18 years old, female, unmarried, from Heyuan city. Since yesterday, my vagina has been very painful and will bleed a lot. At first I thought it was menstrual blood, but my menstrual period was about 1, and the blood flowed from the urethra. Every time it flows out of the genitals, it hurts. What kind of disease is this? How should I treat it? I don't want to tell my parents. Is there any way to commit suicide? Please help me!
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
It is recommended to go to the hospital for gynecological treatment to find out whether the bleeding comes from vagina or urethra.
◆ Endometrial polyps
34-year-old female, married,1April, 999 was diagnosed as menstrual disorder and endometrial displacement in Shanghai Gynecology Hospital, and was diagnosed as multiple endometrial polyps, some of which were adenomas. After 6 months of treatment with Funing tablets, she was diagnosed with mild endometrial hyperplasia in March 2000. Drugs used: CC, HCG, HMG, bromocriptine, alarelin and atenolol. Now I feel a dull pain under my bilateral abdomen. I think it's the uterus and bilateral accessories. At night, sometimes I wake up in pain, and later, it takes a long time to fall asleep. Now, I'm worried about getting cancer. (CA 125 was checked as 16 in August 2002)
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Hysteroscopic endometrial polypectomy can be selected: it is suitable for symptomatic single or multiple endometrial polyps and excludes malignant lesions.
◆ cervicitis
23 years old, initially identified as cervicitis, secondary erosion! Colposcopy, no miscarriage, no cervical smear! Leucorrhea is yellow, sometimes purulent, and there is no blood after taking the medicine! Sorry, I'm not married. Can I do operations such as perm? Is the laser okay? Does it affect pregnancy? Could it be cervical cancer? Can medication cure it?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Cervicitis, unmarried, suggested cryotherapy.
◆ Menstrual disorders
20 years old, female, unmarried, from Zhejiang. Menstrual disorder, more than 3 months, and it is dark congestion.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Menstrual disorders come once every three months. If you come once in a while, you don't need to deal with them. If you have regular menstrual disorders, it is recommended to go to the gynecology department of traditional Chinese medicine.
◆ Menstruation is very abnormal
20 years old, female, unmarried, from Hefei, Anhui. I used the emergency morning-after contraceptive-Yuting this month, but this month's menstruation is very abnormal, ten days ahead of schedule, but it is still not clean. It has been more than ten days. I know that Yuting will have an impact on menstruation, but I would like to ask this for so many days? Is it normal? I am worried, please give me an answer, thank you!
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Emergency contraception can delay the next menstruation because of its function of inhibiting ovulation and endometrium, or it may be due to temporary medication that leads to a temporary increase in hormone levels in the blood, and then withdrawal bleeding occurs, which is characterized by early menstruation. After taking emergency contraception, about 70% women will have menstrual cramps as scheduled, less than 3 days from the expected date of delivery; The incidence of premature menstruation (slightly different according to the types of stress contraceptives taken) is generally 10- 15%, and some people can advance it by 7- 10 days. If menstruation is delayed, pregnancy should be ruled out first. If it is more than a week after the next menstrual date, it is necessary to do a urine pregnancy test. If you still have menstruation after two weeks, you should go to the hospital to decide whether you need to give treatment to induce menstruation. Although the dosage of emergency contraception is small, it stays in the body for a short time and is safe to use. After all, it will affect ovulation and endometrium. Repeated use in a short period of time will increase the incidence of menstrual disorders, and its effect is worse than that of conventional contraception. The effective rate of contraception is only 80%, while the effect of compound short-acting oral contraceptives can reach more than 99%. Therefore, it is only a temporary remedy afterwards and should not be used as a conventional contraceptive method.
◆ menstruation didn't come
23 years old, female, unmarried, from Jinjiang City, Fujian Province. I haven't menstruated for two months, and I don't feel sick. There was a small amount of dark brown blood when I didn't come in the first month, and there was bright red blood after defecation, and it was gone after two days. I don't know what the hell is going on.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Is there sexual contact between men and women? If not, progesterone can be used to induce menstruation, 20mg once a day for 3 consecutive days, and menstruation can come after stopping the drug.
