Director Chen Qian’s Popular Science of Uterine Fibroids Ultrasound Ablation Treatment

Uterine fibroids are the most common gynecological tumors in women. Depending on the location, size, and age of the fibroids, the impact and clinical manifestations on the patients are different. The main effects of uterine fibroids on the human body are as follows: 1. Increased menstrual flow, prolonged menstrual period, submucosal fibroids and some large intermural fibroids. The most common manifestations are severe menstrual flow and even hemorrhagic shock in some patients. 2. Infertility and abortion, some fibroids compress the endometrium, causing uterine cavity morphology, and it is difficult for patients to conceive normally. Even after pregnancy, as the fibroids increase, fetal development will stop. , Even miscarriage; 3. Dysmenorrhea, fibroids generally cause less dysmenorrhea. When fibroids are degenerated or twisted, abdominal pain will appear; leucorrhea is abnormal; 4. There are corresponding symptoms of pressure, such as frequent urination and urgency. Or constipation, falling anus, etc. Therefore, most individuals recommend early treatment for fibroids. At present, in addition to traditional surgery and laparoscopic surgery, Haifu focused ultrasound ablation is the preferred treatment. The most worried and anxious patients in the clinic are: 1. Whether the fibroids can be completely ablated: Haifu focused ultrasound ablation is a precise three-dimensional ablation, using dots, lines and surfaces to completely ablate fibroids; so most muscles All tumors can be ablated 100%. 2. Whether it affects pregnancy: Haifu focused ultrasound ablation focus is only a few millimeters, so the damage to the tissue is millimeter-level, and it will hardly damage the inner membrane and serous membrane; at the same time, it has no effect on ovarian function. 3. Fibroids shrinking time: due to differences in the physique of each patient, the absorption time of fibroids ranges from several months to 2 years, most of which take one year, and a few patients do not absorb fibroids after necrosis. The picture provided in this article is like everyone’s demonstration. After an 8 cm posterior fibroids, after a Haifu focused ultrasound ablation operation, the fibroids were ablated 100%, and the intima serosa was not damaged at all.

Bleeding during ovulation

Bleeding during ovulation, bleeding during ovulation is a small amount of menstrual-like bleeding formed by part of the endometrial shedding due to a temporary drop in estrogen levels in the middle of menstruation. Simply add dydrogesterone, which is progesterone, if the estrogen just recovers during this period, the bleeding will stop. If estrogen does not rise for a long time, just supplement progesterone, without a certain level of estrogen synergistic effect, there will be another bleeding after the bleeding has stopped. The root cause of bleeding during repeated ovulation is follicular dysplasia. After ovulation, it cannot secrete estrogen and progesterone normally and cannot support the thickened endometrium, causing a small amount of bleeding. It is recommended that low-dose estrogen such as progynat 0.5mg or 1mg + dydrogesterone be used together for 10-14 days, and the next menstrual cramp is stopped when the drug is stopped. If there is a small amount of bleeding during ovulation, it is recommended to go to the hospital for a gynecological examination and B-ultrasound to check for bleeding caused by the cervix, uterine fibroids, endometrial polyps, etc. It is recommended to develop good habits in daily life, not to stay up late, and to eat less spicy and irritating food, but eat raw and cold irritating food. Keep a good mood, keep a cheerful and optimistic attitude, don’t get sulky, avoid excessive mood swings, pay attention to proper exercise, and relieve stress #我的健康能源站#

Bleeding during ovulation

Bleeding during ovulation, bleeding during ovulation is a small amount of menstrual-like bleeding formed by part of the endometrial shedding due to a temporary drop in estrogen levels in the middle of menstruation. Simply add dydrogesterone, which is progesterone, if the estrogen just recovers during this period, the bleeding will stop. If estrogen does not rise for a long time, just supplement progesterone, without a certain level of estrogen synergistic effect, there will be another bleeding after the bleeding has stopped. The root cause of bleeding during repeated ovulation is follicular dysplasia. After ovulation, it cannot secrete estrogen and progesterone normally and cannot support the thickened endometrium, causing a small amount of bleeding. It is recommended that low-dose estrogen such as progynat 0.5mg or 1mg + dydrogesterone be used together for 10-14 days, and the next menstrual cramp is stopped when the drug is stopped. If there is a small amount of bleeding during ovulation, it is recommended to go to the hospital for a gynecological examination and B-ultrasound to check for bleeding caused by the cervix, uterine fibroids, endometrial polyps, etc. It is recommended to develop good habits in daily life, not to stay up late, and to eat less spicy and irritating food, but eat raw and cold irritating food. Keep a good mood, keep a cheerful and optimistic attitude, don’t get sulky, avoid excessive mood swings, pay attention to proper exercise, and relieve stress #我的健康能源站#

Are there any sequelae after stent implantation?

