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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 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.)
How to treat vaginitis with medication
Vaginitis can be treated with oral medication and vaginal medication. For trichomoniasis vaginitis and yeast vaginitis, vaginal medications are quite effective, but these types can also be treated with oral medications. If it is bacterial vaginitis, it is best to use oral medication. Vaginitis is mainly related to sexual activity, so it is essential to maintain hygiene during sexual activity. It is important to wear breathable, cotton underwear and to expose sanitary products to sunlight to reduce the occurrence of vaginitis. It is advisable to have a steady sexual partner and avoid frequent sexual activity; generally, two to three times a week is most suitable.
Are ovarian cysts easy to treat?
Most ovarian cysts are physiological. If it's the first time an ovarian cyst is detected, it can be observed, and a re-examination can be conducted after two months. If the cyst disappears or reduces in size, it is physiological and there is no need for concern or treatment. However, if the ovarian cyst has not reduced but has increased in size after two months, this is pathological, indicating an ovarian tumor. In this case, surgical treatment is necessary. This is because if an ovarian tumor persists for a long period, it may become malignant or lead to ovarian torsion, both of which can affect the body adversely.
What are the symptoms of trichomonal and fungal vaginitis?
Trichomonal vaginitis primarily presents with symptoms such as vulvar itching, yellow purulent vaginal discharge, and a foul odor; severe cases can cause vaginal congestion and edema. If it is candidal vaginitis, the main symptom is severe vulvar itching, sometimes accompanied by vulvar edema. Scratching may reveal scratch marks on the vulva. The discharge in this type of vaginitis typically resembles cottage cheese and usually does not have an odor, but a foul smell may occur if there is a bacterial co-infection. In terms of treatment, these two types of vaginitis require different approaches. Trichomonal vaginitis can be treated with metronidazole or tinidazole, whereas candidal vaginitis can be treated with clotrimazole vaginal tablets. (Specific medications should be used under the guidance of a physician.)
Symptoms of Candidal Vulvovaginitis
The main symptoms of candidal vulvovaginitis include itching and a burning sensation of the vulva. There is pain during urination, and in severe cases, swelling of the vulva can occur. Some people may scratch due to the itching, leading to breaks in the skin of the vulva, and sometimes even fissures in the vulval skin. These are symptoms of candidal vulvovaginitis. Another typical symptom is a cottage cheese-like vaginal discharge, which is seen at the vaginal opening as curdy, and is difficult to remove.