◆ Lack of orgasm
28 years old, female, married, from Beijing. The uterus contracts after contraction, and there are no other gynecological diseases. My uterus has severe retroversion and retroflexion, and I have no other gynecological diseases. My husband has sound sexual function and no andrology diseases. After four years of marriage, when the husband and wife have sexual intercourse, the husband has orgasms every time, and my orgasms are rare. Meanwhile, if I masturbate, I can reach orgasm every time. After referring to relevant materials, I have tried to create an atmosphere before sexual intercourse, sexual fantasy and self-touching, but with little effect. Excuse me, is my condition only clitoral orgasm, and there is no vaginal orgasm? Does this have anything to do with my backward uterus? If not, how can we get a normal orgasm? If possible, please ask experts to give advice to experts in Beijing and make on-site diagnosis and treatment. I really appreciate it.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
I suggest you go to the 402 Hospital of the Ministry of Electronic Industry and see Ma Xiaonian, director of the Department of Sexual Medicine. The hospital is located on the west side of Yuquan Road, Haidian District, Beijing.
◆ Less lecithin bodies.
24-year-old male, unmarried, prostate examination: colorless and sparse. Microscopic examination: lecithin corpuscle+. Wbe:3-5. The scrotum is wet, the sperm is not liquefied, and sometimes the urine is frequent.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Occasionally, it can be left untreated, and it can be handled according to the situation after re-inspection.
◆ pruritus vulvae
23 years old, female, married, from Guangzhou. Vaginitis, pruritus vulvae, bought clotrimazole suppository and used it, but the effect is not ideal, with more leucorrhea. I have a few questions: How can leucorrhea be completely removed? How to eliminate itching? What should I pay attention to at ordinary times? Husband and wife finish their homework at night, and there are some secretions under the woman. Can I wash it with tap water? I hope everyone can help me answer the above questions, thank you!
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
It is necessary to clarify the nature of leucorrhea and deal with it symptomatically, so as to completely remove leucorrhea and eliminate itching. After the husband and wife finish their homework at night, there are some secretions under the woman, usually semen, which can be washed with tap water.
◆ The vagina has vegetable-like protrusions.
22 years old, female, unmarried, from Beijing. I found leucorrhea when I wanted to have an abortion. When cleaning, I found that there was a protrusion of vegetable pattern in the vagina, and there was a falling "cauliflower" on the cleaning stick. So people didn't do it, and the "cauliflower" was newly discovered in the vagina, and the hospital is testing it. Waiting for the results of the hospital examination, the doctor said it might be a virus infection or cervical cancer. I'm a little scared. Please ask the doctor to analyze it for me first.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Condyloma acuminatum is more likely.
◆ Small particles of vulva
26 years old, female, married, from Zhejiang. Suffering from trichomonal vaginitis and fungal vaginitis. Small particles appear in and around the vulva every two or three months. If you put iodine on it, you will be fine. If they are not covered, they will purr and heal themselves. Excuse me, what happened?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Small particles appear in and around the vulva every two or three months. If you put iodine on it, you will be fine. If they are not covered, they will purr and heal themselves. It may be folliculitis, because pubic hair adheres to the skin outside the pubic mound and labia majora. In daily life, because the vulva is easily polluted by urine, feces and leucorrhea, the vulva skin is often in a humid environment, which is suitable for bacterial growth. At this time, if the vulva skin is scratched, or the hygiene is not paid attention to, or the body's resistance drops, and the hair follicle and its surrounding tissues are infected by bacteria such as staphylococcus, it will cause local vulvar folliculitis. Its clinical manifestations are: at first, there is pain in and around the hair follicle mouth, the skin is slightly red, and gradually there are red blisters and tenderness. There is a hair sticking out at the top of the red blister. If there is suppuration, small white spots may appear on the top of the red blister. Infected hair follicles can be one or more. If the inflammation is aggravated, furuncle can be formed. The treatment of vulvar folliculitis is not difficult. First, keep the vulva clean and dry, and use 1∶5000 potassium permanganate solution or traditional Chinese medicine for clearing away heat and toxic materials, and then use antibiotic ointment, Sihuang ointment and gold ointment externally. If there are many infected hair follicles and the pain is obvious, you should rest properly. If folliculitis recurs, we should pay attention to check whether there is systemic disease.
