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23
Li Li Jie
Obstetrics and Gynecology
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
Symptoms of vulvar folliculitis
The symptoms of vulvar folliculitis generally manifest as redness, swelling, heat, and pain. When folliculitis occurs in the vulvar area, it can cause redness and swelling of the affected follicles, sometimes with a burning sensation, as well as pain in the area. If the inflammation is pronounced, the redness and swelling of the folliculitis can be severe, and pus formation may also occur. In such cases, it is necessary to puncture the pustules to drain the pus. The vulvar area has a rich supply of hair follicles and poor ventilation, making it susceptible to folliculitis. It is crucial to maintain good hygiene in the genital area.
Is it normal for a 42-year-old to have menopause?
Menopause at age 42 is abnormal, as the menopause age for most women in our country is between 45 and 55 years old. The age at menopause is mainly related to genetics, nutritional status, climate, immune function, and other factors. Menopause at 42 suggests that ovarian function has already declined, and women often experience symptoms such as low mood, poor sleep quality, osteoporosis, and cardiovascular diseases. For this situation, it is recommended that women visit a reputable hospital for a diagnosis as soon as possible. A typical examination includes the sex hormone panel to check for ovarian function decline. If there is indeed a decline in ovarian function, hormone medications can be used under a doctor’s guidance to enhance resistance. It is crucial to avoid staying up late and maintain a good mood.
Is endometrial tofu dregs-like a sign of endometrial cancer?
Endometrial cancer usually manifests in five main aspects. First, irregular vaginal bleeding, which is typically light but can be moderate in some patients. If the patient is postmenopausal, the bleeding often appears as either continuous or intermittent. Second, menstrual disorders, which are a common symptom of endometrial cancer as it is a malignant tumor occurring in the endometrium and significantly affects menstruation. Third, vaginal discharge, where some patients may experience a discharge of thin, white secretions, or a very small amount of bloody discharge in the early stages of the disease. Fourth, pain; once a patient develops endometrial cancer, the tumor may cause bleeding and possibly lead to infection. Fifth, abdominal masses, which can occur if there is a combination of large uterine fibroids or in advanced stages, potentially leading to the formation of large masses in the pelvic cavity due to the spread of a uterine cavity abscess.
Moderate cervical erosion is what?
Cervical erosion can be classified into mild, moderate, and severe based on the size of the erosion area. Mild erosion occurs when the erosion area is less than 1/3 of the cervical area, and moderate erosion when the area is between 1/3 and 2/3. Severe erosion occurs when the area exceeds 2/3 of the cervical area. Women with moderate cervical erosion often suffer from infertility and miscarriages. More seriously, if moderate cervical erosion is left untreated or persists without healing, it can develop into severe cervical erosion or precancerous lesions, and even cervical cancer. Moderate cervical erosion can affect future normal fertility, so it is crucial to take the disease seriously and undertake preventive measures.
What will happen with long-term yeast vaginitis?
Under normal circumstances, the vagina has a relatively safe environment where the microbial flora is balanced and the pH level is also balanced. This suitable environment that allows sperm to temporarily reside and pass through is very important. Once this environment is disrupted, infertility can easily occur. If one suffers from yeast vaginitis, the change in the vaginal pH also inhibits the motility of sperm. Inflammatory cells can also engulf sperm and reduce sperm motility. Candida albicans can agglutinate sperm, and the pain during intercourse and decreased libido that occur with inflammation can all affect pregnancy. Therefore, if one is diagnosed with yeast vaginitis, it is crucial to treat it promptly. Yeast thrives in moist environments, so it is important to frequently change and sun-dry underwear.
How long does it generally take to treat bacterial vaginitis?
Bacterial vaginitis generally results in increased vaginal discharge, which appears grayish-white and thin, accompanied by mild vulvar itching and burning sensations. The treatment for bacterial vaginitis usually lasts about half a month, but it can vary depending on individual differences in body constitution and the severity of the condition, so the duration of treatment can also vary from person to person. For bacterial vaginitis, antibiotics or similar medications are typically used for anti-inflammatory treatment. It is important to maintain good hygiene, regularly change and sun-dry underwear, and wash them in hot water. Engaging in activities like running every evening can help improve physical fitness and boost the body's resistance.
Can a ruptured corpus luteum lead to infertility?
The destruction of corpus luteum cells can lead to infertility. The most common issue is the obvious rupture of the corpus luteum, accompanied by excessive pelvic fluid, which requires surgical treatment. Post-surgery, there could be pelvic adhesion, leading to partial fallopian tube adhesion, which may result in blockages or obstructions in the fallopian tubes. Therefore, during pregnancy, an ectopic pregnancy may occur, and even infertility, particularly in some women who do not seek timely medical treatment after a corpus luteum rupture. This leads to the spread of pelvic inflammatory disease, which may even develop into chronic pelvic inflammatory disease. It is essential to be cautious and avoid vigorous physical activities to prevent the dangerous rupture of the corpus luteum.
Can chronic bacterial vaginitis lead to infertility?
Long-term bacterial vaginitis can lead to infertility. If bacterial vaginitis occurs, a large number of bacteria proliferate in the vagina. When sperm enter, they may quickly die off. Even if they do not die, their quality is greatly reduced. Vaginitis results in a significant increase in vaginal discharge. The secretions contain a large number of white blood cells, which can hinder the survival of sperm, thus potentially causing infertility. Therefore, women must pay attention to personal hygiene. Once the inflammation of bacterial vaginitis becomes severe, it can spread to the uterine cavity and cause more serious diseases such as adnexitis and pelvic inflammatory disease. If not treated promptly, these can lead to infertility. It is important to develop good hygiene habits regularly.
How long does it take for ibuprofen to work for menstrual pain?
Dysmenorrhea refers to lower abdominal pain and a sense of heaviness around or during the menstrual period, accompanied by back pain or other discomforts. If dysmenorrhea occurs, taking ibuprofen can relieve the symptoms significantly within about 20 to 30 minutes. Drinking a bowl of hot brown sugar water during menstruation can also promote smoother menstrual flow and relieve pain. During menstruation, it is advisable to eat less spicy and stimulating food, as well as fewer cold fruits, vegetables, etc., and to maintain appropriate rest. Consume more warm foods and supplement with high-protein, high-calorie diets.
What should I do if I have acute mastitis?
If acute mastitis occurs, the first step is to promptly relieve the blockage of the milk ducts, ensuring smooth drainage of breast milk. This can be achieved through warm compresses, massage, and the use of a breast pump for most cases of acute mastitis. With early intervention, significant relief can usually be achieved. However, if the condition has been prolonged and is severe, it is advisable to visit a formal hospital. Prompt medical attention and diagnostic tests, such as a complete blood count and localized ultrasound, are needed to further understand the condition and administer appropriate antibiotic treatment. If an abscess forms in the breast, it should be surgically drained as soon as possible. Maintaining good hygiene, paying attention to a gentle diet, and adopting good living habits, such as going to bed early and waking up early, are also important.