Should I have a follow-up physical examination after the cure of gynecological inflammation?

After the cure of gynecological inflammation, it is usually necessary to have a follow-up examination, which can help confirm whether the inflammation has been completely eliminated and avoid recurrence or conversion to chronic inflammation. The re examination items mainly include gynecological examination, routine vaginal discharge examination, B-ultrasound examination, HPV testing, TCT examination, etc.

1. Gynecological examination

Gynecological examination is the basic item of re examination. Doctors observe whether there is congestion, edema, abnormal secretion, etc. in the external genitalia, vagina, cervix and other parts through visual examination and palpation. If redness, swelling or abnormal secretions are still found in the local mucosa, it may indicate that the inflammation has not been completely cured and further investigation of the cause is needed.

2. White discharge routine

White discharge routine can detect vaginal cleanliness, pH value, and microbial infection status. If there are still a large number of white blood cells, clue cells, or fungal spores in the vaginal discharge after cure, it may indicate a recurrence of bacterial vaginosis or fungal vaginitis, and the treatment plan needs to be adjusted accordingly.

3. B-ultrasound examination

Pelvic B-ultrasound can evaluate whether there are abnormalities such as fluid accumulation and masses in the uterus and adnexa. After partial cure of chronic pelvic inflammatory disease, there may be thickening of the fallopian tubes or pelvic adhesions. B-ultrasound can assist in determining the long-term impact of inflammation on the reproductive organs, and further diagnosis may be necessary in conjunction with laparoscopy.

4. HPV testing

If gynecological inflammation is accompanied by high-risk HPV infection, HPV typing should be rechecked after recovery. Persistent infection may increase the risk of cervical lesions. When the test result is positive, it is recommended to combine vaginal colposcopy evaluation. For negative cases, the screening interval can be extended.

5. TCT examination

After cervical inflammation is cured, cervical liquid based cytology examination should be performed to exclude cytological changes caused by inflammatory stimulation. Abnormal TCT results should be combined with HPV testing to determine whether to perform vaginal colposcopy biopsy. Those with normal results can be followed up regularly.

The recommended time for re examination is 1-3 months after the end of treatment, avoiding the menstrual period. Pay attention to perineal hygiene in daily life, avoid frequent use of washing solution to rinse the vagina, choose pure cotton breathable underwear and regularly boil and disinfect it. It is recommended to use condoms during sexual intercourse to reduce the risk of cross infection, reduce the intake of spicy and stimulating foods in diet, and supplement yogurt containing lactic acid bacteria appropriately to maintain vaginal microbiota balance. If itching, odor, or abnormal bleeding occurs during the follow-up examination, it is necessary to promptly return for diagnosis.