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Li Shun Hua
Obstetrics and Gynecology
About me
Diagnosis and treatment of common and difficult gynecological diseases, especially in the diagnosis and treatment of gynecological endocrine disorders and gynecological malignant tumors, with rich clinical experience.
Proficient in diseases
Specializes in various types of gynecological surgeries, including abdominal, vaginal, and laparoscopic procedures.
Voices
The Harm of Amenorrhea
In women, if amenorrhea occurs prematurely, it might indicate premature ovarian failure, which significantly impacts female reproductive function. This is because estrogen and progesterone, which are unique sex hormones in females, when depleted, can lead to atrophy of the reproductive organs, decreased libido, osteoporosis, and even early onset of heart disease. Therefore, hormone replacement therapy (HRT) can be applied in cases of premature ovarian failure. If amenorrhea occurs after the age of 40, it is considered normal and is a common phenomenon that every woman experiences. If there are no contraindications to medication, HRT can also be used, which can significantly slow down the aging process in women, improve their quality of life, and visibly enhance their well-being.
How is cervical polyp treated?
The treatment methods for cervical polyps are actually quite simple. If the stalk of the cervical polyp is thin, it can simply be removed using a hemostatic forceps. If the stalk is thick, methods like radiofrequency or laser can be used to cauterize the base of the polyp, causing it to fall off. After the surgery for cervical polyps, it is essential to conduct a pathological examination, because although the rate of malignant transformation in cervical polyps is very low, malignant changes can occur. Therefore, any cervical tissue must undergo a pathological examination to avoid missed diagnoses.
What are the symptoms before amenorrhea?
Before menopause, women will experience some symptoms of menopause, which manifest as menstrual disorders, including excessive menstruation, insufficient menstruation, early menstruation, or missing periods for two to three months. The main symptoms of menopause include irritability, easy annoyance, hot flashes, night sweats, and poor sleep at night. These are all caused by menopause. At this time, hormone replacement therapy can be used. Hormone replacement therapy is very effective for treating menopausal syndrome, delaying aging in women, and protecting women's bones and heart.
Malignant symptoms of uterine fibroids
If uterine fibroids become malignant, they can increase significantly in size in a short period. Patients may feel a lump in the abdomen, and this lump grows rapidly and is tender to pressure. Additionally, there may be symptoms such as heavy menstrual bleeding, prolonged menstrual periods, and irregular vaginal bleeding, as well as pain in the lower abdomen. Other symptoms include compression effects such as frequent urination, urgency to urinate, and difficulty defecating. Therefore, it is necessary to re-examine uterine fibroids every six months to a year. If uterine fibroids are found to be growing rapidly, timely surgical treatment should be conducted to prevent malignant transformation.
Do cervical polyps recur?
Cervical polyps are polypoid tissues that result from the hyperplasia of cervical glands and protrude towards the cervix's opening. These polyps are caused by chronic cervical inflammation. Therefore, if a cervical polyp is removed and the cervical inflammation still exists, the polyps might recur. Thus, after the removal of cervical polyps, it is crucial to actively treat the cervical inflammation or remove the cervical polyps and cauterize the base of the polyps using radiofrequency or cryotherapy methods. Generally, these approaches do not lead to recurrence, and it is important to actively treat chronic cervical inflammation.
What should a woman do if she experiences amenorrhea?
The number of follicles in a woman's ovaries is fixed from birth. From birth to adolescence, the follicles begin to develop, and ovulation occurs each month. Once all the follicles are depleted, ovarian function declines, leading to menopause. When a woman experiences menopause after the age of 40, it is considered a normal occurrence, and estrogen replacement therapy can be used at this time. However, a physical examination must be conducted before using these medications, as they are not suitable for everyone. If menopausal symptoms are particularly severe, sequential estrogen therapy can be applied, which may result in the return of menstrual periods, but this does not indicate a recovery of ovarian function; it is due to the medication. If the symptoms during menopause are not very severe, observational treatment may also be considered.
What should I eat to manage polycystic ovary syndrome?
Polycystic ovary syndrome is a lifelong disease that cannot be cured, and it is a metabolic disease, which makes it easy to develop diabetes, hypertension, and obesity. Therefore, it is essential to maintain a light diet, eat more fruits and vegetables to regulate the body, avoid greasy foods, exercise regularly, and keep the body within the normal range. By doing so, people with this syndrome can live like everyone else. However, if a person with polycystic ovary syndrome goes more than two months without menstruation, they must be treated with progesterone, primarily to prevent endometrial cancer.
There are several types of cervical cancer vaccines.
There are three types of cervical cancer vaccines: bivalent, quadrivalent, and nonavalent, and the recommended vaccination ages vary for each. The bivalent cervical cancer vaccine is suitable for females aged 9 to 45; the quadrivalent vaccine is suitable for females aged 20 to 45; the nonavalent vaccine is suitable for females aged 16 to 26. Vaccinations can be scheduled at hospitals within these age ranges. The younger the age at vaccination, the higher the antibody production after receiving the cervical cancer vaccine, meaning the effectiveness is better.
Can you have sexual intercourse with cervical polyps?
Patients with cervical polyps can easily experience bleeding during sexual intercourse. Therefore, if cervical polyps are present, the first step should be their removal. If bleeding during sexual intercourse persists after the removal, it is essential to undergo precancerous cervical screening. This is because contact bleeding during intercourse can occur if there are precancerous lesions in the cervix, and timely treatment is necessary. Precancerous cervical screening, which includes HPV and TCT tests, is a mandatory examination for women over the age of 30, allowing for the early detection of precancerous cervical changes and cervical cancer.
How to get the cervical cancer vaccine?
The cervical cancer vaccine is administered in the same way as regular vaccines, which is an injection in the deltoid muscle. However, the scheduling of the subsequent doses of the cervical cancer vaccine differs. For the bivalent cervical cancer vaccine, the second dose is administered one month after the first dose, and the third dose at six months. For the quadrivalent and nonavalent vaccines, the second dose is administered two months after the first, with the third dose given at six months.