For patients with coronary heart disease myocardial infarction and unstable angina pectoris that are not ideally treated with drugs, they will face a question: The doctor says that a stent is needed. Will there be any “sequelae” if the stent is placed? Will there be any bad effects? Understanding the stent: The stent is a mesh support made of stainless steel, nickel-titanium alloy or cobalt-chromium alloy. There are also degradable stents, but the clinical safety and long-term effects need to be further studied. The stent is equivalent to a physical support. Through the expansion force of the stent itself, it supports the vascular intima or dissection so that it is pressed against the vascular wall to treat and prevent the revascularization of the blood vessel due to the collapse of the intima or the elastic retraction of the vessel wall. The purpose of stenosis or even occlusion. Here, it needs to be emphasized that: stent implantation is only an emergency treatment method. In order to open occluded or severely narrowed blood vessels as soon as possible, it cannot fundamentally cure coronary atherosclerosis. After stent implantation, medical treatment is still required. Still need to improve the lifestyle. Changes after stent implantation: A few hours after the stent is implanted in the blood vessel, a thin layer of fibrocytes and platelets will form on the surface of the stent. The deposition of fibrocytes and platelets on the surface of the stent was more obvious one week after the operation, forming a thin layer of thrombus with a small piece of newly formed vascular intima in the thrombus. Two weeks after the operation, the thrombus tissue was replaced by cells, and the neovascular intima continued to grow. About 4 weeks after the operation, the stent was basically covered by the neovascular intima. After 8 weeks, the neovascular intima thickness will gradually become thinner after increasing to 0.2-0.5mm. At 6 months postoperatively, the stent was covered by a stable intima. In other words, the stent will eventually be covered by the intima of the blood vessel. Some patients ask whether the stent can be removed, but the answer is no. The impact on the body after stent implantation: 1. After stent implantation, strong anti-platelet therapy is required to prevent thrombosis in the stent. Clopidogrel and ticagrelor are commonly used. Generally, it can be stopped after a year of application. Some scholars believe that intensive treatment can be stopped in about half a year. The basic treatment of coronary heart disease (aspirin, statins) requires long-term maintenance. 2. After stent implantation, a few people will experience foreign body sensation, which will generally disappear gradually, and some uncomfortable symptoms may be left behind. 3. If there is no active drug treatment and lifestyle improvement, atherosclerotic plaques will form again in the stent, resulting in stenosis in the stent again. 4. Cardiac color Doppler ultrasound, CT, magnetic resonance and other examinations can be performed after stent implantation, but it will cause some interference with CT and magnetic resonance imaging. 5. After the stent is implanted, it will not affect the normal exercise, nor will it fall off due to the activity. It is the heart recovery that restricts the activity intensity, not the implantation of the stent. If the process of implanting the stent is smooth, the impact on the body is minimal. Of course, stent implantation is also risky. In the process of implanting the stent, the guide wire may break due to equipment, operation, and disease. The stent falls off, the stent implantation site hemangioma, malignant arrhythmia, and severe bradycardia. Blood vessel perforation, rupture, pericardial effusion, recurrence of acute myocardial infarction, arterial dissection, and even death, but the probability of these conditions is very small.

Can I ovulate normally after menstruation?

Is it possible to ovulate normally after menstruation? After puberty, females secrete corresponding hormones under the mediation of hypothalamus, pituitary gland and ovarian axis, and then make the follicle mature and discharge successfully. The hormones involved in the maturation and discharge of the follicle include FSH, LH, and female Hormones etc. The follicle matures and the secretion of estrogen gradually increases. Under the action of estrogen, the endometrium undergoes proliferative changes. Under the action of luteinizing hormone, the follicle after ovulation forms a corpus luteum and secretes estrogen and progesterone Under the action of progesterone, the endometrium transforms into secretory endometrium. Because the corpus luteum secretes a large amount of estrogen and progesterone, it inhibits the hypothalamus and pituitary through negative feedback, so that follicular stimulation and luteinizing hormone are reduced, and the corpus luteum shrinks. Progesterone and estrogen are also reduced, the endometrium loses sex hormone support, it collapses and bleeds, the endometrium falls off, and menstrual cramps.   The ovulation period is the middle few days of the normal menstrual cycle. The maturation and discharge of follicles are not only closely related to hormones, but also closely related to the health of the ovaries themselves. If the ovaries appear diseased, it is possible that mature eggs cannot be discharged normally. Therefore, menstruation may not be able to ovulate normally. Reminder: Is the above about normal ovulation after normal menstruation? In order to facilitate patients and those in need to better understand the relevant information about the disease, Xi’an Reproductive Health Hospital has specially opened a free online consultation service for doctors. You answer questions about related diseases, provide professional treatment plans based on your condition, and keep your privacy confidential.

Interpretation of Cheng Yahui: What are the symptoms of tubal obstruction?

