2021年2月3日星期三

hemorrhoids early pregnancy,Please help me get pregnant! Suffering from genital itching, pelvic inflammatory disease, vaginitis, uterine fibroids

    Patient question:

    Diseases: pelvic inflammatory disease, vaginitis, uterine fibroids, vulvar itching!

    Content: Description of the condition (time of onset, main symptoms, hospital visit, etc.):

    Hello. District doctor. I saw that you were very professional when answering other patients’ questions. I trust you very much. I am a girl of 24. At the end of January this year, I had a flow of people. Menstruation on February 28th. Clean for five days. Menstruation on March 22nd, hurry up for five days, menstruation on April 18th, only three days, after having sex on April 30th, menstruation came again on the second day, hurrying to a tertiary hospital, the doctor said he was afraid I had a miscarriage of ectopic pregnancy. I had a vaginal ultrasound and examination during my menstrual period. I said I had a 0.8cm uterine fibroids. I didn’t give a conclusion. I gave me antibiotics and Puling pelvic granules. I started to eat. The menstruation lasted for seven days. After menstruation, I experienced severe genital itching. One flap of the labia minora was swollen all the time. The vagina was swollen and itchy. There were white discharge from the vagina and labia. Hemorrhoids also recurred. I used it. Metronidazole suppository once, a little better

    Previous treatment conditions and effects:

    After the abortion, the doctor said that I had pelvic inflammatory disease and vaginitis. I prescribed gynecological Qianjin tablets, tinidazole tablets, metronidazole suppositories, and compound Qingdai perfusion solution. I stopped using it for a while. Occasionally Lower abdomen pain

    What kind of help do you want:

    I hope you can give me a guide based on my situation, your rich experience, how should I use medication, trouble you, and I will be grateful!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: According to the information you provided, if you feel itching and more leucorrhea in the vagina, you should go to the hospital to see a gynecologist and obstetrician to check whether there is mold in the leucorrhea. It is recommended that you go to a government-run hospital, preferably a tertiary hospital to see an obstetrician and gynecologist. Based on the information you provided, there is no evidence that you have "pelvic inflammatory disease." Please refer to the related content of the series of popular science articles about "pelvic inflammatory disease" and "true and false pelvic inflammatory disease" that I have published on this webpage.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: As long as you go to a government-run hospital to see an obstetrician and gynecologist, the doctor will check your leucorrhea. If there is mold in the leucorrhea, you do not need to wash your vagina with medicine. If it is trichomonal vaginitis, the doctor will rinse you with an acetic acid solution. If you do not have pelvic inflammatory disease, you are not sick, and you do not need medication if you are not sick. You should know "three points of poison for every medicine". The most terrible "poison" is drug resistance caused by indiscriminate use of drugs when you are not sick. If you are really sick by the time, if you are not sensitive to the drugs, there will be no cure. .

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: If you check that there are no pathogenic bacteria in the vaginal discharge, you should stop using all drugs immediately. Please refer to the related content of the popular science articles about "Why the more the vulva is washed, the more itchy" and "Why the more vaginal discharge is washed" that I have published on this webpage.

    Patient question:

    District Director, I am a patient who just saw you for medical treatment. I saw you on the morning of June 9, 2013. The following is my laboratory test sheet. The current problem is that I did not ask clearly at the time, because I am about to have menstruation, and now I have started to take the second medicine, which is: doxycycline hydrochloride enteric-coated capsules and vitamin B6 Take it together. So should I continue to take it during menstruation or after the blood is clean? Will it have an impact. Another question is, you asked me to go for a review 7 days after taking the medicine. If I catch up with my menstrual period, should I ask you for a review as soon as my period ends? Or should I look for you again after 7 days after the menstrual blood is clean? wish you healthy! Thank you! Looking forward to your reply.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: You cannot stop taking the medication when you are menstruating, and you must take the medications for a course of treatment in order. If you have menstruation before 7 days after taking the medicine, you can come to my office for review after the menstruation is completely clean. Re-examination is to do leucorrhea examination, of course, it can only be done when there is no menstrual blood.

    Patient question:

    District Director, thank you for curing my disease. I cannot express my gratitude! Now my husband and I are planning to get pregnant, and I want to see you for a comprehensive pre-pregnancy check. My menstrual period came on October 26, and it was clean on the 28th. I feel that my menstrual flow is very small. On November 2nd, my menstruation was clean for about 4 days. Can my husband and I visit you for a check on this day? Do you go on an empty stomach? What needs to be prepared? Looking forward to your reply, thank you!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: The “low menstrual flow” you mentioned is a condition of menstruation, and the condition of menstruation requires checking sex hormones to determine whether the ovaries have ovulation problems. If a blood test is required, it must be taken within the first three days of menstruation. In fact, you don’t need to do special “pre-pregnancy check-ups” because you are already pregnant, so if you want to become pregnant and have not been pregnant for more than a year, you will find a doctor to check the cause and treatment for you.

