Subscribe
21
Hou Jie
Obstetrics and Gynecology
About me
Graduated from Harbin Medical University, engaged in gynecology and obstetrics work for more than ten years.
Proficient in diseases
Common gynecological diseases, diagnosis and treatment of prevalent diseases.
Voices
How can amenorrhea be treated to restore menstruation?
In the treatment of amenorrhea, systemic treatment plays an important role. It includes actively treating systemic diseases, improving the overall quality of the body, providing sufficient nutrition, and maintaining standard body weight. If the patient is overweight, it is recommended to exercise to lose weight; if it is exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise; if the amenorrhea is due to stress or psychological factors, then patient and psychological treatment should be conducted to eliminate mental tension and anxiety; if the amenorrhea is caused by tumors, polycystic ovary syndrome, then treatment should be based on the specific cause.
How to treat endometrial polyps?
The treatment of endometrial polyps is primarily surgical in clinical practice. The widespread use of hysteroscopy greatly aids in the diagnosis and treatment of endometrial polyps. It is recommended that the surgery for endometrial polyps be scheduled within a week after the end of menstruation, when the endometrium is thinner, allowing for clearer visibility during surgery and more precise identification of lesions. Moreover, there is typically less bleeding during surgery at this time. Post-surgery, it is advisable to prescribe regular oral medication based on whether the patient has fertility requirements, to promote the recovery of the endometrium and to prevent postoperative recurrence. It is suggested to take a short course of oral contraceptives for about three to six months, and follow-up visits should be scheduled according to the intraoperative conditions and the doctor's advice.
How to induce menstruation after six months of amenorrhea?
If women are in the perimenopausal period and experience amenorrhea, it is not advised to use medication to induce menstruation. Artificially prolonging menstruation can sometimes lead to breast diseases, so excessive intervention is not recommended. This is a natural law of nature that we need to follow. For women who are not in menopause but experience amenorrhea, it is necessary to perform ultrasound and test six sex hormones. Sometimes, it may also be necessary to examine the pituitary gland to identify the specific cause of amenorrhea. Based on the specific cause, systematic treatment to regulate menstruation is required, and sometimes medication is necessary. If there is a pituitary tumor, surgical treatment might also be needed. (The use of medication should be conducted under the guidance of a professional doctor.)
Is a uterus in the mediastinum prone to preterm birth?
Women with a septate uterus, if pregnant, are much more likely to experience premature birth compared to women with a normal uterus. The normal uterine cavity size accommodates the development of the embryo until full term. However, the likelihood of premature birth varies depending on the development of the septate uterus. Once diagnosed with a septate uterus, extra caution is needed during pregnancy, especially avoiding intercourse in the late stages of pregnancy to prevent premature birth, as the risks associated with preterm infants are significantly higher than those for full-term infants. Therefore, pregnant women with a septate uterus need to pay extra attention.
How can premature rupture of membranes be detected?
In the late stages of pregnancy, if abnormal vaginal discharge occurs, it is necessary to consider whether there has been premature rupture of membranes. The symptoms of premature rupture of membranes include abnormal vaginal discharge, which sometimes can be heavy and, at other times, may be less. It is often accompanied by a feeling of warmth, without any pain symptoms. If it is unclear whether the condition is due to premature rupture of membranes or urinary leakage, it is recommended to visit a hospital for examination. Doctors can distinguish between premature rupture of membranes and urinary leakage using pH paper, and sometimes further ultrasound examinations are needed to monitor the amniotic fluid volume, which can determine if there has been a premature rupture of membranes.
Can cervical polyps be treated in the outpatient department?
Cervical polyps are a common gynecological condition. Because the surgical procedure is simple and the relative risk is quite low, most patients undergo this surgery on an outpatient basis. However, if the patient's physical condition is special, complicated by severe internal medical issues, or if the cervical polyp’s base is deep and the local blood supply is rich, increasing the surgical risk, it might be safer to perform the surgery in a hospital setting. The specific approach should be tailored to the patient's individual condition. Trust in your doctor and cooperate with their treatment plan to achieve the best therapeutic outcomes. Additionally, cervical polyps are a manifestation of an inflammatory disease and are benign, so patients need not be overly anxious.
Can you get pregnant if your period has stopped?
If amenorrhea occurs, it can lead to infertility, accounting for 25%-35% of female infertility. Common causes of amenorrhea include cerebral disease, pituitary disorders, ovarian disorders, and endocrine diseases. These factors can all lead to amenorrhea. If amenorrhea occurs and there is a desire for children, it is recommended to seek prompt and comprehensive examination at a reproductive hospital. Treatment should be systematically adjusted according to the specific cause, which can effectively improve ovulation and restore normal menstruation, thereby increasing the normal fertility rate. There are many reasons for female infertility, and a comprehensive examination is necessary. Any factor can affect normal pregnancy, making infertility a very complex disease.
Endometritis menstrual symptoms
Endometritis occurring during menstruation can result in increased menstrual flow and extended periods. The most common clinical symptoms of endometritis include lower abdominal pain and increased vaginal discharge. The abdominal pain is often persistent and worsens with activity or after intercourse. In severe cases, it may also be accompanied by fever, chills, headache, loss of appetite, and fatigue. If accompanied by peritonitis, symptoms related to the digestive system such as nausea, vomiting, diarrhea, abdominal distension, and diarrhea may occur. If there is an associated urinary tract infection, symptoms can include urinary urgency, frequency, and pain. If symptoms of bladder irritation occur, there may be difficulty in urination and frequent urination, and the bladder muscle may also have pain. If a mass is located behind the uterus, it can cause rectal irritation symptoms, leading to diarrhea, a sense of urgency to defecate, and difficulty in urination.
Can amenorrhea undergo IVF?
There are many causes of amenorrhea in women in our country, with the most common causes being hypothalamic disorders, pituitary disorders, and ovarian disorders. Other endocrine diseases, such as congenital adrenal hyperplasia and thyroid dysfunction, can also lead to ovulation disorders and the symptoms of amenorrhea. If amenorrhea occurs and there is a desire for childbirth, it is advisable to seek timely medical treatment at a professional reproductive hospital. This allows for systematic regulation of menstruation and comprehensive treatment based on the specific causes of amenorrhea, aiming to possibly enhance fertility and improve our infertile condition.
Benign characteristics of endometrial polyps
If a woman is diagnosed with endometrial polyps, then the condition is benign. If there are symptoms such as irregular vaginal bleeding, increased menstrual flow, or prolonged menstruation, endometrial polyps should be considered. It is advised to undergo diagnostic curettage or hysteroscopic endometrial polyp electrosurgical resection, and the removed tissue should be sent for pathological examination. Whether it is benign or malignant is mainly determined by the pathological examination as the final diagnostic basis. If confirmed as endometrial polyps, then it is benign. If precancerous lesions are present or if it is confirmed as malignant tumor, the case will be described in detail.