believe that HPV infection over the age of 30 is often persistent, and persistent HPV infection is a high-risk factor for cervical cancer, so it needs special attention. cervical cancer is the only one of all tumors, Malignant tumors that are hopeful to be eliminated, because we have secondary prevention(diagnosis and treatment of precancerous lesions), and primary prevention( popular science A healthy life, and more importantly, the HPV vaccine).So, no matter how old you are, if you have sex, you should have regular gynecological examinations, even if you have no symptoms .Because HPV infection, precancerous lesions, and even early cervical cancer are asymptomatic, but it can be found through physical examination, and early treatment intervention can be used to block the occurrence of cervical cancer. If it is like Weiwei, intercourse bleeding is obvious , or other similar symptoms: abnormal vaginal bleeding, abnormal discharge, be sure to seek medical attention immediately.
Young people, you can really have no scruples Is it?
So is it young, with strong immunity, and the probability of the virus subsides on its own is very high, which is better than aunts and sisters? I have to pour a pot of cold water on you, stay up late to play, work overtime, and have a sub-healthy state. Although your actual age is young, you can feel your conscience. Is your body immune?< /span>For young people, I have to remind you that the risk factors for HPV infection are not far from you:
Sex started earlier(<16 years old)
Frequent sexual partner changes or complex sexual relationships
< strong>History of sexually transmitted diseases
smoking
Weak immunity
Youth is not a shield against disease! Remember how many times you stayed up late in the last month? How many times have you eaten irregularly? I am so busy that I miss the time for medical checkup year after year…Irregular menstruation, can’t remember when the last time I came… Today, with labor and pressure, irregular work and rest, diet, and sexual openness, some women’s more chaotic sexual relationships undoubtedly expose you to a high risk of disease. Sex is beautiful, and it’s the happiness a woman needs to experience in her life, but:
regular Life
Don’t start sex too early
Note Hygiene and cleanliness
If you are not trying to conceive, take contraceptive measures
Regular cervical screening
every woman needs to do it.
I am Fu Hong, a gynecologist, and I will share with you more stories and disease knowledge about obstetrics and gynecology every day! To learn practical health knowledge, you can follow my video number
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