Subscribe
20
Li Li Jie
Obstetrics and Gynecology
About me
Medical doctor, always engaged in frontline clinical work.
Proficient in diseases
Diagnosis and treatment of gynecological diseases such as infertility, vaginitis, vulvar leukoplakia, cervical lesions, ovarian cysts, uterine fibroids, and abnormal uterine bleeding.
Voices
What is the reason for breast pain during menstruation?
Menstrual breast pain is considered to be caused by two factors. First, the patient experiences breast pain during menstruation due to the stimulation of estrogen and progesterone secretion before the onset of menstruation. The pain symptoms may be more pronounced before menstruation and can be alleviated after menstruation. Second, if the patient's symptoms are severe, it is generally necessary to consider whether the pain is caused by mammary gland hyperplasia. Mammary gland hyperplasia can be caused by long-term staying up late, depression, and excessive stress. It is recommended that the patient undergoes a breast ultrasound to check for conditions like mammary ductal hyperplasia or fibroadenomas, and then receive targeted treatment.
What causes breast pain after an abortion?
After an abortion, if there is breast pain, you can first have an X-ray or an ultrasound to see if it is related to a breast disease. If there is inflammation, oral anti-inflammatory medication should be taken. If it is mastitis, a warm wet towel can be applied appropriately. If it is breast hyperplasia, you can check the size of the lump, and surgery might be needed if it is severe. If the hormonal levels have changed due to the abortion, treatment might not be necessary. After an abortion, it is crucial to rest more and avoid staying up late. Maintain a regular lifestyle, avoid spicy and stimulating foods, pay attention to a mild diet, and keep good hygiene habits.
Can you get pregnant with fungal vaginitis?
It is not advisable to become pregnant with yeast vaginitis, primarily for the following reasons: First, yeast vaginitis can affect the vaginal pH, impact sperm motility, reduce sperm quality, and make it difficult for fertilization to occur. Second, the yeast can spread through the cervix and cause infection of the amniotic membrane, which may lead to intrauterine infection or rupture of the membranes, easily causing miscarriage or premature birth. It is recommended to try to conceive after treatment has returned the condition to normal. It is essential to maintain good hygiene habits regularly, such as frequently changing and sun-drying underwear, boiling them in hot water. Additionally, under favorable conditions, engaging in more physical activities like yoga and running can help boost the body's resistance.
Why does it not hurt when lying down during menstrual cramps?
Dysmenorrhea is generally caused by a cold uterus or catching a cold, which can be alleviated by lying down to press and shape the abdomen, thus reducing the pain. During menstruation, it is important to rest more and avoid vigorous activities, getting cold, and consuming raw, cold, or spicy foods which are irritating. Do not drink cold water, but use a hot water bottle to apply heat to the abdomen. One can seek treatment in hospitals or Traditional Chinese Medicine clinics for a diagnosis to promote blood circulation and remove blood stasis through medication. During menstruation, women should not take baths or cold showers as it can easily harm physical and mental health, and it is also important to maintain vaginal cleanliness and hygiene. Additionally, attention should be given to getting more rest and eating nutritious foods.
How to Self-Diagnose an Ectopic Pregnancy
Generally, ectopic pregnancy can be ruled out through one's own symptoms and signs. Firstly, through one's own clinical symptoms, if pregnancy has been confirmed by a urinary pregnancy test and the patient does not experience abdominal pain, abnormal vaginal bleeding, or other such conditions, but does experience significant early pregnancy reactions like nausea and vomiting, the likelihood of an ectopic pregnancy is small. It can generally be judged to be an intrauterine pregnancy. However, self-diagnosis is not very accurate, and ultimately, it depends on an ultrasound to see the intrauterine gestational sac to confirm whether it is an intrauterine pregnancy. Therefore, the most scientific method is to go to the hospital for an ultrasound and have a blood test for HCG. This method is more scientifically accurate. If an ectopic pregnancy is confirmed, surgical treatment must be pursued immediately as it can be life-threatening.
What happens if trichomonal vaginitis becomes severe?
If trichomonal vaginitis is severe, it may lead to ascending inflammation, resulting in cystitis and pyelonephritis. Therefore, trichomonal vaginitis is considered quite serious. When trichomonal vaginitis occurs, it is important to actively treat the symptoms. If it is untreated or not properly treated, it can become chronic trichomonal vaginitis. At this stage, there will be an increase in vaginal discharge, which appears grayish-white and has an odor, along with urinary tract infections. During an infection, symptoms such as frequent urination, urgency, and painful urination may occur. Patients with trichomonal vaginitis may also experience reddening and itching of the external genitalia, with scratch marks, and even ulcers. Therefore, it is crucial to actively treat trichomonal vaginitis if it is detected.
Will taking melatonin cause infertility in women?
Taking melatonin daily will not cause infertility in women. Melatonin can help with sleep and regulate immune function, but for women around 30 years old experiencing poor sleep, it should not be taken frequently. Since it is a hormonal medication, long-term use can not only have adverse effects on the body but also lead to dependency. During this period, women should ensure proper rest, engage in appropriate daytime activities, and maintain a regular lifestyle to help improve sleep quality. Additionally, maintaining a good mood is important. If you feel particularly depressed, it is advisable to consult a psychologist.
Symptoms of vulvar folliculitis
The symptoms of vulvar folliculitis generally manifest as redness, swelling, heat, and pain. When folliculitis occurs in the vulvar area, it can cause redness and swelling of the affected follicles, sometimes with a burning sensation, as well as pain in the area. If the inflammation is pronounced, the redness and swelling of the folliculitis can be severe, and pus formation may also occur. In such cases, it is necessary to puncture the pustules to drain the pus. The vulvar area has a rich supply of hair follicles and poor ventilation, making it susceptible to folliculitis. It is crucial to maintain good hygiene in the genital area.
Is it normal for a 42-year-old to have menopause?
Menopause at age 42 is abnormal, as the menopause age for most women in our country is between 45 and 55 years old. The age at menopause is mainly related to genetics, nutritional status, climate, immune function, and other factors. Menopause at 42 suggests that ovarian function has already declined, and women often experience symptoms such as low mood, poor sleep quality, osteoporosis, and cardiovascular diseases. For this situation, it is recommended that women visit a reputable hospital for a diagnosis as soon as possible. A typical examination includes the sex hormone panel to check for ovarian function decline. If there is indeed a decline in ovarian function, hormone medications can be used under a doctor’s guidance to enhance resistance. It is crucial to avoid staying up late and maintain a good mood.
Is endometrial tofu dregs-like a sign of endometrial cancer?
Endometrial cancer usually manifests in five main aspects. First, irregular vaginal bleeding, which is typically light but can be moderate in some patients. If the patient is postmenopausal, the bleeding often appears as either continuous or intermittent. Second, menstrual disorders, which are a common symptom of endometrial cancer as it is a malignant tumor occurring in the endometrium and significantly affects menstruation. Third, vaginal discharge, where some patients may experience a discharge of thin, white secretions, or a very small amount of bloody discharge in the early stages of the disease. Fourth, pain; once a patient develops endometrial cancer, the tumor may cause bleeding and possibly lead to infection. Fifth, abdominal masses, which can occur if there is a combination of large uterine fibroids or in advanced stages, potentially leading to the formation of large masses in the pelvic cavity due to the spread of a uterine cavity abscess.