INTERNATIONAL WOMEN’S DAY
IN TRIBUTE TO THE INTERNATIONAL WOMEN’S DAY, CELEBRATED ON MARCH 8TH, WE WILL PREPARED FOR YOU A SPECIAL INTERVIEW WITH GYNECOLOGIST ANA LUIZA DA CRUZ RIOS SANDOVAL
Gynecologist is the woman’s doctor. It is through the visit to this specialist that the patient ends up. What is the ideal age for the first consultation?
The first consultation may occur even in childhood, when the girl has vaginal discharge (discharge), irritation of the vulva (when the pediatrician’s treatment does not improve the condition) or recurrent urinary infections. Also, in cases of onset of precocious puberty (before the age of eight), with signs such as axillary or pubic hair growth; growth of the breasts or vaginal bleeding. However, if secondary sexual characteristics do not develop until age 14 or if menarche (first menstruation) does not occur until the age of 16, a gynecological evaluation is required.
When the little girl reaches adolescence, a gynecological evaluation is indicated in cases of irregularities in the menstrual cycle; excessive or painful menstruation, and premenstrual tension with loss of school performance and quality of life in the days before and during menstruation.
Even in the absence of the above symptoms the first consultation with the gynecologist is indicated in the age group between 14 and 16 years.
This stage of life is characterized by the onset of ovulation and the production of ovarian steroid hormones (estrogen, progesterone and testosterone). The girl grows, breasts and buttocks outline and sexual interest begins. Consultation with the gynecologist at this stage requires a lot of tact and sensitivity, as well as clarity in guidance on health care, sexuality, contraceptive methods and sexually transmitted diseases.
What is the ideal number of consultations per year?
Women should evaluate their health, if there are no symptoms or signs of illness, once a year. However, if you use contraceptives, intrauterine devices (IUDs), subcutaneous implants, or have intercourse with multiple partners, the consultation should be on a six-monthly basis. Also people with diseases of other organs or systems such as hypertension, diabetes, obesity, anorexia, irritable bowel syndrome, autoimmune diseases, hypo or hyperthyroidism should consult the gynecologist at least once a year.
Recently, there has been a great deal of controversy surrounding the HPV vaccine in girls. What is your position? Are there other important vaccines available to the female audience that you consider important and indicate?
Cervical cancer is the second most common cancer among Brazilian women. According to INCA, its incidence is 19.2 per 100,000 women / year, twice the rates in Europe and the United States. According to INCA, five thousand women die each year from cervical cancer. Human papillomatosis virus (HPV) is the leading cause of uterine cervix cancer. I believe the HPV vaccine is a great achievement in preventive medicine because it can prevent cancer and the death of many women. Even women who have had contact with HPV can be immunized because the antibodies generated by the vaccine can prevent reinfection and release of particles capable of infecting new cells. At the gynecological examination, it is important to also investigate previous vaccination and update the immunization schedule of the patient who starts in childhood. Vaccines are contraindicatedin the first trimester of pregnancy, except for Influenza. The vaccine for Herpes Zoosteris indicated after 50 years of age.
In the world of natural medicines, what are the allies of women’s health?
Natural medicines in the human body is a part of the evolution of the species, which favors its performance. Various medicines obtained from plants or animals are beneficial to a woman’s health. Plants and their derivatives obtained from nature is a set of substances that act in a complex way in the body because it is not only an active principle. In fact, many medicines used in the pharmaceutical industry have their origin in medicinal plants. It is important to know the source and how the phytotherapics and other natural medicines were handled before making use. Some herbs can be dangerous, and the same care should be given to other medicines, avoiding the use without medical follow-up. Especially pregnant women; those who are breastfeeding; people who are going to undergo surgery; those under 18 or over 65; and those taking other medicines. There are many natural medications with proven beneficial health effects, among them
Cimicifuga racemosa: menopausalsymptomsandpremenstrualtension;