

Li Li Jie

About me
Medical doctor, always engaged in frontline clinical work.
Proficient in diseases
Diagnosis and treatment of gynecological diseases such as infertility, vaginitis, vulvar leukoplakia, cervical lesions, ovarian cysts, uterine fibroids, and abnormal uterine bleeding.

Voices

What will happen if vulvar lichen sclerosus is not treated?
If vulvar lichen sclerosus is not treated, the condition generally progresses to include symptoms such as hyperplasia, thickening, scaling, fissuring, and pain. Additionally, the skin may atrophy, with patients experiencing flattening or even disappearance of the labia majora and minora. The urethral meatus may also exhibit atrophy. After the urethral meatus atrophies, it can affect the quality of sexual life and urination. Therefore, it is evident that the consequences of not treating vulvar lichen sclerosus are very serious. This disease is not infectious, but it has a particularly high heritability, characterized by increased pain after scratching and gradual thickening of the affected areas, which also impacts the quality of sexual life.

How much contraceptive pills will cause infertility?
Within one year, the use of birth control pills should not exceed three times, and if it is emergency contraception, it is also best not to exceed three times within a year. Because the side effects of emergency contraceptives are relatively large, they also cause more harm to the human body, and long-term use may even lead to infertility. Because it contains estrogen, it can cause hormonal imbalances in the body, leading to phenomena such as menstrual disorders and endocrine disruption in women, and in severe cases, it can inhibit ovulation. Therefore, it is said that one should not take too many contraceptives and should use methods that do not harm the body, such as wearing condoms, getting contraceptive rings, etc. In addition, it is also important to pay attention to exercise in daily life, to work out more, and to enhance one's own resistance.

Will taking birth control once a year cause infertility?
Taking emergency contraceptive pills once a year will not cause infertility, but it is not recommended to use emergency contraception as a regular method of contraception. It is generally advised that emergency contraception should not be used more than three times a year, as it can harm a woman's body. It is recommended that women of childbearing age who do not have a plan should use safe and effective contraceptive methods, including wearing condoms consistently or using an intrauterine device (IUD), which are relatively safe and effective and do not have side effects on health. If using an IUD, it is advised to remove it three months before planning to become pregnant to allow the endometrium to recover before attempting conception, which is better under these circumstances.

Can you get pregnant with fungal vaginitis?
Yeast vaginitis is a relatively common gynecological disease. It is generally advised to treat yeast vaginitis promptly before attempting to conceive. Mild vaginitis will not affect pregnancy, but if vaginitis is not cured for a long time, it may lead to various gynecological inflammations such as cervicitis and pelvic inflammatory disease, which can affect pregnancy and, in severe cases, lead to threatened miscarriage. Therefore, it is advisable to cure yeast vaginitis promptly before getting pregnant. It's better to delay conception, treat the inflammation in a timely manner, and ideally, visit a hospital for a routine vaginal discharge test three to five days after menstruation ends, followed by comprehensive conditioning and treatment. Additionally, pay attention to hygiene; frequently change and sun-dry underwear, wash with hot water, and avoid consuming cold, spicy food.

What causes trichomoniasis in women?
Women are susceptible to trichomonal vaginitis mainly due to poor sexual hygiene. Alternatively, low immunity can lead to an imbalance in the vaginal flora, thus triggering a trichomoniasis infection. Trichomonal vaginitis primarily causes itching of the vulva and the discharge resembles nasal mucus and is yellow-green in color. For this condition, anti-inflammatory medications are mainly used for internal application, supplemented with potassium permanganate solution and acetic acid solution for cleansing. During treatment, sexual activity should be prohibited to prevent intercourse, and the diet should be light, avoiding spicy and stimulating foods, and concentrating on a mild diet. (Use medications under the guidance of a doctor)

What causes cervical erosion?
Firstly, there are many causes of cervical erosion, some of which are due to congenital factors. Many diseases can also cause cervical erosion, as well as multiple induced abortions. Nowadays, many young women engage in premarital sex and, not wanting children temporarily, end up having multiple induced abortions, which is a major cause of cervical erosion. Other factors include having sex too early and having too many sexual partners. If you do not want children, it is essential to take proper contraceptive measures to avoid harming your body. It is always important to maintain good hygiene habits and pay attention to hygiene before and after intercourse.

Does endometrial cancer cause bleeding every day?
In the early stages of endometrial cancer, the symptoms may only present as irregular vaginal discharge, which could be serous or bloody in nature. In advanced stages of endometrial cancer, irregular vaginal bleeding occurs, which can vary in amount and may not occur daily. This can also be accompanied by lower abdominal pain. Through an ultrasound, thickening of the endometrial lining or a mass in the uterine cavity can be seen, containing rich blood flow. It is essential to undergo a curettage and pathological examination to confirm if it is endometrial cancer. It is crucial to maintain good hygiene practices, avoid staying up late, pay attention to rest, timely diagnose at hospitals, and develop a healthy routine in daily life.

What is a good treatment for uterine prolapse?
Generally, mild uterine prolapse does not have a significant impact on the body and can continue to be observed. It is also important to frequently perform anal contraction exercises to prevent the worsening of uterine prolapse. If uterine prolapse severely affects sexual life and normal daily activities, surgical treatment should be considered. This can include repair of the anterior and posterior vaginal wall, or partial cervical resection combined with repair of the anterior and posterior vaginal wall. If necessary, consider performing a vaginal hysterectomy. Regularly practicing yoga at home and running daily if possible can effectively enhance body resistance and also prevent severe uterine prolapse.

Can sexual activity alleviate dysmenorrhea?
Sexual activity can alleviate menstrual pain. The reason sexual activity can alleviate menstrual pain to some extent is that during the process of enjoying sex, the excitement of the cerebral cortex and the pleasurable sensations from the nervous system guide our body, thereby releasing some well-known hormones and chemicals. Having sexual activity a few days before the onset of menstruation can create a reserve of mental pleasure, putting the body in a relaxed state. This releases the muscle tension associated with the habitual fear of menstruation, so the pain during menstruation will not be as pronounced. Furthermore, sexual activity can promote indirect movement of the uterus, thereby regulating the flow of Qi and blood and improving the circulation of Qi and blood.

What is the reason for breast pain during menstruation?
Menstrual breast pain is considered to be caused by two factors. First, the patient experiences breast pain during menstruation due to the stimulation of estrogen and progesterone secretion before the onset of menstruation. The pain symptoms may be more pronounced before menstruation and can be alleviated after menstruation. Second, if the patient's symptoms are severe, it is generally necessary to consider whether the pain is caused by mammary gland hyperplasia. Mammary gland hyperplasia can be caused by long-term staying up late, depression, and excessive stress. It is recommended that the patient undergoes a breast ultrasound to check for conditions like mammary ductal hyperplasia or fibroadenomas, and then receive targeted treatment.