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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
How should a teratoma be treated?
In gynecology, a teratoma refers to an ovarian teratoma. The surgical procedure for an ovarian teratoma is tumor excision. Therefore, immediate surgery is required once an ovarian teratoma is diagnosed. During an ultrasound, only the ovarian tumor can be seen, but its nature cannot be determined. Typically, a rapid pathological examination is needed during surgery. If the pathology results still indicate a mature teratoma, it is a benign tumor, and surgical removal is sufficient. Therefore, once discovered, surgical treatment is necessary because if the teratoma grows larger, it can damage the ovaries, potentially causing infertility or reduced ovarian function.
Does ovarian teratoma affect menstruation?
Ovarian teratomas include mature teratomas, which are benign tumors. These benign ovarian teratomas do not affect menstruation. However, there are also malignant teratomas, which are immature teratomas. Immature teratomas can secrete hormones, and because they secrete different types of hormones, their impact on menstruation varies. If an ovarian teratoma is diagnosed, immediate surgical treatment is required, because if it is an immature teratoma, it is malignant. Prolonged presence can lead to metastasis. If a teratoma is detected early, early-stage malignant tumors can be cured through surgical treatment.
Is endometrial hyperplasia cancer?
Endometrial hyperplasia is not the same as endometrial cancer; it can be treated promptly. Endometrial cancer develops from ongoing endometrial hyperplasia, which can progress into atypical hyperplasia, a precancerous condition of the endometrium. Further development can lead to endometrial cancer. Therefore, it is crucial to treat endometrial hyperplasia actively to prevent its progression to endometrial cancer. Endometrial hyperplasia results from a lack of progesterone influence, causing the endometrium to remain in a proliferative state rather than transitioning to the secretory phase. With the influence of progesterone, the endometrium would not undergo hyperplasia; therefore, treating endometrial hyperplasia with progesterone is advisable.
How is endometriosis treated?
The treatment methods for endometriosis depend on the patient's age, the severity of symptoms, and whether they have childbearing requirements. For younger patients who wish to have children, conservative treatment methods are preferable, followed by ovulation induction therapy. For older patients with more severe symptoms, surgical treatment may be considered. If the patient does not have immediate childbearing requirements, a hormonal intrauterine device (IUD) can be placed in the uterus. This device releases progesterone and provides excellent treatment results for endometriosis. If the symptoms of endometriosis are severe, manifesting in pronounced dysmenorrhea, excessive menstrual bleeding, or ovarian cysts, then surgical treatment should be considered.
How to cure ovarian cysts?
Most ovarian cysts are physiological, meaning they will naturally disappear or shrink within two to three months. Generally, treatment is not necessary, and there are no effective medications for treating ovarian cysts. If an ovarian cyst does not disappear after three months, or if it continues to grow, then it is considered an ovarian tumor. Such ovarian tumors require surgery for treatment. Therefore, if an examination reveals that an ovarian cyst has not disappeared after three months, surgery is necessary. This is because if an ovarian cyst persists for a long time, it may cause torsion or even become malignant.
Is vaginal itching vaginalitis?
Vaginal itching is mostly caused by vaginitis, with trichomonal vaginitis and candidal vaginitis causing noticeable symptoms. It is best to visit a hospital to test vaginal discharge and determine the infectious pathogen before medicating. Candidal vaginitis can be treated with clotrimazole vaginal tablets, miconazole suppositories, and oral fluconazole and itraconazole, which are all very effective. For trichomonal vaginitis, oral treatment with metronidazole or tinidazole can be used, and metronidazole can also be placed inside the vagina. These medications should be used under the guidance of a doctor.
How can trichomoniasis be cured without recurring?
For women, contracting trichomonas means getting trichomoniasis vaginitis. The main transmission route of trichomoniasis vaginitis is through sexual intercourse. If there is a history of unprotected sexual activity, it is possible to contract this type of vaginitis. Additionally, going to public baths for showers can also increase the risk of contracting this type of vaginitis. Therefore, if trichomoniasis vaginitis is not completely treated or if personal hygiene is poor, it is very likely to recur. During the first treatment, it is essential to follow the complete course of treatment, using Metronidazole or Tinidazole for seven days. After stopping the medication, a follow-up examination should be conducted after another seven days. If the results are negative in two consecutive follow-up checks, then it is considered cured. However, it is necessary for both male and female partners to undergo treatment simultaneously. If the male partner does not undergo treatment, the infection is likely to recur in the female partner. (Medication should be used under the guidance of a doctor.)
How to treat ovarian cysts?
The majority of ovarian cysts are physiological. If an ovarian cyst is detected for the first time during an ultrasound, it can be observed temporarily. Generally, such cysts will gradually shrink or disappear naturally after two to three months. If the cyst is relatively large, exceeding 5cm, and the ovary has not shrunk after two to three months of observation, but instead the cyst has grown, it is likely an ovarian tumor, which requires surgical treatment. If an ovarian tumor occurs, there is a potential for malignancy or torsion, so timely surgical intervention is necessary.
How to treat functional uterine bleeding?
Functional uterine bleeding should be treated according to the patient's age. If functional uterine bleeding occurs during adolescence, menstrual regulation treatment is needed. If it occurs during the reproductive age, it requires menstrual regulation and hemostasis, along with treatment to promote ovulation. If functional uterine bleeding occurs during menopause, it is mainly due to a lack of progesterone, and treatment with progesterone can be applied at this time. If there is endometrial thickening, dilation and curettage may be necessary, and the treatment plan should be determined based on the pathological results after the procedure.
How to treat teratoma?
Teratomas, for women, refer to ovarian teratomas. Once diagnosed, active surgical treatment is necessary. This is because such tumors could be malignant or may undergo torsion, thus requiring prompt treatment. Continued growth can cause destruction of the ovarian tissue, affecting ovarian function. If ovarian torsion occurs, it can lead to the necrosis of the ovary, also impacting its function. Therefore, surgical treatment is needed after diagnosis.