    Patient question:

    Yes, the district director, thank you for your busy reply, yes, I still want to have a comprehensive gynecological examination, and my husband also wants to have a basic male examination, as well as an examination for similar infectious diseases. As well as the inspection of his sperm quality, and because I want to give birth, I don’t know if "cervical erosion" will affect the pregnancy. I still hope to find you the most pregnancy test. I don’t know my blood type. If it is O blood, do you need to have a blood type check? We still hope to have a prenatal and postnatal care, so I want to go to see you this weekend! I wish you good health.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: If you need to "do a comprehensive gynecological examination, and my husband also wants to have a basic male examination", you don't need to come to our office for treatment, you can go to our government-run tertiary hospital The "Physical Examination Center" pays for the examination!

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Patient question:

    You said "no special treatment is needed, because it doesn't affect pregnancy", but I am very painful and cannot have a married life at all. It has been half a year since you cured the vaginitis last time, and then you prescribed medicine to my husband, and he took it on time, because I was afraid that the illness would not be complete, so I went to see you for a diagnosis and recovered in early November. Get pregnant on the 4th. I have been in bed two days ago because of lower body discomfort. Today I went out to walk a bit more. When I went home, my underwear was soaked and my vaginal discharge was "yellow-gray paste"! The stench is so nasty that I just throw away my underwear. I have never seen this before, and I can hardly imagine what the vagina looks like. My husband and I have paid great attention to hygiene. It was just because we wanted our children to have the same room three times. The hygiene and cleaning were done thoroughly and carefully. The underwear was updated a month. After the symptoms appeared these days, even the underwear was boiled in boiling water. Our husband and wife have never had other sexual partners. I don't understand why this disease is repeated again and again. I have always been healthy! Just because I was pregnant a few years ago (you can read my previous consultations), but at that time, I had to take antibiotics and knocked out the child. After that, my husband and I have been suffering from gynecological diseases repeatedly. In a normal married life, my genitals are severely itchy and swollen. I can only wash it a few times a day to relieve the pain. District Director, I am in a very depressed mood now. I don’t know what the disease is? Please help me and reply me as soon as possible. Now the leucorrhea is flowing continuously, the amount is very large, yellow-gray paste, accompanied by foul smell, external itching and swelling, I look forward to your reply! Thank you!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: According to the information you provided, if you "today" "leucorrhea is: "yellow-gray paste"! Stinky smelly", I suggest you go to a government-run hospital, preferably top three Obstetricians and gynecologists in the hospital do a leucorrhea examination to determine whether or what kind of vaginitis.

    Patient question:

    District director, my husband and I did not succeed in preparing for pregnancy. I had menstruation after last week’s consultation. After the menstruation was clean, the leucorrhea situation has changed again. Now there are many secretions, which are like bean dregs and occasionally accompanied by watery, fishy smell and peculiar smell There are many leucorrhea, severe irritation of the vulva, severe irritation in the middle of the night, and occasionally can’t help but scratch. Now it looks like a damaged face, bleeding from scratches, and it is very swollen, and the labia minora is also swollen. My menstruation is over and clean this weekend. It happened to have a clean menstruation for a week. My husband and I want to cure the disease as soon as possible and want a healthy baby. He also made an appointment for a circumcision surgery on December 31. We really hope that both parties will not relapse after the cure. This Saturday, December 28 Can I see you for a doctor? Want to heal quickly!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Patient question:

    District Director, I’m sorry for taking up your precious time. I’ll confirm the medication problem with you. Everything else is clear. It’s just about the order of clotrimazole suppository and trimixin cream. It is done with the trimixin cream first. Do you use clotrimazole suppository before going to bed? Sooner or later, Trimidine is first and then Clotrimazole. Is this order correct? Thank you district director. I hope you will pay attention to your health and good health. We will wait for your reply.

    Patient question:

    District Director, I’m sorry for taking up your precious time. I’ll confirm the medication problem with you. Everything else is clear. It’s just about the order of clotrimazole suppository and trimixin cream. It is done with the trimixin cream first. Do you use clotrimazole suppository before going to bed? Sooner or later, trimixin is used first, and clotrimazole is used later. Is this order correct? Thank you district director. I hope you will pay attention to your health and good health. We will wait for your reply.

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: First wipe with Trimidine Cream, and then use clotrimazole suppository before going to bed. Sooner or later, Trimidine is used first, followed by clotrimazole.

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: There is no need for special testing of "progesterone" throughout the pregnancy! Even if you detect the amount of progesterone, it does not mean that your daily progesterone will be "less" or "more"! Even if you detect that progesterone is "low", it cannot be increased through your medication or "injection"! Because progesterone is produced all the time, and it is degraded and excreted all the time. The most frightening, however, in the very early stages of pregnancy, the corpus luteum will secrete progesterone in a timely manner according to the division of the fertilized egg to "support" the continued pregnancy, including the synchronization of the endometrium and the implantation of the fertilized egg. If you use progesterone-acting drugs to "treat", it will affect the endometrial dyssynchrony, interfere with the "implantation" of the fertilized egg, and abortion will occur.

