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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
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.
How to Treat Nonspecific Vulvitis
When women suffer from nonspecific vulvitis, the first step is to identify the causes of the nonspecific vulvitis and provide symptomatic treatment. For example, some women have diabetes, where an increase in local blood sugar levels can lead to this condition, and diabetes should be actively treated. Afterwards, diluted iodine solutions can be used for sitz bath treatments, which not only have a local antibacterial effect but also a local thermotherapy effect, which can promote the absorption of inflammation. Women can also take broad-spectrum antibiotics orally, or apply ointments containing antibiotics locally for treatment. Additionally, women should pay close attention to their clothing; for example, it is best to wear loose, all-cotton underwear to prevent friction and local skin lesions.
Endometriosis symptoms
When women suffer from endometriosis, the typical symptom is progressively worsening dysmenorrhea. What is progressively worsening dysmenorrhea? It is mainly because the ectopic endometrial tissue also becomes congested, swollen, and sheds each month during menstruation, causing the ectopic lesions to gradually enlarge, thus making the dysmenorrhea increasingly painful. Some women may have ovarian endometriomas or ectopic endometrial lesions in the posterior cul-de-sac of the vagina, which can also cause severe pain during intercourse. Ovarian endometriomas can also affect the normal ovulation of the ovaries, leading to menstrual cycle disorders, such as irregular menstruation or increased menstrual flow, among other phenomena. Endometriosis can also alter the pelvic environment, leading to difficulties in conception for women.
What is bacterial vaginosis?
Women can suffer from bacterial vaginosis, which is more commonly seen in women who have frequent sexual intercourse, or in postmenopausal women. It is not caused by an infection of a specific pathogen in the vagina, but rather by an imbalance of the normal flora that naturally resides in the vagina. Normally, the female vagina has a self-cleaning capability. What this means is that there are large quantities of lactobacilli in the vagina, which can create an acidic environment that inhibits the growth of other bacteria. However, under certain pathological conditions, such as too frequent sexual activity, this balance can be disrupted, leading to a reduction in the number of lactobacilli. Consequently, the numbers of other pathogenic bacteria may increase, causing bacterial vaginosis. During this condition, there is no inflammatory alteration in the vaginal walls or cervix.
What is yeast vaginitis?
Normally, women have yeast present around the vagina, anus, and mouth, which usually does not cause illness. Only when a woman's immunity is lowered, or due to other factors such as having diabetes, taking oral immunosuppressants, or irregularly taking large doses of antibiotics, which alters a woman's resistance, can yeast-induced vaginitis be triggered. It is caused by an infection with Candida, a type of fungal pathogen. This infection can cause vaginal discharge to become particularly thick, sticking to the vaginal walls and unable to be expelled, leading to congestion and swelling of the vaginal walls, causing severe itching of the vulva, and pain and cracking at the vaginal opening during intercourse.