◆ The clitoris is white and festering.
30 years old, female, married, from Dongguan City, Guangdong Province. Leucorrhea tests are all negative. At present, I feel itchy, red, white and peeling clitoris.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
The clitoris is itchy, red, swollen, white and peeling. It is difficult to diagnose just by introduction. It is recommended to see a gynecologist.
◆ frequent urination
28 years old, female, married, from Guangzhou. Urine test report: LEU was 2+ at first, and it was trace after taking medicine for 20 days. After taking medicine for 20 days, it became 1+, but it was still 1+ after taking medicine for one month. The onset time is about one and a half years. The treatment plan given by the doctor includes bupivacaine infusion, norfloxacin (also called fluoperacid), Tianqi, and one medicine I can't remember clearly. Another Chinese medicine, Poria cocos, Yin Hua, Chrysanthemum and Alisma orientale, (because I'm a little constipated). I still urinate frequently, and I have no pain, that is, I urinate frequently. I treated this disease for more than two months and spent more than 500 yuan. Although the medicine prescribed every time is not expensive, it has been delayed for so long and there is no response. Although my illness is not incurable, I am really in pain. Please answer me. I just want to know if this doctor's treatment is correct.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Women's frequent urination is not caused by drinking too much water, but will still urinate from time to time when the urine volume is small, which has the characteristics of "less quantity and more times". If the total urine volume exceeds 2 500 ml within 24 hours, you may suffer from diseases such as diabetes, which does not belong to the category of frequent urination.
Common factors:
Bladder factor: Under normal circumstances, the bladder can store 300 ml of urine, but when the effective volume of the bladder is reduced due to diseases, the amount of urine stored naturally decreases, and it is easy to feel urine in a short time. When the urine gradually increases and a certain pressure is formed in the bladder, the bladder will send a message and people will have a sense of urine. If there are tumors, stones, foreign bodies, ectopic endometrium in the bladder, or organ enlargement adjacent to the bladder, such as ovarian tumors or cysts, pregnancy or uterine fibroids, obesity, etc. The bladder will be subjected to external pressure, which will affect the effective volume of the bladder and may cause frequent urination. Even a small amount of urine will produce strong urination. Therefore, people with frequent urination, especially elderly women, must be paid enough attention, and doctors should be consulted or necessary examinations should be carried out to prevent major diseases from "missing the net" and causing great harm to health. Under normal circumstances, B-ultrasound can detect related diseases and has no harm to human body.
Infection factors: Due to the physiological characteristics of women, the total length of urethra is much shorter than that of men, which creates opportunities for upward infection of bacteria, viruses and pathogens, and female urinary system is prone to infection in daily life. Frequent micturition caused by inflammation is accompanied by special urgency (the feeling of having to urinate immediately) and micturition pain (the pain at the urethral orifice during micturition). Urine bacterial culture can be used for laboratory examination. Generally speaking, unless it is abnormal infection, female urinary tract infection can be completely cured and will not recur. Urinary tract infection in middle-aged women is mostly related to sexual life, mainly through sexual life. Need to be reminded that you should pay attention to hygiene before and after sex. It is best to urinate once after sex, and urine can take away some bacteria. If it were not for infection, antibiotic treatment would be ineffective.
Mental factors: mental stress or neuropathy related to urination can cause nervous system reflex disorder and annoying frequent urination. Psychotic polyuria and neurocystitis are common neuropathic factors. If you often suffer from insomnia, indigestion, or severe neurasthenia, you often urinate frequently before going to bed. Frequent urination caused by mental factors is generally manifested as a "sign" with obvious mental effect. Frequent urination caused by mental stress will not have serious consequences for health. If frequent urination affects study, work and rest, psychotherapy and neuroleptic medication can be carried out. In particular, some long-term and serious frequent micturition should be carefully examined, and it cannot be easily diagnosed as frequent micturition caused by mental and neurological factors. Infectious frequent micturition is mainly treated by western medicine, while non-infectious frequent micturition is recommended by Chinese medicine.
