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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
Can a miscarriage due to premature rupture of membranes not be prevented?
In early pregnancy, if there is a rupture of the membranes, conservation treatment to maintain the pregnancy is not conducted, because such a miscarriage cannot be prevented. However, if the rupture of the membranes occurs around seven months of pregnancy, conservation treatment is possible. This treatment can extend the pregnancy for one to two weeks, during which the fetus will mature. Then, if there is no intrauterine infection, it is generally safe for about a week. If more than a week passes and the fetus is still alive, it is possible to deliver the baby through cesarean section. Given current medical conditions, the chances of survival for a child at seven months of pregnancy are considerably high, therefore conservation treatment at this stage is feasible.
Cervical erosion examination what
The term "cervical erosion" has been abolished, meaning that cervical erosion is not a disease but a normal physiological condition, which is the ectopic placement of columnar epithelium on the cervix and does not require treatment. However, if there are erosion-like changes observed on the cervix accompanied by contact bleeding, it is necessary to conduct a precancerous cervical screening. This is because precancerous lesions or cervical cancer can also present with erosion-like changes on the cervix. Therefore, if cervical erosion is observed but no lesions are found during the cervical cancer screening, then no treatment is needed.
Cervical polyp etiology?
The causes of cervical polyps are mostly due to chronic inflammation of the cervix, which stimulates the local hyperplasia of the cervical tissue. They appear as polypoid hyperplasias in the cervical canal or at the cervical opening. The main symptoms include an increase in vaginal discharge or bleeding after sexual intercourse. During a gynecological examination, polyp-like tissues can be seen at the cervical opening. Cervical polyps are relatively easy to treat. They can be removed using radiofrequency or laser. After removal, the base of the polyp is cauterized using these physical therapy methods to generally prevent recurrence.
Symptoms of worsening uterine fibroids
Uterine fibroids can undergo malignant transformation, albeit at a low rate of 0.5%-1%. When malignancy occurs, the fibroids can grow quickly over a short period and are accompanied by pain in the lower abdomen, heavy menstrual bleeding, prolonged menstrual periods, and irregular vaginal bleeding. Additionally, patients can feel a mass in the lower abdomen, which can be painful and present symptoms of heaviness. Therefore, if you have uterine fibroids, it is essential to have regular follow-ups, typically once every six months to a year. If it is found that the fibroids are growing rapidly, immediate surgical intervention is necessary to prevent the malignant transformation of the fibroids.
Is it normal to have breast pain before menstruation?
Breast swelling and pain before menstruation are symptoms of premenstrual syndrome. This swelling and pain generally disappear after the onset of menstruation and are greatly related to emotional states. Therefore, it is important to maintain a relaxed mood, exercise regularly, ensure sufficient sleep, and avoid overwork and staying up late to reduce or eliminate these symptoms. Some people may become irritable, which can exacerbate the pain and swelling. Thus, breast swelling and pain are not normal, but they are also related to hormone secretion.
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.