Should vaginal flushing be avoided before gynecological examination?

Vaginal flushing is usually avoided before gynecological examinations. Vaginal flushing may affect the accuracy of examination results and interfere with doctors' judgment of the vaginal environment.

Gynecological physical examination mainly includes vaginal secretion examination, cervical scraping and other items, which require observation of the natural state of the vagina. Vaginal flushing can alter the acid-base balance within the vagina, potentially washing away or diluting abnormal components in secretions, leading to false negative results. For example, typical secretions of bacterial vaginosis or candidal infection may be masked by flushing fluid, delaying diagnosis. Sexual activity, use of vaginal medications or lubricants should be avoided 24-48 hours before the examination, as these behaviors may interfere with sample collection.

In case of special circumstances requiring vaginal flushing treatment, the doctor should be informed in advance and the physical examination time should be adjusted. Before certain preoperative examinations or uterine cavity operations, doctors may require patients to undergo specific cleaning preparations, but routine physical examinations do not require special cleaning. On the day of the physical examination, clean the external genitalia with clean water. Be careful not to pour water or wash into the vagina.

It is sufficient to maintain daily cleaning habits before gynecological examinations, as excessive cleaning can actually affect the evaluation. If abnormal results are found after the physical examination, the doctor may recommend a follow-up or supplementary examination. Daily recommendations include choosing cotton underwear, avoiding frequent use of pads, and wiping from front to back after using the toilet. These habits help maintain the balance of vaginal microbiota. When abnormal secretions, itching, or odor occur, seek medical attention promptly and do not rinse or use medication on your own.

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