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Li Shun Hua
Obstetrics and Gynecology
About me
Diagnosis and treatment of common and difficult gynecological diseases, especially in the diagnosis and treatment of gynecological endocrine disorders and gynecological malignant tumors, with rich clinical experience.
Proficient in diseases
Specializes in various types of gynecological surgeries, including abdominal, vaginal, and laparoscopic procedures.
Voices
Is teratoma related to HPV?
Teratomas are not related to HPV. Teratomas grow on the ovaries, while HPV infections occur in the cervix or vaginal area, so the locations of these two diseases are different. There are benign teratomas and immature teratomas, which must be surgically removed after detection. Most women will be infected with the HPV virus at some point in their lives, and the majority will clear the virus within two years through their immune system, so there is no need to be overly concerned about HPV infections, just regular follow-ups are sufficient.
Can polycystic ovary syndrome be cured?
Polycystic ovary syndrome is a lifelong disease and is incurable. The causes of this disease are not very clear at present, but are mostly related to environmental and genetic factors. Therefore, it is important to exercise regularly and maintain a normal weight. Generally, the problem is not very serious, but if there is a severe endocrine disorder, it must be addressed, especially in women of childbearing age who experience irregular menstruation or infertility. It is necessary to check the endocrine system and regulate menstruation and promote ovulation based on the endocrine results. If there is a desire to conceive, oral contraceptives can be taken followed by treatments to regulate menstruation and promote ovulation. If there is no desire to conceive, menstruation should occur at least once every two months to avoid endometrial abnormalities.
Can cervical polyps lead to natural childbirth?
Cervical polyps generally allow for natural childbirth, as they do not affect the delivery process. During pregnancy, if cervical polyps are present, there may be minor vaginal bleeding, but these polyps usually do not impact the pregnancy or childbirth. If vaginal bleeding occurs during pregnancy, it is necessary to examine the cervix. If cervical polyps are observed, the bleeding might be caused by the polyps, which could indicate a threatened miscarriage. Therefore, if cervical polyps are present, they should be removed. Once the cervical polyps are removed, bleeding generally ceases. Thus, if vaginal bleeding continues after the removal of cervical polyps, it may indicate a threatened miscarriage during pregnancy, requiring further examination.
Best treatment plan for senile vaginitis
Senile vaginitis is primarily due to the decline in estrogen levels caused by ovarian failure and the atrophy of the vaginal mucosa, making it easier for bacterial infections to occur. The main treatment methods include the use of estrogen therapy. Estriol cream can be placed inside the vagina, or estradiol can be taken orally. These methods are very effective for treating bacterial vaginitis and senile vaginitis. Additionally, anti-inflammatory medications should be used, such as placing levofloxacin in the vagina, which also produces good results. (The use of medications should be carried out under the guidance of a doctor.)
Can menstrual irregularity lead to infertility?
Menstrual irregularity simply indicates that ovulation is abnormal, and it does not necessarily mean that there is no ovulation. If ovulation occurs, there is a possibility of pregnancy. Therefore, having irregular periods does not mean pregnancy is impossible, although the chances of conception may be lower. Normally, a woman ovulates once within a month, but if her periods are irregular, it is difficult to pinpoint when ovulation occurs. Generally, about 14 days after ovulation, a normal menstrual period should occur. If there is an extended absence of menstruation, it usually suggests that ovulation has not occurred. If there is a desire for childbirth, treatment to regulate menstruation and promote ovulation may be necessary, as it would be quite difficult to conceive otherwise.
Treatment Methods for Polycystic Ovary Syndrome
Polycystic Ovary Syndrome is a metabolic disease and is lifelong and incurable. The most common symptoms are menstrual irregularities during the reproductive years, such as anovulation or rare ovulation, manifesting as menstrual disorders and infertility. At this time, if there is a desire for childbirth, menstrual regulation and ovulation induction can be achieved using progestogens or contraceptives; if there is no desire for childbirth, ensure that menstruation occurs at least once every two months to protect the endometrial lining and prevent endometrial cancer. For overweight individuals, it is crucial to exercise and control diet to lose weight, as maintaining a normal weight range does not greatly affect health.
Can uterine bleeding cause infertility?
Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.
Can women with ovarian teratomas have children?
Ovarian teratomas, if discovered after pregnancy, do not significantly impact the child; however, it's crucial to confirm that the ovarian teratoma is benign. If detected during pregnancy, close observation is possible, and sudden lower abdominal pain may indicate ovarian torsion, which requires timely surgical intervention. If there are no symptoms, surgery can wait until after the child is born. If an ovarian teratoma is discovered before pregnancy, it is advisable to undergo surgery before becoming pregnant because ovarian teratomas can sometimes be malignant, and torsion may occur during pregnancy, which could affect the child.
Can a cervical biopsy detect cervical cancer?
Cervical biopsy can detect cervical cancer as long as the altered tissue is collected. However, some people have a type 3 transformation zone in the cervix, making it difficult to obtain the altered tissue, and in these cases, cervical scraping is needed. Therefore, it is best to perform the biopsy under colposcopic examination and conduct a cervical canal scraping at the same time. If there is cervical cancer, it can be detected, and generally, it will not be missed.
What medicine is used for trichomonal vaginitis?
Trichomonal vaginitis can be treated with metronidazole or tinidazole. Metronidazole can be taken orally or used vaginally. Generally, one treatment course, which lasts 7 days, is sufficient. Tinidazole can also be taken orally for treatment. Since trichomonal vaginitis is mostly caused by sexual activity, it is necessary for the male partner to be treated simultaneously. This is because the male may also carry the trichomonas. If he is not treated, even if the female is cured, she can become reinfected during sexual activity. (Please use medication under the guidance of a doctor.)