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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
Ectopic pregnancy signs
Normally, if menstruation does not occur at the expected time and there is irregular, light bleeding, the first step is to go to the hospital for an early pregnancy test. If the test shows two lines, this indicates pregnancy. Pregnancy includes intrauterine pregnancy and ectopic pregnancy. In cases of ectopic pregnancy, there is generally also irregular bleeding and abdominal pain. Therefore, if the early pregnancy test is positive with two lines and there is irregular bleeding and abdominal pain, one must be alert for the occurrence of an ectopic pregnancy. At this time, you can go to the hospital for blood tests to check the HCG levels and progesterone, along with an ultrasound to comprehensively determine the situation. If there is no gestational sac within the uterine cavity and an abnormal mass is found outside the uterus, then hospitalization and appropriate treatment for the ectopic pregnancy are needed.
Causes of Amenorrhea
Amenorrhea can be physiological or pathological. Physiological amenorrhea, for example, occurs during the breastfeeding period when menstruation is irregular for three consecutive months; this is considered normal. Also, some patients may experience temporary amenorrhea due to medications used to treat conditions such as endometriosis, which is also normal. Pathological amenorrhea, commonly seen in clinical settings, includes conditions such as ovarian dysfunction, severe intrauterine adhesions, premature ovarian failure, or other endocrine disorders, which can result in the absence of menstruation. It is essential for individuals experiencing amenorrhea to undergo relevant medical examinations to identify the cause, followed by appropriate treatments based on the findings.
Which department should I go to for vulvar lichen sclerosus?
Patients with vulvar lichen sclerosus generally visit the gynecology department of hospitals, as the diagnosis and treatment of this condition are considered a kind of complex gynecological issue. This disease generally cannot be treated in smaller hospitals, and better treatment is usually available in third-grade, class-A hospitals’ gynecology departments. The formation of vulvar lichen sclerosus is mostly due to poor nutrition of the vulva, so patients with this condition should definitely seek treatment at large, third-grade, class-A hospitals. The treatment can generally be conducted through physical methods or topical medications. During the treatment process, the majority of cases can experience symptom relief. Vulvar lichen sclerosus is generally benign, but in very rare cases, it may turn malignant. Therefore, patients with worsening conditions can undergo a biopsy in the hospital to determine if the lichen sclerosus is worsening or if there is a tendency towards vulvar cancer. (Please use medication under the guidance of a professional physician, and do not self-medicate.)
Cervical polyps how many months grow bigger
Cervical polyps generally are not very large, typically only a few centimeters at most, and do not become noticeably bigger. Polyps tend to grow very slowly and usually do not become very large. If cervical polyps are found, they can be detected through a vaginal exam and colposcopy at a hospital. Polyps do not change much over a short period, so it is best to address them as soon as they are discovered. If it is not possible to deal with them immediately, they generally will not change much over a few months. The tissue removed can be examined pathologically; most polyps are benign and usually are not a significant issue.
How long does it generally take to treat a trichomoniasis infection?
Trichomoniasis infection generally improves within a week. Trichomoniasis requires symptomatic medication, and typically, is almost completely resolved after a week. Clinically, trichomonal vaginitis usually presents as abnormal discharge. Normally, vaginal discharge in women is clear, transparent, odorless, and minimal. Patients with trichomoniasis will have watery discharge with a fishy odor and itching, especially worsening at night. At this time, topical medications for symptomatic treatment can be used as well as oral medications. Thus, trichomoniasis is a common condition among women, and the treatment is generally effective, with symptomatic treatment usually resulting in improvement within a week.
Is cervical erosion surgery painful?
Cervical erosion surgery, if you are afraid of pain, can generally be performed painlessly. The method of cervical erosion surgery depends on the approach used. Methods like laser, electrocoagulation, and cryocondensation typically do not pose major issues. During the surgery, patients may feel discomfort or a burning sensation, but these are generally tolerable and most patients handle them well. For patients with severe cervical erosion, electrosurgical loop excision surgery might cause more significant pain. If worried about pain, patients can opt for a non-invasive loop excision surgery. Therefore, patients who are particularly sensitive to pain can request their doctors to perform a painless surgery, which does not cause suffering, and is generally bearable and free from fear for most patients.
Do cervical polyps easily become cancerous?
The majority of cervical polyps are formed due to chronic inflammation, and the chance of malignant transformation in cervical polyps is very rare, generally showing no tendency towards malignancy. It is common to remove cervical polyps and then perform a pathology test again. If the pathology results show no issues, usually there are no significant problems. If one wants to check for cervical cancer and its precursors, it is usual to visit a hospital for cervical cancer screening, which includes a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) testing. These two tests can preliminarily screen for cervical cancer and precancerous conditions. The likelihood of cervical polyps becoming cancerous is low, and generally, polyp removal surgery can be done between three to seven days after menstruation ends when conditions are clean.
What are the harms of premature menopause?
The normal age of menopause for women in our country is around 49 years old. If menopause occurs during this period, it's generally not a big issue. However, if menopause occurs prematurely, it typically indicates a decline in ovarian function or early ovarian failure. This can cause disruptions in marital relations for women, and if menopause happens too early, it can lead to premature symptoms of menopause. Symptoms such as hot flashes, sweating, irritability can occur, and in severe cases, it may lead to diseases related to blood pressure and cardiovascular health. Therefore, premature menopause does have an impact on health. If these symptoms appear prematurely, it is crucial to go to the hospital for appropriate adjustment and treatment.
What is polycystic ovary syndrome?
Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder, characterized by symptoms such as amenorrhea, scanty or irregular menstrual bleeding, obesity, infertility, acne, and hirsutism. PCOS is considered a difficult-to-treat gynecological disease, with a high likelihood of recurrence after treatment. Therefore, it’s crucial to undergo relevant medical examinations at a hospital. The diagnosis of PCOS generally involves a combination of ultrasound imaging and a six-item hormone test, which can confirm whether one has the condition. If diagnosed with PCOS, active treatment is necessary, as it is one of the more challenging gynecological endocrine disorders to manage.
What is the best medicine for vaginitis?
What kind of medicine is best for vaginal inflammation depends primarily on the type of bacteria causing the infection and the nature of the vaginal inflammation. Since different bacteria cause different clinical symptoms, the treatment and medications vary accordingly. Generally, if the treatment is symptomatic, whether using common medications or specific ones, it will certainly be effective as long as it matches the symptoms. If treatment is not based on the correct diagnosis, and medication is used blindly without a clear diagnosis of vaginal inflammation, this will definitely not be appropriate. Generally, in cases of trichomonas infection, the vaginal discharge appears watery and has a foul smell, and treatment must be specifically targeted against trichomonas infection. If the discharge is curdy or cheese-like, these are typical symptoms of fungal vaginitis, and treatment must be conducted with effective medications specifically for fungal infections. Therefore, the type of medication for vaginal inflammation must be determined after an examination and based on the results, appropriate treatment should be administered.