   Fallopian tube blockage is one of the common causes of female infertility, mostly caused by acquired factors. For infertility patients, if they have blocked the fallopian tubes, they must go to a regular hospital in time. So, when should we pay attention to what happens?    First, what are the performances of tubal blockage?    In fact, most pregnant friends with tubal blockage have no obvious signs.  Some people experience intermittent pain in the lower abdomen, or pain in the lower back. These discomforts often increase during the menstrual period, the same room, or after fatigue.  Some pregnant women will also have abnormal menstruation. If the inflammation is serious, it will lead to low ovarian reserve function, which may be shortened menstrual cycle, or increased menstrual flow or irregular vaginal bleeding due to pelvic organ congestion.   In fact, in addition to the symptoms, everyone should pay attention to whether they belong to the type of group that is prone to blockage of the fallopian tube.  Who are at risk of tubal occlusion?    1. Have a history of sexually transmitted diseases such as gonorrhea, Chlamydia trachomatis and Ureaplasma urealyticum infection.   2. There is a history of pelvic inflammatory disease. There is one or more history of acute pelvic inflammatory disease.   3. Once used IUD will increase the incidence of endometritis and salpingitis.   4. Endometriosis or cyst rupture can cause pelvic adhesions.   5. There are pelvic or lower abdomen diseases and surgical history. Inflammation of the organs or tissues around the fallopian tube, abscesses and organ perforation, such as ovarian and fallopian tube surgery, appendectomy and intestinal surgery may indirectly lead to fallopian tube blockage.  Once the fallopian tube is blocked, pregnant friends should not be worried. Seeking medical treatment as soon as possible is the solution. I wish you all a good pregnancy!

What is not suitable for fresh embryo transplantation?

Q: Should I stay in bed after test tube transplantation? A: After the test tube transplantation, it usually takes only two hours of rest to start a normal life and work. Generally, minor exercise is not a big problem. Be careful not to exercise vigorously. You should rest more and not stay in bed. Because the embryo will not fall off easily after entering the body for 2 hours, long-term bed rest will affect the transplantation effect and reduce the implantation rate. And long-term bed rest will also weaken the gastrointestinal motility, and the progesterone used during embryo transfer will also reduce the gastrointestinal motility, so it is prone to constipation. It is recommended to eat more fresh fruits and vegetables and high content Fiber food prevents constipation. Q: What if the number of follicles is too small? Do you want to give up the test tube cycle? A: The number of follicles is too small. There may be cases where no eggs can be obtained, the eggs are not fertilized, and finally there are no available embryos. Normally, the small number of follicles occurs in patients with hypoovarian reserve. The small number is not the reason for canceling the cycle, because it may not be more next time. It depends on the individual ovarian function assessment, and it is recommended to listen to the opinion of your attending physician. For patients with few basal follicles, one egg should be taken even if they are in a natural cycle. The number of follicles is small, don’t give up lightly, keep an optimistic and positive attitude, you may also get one or two good embryos, and still have the hope of pregnancy. Q: Under what circumstances is not suitable for fresh embryo transplantation? A: 1. Estrogen is too high or there are many follicles. In order to prevent the risk of ovarian hyperstimulation syndrome (OHSS), or the symptoms of OHSS such as bloating, abdominal pain, nausea, and anorexia, etc., it is not suitable for fresh embryo transplantation. 2. Endometrial factors: endometrium is too thin, endometrial polyps, etc., too high progesterone (≥8.5pmol/L) in the process of ovulation may affect the endometrial receptivity, under these circumstances, it is not recommended to carry out fresh embryos transplant. 3. Infection, fever, intra-abdominal hemorrhage, etc. after egg retrieval are also reasons why fresh embryos cannot be transferred. 4. In addition, it is temporarily unsuitable for pregnancy. People with abnormal thyroid function, poorly controlled hypertension and diabetes do not undergo fresh embryo transplantation. The above situations are the reasons why some sisters cannot carry out fresh embryo transplantation. Test-tube friends can communicate with the attending doctor more to understand the reasons for not carrying out fresh embryo transplantation, and follow the doctor’s instructions for conditioning and treatment. Far away!

