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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
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.
Cervical polyp and cervical cancer differences
Cervical polyps are generally visible to the naked eye during a gynecological examination, and after the removal of cervical polyps, there should be no bleeding. Cervical cancer, on the other hand, is different. With cervical cancer, abnormalities can be seen on the surface of the cervix or, even if not visible to the naked eye, can generally be detected through cervical cancer screening. There is no issue with patients with cervical polyps undergoing cervical cancer screening. For patients with cervical cancer, cervical cancer screening typically includes TCT and HPV testing. If these tests show abnormalities, indicating cervical cancer or precancerous lesions, a biopsy is generally required for further diagnosis. There is a difference between the two; after a polyp is removed, there should be no further bleeding; whereas with cervical cancer, continuous bleeding, irregular bleeding, and an accompanying odor can occur.
Is the heritability of vulvar lichen sclerosus high?
Vulvar lichen sclerosus has a hereditary tendency, but the chances of inheritance are not high. The formation of vulvar lichen sclerosus is generally related to the individual's nutritional status and vulvar care. The main causes of vulvar lichen sclerosus are poor nutrition in the vulvar area, usually in patients with improper vulvar care, or patients with some other diseases, who exhibit significant vulvar itching. At this time, it is generally necessary to go to the hospital for a diagnosis of lichen sclerosus. If it is vulvar lichen sclerosus, it is mostly benign, with very few cases having a tendency to malignant transformation. Therefore, patients with vulvar lichen sclerosus must go to the hospital for a diagnosis and then receive treatment based on the examination results. There is no specific effective medication for this treatment, which belongs to a category of complex gynecological conditions. The effectiveness of this treatment is not very good, achieving relief from itching is already considered quite good. (Please use medication under the guidance of a professional physician, do not self-medicate.)
How to diagnose polycystic ovary syndrome?
Polycystic Ovary Syndrome is a type of gynecological endocrine disorder. Clinically, it generally presents with symptoms such as menstrual irregularities, amenorrhea, obesity, infertility, acne, and hirsutism. If these symptoms appear, it is essential to visit a hospital for an ultrasound examination. The diagnosis of Polycystic Ovary Syndrome can be made if more than 12 follicles are observed on a single sectional view of the ovaries during the ultrasound. In such cases, it is also necessary to have a blood test at the hospital to analyze six key sex hormones, including the ratio of luteinizing hormone to follicle-stimulating hormone, and the levels of testosterone. If the blood test shows high levels of luteinizing hormone and testosterone, Polycystic Ovary Syndrome can also be considered. A diagnosis of Polycystic Ovary Syndrome can generally be confirmed through a combination of ultrasound and sex hormone tests, followed by targeted treatment based on the test results.