published24. August 2022, 22:47
Oversupply and wrong supplyThese 5 treatments at the gynecologist are unnecessary
Swallow antibiotics as soon as there are symptoms of a bladder infection? You should avoid that. But experts also consider four other gynecological measures to be unnecessary.
The Swiss Society for Gynecology and Obstetrics (SGGG) makes five recommendations.
Among other things, the annual smear test as part of the regular gynecological check-ups is now discouraged.
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There are treatments and tests that offer no added value for patients.
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In the field of gynecology and obstetrics, for example, the annual smear test is part of this.
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Women should also avoid certain surgical procedures.
After all, who likes to undergo unnecessary medical treatment? Nevertheless, according to the non-profit association «smarter medicine – Choosing Wisely Switzerland» Multiple treatments and tests that offer no added value for patients. In the field of gynecology, the Swiss Society for Gynecology and Obstetrics has now listed five medical measures that are usually unnecessary – or can even be harmful.
Top 1 and 2
The authors of the top 5 list advise women once morest uncomplicated cystitis and routinely take antibiotics if bacteria are found in the urine by chance. It has long been known that the more often antibiotics are used, the more likely it is that resistances will develop. The specialist society warns that antibiotics should therefore be used consciously so that their effectiveness is maintained in the long term and that bacterial infections can also be treated reliably in the future. 50 to 70 percent of uncomplicated cystitis would heal by itself and only in rare cases – regarding one to three percent – arise from an untreated cystitis a kidney infection.
On the list of treatments that should be avoided are annual ones cancer swabs found during regular gynecological check-ups. The latest research shows that between the ages of 21 and 70, a three-year interval between cervical cancer smears is optimal. Possible consequences of overtreatment can be psychological stress, vaginal bleeding, infection and even an unfavorable course of pregnancy.
Top 3 to 5
Also in the list are the routine ones hormone tests for menopausal symptoms and the unfounded treatment of fibroids or hysterectomy because of fibroids and the surgical removal of harmless ones ovarian cysts without acute symptoms.
The “smarter medicine – Choosing Wisely Switzerland” association follows the principle that a treatment should only be used if it actually contributes to the health and well-being of the patient.
