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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
Can you have sexual intercourse with cervical polyps?
Patients with cervical polyps can easily experience bleeding during sexual intercourse. Therefore, if cervical polyps are present, the first step should be their removal. If bleeding during sexual intercourse persists after the removal, it is essential to undergo precancerous cervical screening. This is because contact bleeding during intercourse can occur if there are precancerous lesions in the cervix, and timely treatment is necessary. Precancerous cervical screening, which includes HPV and TCT tests, is a mandatory examination for women over the age of 30, allowing for the early detection of precancerous cervical changes and cervical cancer.
How to get the cervical cancer vaccine?
The cervical cancer vaccine is administered in the same way as regular vaccines, which is an injection in the deltoid muscle. However, the scheduling of the subsequent doses of the cervical cancer vaccine differs. For the bivalent cervical cancer vaccine, the second dose is administered one month after the first dose, and the third dose at six months. For the quadrivalent and nonavalent vaccines, the second dose is administered two months after the first, with the third dose given at six months.
Can cervical polyps become cancerous?
Cervical polyps are mostly caused by chronic cervical inflammation and local cervical tissue hyperplasia. Cervical cancer is caused by human papillomavirus (HPV) infection, so cervical polyps generally do not lead to malignancy, and the rate of malignant transformation is very low, accounting for only about 1%. If there is an HPV infection along with cervical polyps, malignant transformation of the cervical polyps can occur. Therefore, if cervical polyps are present, they should be removed, and after removal, a pathological examination is necessary to determine if there is any malignancy.
Will a teratoma regrow if it is removed?
After surgery for ovarian teratoma, whether it can regrow is uncertain, because ovarian tissue can potentially develop such tumors. Ovarian teratomas can be benign or malignant. The recurrence rate of benign teratomas is very low after surgery, but there is still a possibility of regrowth. However, for malignant teratomas, also known as immature teratomas, surgery involves removing the affected ovary. The opposite ovary can be preserved if it is normal, depending on the patient's age, but regular follow-ups are necessary. If the patient is older, an extensive surgery for teratoma, which includes the removal of both the uterus and ovaries, might be required.
Cervical cancer symptoms
Cervical cancer generally has no symptoms in its early stages. In advanced stages, symptoms become more obvious. In the early stages, signs may include increased vaginal discharge, bleeding after sexual intercourse, or discharge containing blood streaks, typically without abdominal pain. In advanced stages, there might be irregular vaginal bleeding or heavy bleeding, and sometimes the secretions may appear like rice-wash water. If an infection occurs, there can be a foul smell, and pain in the lower abdomen may be felt, indicating the cancer has progressed to a late stage. Therefore, if there is an increase in discharge or bleeding after intercourse during the early stages, it is crucial to promptly visit a hospital for examination.
Does uterine prolapse affect pregnancy?
Uterine prolapse, as long as it does not affect sexual intercourse, generally does not impact the ability to conceive. Uterine prolapse can be classified into three degrees. First-degree uterine prolapse does not affect pregnancy since it allows for normal sexual activity. However, in the case of third-degree uterine prolapse, the uterus has prolapsed out of the vagina and sometimes cannot be repositioned, thus interfering with sexual activity and affecting the ability to conceive. Therefore, whether uterine prolapse impacts pregnancy depends on the patient's condition, as well as whether they have normal menstruation or normal endocrine function.
How to regulate amenorrhea with no vaginal discharge?
Amenorrhea without vaginal discharge is a normal physiological phenomenon. Amenorrhea occurs due to ovarian failure, which results in no normal ovulation and a significant decrease in estrogen levels, or very low levels of estrogen. Consequently, the secretions from the cervix and vagina decrease, leading to an absence of vaginal discharge—a normal occurrence that does not require intervention. However, if there is an increase in vaginal discharge after amenorrhea, or if the discharge is abnormally colored and accompanied by itching of the vulva, it could indicate vaginitis, which would require prompt examination and treatment. Therefore, the absence of vaginal discharge following amenorrhea does not require intervention.
How is endometriosis treated?
Treatment methods for endometriosis include conservative treatment and surgical treatment. If the patient's symptoms are relatively mild, the dysmenorrhea is not very severe, and there is no occurrence of excessive menstruation or prolonged menstrual period, conservative treatment can be applied. Common conservative treatment methods include oral contraceptive pills, and a levonorgestrel-releasing system can be placed inside the uterine cavity. If the patient has reproductive demands and the symptoms are more severe, or if there is a chocolate cyst on both ovaries, surgical treatment can be performed, but the recurrence rate after surgery is also relatively high. (The use of medication should be under the guidance of a doctor.)
Is there leukorrhea after menopause?
After menopause, the amount of vaginal discharge will significantly decrease, but a small amount of discharge may still be present, which is a normal phenomenon. Due to the significant reduction or disappearance of estrogen secretion after menopause, the secretions from the vagina and cervix will significantly decrease, thus reducing vaginal discharge. However, if there is an increase in discharge, a change to a yellow color, and itching of the vulva, it could be due to vaginitis, which requires prompt medical examination and treatment since vaginitis is relatively common in the elderly.
How long after minimally invasive teratoma surgery can one take a bath?
Minimally invasive surgery for teratomas involves laparoscopic surgery, which causes less harm to patients. After the surgery, there are only three to four small incisions on the abdominal wall, which generally heal within three to five days. If you wish to take a bath, it is usually possible to do so after one week. When bathing, it is crucial to maintain cleanliness around the incisions. It is best to apply iodine before and after bathing to disinfect the area, preventing infection at the incision sites. Additionally, during the bath, avoid rubbing the incisions too vigorously to prevent pain.