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Sun Shan Shan
Obstetrics and Gynecology
About me
Chief physician specializing in the diagnosis and treatment of gynecological diseases, currently working at the Chinese People's Liberation Army 203 Hospital.
Proficient in diseases
Specializes in the diagnosis and treatment of diseases such as pelvic inflammatory disease, appendicitis, fungal vaginitis, bacterial vaginosis, cervical erosion, cervical cysts, etc.
Voices
Can you eat seafood with vulvitis?
There are many causes of vulvitis. One cause is an increase in vaginal discharge due to vaginitis or cervicitis, which stimulates the vulvar tissue leading to vulvitis. Another cause is related to allergic constitution, manifesting as itching, swelling, and other inflammatory symptoms of the vulva. If the vulvitis is due to an allergy, it is advised not to consume seafood, as it may aggravate the condition. Therefore, it's important to seek timely medical attention at a hospital if vulvitis occurs. This includes routine examination of secretions and endoscopic examination of the vagina. Treatment should be promptly administered based on the examination results. Additionally, individuals with low immunity might display white lesions on the vulva, which could also be a sign of vulvitis. Regular cleansing of the vulva, avoiding cold and fatigue, and enhancing the immune system are recommended.
Can ovarian teratomas be treated with Chinese medicine?
Ovarian teratomas cannot be treated with traditional Chinese medicine. Firstly, ovarian teratomas are categorized as germ cell tumors and are divided into mature and immature teratomas. Mature teratomas, also known as dermoid cysts, are benign tumors. The cysts may contain hair, teeth, and some bony material. Immature teratomas, on the other hand, are malignant tumors that make up 1% to 3% of ovarian teratomas and are more common in younger patients aged 11 to 19 years. Therefore, once an ovarian teratoma is suspected, it is necessary to promptly visit a hospital for further examinations to determine the nature of the cyst, and then, based on the examination results, appropriately handle it with timely surgical intervention.
How long does uterine fibroid surgery take?
Firstly, there are several types of surgeries for uterine fibroids, so the duration of the surgery depends on the size of the fibroids, the surgical method, and the type of anesthesia used. If the surgery is an open surgery for simply removing benign uterine fibroids, the operation, including the time for anesthesia, generally takes about two hours, which is not very long. If the surgery is done laparoscopically under general anesthesia, it may take a longer time, and it takes some time for the patient to recover from anesthesia post-surgery. If the uterine tumor is malignant, then the surgery might require rapid pathological examination and the removal of other areas, leading to a more extended surgery time which can vary significantly.
What department should I visit for uterine fibroids?
Uterine fibroids are a common gynecological condition. Once uterine fibroids occur, it is necessary to register for a gynecological examination. Further gynecological ultrasound examinations are required to determine the location of the uterine fibroids. There are several types of uterine fibroids, including subserosal, intramural, and submucosal fibroids. In particular, if submucosal fibroids are present, regardless of their size, timely surgery is needed due to the high risk of severe bleeding and anemia they pose. If the submucosal fibroid is small, hysteroscopic submucosal fibroid electrosurgery can be performed. If the fibroid is large, an open surgery may be necessary. Additionally, in the case of intramural and subserosal uterine fibroids, if the fibroid continues to grow larger than five centimeters, there is also a potential risk of malignancy, thus timely surgical treatment is recommended.
Are uterine fibroids likely to recur?
Firstly, uterine fibroids are prone to recurrence in women of childbearing age. The main cause of uterine fibroids is usually an excessively high level of estrogen in the body, along with an uneven distribution of estrogen levels, which leads to the development of fibroids. Once a woman is of childbearing age and has regular menstrual cycles, uterine fibroids tend to recur. If uterine fibroids occur, it is necessary to go to the hospital for a color ultrasound examination to check the location of the fibroids. Uterine fibroids can be categorized into cervical fibroids and corpus fibroids. If cervical fibroids are found, timely surgical treatment is required because they become more difficult to treat and more prone to bleeding as they grow larger. Additionally, for corpus fibroids, it depends on whether they are intramural or submucosal. If submucosal uterine fibroids are present, they also require timely surgical intervention due to the risk of prolonged bleeding and potential anemia.
What should I do about uterine fibroids?
Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.
Does endometriosis fear tiredness?
Firstly, when endometrial displacement occurs, the endometrial glandular tissue and stroma appear outside the uterine body, this condition is called endometriosis, also known as adenomyosis. Endometriosis can affect any part of the body, including the bladder, kidneys, ureters, mammary glands, thighs, etc., with the most common sites being the uterus, ovaries, and vagina. The primary manifestations of endometriosis include lower abdominal pain and painful menstruation, followed by infertility and pain after sexual intercourse, generally deep dyspareunia. In the presence of endometriosis, these symptoms suggest the need to avoid overexertion and spicy foods in daily life. Once endometriosis occurs, timely treatment is necessary.
How to check for cervical erosion?
Whether there is cervical erosion needs to be assessed through a gynecological examination at the hospital, involving the use of a vaginal speculum, similar to checking for erosion in the right eye. Cervical erosion is physiological, especially during puberty under the effect of estrogen, leading to the enlargement of the cervix. The cervical canal mucosal tissue migrates outward, and the squamocolumnar junction moves outward, resulting in this condition. The surface of the cervix appears granular and pink, similar to what is observed as erosion in the right eye. As estrogen levels decline after menopause, the cervix shrinks and some of the erosions may disappear. It is recommended that women of childbearing age with cervical erosion undergo further cervical cancer screening.
Uterine fibroids are classified into several types.
Uterine fibroids are classified by location into two types: myometrial fibroids and cervical fibroids. Based on the relationship between the uterine fibroids and the muscular wall, there are three kinds of uterine fibroids: intramural fibroids, subserosal fibroids, and submucosal fibroids. Intramural fibroids, primarily located within the uterine wall and enclosed by a muscular layer, are recommended for surgical treatment once the fibroid's diameter exceeds four centimeters, as they tend to grow rapidly. Similarly, subserosal fibroids grow towards the peritoneal surface of the uterus and are on the exterior of the uterus. If subserosal fibroids also exceed four centimeters in diameter and are accompanied by menstrual changes, surgical treatment is advised. Furthermore, submucosal fibroids, regardless of their size, require timely surgical intervention due to their association with heavy bleeding and a high risk of anemia.