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Sun Shan Shan
Obstetrics and Gynecology
About me
Chief physician specializing in the diagnosis and treatment of gynecological diseases, currently working at the Chinese People's Liberation Army 203 Hospital.
Proficient in diseases
Specializes in the diagnosis and treatment of diseases such as pelvic inflammatory disease, appendicitis, fungal vaginitis, bacterial vaginosis, cervical erosion, cervical cysts, etc.
Voices
Is breast swelling and pain before menstruation a sign of pregnancy?
Breast tenderness before menstruation is not necessarily a sign of pregnancy. Elevated levels of estrogen and progesterone before menstruation can also cause breast tenderness, as can the early stages of pregnancy. Therefore, if women of childbearing age experience a delay in menstruation and breast tenderness, they should promptly take a urine pregnancy test and, if necessary, have a blood HCG test to check for pregnancy. If pregnancy is not the case, they should wait to see if menstruation occurs. It is advisable to avoid getting cold, refrain from eating spicy and irritating foods, and maintain cleanliness of the external genitalia.
Can a teratoma disappear with medication?
Ovarian teratomas cannot be treated with medication. Ovarian teratomas are the most common type of germ cell tumor and are categorized into mature and immature teratomas. Mature teratomas, also known as dermoid cysts, are mostly benign tumors. These cysts generally have a single chamber filled with sebum and hair, and sometimes teeth and bone material can also be found inside. On the other hand, immature teratomas are malignant tumors, making up 1%-3% of ovarian teratomas, commonly seen in younger patients with an average age between 11 and 19 years. Thus, it is crucial to seek prompt medical evaluation upon detection of an ovarian teratoma to determine the size of the cyst and, if necessary, pursue surgical treatment, as medication will not resolve the issue.
Can cervical polyps be felt?
Cervical polyps are not detectable by touch; a gynecological internal examination is required where a speculum is used to dilate the vagina to view the cervix. This allows for the observation of any cervical polyps, their size, and based on the examination results, timely surgical treatment can be administered. Cervical polyps are caused by cervical inflammation that leads to localized tissue hyperplasia exhibiting polypoid changes. Once cervical polyps are identified, it is crucial to promptly proceed with further cervical cancer screening. If there is no HPV infection and TCT is normal, polypectomy should be performed. Post-surgery, a pathological examination is necessary. It is also advised to avoid cold exposure, exhaustion, and spicy or irritating foods to maintain health.
Do uterine polyps require surgery?
Endometrial polyps are caused by excessive growth of the endometrial lining, and can be single or multiple, with diameters ranging from a few millimeters to several centimeters. They can be pedunculated or sessile. Endometrial polyps smaller than one centimeter in diameter, if asymptomatic, have a natural resolution rate of about 27% within a year and a low rate of malignancy. If the polyp is large, greater than one centimeter, it requires hysteroscopic endometrial polypectomy or curettage. However, curettage has disadvantages, as it can easily miss polyps, and there is a high chance of recurrence after the surgery. Therefore, once an endometrial polyp larger than one centimeter is identified, it is advisable to promptly visit a hospital for examination and treatment. Postoperative treatment should be guided based on the pathological findings.
What's the matter with delayed menstruation and breast pain?
Delayed menstruation and breast pain, if it occurs in women of childbearing age who are sexually active, this condition needs to be checked to see if there is a possibility of pregnancy. Menstruation is related to mood, diet, environmental stress, and psychological tension. If there is a problem in any of these areas, it can cause menstrual disorders. Of course, a delay in menstruation of about a week is within the normal range. If menstruation is delayed for more than a week and there has been sexual activity, a pregnancy test should be used to see if there is a possibility of pregnancy. If not pregnant and menstruation is delayed for more than a week, it is necessary to promptly go to the hospital for a gynecological ultrasound to check the condition of the endometrium, and if necessary, medication can be used to induce menstruation. If a pregnancy test is positive, then it is timely to go to the hospital for a pregnancy checkup.
Endometrial polyp removal time
Endometrial polyps require hysteroscopic polypectomy, which is a type of minimally invasive surgery, performed under intravenous anesthesia or general anesthesia. If the polyp is small and the cervical opening is relaxed, the surgery typically concludes within about an hour. After the surgery, the patient can leave the operating room once they regain consciousness. However, if the polyp is located near the uterine corner and the cervix is relaxed, it can complicate the surgical procedure, extending the duration to about one and a half to two hours. Post-surgery, it is important to monitor the patient's bleeding levels.
Does a teratoma require surgery?
Ovarian teratomas are a type of germ cell tumor, requiring surgical treatment whether the teratoma is benign or malignant. Teratomas can be divided into mature teratomas and immature teratomas. Mature teratomas, also known as dermoid cysts, are considered benign tumors. Immature teratomas are malignant tumors, accounting for 1%-3% of ovarian teratomas. Mature teratomas are cystic with a single chamber filled with sebum and hair, and sometimes teeth and bone material can be found inside. Therefore, once a teratoma is identified, the choice of surgical method depends on the size of the tumor, and some biochemical tests are needed to determine the nature of the cystic tumor.
Can amenorrhea be treated with Xiaoyao pills?
You should not take Xiaoyao pills if you have amenorrhea. Amenorrhea refers to a situation where a person who normally menstruates suddenly stops menstruating for more than six months, which is likely considered secondary amenorrhea. Once menstruation stops, it's important to promptly investigate the cause of the cessation. If it occurs around the time of menopause, then it is likely an indication of menopause. If it happens to women of reproductive age, it is crucial to go to the hospital for checks to determine if there are issues like ovarian dysfunction or polycystic ovary syndrome, or even conditions such as pituitary tumors causing the amenorrhea. Treatment should be based on the results of these examinations, and medication should not be taken blindly. It is also advised to avoid catching cold or becoming overtired, and to avoid spicy and irritant foods.
What department should I register for cervical polyps?
Cervical polyps are a type of gynecological disease and a form of chronic cervicitis. It requires registration for a gynecological examination. Cervical polyps are localized hyperplasia of the cervical canal glands and stroma, protruding outward from the cervical os to form polyps. Cervical polyps are typically multiple but can also be singular. They are red, soft, and fragile, appearing snake-like, and may have a pedicle, whose width varies. The base can be attached to the external or internal os of the cervix. Therefore, once cervical polyps are discovered, it is necessary to promptly visit a hospital for examination and, if necessary, surgical treatment. A cervical cancer screening examination is required before surgery.
Uterine prolapse is treated in the Department of Gynecology.
Uterine prolapse requires registration with the gynecology department as it is a type of gynecological disease. There are many causes of uterine prolapse, including pregnancy and childbirth. Particularly, vaginal delivery before childbirth or difficult deliveries involving suction can weaken the supporting strength of the pelvic fascia, ligaments, and muscles due to excessive stretching, leading to uterine prolapse. Additionally, aging, especially post-menopause, can cause an atrophy of the supporting structures, also leading to uterine prolapse. Other causes include chronic cough, abdominal effusion, and obesity, which can all lead to uterine prolapse. Therefore, once uterine prolapse occurs, it is necessary to promptly visit a hospital for examination to determine the extent of the prolapse, and treatment should be conducted according to the examination results.