Why do doctors also urge people to get married? (Part 2)

In the last issue, we explained the initial level - how to deal with HPV infection. This issue will carefully analyze how to deal with uterine lesions. Come and take a look!

What to do if you have uterine lesions?

The lesions of the uterine body include the familiar uterine fibroids and the relatively unfamiliar adenomyosis.

First of all, these two are benign diseases and will not pose a threat to your life. Many people have found that they have fibroids during examinations, but the doctors told them not to worry about it.

So what effect does uterine fibroids have on pregnancy? If the location of the fibroids is not good, growing under the mucosa, that is, on the surface of the uterine cavity, it may affect the implantation of the fertilized egg. Generally speaking, if the size of the fibroids does not exceed 5 cm, it will not affect menstruation, so we can observe it first.

It is common for women of childbearing age to have growing fibroids, but once surgical treatment is performed, there is a risk of uterine rupture if the woman becomes pregnant within 2 years after surgery. Therefore, when the fibroids are still small and do not pose a threat, it is recommended to advance the birth plan.

Clinical manifestations of adenomyosis

The clinical manifestations of adenomyosis are more serious than those of fibroids. Patients with adenomyosis usually have severe dysmenorrhea, heavy menstrual flow, and prolonged menstruation. In addition, the uterus will gradually grow larger and the receptivity of the endometrium will deteriorate, which means it is not easy to get pregnant.

Pregnancy itself is a treatment for adenomyosis. After giving birth, you can choose surgery, medication, or surgery and medication combined with treatment according to your personal situation without any worries.

What should we do if the endometrium has lesions?

In addition to lesions of the uterine body, the uterus also has lesions of the endometrium - atypical endometrial hyperplasia, complex endometrial hyperplasia, and even endometrial cancer.

Endometrial lesions are due to the continuous stimulation of estrogen, which can of course be reversed, but it does not have a long enough buffer time like cervical lesions. Therefore, once endometrial lesions are found, it is best to get pregnant as soon as possible after regular treatment. Not only can you have your own children, but you can also resist estrogen due to the increased progesterone levels during pregnancy, thereby achieving the desired therapeutic effect.

What to do if you have an ovarian tumor?

One of the three major gynecological tumors is an ovarian tumor. In the case of borderline and malignant ovarian tumors, if there is a chance to have a baby, you must seize the opportunity, but it is not recommended to passively treat it for the sake of having a baby. The safety of adults' lives comes first!

Common benign ovarian lesions include ovarian endometriosis. This disease, in which the endometrium grows inside the ovaries, causes bleeding in the ovaries during each menstrual period. In the long run, not only does it affect the ovarian function, it can also easily cause pelvic adhesions. Endometriosis is also prone to recurrence, and every surgical treatment is a harm to the ovaries. Like adenomyosis and endometrial lesions, pregnancy is also a treatment for endometriosis.

What to do about pelvic inflammatory disease?

There is another disease that bothers most female patients: pelvic inflammatory disease. Pelvic inflammatory disease is not a big problem, but it is not a small one. The symptoms are mild, such as back pain and abdominal distension when tired; severe cases may cause fever in minutes and require hospitalization for intravenous drip, and even pelvic abscesses may require surgery.

Pelvic inflammation can cause pelvic adhesions and fallopian tube blockage, affecting fertility.

In the above cases, doctors will also urge you to get married from a professional perspective. So, you must carefully consider the advice you should listen to.

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Author: Yu Zhen, Wang Ying, Liu Zhou, Zhoupu Hospital Affiliated to Shanghai Health and Medical College

About the Author

Liuzhou

Director of the Department of Obstetrics and Gynecology, Zhoupu Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Professor of Shanghai University of Medicine and Health Sciences, and Adjunct Professor of Hainan Medical College.

Engaged in clinical, teaching and scientific research work in obstetrics and gynecology for 28 years. Professional research direction: gynecological tumors, gynecological minimally invasive techniques and conservative surgery for adenomyosis, and rescue of critical obstetric emergencies.

Clinic hours: Monday afternoon, Thursday morning.

About the Author

Wang Ying

Deputy Chief Physician of Obstetrics and Gynecology Department of Zhoupu Hospital Affiliated to Shanghai Health Medical College. Has been engaged in obstetrics and gynecology for 20 years and has been working in the front line of obstetrics and gynecology for a long time.

In the past 20 years of work experience, I have systematically and comprehensively mastered the diagnosis and treatment principles and measures of common, frequently occurring and difficult and complicated diseases in obstetrics and gynecology. I have accumulated rich clinical experience and advocated the patient-centered working principle in the diagnosis and treatment process. I have good professional ethics and dedication.

Clinic hours: Saturday morning.

Funded by Shanghai Science and Technology Commission's Science Popularization Project

(Project No.: 20DZ2311100)