    According to the information you provided, if you have not been "bleeding" now, you do not need to use drugs for "treatment" now! As long as the embryo and fetal heart beat are detected by B-ultrasound (calculated from the first day of the last menstrual period) at the 50th day of pregnancy, the pregnancy is considered successful. Please refer to the related content of the popular science article about "Three Things to Do During Pregnancy" that I have published on this website.

    Patient question:

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: What you have provided is the inspection report and treatment situation from a long time ago, which is of no reference to the situation you are mentioning now. You can find an obstetrician and gynecologist in a government-run hospital in your place of residence. It is necessary to have leucorrhea detected to have pathogenic bacteria, and then to suffer from vaginitis, then can we choose targeted drugs for treatment.

    Patient question:

    Patient question:

    Is it a fungus or a mold? I think there are several test results that show plus, yes, yes. Does coagulase indicate bacterial vaginitis? Is the fungus mold vaginitis? Waiting for your diagnosis, looking forward to your medication plan, thank you district director!

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong's reply to you: The detection of "fungal hypha" in the leucorrhea examination report you provided indicates that you have fungal vaginitis. When suffering from fungal vaginitis, there must be many abnormal test results. As long as you are cured of vaginitis, the "abnormal" test results will gradually return to normal.

    To treat fungal vaginitis, you only need to insert an anti-fungal vaginal suppository in the vagina for 10 consecutive days. Sodium bicarbonate solution can be used to sit in the bath before putting the medicine every day. Oral antifungal drugs have no definite efficacy.

    After using the vaginal suppository for 10 days, you must throw away the plastic basins, towels, and worn-through underwear that you used to wash the vulva, and buy new underwear to wear. Otherwise, it will be easy to re-infect mold.

    After the 10-day anti-fungal vaginal suppository is used up, the vaginal discharge can be rechecked in 7 days. If you have a vaginal discharge test and no mold or mold spores are found in the vaginal discharge, the fungal vaginitis has been cured and no medication is needed. Otherwise it is excessive medication. Excessive medication can also cause damage to the vaginal mucosa or vulvar skin and mucous membranes, resulting in itching. Excessive medication will also affect the normal flora in the vagina that cannot be restored, and the recurrence of fungal vaginitis or the occurrence of bacterial vaginosis is not worth the loss! Please refer to the "Why the more itchy vulva is washed?" I have published on this website. "Why the more vaginal discharge is washed? "Talk about the content of the popular science article on bacterial vaginosis."

    Patient question:

    Patient question:

    District Director, I will add according to Question 5, because I will have menstruation a few days earlier every month. According to the calculation, it will be on the 14th or 15th of this month, which means I will use the medicine until the eighth to ninth day. Look, in this case, how do you take the medicine after menstruation ends? Should I re-use the medicine for 10 days or end after two or three medicines in the next few days are used up?

    Patient question:

    District Director, to add to the question about drugs, can I use the clotrimazole suppository in the picture below?

    Patient question:

    District Director, I’m sorry that the question is too messy. It may make you look more strenuous. I will add another question to Question 6. I remember that when you treated my recurring mold, you had used vaginal suppositories in the morning and evening. ? Do you just need to stuff one every night?

    Xudong, Department of Gynecology, The Third Affiliated Hospital of Guangzhou Medical University responded:

    Dr. Ou Xudong’s reply to you: The medicine you took is correct. It is a special anti-fungal vaginal suppository. The method of plugging is twice a day for 10 consecutive days as a course of treatment.According to the information you provided, reply one: You don’t need to use Trimixin now. If you have tinea, you should go to the government-run third-class hospital to find a dermatologist for you after curing the fungal vaginitis. Prescribe medication. Two: Aiming at the "lessness" of Lactobacillus on the laboratory test list, it is not necessary to give Lactobacillus preparation suppositories in the vagina to balance the flora after the mold is completely cured. Lactobacillus will multiply on its own and will heal without medicine. Three: If you check that there is no mold after 7 days of using the medicine, you do not need to use the medicine to "consolidate" after the next menstruation. You only need to wash the changed underwear every day and dry it in the sun before wearing it to prevent Suffering from fungal vaginitis. Four: Your husband needs the same treatment, which is to treat "tinea corporis". He has tinea corporis, and he needs to go to the government-run tertiary hospital to see a dermatologist and prescribe drugs to cure tinea corporis as soon as possible. Fifth: If you take the medicine for 5 days (not to 7 days) for a period, then you need to re-administer the drug for 10 consecutive days after the period. If it takes 8-9 days for menstruation after taking the medicine, check the leucorrhea first to see if there are molds or mold spores after the menstruation is clean. If there is no mold or mold spores found in the re-examination, the fungal vaginitis has been cured, and there is no need for medication to avoid excessive medication. If the fungal vaginitis is not cured, you will need to continue the medication for 10 days. Sixth, on the first day of using the vaginal suppository for curing mold (the first medication in the evening), you need to increase the amount, two at a time (only one in the next morning), and two times a day after that bolt.

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