Author:Sa Jie (Attending Physician of Obstetrics and Gynecology)
Once, Sister Sa sometimes encountered such a situation in the outpatient clinic: pregnant women who were alone could not leave after the obstetric examination, and they wanted to talk and stop.
It was hard to wait until everyone else was gone, grinding and rubbing to move to me, and then said:
That, doctor, ask you something...
Okay, let's say, what's the problem?
That is, that, my first child, in fact, is not really the first child, but my husband, he does not know...
Oh, did you want to ask if the doctor would help you keep it a secret? Rest assured, this is privacy, and the doctor will not run to tell your husband.
No, I'm trying to say, if I don't say it, will the doctor find out that I've ever had a fetus?
Sister, if you ask the doctor this question, you have already exposed yourself!
Can the doctor find out that the patient has been threw?
The answer is yes. But not all of them can be checked.
If the patient is induced in labor in the big month, the uterine opening needs to be open to a certain extent to discharge the fetus, and for women who have not given birth, the cervical opening is round, then it is a non-child type. In this way, the cervical opening becomes flattened, which we generally call "menstrual".
After giving birth, the cervix becomes soft and sagging, and small lacerations are often seen at the edge of the outer cervical opening. The cervix remains dilated by 2-3 cm for several days after childbirth and will return after a week
However, the external cervical opening will never return to its pre-pregnancy shape; it will change from a narrow, smooth, regular circular opening at the time of non-pregnancy to a larger radial transection in the postpartum period. Histologically, the cervix can be up to 3 to 4 months after delivery and does not return to baseline levels.
However, relying only on the shape of the cervical opening, it is not possible to detect all the tires.
If the patient is doing a medical abortion or artificial abortion and other small months of miscarriage, the expansion of the cervical mouth is very limited, basically more than a month after the abortion, with the recovery of the uterus, the shape of the cervical orifice will slowly recover, and many uterine openings can also become round again. Therefore, at this time, it is impossible to distinguish the morphology of the cervical mouth.
But sometimes, if it is a just miscarriage, or miscarriage is incomplete, when the uterus has not yet recovered, it can be detected by ultrasound and blood hcg value.
For example, Sajie once met a 16-year-old girl, who was taken by her mother to see menstrual irregularities, and originally firmly denied having sex, but b ultrasound showed that there was an abnormal echo in the uterine cavity, and then the blood hcg was measured, which was high.
At this time, it was really impossible to hide it, and the girl admitted that it was originally after she and her boyfriend were unexpectedly pregnant, and secretly ran to the small clinic to do the medicine.
Unfortunately, the miscarriage has been bleeding, the mother found that the sanitary napkins at home have always been there, and did not know that she thought that the daughter's menstruation was irregular, always dripping and impure, so she took her daughter to the hospital for examination, and she exposed the filling.
This is still lucky, because miscarriage is not all at risk, the residue is in the uterine cavity, there may be infection, mechanization, and even the possibility of heavy bleeding, in case of serious bleeding, it may also be life-threatening!
For some women who have experienced multiple abortions, especially before giving birth, when the doctor knows the medical history, it is best to tell the doctor that she has had several miscarriages.
Image source: Stand Cool Helo
Why tell the doctor this?
Because these are necessary medical histories, it is routine for doctors to ask about a patient's fertility history when considering the condition, assessment, and treatment procedures.
If it is only some small problems, the diagnosis is clear, and the matter has passed for many years, there are no sequelae and complications, and it is really inconvenient to say that there are outsiders present, and it can be temporarily concealed.
However, what Sister Sa suggests is that even if you say "no" temporarily, when your family is not there in private, tell the doctor that it has flowed before, so that the doctor has a bottom in his heart, in case of any sudden situation, the doctor can also prepare and remedy in time.
For example, after giving birth to a child, the placenta is not well stripped, if the placenta cannot come down, or it is not complete, or even accompanied by a large amount of bleeding, at this time, considering the medical history, the doctor may be highly vigilant: Is it possible that the placenta implant?
There are other conditions, such as prolonged infertility, if there is a history of miscarriage before, or if you have experienced a medical abortion or induced abortion, the doctor may need to consider: Is there a fallopian tube adhesions after abortion? Is it possible that the uterine cavity adhesions after abortion surgery?
Of course, Sister Sa also knows that what you care about is:
If I tell the truth, will the doctor help me keep it a secret?
Whether in gynecology or obstetrics, the content of the examination is generally to inform me first, for example, even if the patient originally dictated that he had not given birth to a child, the examination found that it was through the maternal cervix, as long as there is no abnormality, we can not immediately find a husband to talk.
In cases where further understanding is needed, doctors often choose to communicate with the patient himself, even if he knows it, he will keep his mouth shut.
However, but for the sake of their own body and the health of their babies, it is still recommended not to hide it and tell the doctor truthfully, especially women who have had spontaneous abortions or habitual abortions before, or who have undergone abortion surgery many times.
So, do you want to tell your partner in advance when you are in love?
First of all, Sister Sa feels that now after all, unlike before, everyone's lifestyle and sexual concepts have changed a lot, before marriage, very few people have never had a history of love, a careless bad luck, unfortunately encountered an unexpected situation, as long as they learn to protect themselves in the future, treat their marriage well, presumably most of the lovers are still understandable.
However, if it is after being with a partner, or if it is a confused thing that happens after marriage, the nature is different!
Although the doctor will not take the initiative to disclose your privacy, in the future, if you accidentally expose the stuffing, it is likely to be a storm, and even affect the marriage!
So, to sum it up:
Say, or don't say?
For doctors, it should be said that it is best to say, and it is also necessary to say.
After all, the doctor has to face your body, for the possible situation, especially in the treatment of the disease is accompanied by a certain risk, or let the doctor as clear and accurate as possible to understand the medical history is good.
For her partner, Sajie feels that everyone's situation is different, and I can't rush to judge, after all, everyone looks at the problem from a different angle and has a different tolerance.
But no matter what, what Sister Sa hopes most is that you can protect yourself and make yourself free of such worries.
After all, telling the truth and telling lies, the clearest, the most different feelings, and the ultimate torture, is still their own heart.
This article is reprinted with permission from the WeChat public account "Doctor Girl Biography", please contact the original author for reprinting.