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Liu Jian Wei
Obstetrics and Gynecology
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Proficient in diseases
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Is vestibular adenitis the same as gonorrhea?
Bartholin's gland inflammation is not limited to gonorrhea; these are two different diseases. Bartholin's gland inflammation refers to the condition where pathogenic microorganisms enter the Bartholin's glands through their external openings, causing inflammation of these glands. Gonorrhea, on the other hand, is a sexually transmitted disease caused by a specific pathogenic microorganism, primarily transmitted through sexual contact. These two are not equivalent; therefore, they require different treatments.
Does uterine fibroids require the removal of the uterus?
Whether a hysterectomy is needed for uterine fibroids depends on the specific circumstances of the patient. If the fibroids are large and numerous, making the preservation of the uterus unnecessary, then a hysterectomy can be considered. Additionally, the decision should take into account the patient's age, reproductive desires, and personal preference. If the patient is older, has no desire for children, and wishes to have a hysterectomy, then it is feasible to remove the uterus under these circumstances. However, if the patient's condition does not mandate the removal of the uterus, the decision should be made in conjunction with the patient's wishes.
Can endometrial polyps cause bleeding?
Endometrial polyps can cause irregular vaginal bleeding, which can manifest as non-menstrual vaginal bleeding or menstrual vaginal bleeding, leading to prolonged menstrual periods and incomplete menstrual discharge. These conditions are generally caused by endometrial polyps. Generally, if endometrial polyps occur, it is recommended that patients undergo a hysteroscopic examination to assess the number and size of polyps. If necessary, surgical removal under hysteroscopy is required.
Can teratoma be treated with minimally invasive surgery?
Teratoma is a type of ovarian cyst. Whether a teratoma can be treated through minimally invasive surgery needs to be assessed based on the size of the teratoma. If the teratoma is of normal size, then it can be treated with laparoscopic teratoma surgery. However, if the teratoma is excessively large, such a large teratoma will occupy most of the volume of the pelvic abdomen. In this case, it is not possible to perform minimally invasive surgery. Therefore, further evaluation is needed before performing teratoma surgery to determine if it is suitable for minimally invasive surgery.
How to check for ovarian cysts?
Firstly, in gynecological outpatient clinics, an ovarian cyst requires examination through a gynecological color ultrasound, which can clearly determine the presence of an ovarian cyst, or evaluate the size and echo of the ovarian cyst to assess the severity of the condition. Additionally, a gynecological examination can also be performed to confirm the presence of an ovarian cyst. The main purpose is to assess the severity of the ovarian cyst disease through palpation.
Is functional uterine bleeding easy to treat?
Functional uterine bleeding is a common gynecological disease. The cause of functional uterine bleeding is relatively clear, so it is easier to treat clinically. Currently, oral hormonal drugs are widely used to treat functional uterine bleeding. Most patients have their endocrine disorders readjusted after taking oral hormonal drugs, returning to normal levels. After several courses of hormonal drug treatment, most women can recover and resume regular menstrual cycles.
What should I do if an ovarian cyst ruptures?
Ovarian cyst rupture refers to the expulsion of the fluid inside an ovarian cyst out of the cyst due to external forces. When an ovarian cyst ruptures, the patient can suddenly experience severe pain in the lower abdomen on one side, which is often unbearable. At the same time, symptoms such as nausea and vomiting may accompany the pain. If the fluid inside the cyst is irritating, for example, the fluid in an endometriosis cyst which resembles chocolate, this fluid can promote widespread abdominal pain. This irritation can lead to peritonitis. Generally, an ovarian cyst rupture requires immediate surgical intervention for treatment.
How to perform surgery for endometrial cancer
Surgical treatment for endometrial cancer needs to be determined based on the specific stage and type of the cancer, as well as the size of the lesions. If the lesions are small and the cancer is in an early stage, a complete hysterectomy including the removal of both fallopian tubes and ovaries can be performed. Intraoperative pathology assessment of the endometrium is also necessary to determine the specific pathological type. If it is a special type of endometrial cancer, it is also necessary to clear the pelvic lymph nodes. If the endometrial cancer is at a later stage and the lesions are larger, then in addition to the removal of the uterus and both fallopian tubes and ovaries, it is also necessary to clear the lymph nodes around the abdominal aorta in the pelvis.
Functional uterine bleeding refers to what?
Functional uterine bleeding is a common disease in women. The main cause of functional uterine bleeding is due to hormonal imbalances in the body, leading to irregular vaginal bleeding. This condition is divided into several different categories, each of which involves different types of endocrine disorders. Therefore, when a woman experiences functional uterine bleeding, it is advisable to visit a local hospital for gynecological color ultrasound and sex hormone tests, among others, to assess the state of the female reproductive and endocrine systems and to formulate the next steps in the treatment plan based on different results.
Is an adnexal cyst the same as an ovarian cyst?
Adnexa clinically refers to the fallopian tubes and ovaries combined, thus, adnexal cysts are not necessarily ovarian cysts. During gynecological ultrasound, these are often reported as cysts in the adnexal area because the proximity of the ovaries and fallopian tubes makes it difficult to conclusively determine if an adnexal cyst is an ovarian cyst. Clinically, cysts in the fallopian tubes are also referred to as cysts in the adnexal area. Distinguishing them often requires surgery to see the exact location of the cyst for identification.