

Du Rui Xia

About me
Deputy Chief Physician, working at Anyang People's Hospital.
Proficient in diseases
Vaginitis, pelvic inflammatory disease, ectopic pregnancy, cervical erosion, uterine fibroids, polycystic ovary syndrome, are common gynecological diseases.

Voices

Does endometritis hurt?
When suffering from endometritis, women experience abdominal pain. Endometritis is a common gynecological inflammation in women clinically, and its typical manifestations include abnormal vaginal discharge, which may contain blood and sometimes have an unusual odor, itching of the vulva, lower abdominal pain, backache, and feelings of heaviness. Some may also experience fever and chills. It is necessary to treat endometritis promptly, using antibiotics or by dilating the cervical opening to drain inflammatory pus from the endometrium, which helps in quickly alleviating the symptoms.

What is the progesterone level for embryonic arrest?
When an embryo stops developing, the progesterone level will gradually decrease, but how much it can decrease is uncertain; it depends on the gestational age and individual differences. However, if an embryo stops developing, the progesterone level usually does not exceed 20. Therefore, during pregnancy, it is essential for pregnant women to maintain good living habits, avoid harmful factors, rest well, strengthen nutrition, abstain from sexual intercourse in early pregnancy, avoid misuse of medication, and be vigilant about symptoms like vaginal bleeding or abdominal pain.

Why does fetal movement become frequent when a pregnant woman catches a cold?
When pregnant women catch a cold, there may be abnormalities in fetal movement. This is because symptoms such as fever, nasal congestion, runny nose, and headache can occur after catching a cold, leading to discomfort. Nasal congestion can cause insufficient oxygen supply in the pregnant woman, thereby affecting the nourishment to the baby. This can also increase fetal movements. In addition, nasal congestion may lead to hypoxia in pregnant women. These conditions are detrimental to the health of both the fetus and the pregnant woman. It is advisable to visit the hospital timely for examinations and symptomatic treatment, and oxygen therapy might be necessary if required.

How many days after conception do the breasts start to feel sore?
Generally, after seven weeks of pregnancy, patients will begin to experience breast tenderness and pain. At this time, patients will feel that their breasts are noticeably swollen and increase in size gradually. The nipples will start to darken and enlarge. Around the areola, sebaceous glands will appear, and deep brown nodules known as Montgomery's tubercles will also develop. The color of the areola will begin to darken, which is related to the significant increase in hormones, particularly estrogen and progesterone, in the body after pregnancy. It is recommended that women protect their breasts from being compressed and avoid excessive massaging after pregnancy.

Can polycystic ovary syndrome conceive naturally?
In cases of Polycystic Ovary Syndrome (PCOS), some women are able to conceive naturally. Clinically, patients with PCOS mainly exhibit symptoms such as obesity, hirsutism, menstrual irregularities, and infertility. This is due to ovulatory dysfunction common in PCOS, which affects the ability to conceive naturally. However, some women may occasionally release a normal ovum, allowing for the possibility of natural conception under such conditions, though the likelihood of this occurring is relatively low. Generally, treatment is needed to facilitate the normal release of follicles, after which natural conception may be possible.

Will the pregnancy test strip become lighter if the embryo stops developing?
After embryonic arrest, early pregnancy tests will show a fading phenomenon. This is because the embryo has stopped developing, and the level of human chorionic gonadotropin (HCG) in the body no longer rises but instead significantly declines. Early pregnancy tests work by detecting the amount of HCG in the urine. When embryonic arrest causes HCG levels to decrease, the result on pregnancy tests will gradually become fainter, even turning negative. It is advised that in cases of embryonic arrest, prompt miscarriage management or uterine evacuation should be conducted to prevent potential inflammatory gynecological conditions and impacts on the woman's clotting function.

Can pseudopregnancy cause breast pain?
During pseudopregnancy, women may also experience symptoms of breast tenderness. As women may experience delayed menstruation, along with nausea, vomiting, and abdominal bloating, it is necessary to consider the possibility of pregnancy. If it is a pseudopregnancy, then it is due to the rise in hormone levels around the time menstruation is due, coupled with psychological factors in women, which can also cause false breast tenderness. When patients experience this condition, there is no need for excessive worry. They should rest adequately, enhance their nutrition, eat a light diet, keep warm, avoid overexertion, stay away from cold, and not stay up late. They can go to the hospital for a blood test to measure human chorionic gonadotropin (hCG) to determine whether they are pregnant.

Postpartum hair loss should consult which department?
Postpartum hair loss can be addressed by consulting dermatology or internal medicine departments at hospitals. It is quite common for women to experience hair loss after childbirth, primarily due to weaknesses in vital energy and blood, as well as changes in endocrine functions, such as hormonal fluctuations that decrease the nourishing function of scalp blood, leading to hair loss. For hair loss after childbirth, it is important to consume foods rich in protein and foods that replenish blood and vital energy to correct bodily weaknesses. Adequate rest and ensuring sufficient sleep are also crucial. If the situation is severe, it is necessary to follow the doctor's advice and take medication for treatment.

Can an ectopic pregnancy result in a live birth?
In the case of an ectopic pregnancy, it is necessary to terminate the pregnancy promptly. The pregnancy cannot continue, nor can it reach full term. Ectopic pregnancy refers to the implantation of a fertilized egg in a location outside the uterine cavity, known as an ectopic pregnancy. Normally, after the sperm and egg combine, implantation should occur in the uterine cavity for a normal pregnancy, since the uterus is the site where the fetus is nurtured. The uterus can expand gradually as the pregnancy sac grows, until the baby is delivered month by month. However, in an ectopic pregnancy, where the embryo does not implant in the uterus, it does not expand with the growth of the pregnancy sac. Therefore, as it progresses, it can lead to rupture of the implantation site, causing bleeding, fainting, shock, and potentially leading to severe consequences.

Does umbilical cord around the neck require a B-ultrasound recheck?
When there is a situation of umbilical cord around the neck, pregnant women need to regularly visit the hospital for an ultrasound checkup to understand the condition of the umbilical cord entanglement, mainly to monitor the umbilical blood flow. If there is an increase in umbilical blood flow, it indicates that the cord entanglement is tight, which can affect the baby's safety, potentially leading to lack of oxygen or suffocation. Therefore, in the late stages of pregnancy, it is also necessary to go to the hospital every 3-7 days for fetal heart monitoring to check if there is any lack of oxygen in the fetus while inside the womb. If there is fetal hypoxia in the late stages of pregnancy, it is advisable to terminate the pregnancy in a timely manner.