◆ Breast little red dot
20 years old, female, unmarried, from Dalian, Liaoning. Having sex with my boyfriend for a period of time (about a month), I have little red dot on my left chest, which is not much but itchy. Leucorrhea secretion, normal menstruation. Low back pain and general pain. Because it was the first time, I was busy studying and didn't see a doctor. Besides, I was young and not very sensible at that time. Is there a virus?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
There are no obvious gynecological symptoms, so it is recommended to see a dermatologist.
◆ What about male and female infertility?
Hello, Professor Li! My present husband and I have been married for almost four years. We've always wanted a child, but we're not pregnant. Our sex life is normal. I was married before, and I had a child aged 10. I broke up because of the disagreement between the two sides. Married her present husband four years ago. I thought everything was normal and didn't check it. I asked Professor Li for advice. Thank you very much, thank you!
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
It is suggested that the man do semen analysis and check and inform the result.
◆ Mild uterine erosion and bacterial vaginitis
38 years old, female, married, from Shenyang, Liaoning. The diagnosis results of Shenyang Maternal and Infant Hospital are: mild uterine erosion and bacterial vaginitis. Prescribed anti-inflammatory drugs for external use. The following symptoms began to appear two years ago. Leucorrhea is yellow water, menstrual blood is black, and menstrual time is long. I was diagnosed with mild uterine erosion and bacterial vaginitis in Shenyang Maternal and Infant Hospital, and prescribed some anti-inflammatory drugs for external use, but the effect was not obvious. Later, after a period of Chinese medicine treatment, the effect was not too great. Because of her husband, she occasionally has sex during her period. Recently, menstruation has increased from once a month to twice, each time for seven to ten days, and menstrual blood is still black. Excuse me, what kind of treatment and medicine should be used in this situation? thank you
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Cervical erosion is a common chronic cervical inflammation in women, and the incidence rate is higher in women of childbearing age. At present, the methods of treating cervical erosion are mostly vaginal medication and physical methods. Vaginal medication is mostly traditional Chinese medicine or a mixture of traditional Chinese medicine and antibiotics, which has the functions of clearing away heat and promoting diuresis, relieving swelling and pain, promoting blood circulation and promoting granulation. And is non-invasive, convenient to use and easily accepted by patients, and is especially suitable for patients with mild cervical erosion. However, for moderate and severe cervical erosion, physical methods are suggested to obtain better curative effect. Microwave treatment of cervical erosion is to use the thermal effect of microwave on tissue to coagulate tissue protein, so as to achieve the purpose of cauterization, coagulation and hemostasis. The total clinical effective rate is 98.7%, and its healing surface is smooth, which can be applied to unmarried women without affecting their future fertility, and has great application prospects.
Comparison of curative effects of different methods
Whether it is mild, moderate or severe cervical erosion, vaginal medication, laser treatment and microwave treatment have similar curative effects, but the total effective rate of microwave treatment is obviously higher than the first two, which shows that microwave treatment is a better method for treating cervical erosion. However, after microwave treatment, there will be a lot of leucorrhea for a long time, which greatly limits the patient's acceptance, and like laser treatment, the healing time of cervical wound is longer, which takes about two months. Therefore, patients should choose different methods according to their own specific conditions.
What should I pay attention to before microwave therapy?
First of all, the possibility of cervical cancer should be ruled out at present, because the appearance of early cervical cancer and cervical erosion is very similar, and it is generally impossible to distinguish it with the naked eye. Need to do cervical smear to know whether there is cervical malignant disease. If there is cervical cancer, the misuse of microwave treatment will not only delay the treatment of cervical cancer, but also spread cancer cells due to the local effect of microwave. Microwave treatment is usually carried out within 3 ~ 7 days after menstruation is clean, because there is a certain wound on the cervix after microwave treatment, and it is easy to get infected if you catch up with menstruation. Therefore, patients should come to the hospital as soon as 3 days after menstruation is clean. In addition, try not to share the same room a few days before treatment. If you must have sex, you'd better use condoms. Before microwave treatment, in addition to gynecologists, patients should be asked whether they have vaginal and cervical inflammation, especially sexually transmitted diseases, so as not to aggravate the inflammation or affect the healing of cervical wounds.
What should I pay attention to after microwave therapy?
