Subscribe
9
Hou Jie
Obstetrics and Gynecology
About me
Graduated from Harbin Medical University, engaged in gynecology and obstetrics work for more than ten years.
Proficient in diseases
Common gynecological diseases, diagnosis and treatment of prevalent diseases.
Voices
How to treat cervical polyp cysts?
If a gynecological examination determines cervical polyps or cervical cysts, then local removal of the polyps and surgical clearance of the cysts will suffice. Both conditions are common gynecological diseases. Since the surgeries are simple and relatively low risk, most can be performed in an outpatient setting. If the patient's condition is more unusual, hospitalization for surgery may be safer. Specific approaches need to be tailored to the patient's individual circumstances in collaboration with the treating physician to achieve good therapeutic outcomes. Both cervical polyps and cervical cysts are manifestations of inflammatory diseases and are benign, so patients need not be overly anxious.
Teratoma Benign and Malignant Differences
Teratoma refers to a common type of germ cell tumor, which can be classified into mature teratomas and immature teratomas. Mature teratomas are benign tumors, accounting for 10%-20% of ovarian tumors. They can occur at any age but are more common between the ages of 20 and 40. Most are unilateral, of moderate size, and usually have a single compartment filled with sebum and hair; sometimes teeth and bone can also be found. Immature teratomas, on the other hand, are malignant tumors, making up 1%-3% of ovarian teratomas. These are more frequent in younger patients, with an average age of 11 to 19 years. The ovaries are predominantly solid but may include cystic areas, primarily consisting of primitive neural tissue. The malignancy level of the ovary depends on the proportion of immature tissue, the degree of differentiation, and the content of neuroepithelial tissue.
How to regulate amenorrhea to restore menstruation
In the treatment of amenorrhea, systemic treatment plays an important role. It includes active treatment of systemic diseases, improving the overall quality of the body, and then providing adequate nutrition to maintain standard weight. In cases of exercise-induced amenorrhea, it is appropriate to reduce the amount of exercise. For amenorrhea caused by stress and psychological reasons, patient psychological therapy should be conducted to eliminate mental tension and anxiety. If the amenorrhea is caused by pathological conditions like tumors or polycystic ovary syndrome, then etiological treatment should be given. Once the cause of the disease is identified, appropriate hormonal treatment should be provided to supplement insufficient hormones in the body and counteract excess, aiming to regulate and treat amenorrhea.
Does vulvar lichen sclerosus cause pain during intercourse?
Vulvar leukoplakia belongs to vulvar dystrophic diseases, and when accompanied by vaginal contraction, symptoms of pain during intercourse can occur. Therefore, when vulvar leukoplakia is discovered, it is necessary to actively cooperate with the doctor for treatment. Sometimes treatment with traditional Chinese medicine can be more effective, potentially slowing the progression of the disease and alleviating symptoms. Therefore, it is suggested that women with vulvar leukoplakia eat more foods rich in vitamins and fruits in daily life, which can sometimes help alleviate symptoms. Women with vulvar leukoplakia should avoid emotional fluctuations, especially when itching symptoms are pronounced, and try to avoid scratching with hands to prevent local infections.
What are the symptoms of uterine prolapse?
Mild uterine prolapse may have no clinical symptoms, while severe cases can feel a sense of falling and lower back pain, along with a mass protruding from the vagina. This mass may increase and the sensation of falling becomes more pronounced with long periods of standing, vigorous activity, or increased abdominal pressure. If there is a bulge in the anterior vaginal wall or the bladder, with the urethra and the posterior angle of the bladder becoming sharp, it can lead to difficulty urinating or urinary retention. If a urinary tract infection occurs subsequently, symptoms such as frequent urination, urgency, and painful urination may arise. If the bulge in the bladder coincides with a urethral bulge and a complete protrusion of the anterior vaginal wall, where the posterior angle of the urethra and bladder disappears, urinary leakage can occur during coughing, straining, or other activities that increase abdominal pressure, leading to what is called stress urinary incontinence.
Are ovarian cysts serious?
Ovarian tissue is very complex in composition. It is the site with the most types of primary tumors among all body organs. Different types of ovarian tumors exhibit significant differences in histological structure and biological behavior. Benign ovarian tumors are typically small, often asymptomatic, and are usually discovered incidentally during gynecological examinations. As cysts grow, one may experience abdominal bloating or feel a mass in the abdomen. During examination, abdominal distention can be observed, the mass is usually mobile, percussion shows a dull sound, and there is no shifting dullness. If the tumor is malignant, there are often no symptoms in the early stages; later stages mainly present with symptoms of abdominal bloating, abdominal masses, and gastrointestinal symptoms. If adhesions occur with surrounding tissues, symptoms of compression, such as abdominal pain, back pain, and leg pain may also appear. Therefore, ovarian tumors should be treated promptly once detected.
How to recuperate from uterine fibroids?
Uterine fibroids are the most common benign tumors of the female reproductive organs, composed of smooth muscle and connective tissue. Treatment varies depending on the patient's age, childbearing requirements, presence of symptoms, location and size of the fibroids, and their number. For asymptomatic fibroids, treatment is generally not necessary, especially for women nearing menopause. After menopause, fibroids often shrink or gradually disappear. In such cases, it is recommended to follow up every three to six months, or consider pharmaceutical treatment. Medication is suitable for those with mild symptoms, near menopausal age, or those who are not suitable for surgery. If there are complications such as heavy menstrual bleeding, resulting anemia, ineffective drug treatment, severe abdominal pain, or conditions like fibroid torsion or acute abdomen, surgical treatment is recommended.
Does endometriosis require the removal of the uterus?
Endometrial displacement, depending on the specific location of the displacement, calls for different treatments. When the endometrial glands and stroma invade the myometrium, it is called adenomyosis. Treatment is based on the patient's symptoms, age, and fertility requirements. If there are fertility requirements, or the patient is near menopause, medicinal treatment can be tried to alleviate symptoms. For younger patients with adenomyosis who have reproductive needs, focal excision surgery can be considered. For patients with severe symptoms, who either have no reproductive needs or for whom medicinal treatment is ineffective, a total hysterectomy may be considered.
Causes of ovarian cysts
The cause of ovarian cysts is unclear, with many factors that can lead to ovarian cysts. The most common type of physiological ovarian cyst is the follicular cyst. The most common pathological causes are chronic inflammation or abnormalities in hormone secretion and endocrine factors, but most causes are unclear. If an ovarian cyst is discovered, it is recommended to regularly check with a color Doppler ultrasound, which is a common gynecological test for tumor markers. If the results are abnormal, timely surgical treatment is recommended to more directly understand the nature of the ovarian cyst. If the cyst is smaller than five centimeters in diameter and has good internal sound transmission, it can be observed regularly; otherwise, aggressive surgical treatment is advised.