Subscribe
82
Zhang Xiu Rong
Obstetrics and Gynecology
About me
I graduated from Changchun University of Traditional Chinese Medicine and have been working in the field of obstetrics and gynecology for over 20 years. I have attended advanced training programs at higher level hospitals and have published multiple national-level papers.
Proficient in diseases
Specializes in the treatment of common gynecological diseases, infertility, pelvic inflammatory disease, vaginitis, as well as the diagnosis and treatment of cervical cancer and precancerous lesions.
Voices
Ectopic pregnancy medical conservative treatment
Under normal circumstances, the treatment of ectopic pregnancy is generally divided into conservative treatment and surgical treatment. Conservative treatment is usually applied when the ectopic pregnancy has not ruptured, using medication for about a week. After one week, a follow-up examination is done to check blood HCG levels and an ultrasound scan. If blood HCG levels have dropped significantly, the ultrasound shows that the mass has not grown, and the symptoms of abdominal pain have decreased, it indicates that the conservative treatment was successful. The threat is only considered resolved when blood HCG returns to normal levels. Otherwise, the conservative treatment for ectopic pregnancy may fail, and surgery will be necessary to treat the ectopic pregnancy symptomatically. If there is a particularly large amount of bleeding or a rupture has occurred, surgical treatment is the only option.
What are the symptoms of yeast vaginitis?
Candidal vaginitis, also known as yeast vaginitis, is a common gynecological condition in women. Clinically, the yeast infection manifests as curd-like or cottage cheese-like vaginal discharge. There is significant itching of the vulva. Generally, there is no foul odor. In severe cases of yeast vaginitis, there may be swelling of the vulva and extreme dryness in the vaginal area. Pain during intercourse or bloody discharge after intercourse may occur, which is why it is crucial for patients with yeast vaginitis to seek active treatment at a hospital. The first step in treatment involves going to the hospital to get a lab test of the discharge to confirm a yeast infection. If it is indeed a yeast infection, treatment can be administered according to the medication for yeast vaginitis. Typically, the symptoms can be alleviated after a week of treatment.
Little Tips for Treating Yeast Vaginitis
If you are looking for a home remedy for yeast vaginitis, you can typically use baking soda from home, or carbonated water, and then dilute it with water for rinsing. This can treat yeast vaginitis. However, the best treatment method is still to go to the hospital to obtain a secretion sample for testing. After confirming that it is yeast vaginitis, then based on the test results, select the appropriate medication for symptomatic treatment. Yeast vaginitis usually presents with abnormal vaginal discharge and itching, generally the discharge looks like cottage cheese or is curd-like. Therefore, most cases of yeast vaginitis need to be treated symptomatically with medication. If you prefer not to go to the hospital, you can also try washing at home with carbonated water or baking soda. Additionally, if you have yeast vaginitis, avoid consuming too many anti-inflammatory drugs, as they can exacerbate the condition.
Can polycystic ovary syndrome naturally conceive?
Polycystic ovary syndrome (PCOS) is characterized by symptoms such as amenorrhea, obesity, infertility, acne, and hirsutism. In cases of PCOS, the chances of natural conception are slim unless one regularly maintains a disciplined lifestyle, manages PCOS through exercise, weight loss, and a regulated life routine which normalizes hormone levels, thus enabling normal ovulation and the possibility of natural conception. Otherwise, a distinctive feature of PCOS is anovulation, and to achieve conception, hormone levels must be normalized. Once hormone levels are normalized, some individuals may ovulate on their own, while others may need medication to stimulate ovulation. Therefore, the chances of natural conception with PCOS are very low.
What foods are good to eat for polycystic ovary syndrome?
Patients with polycystic ovary syndrome must pay attention to their diet, as the characteristics of this disease include amenorrhea, obesity, infertility, acne, and hirsutism. Due to obesity, one should avoid eating large portions of meat and food that is high in fat and calories. Additionally, patients should check their fasting blood glucose and insulin levels, as the majority of these patients tend to have high blood sugar and insulin resistance. At this time, foods high in starch should be avoided. Dietarily, it is generally advisable to eat more green vegetables, fruits, and beans or bean products. Bean products contain estrogens which can counteract the high testosterone levels in polycystic ovary syndrome. Therefore, dietary attention is crucial. Besides focusing on diet, patients should also lose weight and reduce body weight through exercise, which helps in the recovery from the disease.
