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Liu Jian Wei
Obstetrics and Gynecology
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Proficient in diseases
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Causes of uterine prolapse
Uterine prolapse is a common gynecological condition, primarily caused by damage to the pelvic floor tissues during childbirth. As the fetus descends during labor, it can damage the pelvic floor muscles and fascia, leading to a reduction in their supportive strength, which in turn causes the prolapse of the uterus and vagina. Additionally, aging is another main cause of uterine prolapse. As age increases, relaxation of the cervix, various uterine ligaments, and pelvic floor fascial muscles also contribute significantly to uterine prolapse.
How is ovarian cyst surgery performed?
Currently, in clinical practice for ovarian cyst surgery, options include open surgery and laparoscopic surgery. The choice of surgery type needs to be based on the extent of the patient's ovarian cyst, the patient's wishes, and the size of the surgical area, which are all factors that should be integrated into the decision-making process. Furthermore, the specific implementation of the surgery also needs to consider the patient's age, the nature of the ovarian cyst, and the patient's wishes. Options available include ovarian cystectomy and salpingo-oophorectomy. If the tumor is malignant, a more extensive surgical approach may be required.
Do ovarian teratomas hurt?
Ovarian teratomas do not cause abdominal pain under normal conditions. However, if a patient engages in vigorous activities, it can lead to a torsion of the ovarian teratoma. The torsion of the teratoma can drag the ovary to twist along with it, consequently affecting the blood supply to the adnexa on the affected side, leading to ischemic necrosis of the adnexa, and thus causing a sudden onset of severe lower abdominal pain on one side. In such abnormal situations, the ovarian teratoma can indeed cause lower abdominal pain.
Is functional uterine bleeding heavy?
Functional uterine bleeding can be classified into different types. Clinically, some functional uterine bleeding can cause a large amount of bleeding in the vagina in a short period of time. In such cases, hemostatic treatment is crucial. If the patient does not receive timely hemostatic treatment, the continued vaginal bleeding and increasing blood loss can potentially lead to hemorrhagic shock. Therefore, in clinical practice, if there is a significant amount of functional uterine bleeding, diagnostic curettage is often used as a treatment approach. This method not only serves a diagnostic purpose but also achieves immediate hemostatic effects in a short duration.