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Zhang Xiu Rong
Obstetrics and Gynecology
About me
I graduated from Changchun University of Traditional Chinese Medicine and have been working in the field of obstetrics and gynecology for over 20 years. I have attended advanced training programs at higher level hospitals and have published multiple national-level papers.
Proficient in diseases
Specializes in the treatment of common gynecological diseases, infertility, pelvic inflammatory disease, vaginitis, as well as the diagnosis and treatment of cervical cancer and precancerous lesions.
Voices
Is uterine prolapse a common gynecological disease?
Uterine prolapse makes it easier to contract gynecological diseases. If the prolapsed uterus is close to the vaginal opening, various bacteria from the vulva can easily cause retrograde infections. In cases of third-degree prolapse, where the uterus protrudes outside the vaginal opening, various bacteria can directly invade the cervix and uterine body, leading to irregular bleeding and exacerbated vaginal inflammation. In severe cases, it significantly impacts daily life. Therefore, mild uterine prolapse generally does not pose a significant problem, but moderate and severe uterine prolapse can easily lead to vaginal and cervical inflammation. Bleeding caused by friction on the cervical surface may occur, and it is necessary to actively provide symptomatic treatment at this time. If the patient is relatively young and wishes to preserve the uterus, a uterine ligament suspension surgery can be performed to alleviate the condition of the prolapsed uterus.
Can teratomas be treated without surgery?
Patients with teratomas are advised to undergo surgery as soon as possible. It is impossible for teratomas to be treated with medication or be absorbed naturally. Teratomas also have a tendency to become malignant, so once diagnosed, it is recommended to have surgery as soon as possible. After the surgery, it is essential to send the removed teratoma tissue for pathological examination to check for any issues. The majority of teratomas are generally non-problematic, but a very few may show malignant tendencies. Therefore, it is advised that patients with teratomas undergo surgery early, followed by postoperative anti-inflammatory symptomatic treatment. Otherwise, if the surgery is not performed, the presence of a teratoma can cause ovulatory disorders. Furthermore, if a teratoma grows too large, it can cause lower abdominal pain and discomfort. Thus, patients with teratomas can only be treated symptomatically through surgery.
Can mild uterine prolapse heal by itself?
Mild uterine prolapse generally involves a period of observation, as there are no specific treatments available at this stage. For mild prolapse, supports such as a pessary or oral administration of Bu Zhong Yi Qi Wan can be used for symptomatic treatment. It is important to rest, avoid overexertion, prolonged standing, or heavy physical labor, and prevent constipation by getting plenty of rest. Observation is sufficient if there is no further progression. In cases of moderate or severe prolapse, treatment should be tailored to the situation. Moderate prolapse can generally be addressed with ligament suspension surgery. In cases of severe prolapse, where the uterus completely prolapses out of the vaginal opening, suspension surgery or a vaginal hysterectomy may be options. (Please use medication under the guidance of a professional physician, and do not self-medicate.)
For female infertility, one should visit the department of gynecology.
Women who need infertility tests generally go to a hospital and visit either the Infertility Department or the Reproductive Medicine Department. Infertility is generally diagnosed when a couple has been married for over a year, both spouses have normal reproductive functions, have regular conjugal relations without contraception, and yet have not conceived. If infertility is confirmed, the male generally needs to undergo tests such as routine semen analysis, and checks for Mycoplasma and Chlamydia. The female usually needs to undergo tests for immunologic infertility, a sex hormone panel, ultrasound, hysterosalpingography, and follicle monitoring among other related examinations. These issues can generally be addressed by the infertility or reproductive medicine departments in local hospitals.
Dietary Taboos for Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is characterized by menstrual disorders, amenorrhea, infertility, obesity, acne, and hirsutism. The majority of patients with PCOS also exhibit high blood glucose and hyperinsulinemia. Therefore, it is crucial to pay attention to diet once these conditions occur. Foods high in fat and calories should be avoided as they can lead to weight gain and exacerbate the condition. Generally, it is advisable to consume a light diet, with plenty of vegetables and fruits, and to include beans and soy products. As patients with PCOS typically have high testosterone levels, consuming beans, which contain estrogen, can help replenish estrogen in the body and combat testosterone and other androgens. Thus, dietary considerations are essential for patients with PCOS.
