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Shen Li Wen
Obstetrics and Gynecology
About me
Engaged in obstetrics and gynecology work for more than twenty years, serving as the deputy chief physician of the obstetrics and gynecology department. Familiar with the diagnosis and treatment of common and frequently-occurring diseases in obstetrics and gynecology.
Proficient in diseases
- Uterine fibroids, ovarian cysts, cervical cin lesions, HPV infection, dysfunctional uterine bleeding, gynecological inflammation. Report interpretation, pregnancy care, gestational hypertension, gestational diabetes, breastfeeding, postpartum care and health.
Voices
What is the cause of the pain from a teratoma?
Female teratomas are cystic-solid tumors located on the ovaries. When they are small in size, they generally do not cause pain. However, as they grow larger, due to gravitational pull, they stretch the surrounding ligaments, causing women to experience hidden pain on one side of the lower abdomen. This pain is bearable and only intensifies after vigorous activities or intercourse. Some women may experience increased pain if they have a pelvic infection or during menstruation. Because teratomas are uneven in texture, if they are not adherent to surrounding structures and are relatively mobile, and their stalk is thinner, they might twist under certain circumstances, such as rolling over, spinning hula hoops, or during pregnancy, when the uterus grows and changes the position of the teratoma, leading to acute lower abdominal pain from torsion of the teratoma’s stalk. Therefore, when a woman experiences abdominal pain from a teratoma, it is essential to conduct a gynecological examination and pelvic ultrasound to understand the specific cause of the pain.
Does functional uterine bleeding cause abdominal pain?
When women experience dysfunctional uterine bleeding, if this occurs during an anovulatory period, such as in adolescent or menopausal women, they generally do not experience abdominal pain. Some women have relatively regular menstrual cycles and only exhibit irregular bleeding between periods; these women still ovulate, and they may experience painful menstruation when their period comes. Furthermore, if dysfunctional uterine bleeding persists, it can lead to a decrease in a woman's immunity. Some women may develop concurrent gynecological inflammation, such as inflammation of the endometrium or adnexa. Even if menstruation does not occur, these women may experience abdominal pain, presenting as unilateral lower abdominal pain or heaviness, and the pain may intensify during menstruation.
Is functional uterine bleeding related to a previous miscarriage?
Functional uterine bleeding in women, also known as dysfunctional uterine bleeding, occurs not due to organic lesions in the reproductive system but due to abnormalities in the function of the gonadal axis, leading to hormonal imbalances and dysfunctional uterine bleeding. This condition is generally unrelated to procedures like abortion or curettage. In some cases, it is triggered by issues such as delayed recovery of ovarian function following an abortion, excessive fatigue, or abnormalities in thyroid and adrenal gland functions, causing dysfunction of the gonadal axis. To address this issue, it is essential to first conduct tests, including a hormone panel and assessments of thyroid and adrenal gland functions, to identify the cause of the dysfunctional uterine bleeding and provide appropriate treatment.
What foods should be avoided with functional uterine bleeding?
When women suffer from dysfunctional uterine bleeding, they should be particularly careful with their diet. For example, most women at this time have pelvic congestion, so it is best not to eat cold or uncooked foods, as these can aggravate pelvic congestion, leading to increased bleeding or prolonged bleeding duration. Additionally, it is advisable to avoid foods that promote blood circulation and remove blood stasis, or some proprietary Chinese medicines, such as the commonly seen saffron, which can also increase menstrual flow and vaginal bleeding. Most women with dysfunctional uterine bleeding, if prolonged, can affect their immunity, leading to infections. Therefore, it is best to avoid spicy foods during this period to prevent exacerbating infections.
How does fungal vaginitis occur?