What tests are done for endometriosis?
Endometriosis is generally diagnosed through color ultrasound and CA-125 blood tests. If the endometrial tissue is located within the uterine muscle, it forms adenomyosis, at which point the ultrasound will show an enlarged uterus and uneven muscle wall echogenicity. Blood tests for the tumor marker CA-125, if elevated above the normal level of 35, generally indicate adenomyosis. If the endometrial tissue is located in the ovaries, it can form ovarian chocolate cysts, which are visible on the ultrasound as ovarian sections and echoes, with typical ultrasound reports indicating ovarian chocolate cysts. Therefore, routine examinations for endometriosis typically include color ultrasound and blood tests, which can confirm the diagnosis.
Do uterine polyps cause lower abdominal pain?
Endometrial polyps generally manifest clinically with a shorter menstrual cycle, usually occurring every 20 days or so, and a longer period, typically lasting 8 to 10 days or more before it ends. This is a typical clinical presentation of endometrial polyps, and there is usually no pain in the lower abdomen. However, if there is frequent bleeding and the bleeding lasts for a long time, causing endometrial inflammation, pain in the lower abdomen may occur. If the endometrial polyps are not inflamed, there will be no pain in the lower abdomen. If endometrial polyps are detected, the treatment generally involves performing a polypectomy under hysteroscopy within three to seven days after the end of the menstrual period, followed by anti-inflammatory treatment as appropriate. With simple endometrial polyps, there is no pain in the lower abdomen.
Is it normal to have painful periods?
Dysmenorrhea is generally abnormal. Under normal circumstances, if menstruation involves ovulation, there may be slight discomfort in the lower abdomen during menstruation, which is considered normal. If dysmenorrhea is present and tends to worsen over time, this condition usually indicates the possibility of endometriosis. In such cases, it is essential to visit a hospital for a color ultrasound and a CA125 blood test to confirm if the pain is caused by endometriosis, and treatment should be based on the diagnostic results. Furthermore, if dysmenorrhea is caused by a cold uterus, symptoms might include pain accompanied by a cold sensation in the lower abdomen and cold extremities. In this case, it is typically necessary to take medicine that warms the meridians, dispels cold, and alleviates pain in the uterus. If dysmenorrhea is due to qi stagnation and blood stasis, one can take medicine that promotes blood circulation, removes blood stasis, and relieves pain in the meridians. Therefore, dysmenorrhea is not normal.
How to treat ovarian teratoma
The treatment for ovarian teratoma can only be addressed through surgical methods; this type of teratoma cannot be treated effectively with medication or conservative approaches. Therefore, once an ultrasound report indicates the presence of a teratoma, it is often advised to undergo surgery as soon as possible. After the surgery, the removed tissue should be examined pathologically again to check for any malignant tendencies. The majority of teratomas are benign, with only a very small number of undifferentiated ones showing malignant potential. Hence, most teratomas require surgical treatment at a hospital. There are different surgical options for treating teratomas, including open abdominal surgery and minimally invasive surgery. If conditions allow, most people will opt for laparoscopic surgery to treat ovarian teratomas.
What should I do about endometrial polyps?
Endometrial polyps, if diagnosed, are generally treated within 3 to 7 days after the end of menstruation. You can go to the hospital to have the polyps removed under hysteroscopy. Postoperative anti-inflammatory and symptomatic treatment is then sufficient. The removed polyps should be sent for pathology analysis, and based on the pathology results, an appropriate treatment method can be selected. Generally, most endometrial polyps are benign, with a very small percentage having a tendency to become malignant. Endometrial polyps are prone to recurrence, so it is essential to undergo proper anti-inflammatory and symptomatic treatment after the removal of endometrial polyps. The diagnosis of endometrial polyps generally requires a hospital visit for a color Doppler ultrasound. After menstruation, if the ultrasound shows thickened endometrial echoes or uneven echoes, most can be diagnosed through this ultrasound. Treatment can only be performed surgically.