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17
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 can premature rupture of membranes be detected?
In the late stages of pregnancy, if abnormal vaginal discharge occurs, it is necessary to consider whether there has been premature rupture of membranes. The symptoms of premature rupture of membranes include abnormal vaginal discharge, which sometimes can be heavy and, at other times, may be less. It is often accompanied by a feeling of warmth, without any pain symptoms. If it is unclear whether the condition is due to premature rupture of membranes or urinary leakage, it is recommended to visit a hospital for examination. Doctors can distinguish between premature rupture of membranes and urinary leakage using pH paper, and sometimes further ultrasound examinations are needed to monitor the amniotic fluid volume, which can determine if there has been a premature rupture of membranes.
Can cervical polyps be treated in the outpatient department?
Cervical polyps are a common gynecological condition. Because the surgical procedure is simple and the relative risk is quite low, most patients undergo this surgery on an outpatient basis. However, if the patient's physical condition is special, complicated by severe internal medical issues, or if the cervical polyp’s base is deep and the local blood supply is rich, increasing the surgical risk, it might be safer to perform the surgery in a hospital setting. The specific approach should be tailored to the patient's individual condition. Trust in your doctor and cooperate with their treatment plan to achieve the best therapeutic outcomes. Additionally, cervical polyps are a manifestation of an inflammatory disease and are benign, so patients need not be overly anxious.
Can you get pregnant if your period has stopped?
If amenorrhea occurs, it can lead to infertility, accounting for 25%-35% of female infertility. Common causes of amenorrhea include cerebral disease, pituitary disorders, ovarian disorders, and endocrine diseases. These factors can all lead to amenorrhea. If amenorrhea occurs and there is a desire for children, it is recommended to seek prompt and comprehensive examination at a reproductive hospital. Treatment should be systematically adjusted according to the specific cause, which can effectively improve ovulation and restore normal menstruation, thereby increasing the normal fertility rate. There are many reasons for female infertility, and a comprehensive examination is necessary. Any factor can affect normal pregnancy, making infertility a very complex disease.
Endometritis menstrual symptoms
Endometritis occurring during menstruation can result in increased menstrual flow and extended periods. The most common clinical symptoms of endometritis include lower abdominal pain and increased vaginal discharge. The abdominal pain is often persistent and worsens with activity or after intercourse. In severe cases, it may also be accompanied by fever, chills, headache, loss of appetite, and fatigue. If accompanied by peritonitis, symptoms related to the digestive system such as nausea, vomiting, diarrhea, abdominal distension, and diarrhea may occur. If there is an associated urinary tract infection, symptoms can include urinary urgency, frequency, and pain. If symptoms of bladder irritation occur, there may be difficulty in urination and frequent urination, and the bladder muscle may also have pain. If a mass is located behind the uterus, it can cause rectal irritation symptoms, leading to diarrhea, a sense of urgency to defecate, and difficulty in urination.
Can amenorrhea undergo IVF?
There are many causes of amenorrhea in women in our country, with the most common causes being hypothalamic disorders, pituitary disorders, and ovarian disorders. Other endocrine diseases, such as congenital adrenal hyperplasia and thyroid dysfunction, can also lead to ovulation disorders and the symptoms of amenorrhea. If amenorrhea occurs and there is a desire for childbirth, it is advisable to seek timely medical treatment at a professional reproductive hospital. This allows for systematic regulation of menstruation and comprehensive treatment based on the specific causes of amenorrhea, aiming to possibly enhance fertility and improve our infertile condition.
Benign characteristics of endometrial polyps
If a woman is diagnosed with endometrial polyps, then the condition is benign. If there are symptoms such as irregular vaginal bleeding, increased menstrual flow, or prolonged menstruation, endometrial polyps should be considered. It is advised to undergo diagnostic curettage or hysteroscopic endometrial polyp electrosurgical resection, and the removed tissue should be sent for pathological examination. Whether it is benign or malignant is mainly determined by the pathological examination as the final diagnostic basis. If confirmed as endometrial polyps, then it is benign. If precancerous lesions are present or if it is confirmed as malignant tumor, the case will be described in detail.
Symptoms of cervical erosion
Most patients with cervical erosion do not exhibit symptoms. Those with symptoms largely display an increased amount of vaginal discharge, which is mucopurulent. Vaginal secretion can stimulate itching and burning sensation in the vulva. Additionally, symptoms may include bleeding outside of menstruation periods and post-coital bleeding. If combined with a urinary tract infection, symptoms can include urgency to urinate, frequent urination, and painful urination. Gynecological examination may reveal congestion and edema of the cervix, mucosal eversion, and mucopurulent secretions attached or even flowing out of the cervical canal. The cervical canal mucosa is fragile and prone to bleeding. If infected with Neisseria gonorrhoeae, due to the involvement of paraurethral and vestibular glands, congestion and edema of the urethral and vaginal openings may be observed, along with a copious amount of purulent discharge.
What does it mean when trichomonads are found occasionally?
When a woman has vaginitis, a routine vaginal discharge examination often suggests the occasional presence of trichomonas, indicating trichomoniasis vaginitis. This condition requires standard treatment as per medical advice. For women who are sexually active, it is recommended that both partners be treated simultaneously. After treatment, regular checkups are needed. If the follow-up results are negative, it indicates recovery. It is advised to properly store personal hygiene items, keep them clean, and avoid washing or storing them with children’s items to prevent transmitting the disease to children living together. Women with trichomoniasis vaginitis are advised to enhance their physical exercise to increase their resistance and help prevent the recurrence of the disease. Also, maintaining personal hygiene is necessary.
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.