Under normal circumstances, women have yeast present around the vagina, anus, and mouth. Usually, it does not cause disease, but yeast infection in the vagina may occur under certain triggers. Many women also experience recurrent episodes. For example, if a woman has diabetes, an increase in local blood sugar levels can trigger a yeast infection of the vagina. Additionally, women with decreased resistance or immune deficiencies, the use of immunosuppressants, or the large-scale use of antibiotics can also trigger an infection. Furthermore, some women, especially in the summer, prefer to wear tight synthetic underwear, which can prevent timely discharge of vaginal secretions, accumulate around the external genitalia, and potentially lead to infection.
Does dysmenorrhea cause infertility?
The causes of dysmenorrhea are divided into primary dysmenorrhea and secondary dysmenorrhea. In primary dysmenorrhea, women do not have organic pathological changes in the reproductive system, and it usually does not affect normal pregnancy. Secondary dysmenorrhea is often caused by organic pathological changes in the reproductive system, such as submucosal fibroids, adenomyosis, ovarian endometriomas, etc. These conditions can change the internal environment of the pelvic and uterine cavities, affecting various aspects such as the implantation of the fertilized egg, thus impacting normal pregnancy. Therefore, when a woman is diagnosed with secondary dysmenorrhea, it is important to identify the cause of the pain and provide appropriate treatment to avoid affecting future normal pregnancies.
Early symptoms of uterine fibroid malignancy
Uterine fibroids are a type of benign lesion and generally grow slowly. Sometimes, even after several years of continuous re-examinations, the size of the uterine fibroids may not show significant changes. However, when uterine fibroids become malignant, their growth rate can accelerate, causing women to experience hidden pain in the lower abdomen. After the malignancy of uterine fibroids and an increase in size, they can also compress the pelvic floor nerves, leading to an intensification of abdominal pain; they can press forward against the bladder, causing frequent urination and urgency; and press backward against the rectum, resulting in changes in the characteristics of stools. Additionally, when some women's uterine fibroids turn malignant, they can also affect the surface area of the endometrium, impacting the menstrual cycle, such as causing irregular vaginal bleeding.
What causes functional uterine bleeding?
Dysfunctional uterine bleeding refers to the situation where a woman's uterus, ovaries, and brain do not have any actual organic lesions, such as the absence of uterine fibroids or ovarian cysts, yet there are functional changes that lead to bleeding. For example, the most common causes include excessive mental stress during schooling, emotional changes due to the death of a family member, or changes in living environment due to business trips, all of which can trigger uterine bleeding. In some cases, uterine bleeding may be a manifestation of a systemic disease; for instance, some women may experience it due to severe anemia or as a result of prolonged dieting and poor dietary habits leading to malnutrition and weight loss, especially if there is a sudden drop in weight. Additionally, some women may have metabolic diseases that can also cause uterine bleeding. Metabolic diseases include conditions such as elevated blood sugar, abnormal lipid levels, or anomalies in thyroid and adrenal gland functions.
Natural childbirth uterine prolapse manifestations
After vaginal childbirth, women may experience uterine prolapse due to being over-fatigued or engaging in physical labor too soon. Most women with mild symptoms show no clinical signs. As the symptoms worsen, some women may feel a sense of heaviness in the lower abdomen, and this sensation intensifies when squatting or using the restroom, with a feeling of heaviness in the vulva. Some women may feel something protruding from the vagina, which can be retracted back into the vagina when lying flat; this is uterine prolapse after childbirth. Typically, this condition can be improved by performing anal contraction exercises.
How to stop bleeding from cervical polyps?
The cervical polyps in women are relatively fragile, and if there is a concurrent infection, bleeding is more likely to occur. When bleeding from a cervical polyp happens, the best way to stop it is to remove the cervical polyp and then treat the inflammation. Some women may not wish to immediately undergo surgery to remove the cervical polyp; in such cases, local application of hemostatic medicines, such as commonly used Yunnan Baiyao or stuffing hemostatic gauze, or simply using ordinary gauze for compression can be employed to stop the bleeding, followed by the surgical removal of the cervical polyp later.