Advice from a gynecologist

Mom 2023
Advice from a gynecologist
Advice from a gynecologist
Anonim

How to beat headaches during "critical days", protect against cervical cancer and cope with miscarriage. Well-known gynecologist, author of popular books about gynecological myths, candidate of medical sciences Dmitry Lubnin answers questions.

Advice from a gynecologist

Cancer shot

Question

I heard that you can get vaccinated against cervical cancer. Is it possible to do this at the age of 25? I have not yet given birth, but I plan to have children and I want to protect myself in the future. And is it possible to do such a vaccination if suddenly the virus is detected?

Answer

Vaccines are most effective only if the body is not infected. More than 80% of sexually active people are infected with the papilloma virus. Moreover, a condom and spermicides do not protect against infection. Therefore, the vaccine should be done only before the onset of sexual activity (most often it is done at 11-12 years old). The vaccine is also administered at an older age (up to 26 years), but in this case its effectiveness is not very high, since it only acts against those viruses that the woman has not yet become infected with, and as a rule, women are carriers of several types of viruses. The duration of immunity is about five years (vaccine research is still ongoing). I wouldn't recommend getting vaccinated at 25. It is easier to undergo a regular examination by a gynecologist once a year with a mandatory colposcopy and a smear for cytology. With this approach, you will never face the problem of cervical cancer. The presence of the virus does not affect pregnancy and the fetus.

Pregnancy under control

Question

I am 28 years old, my two pregnancies ended in miscarriages. Is it possible to avoid this in the future? I dream of a child so much…

Answer

This is habitual miscarriage. There can be many reasons - genetic, endocrine, infectious, anatomical, immunological, etc. Before the next pregnancy, you must undergo a complete examination in order to identify the cause that led to miscarriages (but it is not always possible to find the cause). Then, treat and correct all conditions and diseases that may presumably affect the termination of pregnancy, and only after that make another attempt to get pregnant. During pregnancy, you need to be under the constant supervision of a doctor (check more often, do an ultrasound).

Monthly migraine

Question

Every time I get my period I get headaches and nausea (sometimes I vomit). Is there a cure?

Answer

This condition (pain, nausea, etc.) is called dysmenorrhea. It is associated with an imbalance of special substances in the body - prostaglandins. The main treatment is drugs that stop the synthesis of prostaglandins - a group of NSAIDs (non-steroidal anti-inflammatory drugs). They are quite effective. It is best to use them in the form of rectal suppositories and start treatment the day before the onset of menstruation. These drugs are taken throughout the period.

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