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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
Is cervical erosion surgery painful?
Cervical erosion surgery, if you are afraid of pain, can generally be performed painlessly. The method of cervical erosion surgery depends on the approach used. Methods like laser, electrocoagulation, and cryocondensation typically do not pose major issues. During the surgery, patients may feel discomfort or a burning sensation, but these are generally tolerable and most patients handle them well. For patients with severe cervical erosion, electrosurgical loop excision surgery might cause more significant pain. If worried about pain, patients can opt for a non-invasive loop excision surgery. Therefore, patients who are particularly sensitive to pain can request their doctors to perform a painless surgery, which does not cause suffering, and is generally bearable and free from fear for most patients.
Do cervical polyps easily become cancerous?
The majority of cervical polyps are formed due to chronic inflammation, and the chance of malignant transformation in cervical polyps is very rare, generally showing no tendency towards malignancy. It is common to remove cervical polyps and then perform a pathology test again. If the pathology results show no issues, usually there are no significant problems. If one wants to check for cervical cancer and its precursors, it is usual to visit a hospital for cervical cancer screening, which includes a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) testing. These two tests can preliminarily screen for cervical cancer and precancerous conditions. The likelihood of cervical polyps becoming cancerous is low, and generally, polyp removal surgery can be done between three to seven days after menstruation ends when conditions are clean.
What are the harms of premature menopause?
The normal age of menopause for women in our country is around 49 years old. If menopause occurs during this period, it's generally not a big issue. However, if menopause occurs prematurely, it typically indicates a decline in ovarian function or early ovarian failure. This can cause disruptions in marital relations for women, and if menopause happens too early, it can lead to premature symptoms of menopause. Symptoms such as hot flashes, sweating, irritability can occur, and in severe cases, it may lead to diseases related to blood pressure and cardiovascular health. Therefore, premature menopause does have an impact on health. If these symptoms appear prematurely, it is crucial to go to the hospital for appropriate adjustment and treatment.
What is polycystic ovary syndrome?
Polycystic Ovary Syndrome (PCOS) is a type of gynecological endocrine disorder, characterized by symptoms such as amenorrhea, scanty or irregular menstrual bleeding, obesity, infertility, acne, and hirsutism. PCOS is considered a difficult-to-treat gynecological disease, with a high likelihood of recurrence after treatment. Therefore, it’s crucial to undergo relevant medical examinations at a hospital. The diagnosis of PCOS generally involves a combination of ultrasound imaging and a six-item hormone test, which can confirm whether one has the condition. If diagnosed with PCOS, active treatment is necessary, as it is one of the more challenging gynecological endocrine disorders to manage.
What is the best medicine for vaginitis?
What kind of medicine is best for vaginal inflammation depends primarily on the type of bacteria causing the infection and the nature of the vaginal inflammation. Since different bacteria cause different clinical symptoms, the treatment and medications vary accordingly. Generally, if the treatment is symptomatic, whether using common medications or specific ones, it will certainly be effective as long as it matches the symptoms. If treatment is not based on the correct diagnosis, and medication is used blindly without a clear diagnosis of vaginal inflammation, this will definitely not be appropriate. Generally, in cases of trichomonas infection, the vaginal discharge appears watery and has a foul smell, and treatment must be specifically targeted against trichomonas infection. If the discharge is curdy or cheese-like, these are typical symptoms of fungal vaginitis, and treatment must be conducted with effective medications specifically for fungal infections. Therefore, the type of medication for vaginal inflammation must be determined after an examination and based on the results, appropriate treatment should be administered.
How long does it take to get a period after a natural miscarriage?
For patients who have had a spontaneous miscarriage, if their menstrual cycle is usually regular, the first day of the spontaneous miscarriage is the time when their next period would begin. However, if the miscarriage is incomplete and a dilation and curettage (D&C) procedure is required, the first day after the D&C is considered the start date for the next menstrual cycle. Some people experience spontaneous miscarriages due to menstrual irregularities and an irregular menstrual cycle, which may be caused by hormonal imbalances. In such cases, the timing of the next period after a miscarriage is uncertain. If the menstrual cycle is regular, the next period can be estimated based on the aforementioned timings. However, if the cycle is irregular, the timing of the next period post-miscarriage primarily depends on the condition of the endometrium. If the endometrium has recovered to a thickness of 1.0 or more, menstruation is likely to occur. If the endometrial lining is thin, menstruation may not occur for the time being. Therefore, the length of time until menstruation resumes following a spontaneous miscarriage also requires monitoring of the hormonal balance and the regularity of the usual menstrual cycle.
Which department should women go to for syphilis testing?
For female syphilis screening, one generally needs to visit the department of venereal diseases, where hospitals with such departments conduct syphilis tests. The test for syphilis involves a blood draw for the RPR syphilis virus test. Through this testing, one can determine whether they have contracted syphilis. If a syphilis infection is detected, it is essential to choose the appropriate medication based on the test results for targeted treatment. Generally, both AIDS and syphilis fall under the purview of the venereal disease department. Therefore, if you wish to undergo syphilis testing, you must visit the venereal disease department of a hospital for the relevant examinations. Typically, there is an incubation period, and if the results are completely negative after three months, it generally means there is no significant concern.
How to treat amenorrhea?
Amenorrhea is generally defined in medicine as a condition where menstruation stops for three consecutive months. There are physiological and pathological types of amenorrhea. Physiological amenorrhea, such as not menstruating during breastfeeding or pregnancy, is considered normal and does not require medication for treatment. Pathological amenorrhea usually occurs when someone who normally has regular periods suddenly stops menstruating for three months. In such cases, it is essential to visit a hospital for relevant examinations and then treat accordingly based on the results. Common issues include ovarian dysfunction, premature ovarian failure, and elevated prolactin levels, all of which can lead to amenorrhea. Treatment should be chosen based on the examination results.
What ointment to apply for vulvar lichen sclerosus?
Vulvar lichen sclerosus clinically manifests as localized whitening of the vulvar skin color, accompanied by itching, which can be severe. Patients with severe conditions typically find it difficult to achieve therapeutic effects with general medications, so it is crucial for patients with vulvar lichen sclerosus to visit a hospital for timely and appropriate treatment. The occurrence of vulvar lichen sclerosus is primarily due to local malnutrition and excessive keratinization of the vulvar skin. Therefore, patients with vulvar lichen sclerosus are generally considered to have a complex gynecological condition. This condition can be symptomatically treated with the ointment, bamboo red fungus cream, or by undergoing physical therapy in larger hospitals, which may include treatment with the Haifu knife. Therefore, it is essential for patients with vulvar lichen sclerosus to receive a definitive diagnosis and appropriate treatment in a hospital.
Can vulvar leukoplakia heal by itself?
Vulvar leukoplakia cannot heal by itself. It is generally considered that the majority of vulvar leukoplakia cases are due to poor nutrition of the vulva. Currently, the treatment of vulvar leukoplakia is one of the more challenging conditions in gynecology, as there are no specific effective medicines for this disease. Treatment can generally be conducted through physical methods such as the HaiFu knife, but there are no special effective drugs for this treatment either. This can only control the condition, alleviate symptoms, and manage itching, but it generally does not achieve a complete cure for vulvar leukoplakia. Therefore, the possibility of self-healing of vulvar leukoplakia is even less likely; considering there are no effective drugs even with treatment, the likelihood of self-healing is not high. Thus, patients with vulvar leukoplakia must actively seek symptomatic treatment in hospitals to at least alleviate symptoms; otherwise, severe itching of the vulva can occur.