After her husband's death, she actually asked the doctor to "castrate" herself...

Receiving Sister Ling's consultation, it was nearly twelve o'clock in the middle of the night, and it was raining lightly outside the window, and I was preparing to sleep, but I saw Sister Ling's message.

People who consult late at night often have suffering that they can't see during the day. Either it is too busy during the day, or it is really difficult to talk about, only in the middle of the night, dare to hide in the dark, remove the disguise and strength under the sun, and tell the deepest secret of your heart.

Over the past few years, I have met women who have lost their marriages, sent me voices at midnight, and began to cry as they spoke; I have also met a worried young man who asked me at one o'clock in the morning, sister, just now the condom seems to be broken, what to do?

I am used to sleeping late every day, and I have become accustomed to this situation and can understand it. After all, if there is no way, who wants to bother others without sleeping in the middle of the night.

Sister Ling's head is a sunflower, she greeted me and said, I can't call you Sajie, I'm older than you, can I call you Sajie?

I said, yes.

Then she said: Samei, I am 41 years old and want to "castrate" myself.

Image source: Stand Cool Helo

This sentence made my head a little confused for a moment and a half, maybe I did need sleep, I felt in a trance that the opposite side might be a man, but then we said, Sister Ling is indeed a big sister of about 40 years old.

Her appeal is very simple, but it is the most difficult and most poignant question I have ever heard.

Her husband, who has been with her for 20 years, died of cancer, and she felt discouraged, and her life was only left with dark nights. Whenever I slept in bed, I always felt as if there was someone around me.

As time went on, when someone around her began to help her introduce the object, she found that she could no longer love someone as she had done, or even resist in her heart. The loneliness after the long night gave her an idea:

How nice it would be if you never had sex again.

When watching the news, she saw that for sex offenders, "chemical castration" could be carried out, so she thought that she might be able to seek such a way to "castrate" herself, never have sexual desire again, and silently consume the rest of her life.

"When my children are older and go out to school, they are always worried that I am alone, so I go out to play more and contact people more." But in the evening, I think about it.

I felt as if this desire was a betrayal, making me feel ashamed of my husband, and I would never want to have it again, and how easy it would be to delete it directly like the records in the computer. Sister Ling said.

She had seen a needle on the Internet that said that after the injection, women could enter the state of menopause in advance.

"Is there really this?" She asked me with some anticipation.

I thought about it or told her: Yes.

Sometimes, for women who suffer from endometriosis and have poor oral medications, we will inject them with an injection, and after this injection, menstruation will stop for a period of time, and the body will enter a state of menopause in advance.

This treatment is actually a kind of "ovarian castration", and drug-induced ovarian castration is often temporary and reversible compared to the direct method of ovarian excision.

After discontinuation of the drug, with the metabolism of the drug, the function of the ovaries may gradually return and menstruation may return, so it is also called "pseudomenopausal therapy".

In addition to oral androgens, another method of pseudomenopausal therapy is "injection", which is actually a gonadotropin-releasing hormone agonist, abbreviated as GnRH-a.

They are synthetic 10 peptide compounds that act in the same way as the gonadotropin-releasing hormone GnRH secreted by our pituitary gland, but are 50 to 100 times more active than it.

When these more active ingredients enter our bodies, they will be like a group of new employees who are more active in their work, taking over the position of the original "old employees" to "rob" the pituitary gland's GnRH-receptors.

When our body continues to give GnRH-a, the pituitary gland's GnRH-receptors will be depleted, thereby achieving "downregulation", so that the secretion of gonadotropins is reduced, estrogen levels reach extremely low levels, ovarian function is significantly inhibited and amenorrhea, and the body is equivalent to entering a state of "menopause" [1].

Sister Ling listened carefully, but for her eagerness to try, I still splashed a basin of cold water:

First of all, for this medical treatment of ovarian castration, it is not suitable for healthy women. This treatment is often used in the treatment of endometriosis, precocious puberty in children, and tumors related to estrogen secretion such as breast and endometrial cancer.

It is not without side effects, because when menopause should not be made in advance, then there will be what we commonly call "menopausal syndrome", such as hot flashes, sweating, vulvovaginal dryness, decreased libido and bone loss.

Short-term medication, the effect may not be once and for all, after drug metabolism, ovarian function may also be restored, menstruation may also come again, long-term medication, may also lead to osteoporosis.

If you use the method on yourself just because you don't want to have sexual desire, it will do more harm than good, and in the absence of application of evidence, the doctor will never give the drug.

After saying this, Sister Ling on the other side of the phone fell silent.

I can imagine her depression in daily life, to smile in front of others, to always be strong in front of children, but the most distant distance in this world is life and death, the door is closed, the night comes, how should that bone-eating thought be placed?

Sister Ling's story made me very sad, but after listening to her tears, I suggested that Sister Ling find a psychologist, which may be a way to help her more than the "self-castration" she hoped. She agreed.

I didn't say the words "life is still very long, there will be someone to love you, and there will be someone who deserves your love", as long as life is not over, who does not know that everything is possible in the future? I believe that Sister Ling does not understand, but now she is not able to do it.

I only hope that time and the help of the doctor can make her wounds heal slowly, even if the scars will always be there, at least she can still laugh from the heart.

That rainy night, I tossed and turned and couldn't sleep, so I got up and wrote the story of Sister Ling. I've also written about the chemical castration of sex offenders, and I remember when my chest was filled with anger, and this time, my heart was filled with unspeakable sadness and heaviness, mixed with some emotion.

Someone who has had such a wonderful love is lucky, and only hopes that the rest of her life can be safe and smooth.

I also hope that the "hand of the son, the old man with the son" spoken by all the people will never be just an empty word.

bibliography:

Xu Congjian,Hua Keqin. Practical Obstetrics and Gynecology (Fourth Edition)[M].People's Medical Publishing House: Beijing, 2018: 733

Author: Obstetrics and Gynecology Female Driver SaJie Obstetrics and Gynecology Attending Physician

Review expert: Gao Qin, Chief Physician of The Reproductive Center of the Affiliated Reproductive Hospital of Shandong University

Editors: Zhai Ang, Zhao Yanan

*The content of this article is a popularization of health knowledge and cannot be used as a specific diagnosis and treatment recommendation, nor is it a substitute for face-to-face consultation by a practicing physician, for reference only.

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