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Yue Hua
Obstetrics and Gynecology
About me
Undergraduate degree, associate chief physician.
Proficient in diseases
With over 30 years of experience working in obstetrics and gynecology, I have rich clinical experience and theoretical knowledge. I specialize in the prevention and treatment of common gynecological diseases, with extensive experience in the diagnosis and treatment of vaginitis, menstrual disorders, uterine fibroids, and polycystic ovarian syndrome. I have abundant clinical experience in prenatal care and various surgeries related to family planning (such as artificial abortion surgery, IUD placement and removal). I have a wealth of clinical experience in preoperative, intraoperative, and postoperative care, as well as unique insights into contraception and family planning.
Voices
Does endometriosis need treatment?
Whether or not endometriosis requires treatment entirely depends on the patient's symptoms. If it is a mild case of endometriosis without severe symptoms, the patient can undergo regular follow-up visits. However, if the patient experiences severe abdominal pain during menstruation, it depends on whether the patient has reproductive demands. If there are reproductive demands, medication can be administered; clinically, high-dose progestogens are commonly used to prevent the ectopic endometrial tissue from continuing to grow. If the patient has no desire for childbirth and suffers from severe pain, a hysterectomy and bilateral adnexectomy may be performed.
Is endometriosis serious?
Endometriosis is a condition where the endometrium, which normally lines the uterus and has growth potential, is found outside of the uterine cavity, commonly in the ovaries. The typical clinical manifestation of endometriosis is abdominal pain during menstruation. Such pain intensifies as the condition progresses and can ultimately impact the patient's work and daily life, to the extent that they may not be able to work normally. Thus, endometriosis can become quite severe over time and may lead to infertility in women who wish to conceive.
How is endometritis diagnosed?
Endometritis can be detected through the following methods: First, gynecological examinations, as most patients with endometritis experience lower abdominal pain. During the gynecological examination, the doctor can detect tenderness in the uterus, and severe patients may exhibit pain upon movement. Second, undergoing an ultrasound examination, where heterogeneous uterine lining echoes can be found. This condition should be considered as a manifestation of endometritis. The third method is to perform diagnostic curettage, and then examine the scraped tissue pathologically. If inflammatory cells are found, endometritis can be definitively diagnosed.
What are the symptoms of an ectopic pregnancy?
Ectopic pregnancy initially presents with a lack of menstruation, specifically in women of childbearing age who miss their expected period and then discover they are pregnant. A few days later, they might experience light vaginal bleeding, which is usually scanty and in drips. Additionally, about 95% of affected individuals will feel pain in the lower abdomen, which typically presents as a faint cramping pain before the ectopic pregnancy ruptures. If a rupture occurs, it can lead to very severe, tearing-like intense pain. If the pain leads to internal bleeding, severe cases may result in symptoms of shock.
How is endometriosis diagnosed?
Endometriosis is a condition where the uterine lining grows outside of the uterine cavity, commonly seen in the pelvic region, particularly above the ovaries. Therefore, ultrasound (B-ultrasound) examinations are primarily used for accuracy. The ultrasound may reveal a large mass on one side of the fallopian tubes or ovaries, with uneven content inside. During the ultrasound, it can also be observed that the capsule of the mass is intact. Additionally, during a gynecological examination, the doctor may also feel a mass in the adnexa.
Postpartum depression occurs when?
Postpartum depression typically develops within two weeks after childbirth, and its symptoms are most pronounced between 4 to 6 weeks postpartum. During this period, the new mother may exhibit a very depressed mood, feel quite despondent, and appear emotionally detached. She may be unwilling to communicate with others, and may even experience estrangement from her own husband. Some affected women may also show a lack of confidence in life and family matters, decreased initiative, express a weariness of life, show slow reactions in daily activities, and have difficulty concentrating. Additionally, there is a noticeable decrease in both appetite and sexual desire.
How to clean the uterus after a natural miscarriage
Most patients with natural miscarriages do not need uterine cleaning, as these patients usually have short pregnancy durations and the embryo expels itself. At this time, it is necessary to visit a hospital for an ultrasound to check the condition of the uterine cavity. Most women generally have nothing remaining in their uterine cavity. If there are some small amounts of residual embryonic tissue, one can take some blood-activating and stasis-resolving medications, and then strengthen uterine contractions to expel such tissues. A week later, a hospital check-up can generally confirm that the uterine cavity is quite clean, hence, uterine cleaning is not needed for a natural miscarriage.
What should be done for late postpartum hemorrhage?
If there is a small or moderate amount of vaginal bleeding, high doses of antibiotics should be administered, along with medications to induce uterine contractions. This can reduce the amount of bleeding after the uterus contracts. If there is suspicion of placental remnants or other residues in the uterine cavity, then a dilation and curettage (D&C) surgery may be necessary. Before surgery, it is essential to prepare blood for transfusion in case of excessive bleeding. Additionally, the tissue removed during the procedure needs to be sent for pathological examination. After the D&C, it is important to continue treatment with anti-inflammatory medications and drugs that promote uterine contraction.
How much bleeding is considered postpartum hemorrhage?
Postpartum hemorrhage refers to a condition where, if the patient has vaginal delivery, the bleeding exceeds 500 milliliters within 24 hours after the fetus is delivered. If the delivery is via cesarean section, the bleeding exceeds 1000 milliliters, which is considered significant postpartum hemorrhage. The primary cause is mostly related to poor uterine contractions. Due to inadequate muscle contractions of the uterus, the blood vessels in the uterine muscle layer remain open, leading to bleeding. Another cause relates to placental factors, such as when the placenta is not entirely expelled, leading to remnants of the placenta and membranes remaining in the uterine cavity, which can also cause postpartum bleeding.
Can premature rupture of membranes recover?
Premature rupture of membranes cannot be reversed. This means that the patient's membranes rupture before labor begins, and the ruptured membranes cannot be restored to their original, unruptured state. When the membranes rupture, most patients will feel fluid leaking from the vagina, and the patient does not experience abdominal pain or any sensation of being about to give birth; this is referred to as premature rupture of membranes. Upon discovering this condition, the first step is to have the patient rest in bed, as this situation can easily lead to the exposure of the fetal umbilical cord, which can endanger the child's life.