5 truths about polycystic ovary syndrome are very important

Polycystic ovary syndrome causes infertility, we must pay attention to understand polycystic ovary syndrome to have a psychological preparation and understanding. I believe that rediscovering will not be so overwhelmed and unable to find a solution. 1. Polycystic is a wrong name? What? Polycystic is not called polycystic? Of course, PCOS is not the first to name a disease that is not suitable or accurate after many years. The two scholars described the cysts as immature sinus follicles. This inappropriate wording has become its unique label for decades. Except for adolescents, ovarian morphology is not the most important condition for diagnosing disease. Similarly, women with polycystic ovaries without hormones or metabolic abnormalities cannot be diagnosed with PCOS. But so far, experts have not been able to reach consensus on giving the syndrome a new name sufficient to express its anatomical, clinical, and metabolic performance. But it’s also called getting used to it, and it’s deeply rooted in people’s hearts, so let’s call it that way now. 2. PCOS is not uncommon, 10% of women are affected by it! As a “closer friend of women”, PCOS affects nearly 10% of women, which is not counted for those who have not yet found a diagnosis. For this, I think women It is also well understood. So far, international experts have put forward three consensuses on PCOS diagnostic standards, namely the NIH standard formulated by the National Institutes of Health (NIH) in 1990, the Rotterdam standard jointly proposed by ESHRE and ASRM in 2003, and the US in 2006 Androgen excess-AES standard proposed by the PCOS Society (Androgen Excess and PCOS Society, AE-PCOS). Some patients have regular menstrual cycles, but 85% -90% of patients have menstrual cycles over 35 days or less than 9 menstrual cycles per year. Clinical evidence of hyperandrogenism and / or androgen excess (hirsutism, acne, clitoral hypertrophy, physical signs of men) is present in up to 80% of affected women. Although some women have not been diagnosed, some findings are more common in women with PCOS, including obesity (at least 50%), increased luteinizing hormone levels, insulin resistance, impaired glucose tolerance, type 2 diabetes, dyslipidemia, hypertension, Vascular endothelial dysfunction, hypercoagulable state and endometrial hyperplasia. “Why can’t we get pregnant, why our menstruation is irregular, why are our faces covered with acne and body hair that can’t control crazy growth?” Constantly seeking medical advice and medicine, the woman’s heart was suffering too. In fact, PCOS is all around us, and women with PCOS also need our help. 3. PCOS is the most common cause of female infertility. It is important to know that the basic cause of PCOS female infertility is low ovulation or no ovulation. In fact, 90% of women with oligomenorrhea or amenorrhea suffer from PCOS. However, lack of ovulation is not the only cause of infertility, such as obesity, poor egg quality and unfavorable endometrial environment can also affect women’s fertility opportunities. In addition to assessing ovarian function, couples should also conduct appropriate and complete infertility assessment (male factor infertility, fallopian tube status, etc.). If the rest of the assessment is normal, regular ovulation must be resumed to improve fertility. What should these women do? In women with a high body mass index, weight loss is first-line treatment. A 5% weight loss can have a beneficial effect on ovarian function. For women who have not become pregnant after lifestyle interventions, metformin has been shown to improve ovulation and live birth rates. Clomiphene is the drug of choice for ovulation induction, successfully inducing ovulation in up to 80% of PCOS women. This effect seems to be better than metformin. Combining the drug with metformin (especially women who are resistant to clomiphene) can further improve its efficacy. As an alternative treatment, aromatase inhibitors may induce ovulation without negative endometrial effects. But the drug is not a panacea, nor does it necessarily have an exact effect on all women with PCOS. Women who do not respond to oral medications may consider gonadotropin stimulation or laparoscopic ovarian drilling. Gonadotropins are very effective in inducing follicular development, but often increase the risk of ovarian hyperstimulation syndrome and multiple pregnancy. Use in vitro fertilization and selective embryo cryoprotection

What is the disease of aortic dissection?

What is a thoracic aortic dissection? The aorta is the thickest blood vessel in the human body and transports blood to the whole body. When it comes out of the heart, it is called the thoracic aorta in the chest, and when it reaches the abdomen, it is called the abdominal aorta. The aortic wall is composed of three layers of tissue that are tightly attached together, called the intima, media and adventitia. Thoracic aortic dissection is caused by various pathological factors that cause the tear of the intima of the artery wall. The vascular cavity is called “true cavity”. There is only a thin layer of arterial adventitia outside the “pseudocavity”. How dangerous is aortic dissection? After the aortic dissection is formed, the artery wall will become thin and brittle, and a cough may cause the artery to rupture. However, existing medical technologies cannot accurately predict when it will rupture. It is likened to “an untimed bomb in the human body”. Regardless of whether you are in the acute phase or the chronic phase, once a rupture causes massive bleeding, the success rate of treatment is extremely low, which basically equals the death of the patient. According to statistics, the mortality rate at 15 minutes after the onset of thoracic aortic dissection is 20%. Without treatment and treatment, the mortality rate will reach 50% within the first 48 hours, and only 10% will survive 1 year later. Symptoms: About 90% of patients have sudden severe pain on the front chest, back or abdomen, which is tingling, tearing or knife cutting, which is unbearable. The patient was restless and sweaty. Although the risk of aortic dissection is high, early detection and timely treatment can achieve good results. In the event of an acute attack, time is life and must be sent to the hospital immediately. Attention for referral of aortic disease: (1) Control blood pressure; (2) Appropriate analgesia