Mainly to reduce the stimulation to the cervix. Generally speaking, it takes about 2 months to recover after microwave treatment. Try to avoid sharing a room during this period. Because sexual intercourse not only affects the healing of cervical wound due to mechanical stimulation, but also may cause vaginal inflammation, thus affecting the repair of normal cervical tissue.
After microwave therapy, there will often be a lot of leucorrhea due to wound healing, which sometimes brings some inconvenience to patients. Doctors should explain clearly to patients during microwave treatment, so as to avoid patients mistakenly thinking that there is anything abnormal. Patients should keep vulva clean and wash vulva frequently, but do not use vaginal suppository or vaginal irrigation by themselves. Change underwear frequently and use sanitary napkins if necessary.
One or two months after microwave treatment, you should go to the hospital for reexamination to understand the healing of cervical wounds and decide on further treatment under the guidance of doctors. Menstruation increases from once a month to twice, each time for seven to ten days, and menstrual blood is still black, which belongs to menstrual disorder. I suggest you find a Chinese gynecologist for treatment.
◆ Menstrual disorders
23 years old, female, unmarried, from Shanghai. After B-ultrasound, the conclusion is that the endometrial echo is not good and the others are normal. 16 to 2 1 is the normal physiological period of each month, but there is a little bleeding on the 29th. Up to now, I went to the hospital yesterday to get Tiaojing Wuji Pill and Zhixue Angong Niuhuang Pill. I want to find out the reason of this situation and whether it is serious. The doctor didn't answer my question at that time. Please also help me to answer, thank you!
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
There are many reasons for menstrual disorders, which require detailed medical history and necessary specialist examination. I suggest you go to a maternity hospital.
◆ Vaginal hot pain and frequent urination
30 years old, female, married, from Hefei. In June of 200 1 year, she was pregnant for 8 months and was infected with chlamydia, which led to urethritis. At that time, the local doctor misdiagnosed it as ordinary urethritis, and it didn't get better after using anti-inflammatory drugs. After cesarean section in August of 200 1 year, local doctors continued to treat common urethritis with drugs such as cyanotoxin sodium, but there was no improvement. Until 200 1, 1 1, I went to the hospital for a series of STD tests and found that chlamydia was positive and other tests were negative. After about 2 months of treatment, chlamydia was negative, but vaginal burning sensation and urgency never improved. In 2002, urethritis and cervicitis recurred, and he was transferred to Hefei hospital for medical treatment. It has not improved for more than a year. Another leucorrhea bacterial culture and bacterial drug sensitivity test were done 20 days ago, and the results showed that chlamydia was weakly positive and Staphylococcus squirrel existed. The doctor continued to use the drug according to the drug sensitivity test, but it has not improved significantly so far, which is extremely painful! Severe burning pain in vagina, frequent urination and urgency! Routine urine test, leucorrhea examination, weak white blood cells and clothes, and long-term use of anti-inflammatory drugs, the body feels extremely weak.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
I suggest you go to the gynecology department of traditional Chinese medicine to take traditional Chinese medicine treatment.
◆ Dysmenorrhea
19 years old, female, unmarried, from Nanning, Guangxi. Dysmenorrhea, the local doctor said it was normal, and it would be relieved if you had a child. I can't sleep now, I feel my menstruation is going backwards, and I can only sit at night.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Dysmenorrhea refers to women's pain in the lower abdomen and waist before or after menstruation, and even the pain is unbearable, which occurs periodically with menstruation. Can be divided into primary and secondary. Primary patients are more common in adolescent women, often accompanied by menarche; Secondary patients are often accompanied by organic diseases of reproductive organs, such as pelvic inflammatory disease, endometriosis or uterine tumors.
In order to prevent and treat dysmenorrhea, we can adopt the method of self-treatment. We might as well drink a cup of hot milk with a spoonful of honey before going to bed every night, which can relieve dysmenorrhea, especially primary dysmenorrhea, and even eliminate dysmenorrhea in a short time. If the menstrual pain is severe, you can also take Xiao Su Jiuxin Pills 10 ~ 15 pills orally. After the pain is relieved, you can take 4 ~ 6 capsules each time, twice a day, which has a good effect on dysmenorrhea caused by qi stagnation and blood stasis. Because quick-acting jiuxin pills are preferably made of traditional Chinese medicines such as Chuanxiong and Borneolum Syntheticum, which can relieve spasmodic pain caused by irregular menstruation.
