When it comes to obstetrics and gynecology, it seems to be a treatment department that has nothing to do with young girls: gynecology is used to treat women's diseases; obstetrics is to welcome little angels. This is not exactly the case, as unmarried girls also suffer from gynecological diseases. The common gynecological diseases of unmarried girls are as follows.
I. Primary amenorrhea
The girl should have menstruation when she is 13 to 15 years old, and she should have menarche at the latest when she is 17 to 18 years old. If menstruation is delayed after the age of 18, you will have primary amenorrhea. If you have menarche and have amenorrhea later, it is called secondary amenorrhea.
Menstrual cramps depend on the coordination of hypothalamic-pituitary-ovarian function and the endometrial's periodic response to sex hormones. The hypothalamus secretes gonadotropin-releasing hormones and promotes the pituitary to secrete follicle maturation hormones and luteinizing hormones. Under the synergistic effect of these two hormones, the ovaries secrete estrogen and progesterone, and act on the endometrium, causing the endometrium to change and fall off periodically, which results in menstruation. As long as any one of these links is "stuck," primary amenorrhea will occur.
There are three main causes of primary amenorrhea. The first category is mental factors, such as the negative emotions of tension, terror, worry and excessive sadness, and anorexia nervosa. Can cause amenorrhea. The second category is due to gynecological diseases, such as congenital absence of the reproductive system (no vagina, no uterus, no ovaries) or dysplasia, endometrial tuberculosis (commonly known as dry blood ridges), and anti-ovarian syndrome. The third category is caused by physical conditions. The human body is like a machine, and the internal organs seem to be parts of the machine. If a part is broken, the machine fails and cannot run normally. By the same token, suffering from certain diseases can also cause primary amenorrhea. These diseases include anemia, diabetes, tuberculosis, thyroid dysfunction, congenital adrenal hyperplasia, pituitary tumors and sex chromosome abnormalities.
No pubic hair
Pubic hair is one of a person's second sexual characteristics. After puberty. Due to sex hormones, pubic hair and armpit hair should appear. Moreover, pubic hair appears earlier than the age of menarche, and pubic hair will appear around 12 years old. If adolescent girls who are young during puberty have no pubic hair, they may be suffering from endocrine diseases such as Deutner's syndrome, simple hypogonadism, and feminization of the testes. Of course, if the pubic hair receptor is incomplete or absent. Or the hair follicles are diseased or too rare, and there will be scarcity or even absence of pubic hair.
Third, itching of the vulva
Married women with pruritus due to vaginitis and vulvitis. The vulvar itching of young girls is more common in long-wearing chemical underwear, jeans and other trousers that tightly wrap the buttocks. It is caused by not paying attention to the hygiene of the vulva.
Chemical fiber or nylon panties are not breathable, which can cause local dampness and heat, affecting the perineal cells to breathe and cause itching. Perineum is contaminated with leucorrhea, urine, feces and menstrual blood. If you do not pay attention to local hygiene, these dirt will stimulate local skin and cause itching of the vulva. If the perineum has skin diseases such as psoriasis, eczema, and neurodermatitis, it can also cause itching of the vulva.
Dysmenorrhea occurs when significant abdominal pain occurs before, during, or during menstruation that affects learning, life, and work. There are two types of dysmenorrhea, primary and secondary. The majority of dysmenorrhea in adolescent girls is primary, mainly caused by excessive levels of prostaglandins in the endometrium. Lower abdominal pain during dysmenorrhea, sometimes pain radiates to the vagina, anus, and waist. When the abdominal pain is severe, the complexion is pale, cold sweats, cold hands and feet, nausea, vomiting and even fainting. Generally, abdominal pain will not be relieved until the amount of menstrual blood increases.