Can cervical polyps be detected by ultrasound?
Cervical polyps are generally detected through gynecological examinations and colposcopies, but are usually not visible on ultrasound. Endometrial polyps can be detected via ultrasound if there is uneven echogenicity and thickening of the endometrium, which can indicate the presence of uterine endometrial polyps. Most cervical polyps are identified during a gynecological exam, where polyp-like growths on the cervix are found and can also be seen through a colposcope. Once cervical polyps are discovered, it is advisable to surgically remove them as early as possible, and the removed tissue should be sent for pathological examination. The majority of these polyps are benign, with only a very few showing tendencies of malignancy. Therefore, patients with cervical polyps should actively seek appropriate treatment. Cervical polyps are not detected on ultrasound, but submucosal polyps can be.
Does endometriosis cause pain?
The clinical feature of endometriosis is painful menstruation, which tends to worsen over time. If the endometrial tissue is displaced to the ovaries, it can lead to the formation of ovarian endometriomas, often called "chocolate cysts", which can cause the ovaries not to release eggs and generally affects fertility. If endometrial tissue displaces to the uterus, it can cause adenomyosis, leading to a uniformly thickened uterine muscle layer and uneven muscle wall echoes, resulting in an enlarged uterus, which also impacts fertility. Therefore, it is crucial for patients with endometriosis to seek early treatment and prepare for pregnancy as soon as possible. Endometriosis, which affects fertility, is typically characterized by painful menstruation that gradually worsens, and generally, painkillers are insufficient for treating this condition.
How to self-check for uterine prolapse
Uterine prolapse can be self-detected. If you feel a swelling in the genital area, or something protruding by itself that disappears when lying flat, there is a high probability of uterine prolapse or significant bulging of the anterior or posterior vaginal wall. This method can be used for self-examination. It is best to visit a hospital for an annual gynecological check-up and ultrasound. Through a gynecological internal examination, the doctor can indirectly assess the condition of the cervix. Therefore, mild uterine prolapse is generally not detectable by oneself, and such conditions generally require a gynecological internal examination in a hospital for a definitive diagnosis. Only in cases of severe prolapse will abnormalities be noticeable.
How to regulate endometrial polyps
Under normal circumstances, if there is endometrial polyp in the uterus, trying to treat it with food or medication is unlikely to be effective. The best treatment for endometrial polyps is to remove the polyps via hysteroscopy. After the surgery, the polyp tissue should be sent for pathology to differentiate between benign and malignant. Postoperative anti-inflammatory treatment is necessary, and sexual intercourse should be avoided for one month after the surgery. The treatment for endometrial polyps typically occurs within three to seven days after the end of menstruation. Diagnosis usually involves going to the hospital for an ultrasound to check the thickness of the endometrium and the echogenicity of the endometrium. Therefore, trying to manage endometrial polyps through non-surgical means is ineffective; surgical treatment is the only viable option.
How long does it take for cervical cancer to develop?
Cervical cancer generally forms beginning with an infection of human papillomavirus (HPV), and it usually takes five to ten years to develop into cervical cancer. The vast majority of cervical cancer cases are caused by contact with HPV. If this virus continues to replicate in the body, it typically progresses to cervical cancer over a period of five to ten years. Therefore, cervical cancer screening is crucial for women. If regular check-ups are performed annually during this period, it is possible to halt the progression to cervical cancer and its precursors. Cervical cancer screening generally includes routine TCT (ThinPrep Cytologic Test) and HPV testing. These two tests can preliminarily screen for cervical cancer and precancerous conditions. If any abnormalities are detected, it is essential to undergo a colposcopic biopsy at a hospital, as biopsy is the gold standard for diagnosis.