Self-treatment of dysmenorrhea has a good effect on primary dysmenorrhea, but it has a poor effect on secondary dysmenorrhea and people with gynecological organic lesions, so it needs to be treated with drugs or even surgery. You can seek the help of a gynecologist of traditional Chinese medicine. At the same time, you should avoid wading and washing your feet or lower body with cold water during menstruation. Don't eat cold food, stay happy, and so on, so that your "dysmenorrhea" will leave you.
◆ Less menstrual flow
24 years old, female, unmarried, from Beijing. Every menstrual period, the amount of menstruation is very small, generally lasting about 2-3 days, often after 3-7 days. And the color of menstrual blood is purple-black, and menstrual blood is mixed with black-red and sticky. Sometimes there is abdominal distension and pain. Somehow, it has been more than 40 days in the last three cycles, and there have been 47 days without menstruation in 65438+February. And often cold hands and feet, afraid of cold, dull face, moist skin, black lips, pale nails, white spots on it. What kind of irregular menstruation does this belong to? What kind of constitution should it belong to? What kind of Chinese patent medicine can improve the situation?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
There are many reasons for abnormal menstruation. Every time menstruation comes, the amount is small, and when it is wrong, it is purple-black, lumpy and sticky. Sometimes there is abdominal distension and pain. The cycle is more than 40 days. And often cold hands and feet, afraid of cold, dull face, moist skin, black lips. If you have symptoms of qi stagnation and blood stasis, Chinese medicine should pay attention to diagnosis, observation, smell, inquiry and pulse, and treat according to the symptoms. I suggest you go to the gynecological clinic of traditional Chinese medicine for treatment.
◆ menstruation didn't come
23 years old, female, unmarried, from Shanghai. September 1 1 started pregnancy, September 5 1 drug abortion. A week after the medical abortion was completed, I went to the hospital for reexamination. B-ultrasound showed that there was still a small amount of tissue residue, and the bleeding stopped after three weeks of continuous use of Purcon. The drug abortion was successful. It's almost 1 month since the postpartum hemorrhage stopped, but menstruation hasn't come yet. I don't know what's going on. Everything's fine. There's no sign of pregnancy.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
It is suggested to use progesterone to induce menstruation, and progesterone 20mg, intramuscular injection, once a day/kloc-0, for 3 days.
◆ Mycoplasma positive
27-year-old, female, married, from Shenyang, Liaoning. Ureaplasma urealyticum is positive, is it a sexually transmitted disease? Take clarithromycin for half a month. There are no obvious symptoms at present.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Mycoplasma positive, clarithromycin treatment can be.
◆ Long red envelopes on labia majora
22 years old, female, unmarried, from Hangzhou, Zhejiang. I found pain last night. A small red envelope on the labia majora hurts when touched.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
It could be a boil. If it is very small, you can apply iodine. If it's big, take anti-inflammatory drugs.
◆ Cervical hypertrophy
34-year-old, female, married, from Quanzhou, Fujian Province. He once suffered from uterine erosion and cervicitis, and was cured by laser treatment. The doctor diagnosed cervical hypertrophy with a history of 7 or 8 years. Cervical hypertrophy, leucorrhea, yellow, sour, normal menstruation, loose ring.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
The main causes of cervical hypertrophy are:
(1) Long-term stimulation of chronic inflammation leads to cervical hyperemia, edema and hyperplasia of cervical glands and stroma, which leads to cervical hypertrophy in different degrees. (2) Mucus retention may occur in the deep part of the cervical gland, forming cysts of different sizes, which makes the cervical hypertrophy. Cervical hypertrophy can sometimes be 2 ~ 4 times larger than normal cervix, and the surface of cervix can be smooth or erosive. Cervical texture is generally hard, which is caused by fibrous connective tissue hyperplasia. Cervical hypertrophy generally does not require treatment. If there is erosion, cervical erosion can be treated.
A lump between labia majora and labia minora.
Female, 26 years old, 163CM, 54KG, married, in IT industry. Two days ago, she found a 5mm long lump between one labia majora and labia minora, which was slightly itchy. After washing, squeeze it by hand and sesame residue will flow out. Squeeze it again and clear water will flow out. Excuse me, what's wrong with me? Is it serious? Note: I used Yuting a month ago.
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
The possibility of vestibular gland cyst should be ruled out. Once the vestibular gland duct is blocked, secretions can not be discharged smoothly and accumulate in the gland, which can cause vestibular gland cyst. Vestibular gland cyst can be caused by the following conditions: after acute vestibular adenitis inflammation subsides, the gland duct is still blocked, secretions cannot be discharged, pus is absorbed and replaced by mucus, that is, vestibular gland cyst is formed. Chronic inflammation exists for a long time, the vestibular gland tube is blocked, and secretion is not discharged smoothly, which leads to cystic expansion of glands and formation of cysts. During delivery, the vagina and perineum are torn to form serious scar tissue, or the incorrect perineum lateral incision damages the vestibular gland tube, blocking the orifice of vestibular gland and retaining secretion, which can also cause vestibular gland cyst. Congenital vestibular duct stenosis, or excessive secretion and poor discharge of vestibular gland fluid can also lead to cyst formation.
Vestibular gland cysts are mostly unilateral, ranging in size, and the labia majora can touch the obvious bulge. If the glandular duct is not completely blocked, the size of the cyst usually changes. If the cyst is small and has no infection, and the patient has no conscious symptoms, it is often found by accident during gynecological examination, and this type can be left untreated; If the cyst is large, the patient will feel swollen or uncomfortable during sexual intercourse and need to go to the hospital. If secondary infection occurs, the clinical manifestations are similar to acute vestibular adenitis: local pain and swelling may occur, often accompanied by chills, fever and chills, resulting in abscess and aggravated pain. At present, vestibular cyst ostomy is advocated to replace the previous cyst removal. The former method is simple, the damage is small, and the gland function can often be restored after operation. In recent years, the effect of laser stoma is good, there is no bleeding during operation, no need for suture and no scar after operation.
◆ Menstrual disorders
34-year-old, female, married, from Zhongshan City, Guangdong Province. Since 65438+February, menstruation has never stopped. After being treated by a local doctor and taking a B-ultrasound, the reason could not be found. Menstruation continues. What's the disease?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
Menstrual disorders and menstrual prolongation should be clearly defined. The diagnosis and treatment of local doctors and B-ultrasound can't find out the reason. Most of them are endocrine disorders. Progesterone can be used for curettage and artificial diagnostic curettage.
◆ Early pregnancy bleeding
Hello, dear doctor! Thank you for taking time out of your busy schedule to reply! First of all, I had three miscarriages due to other factors before this pregnancy (no abnormality during pregnancy, no history of spontaneous abortion), and the latest one was in April this year. I am pregnant for 5 1 day. When I was 46 days pregnant, I had mild cold symptoms: a little stuffy nose and dizziness, no fever, no runny nose, no cough, sometimes a little stuffy nose and sometimes no symptoms. This lasted for four or five days, and I was very nervous for fear of adverse effects on the fetus. Later, I asked the doctor online, and the impact will not be great. Drink more water and rest should be fine. Last night, I found a little brown blood on my underwear. I have been having bouts of lower abdominal pain since I was pregnant. I used to have it when I was pregnant. Before the abortion, I asked the doctor that it was caused by fetal development and uterus enlargement. I don't know if this is correct. It won't hurt very much, but it was only yesterday and today that I found a little blood, and there was no bright red, it was all black. I wonder if it's a threatened abortion. It is said that 60% of spontaneous abortion embryos are defective. I don't know if I should keep this child. I also want to know whether it is because the cold has an impact on the fetus during this period or because of many induced abortions. I don't know if this little life can be taken away. Should I answer it or not? I'm afraid that another abortion will have an impact on future fertility! But now I have a little black blood after a mild cold. What should I do?
Professor Li Dalin, expert in sexual medicine/fertility/venereal disease, director of Xuzhou Sexual Medicine Center.
B-ultrasound examination is recommended. If the embryo develops normally, it can be treated by abortion. If the embryo stops developing, abortion is inevitable.