After gynecological inflammation occurs, the patient will feel that her lower abdomen becomes very swollen, and she will often fart. If this is the case, you must find a way to improve it, but first you need to find out the cause of your illness so that you can receive targeted treatment. The occurrence of this situation is mainly related to vulvar cancer, so it must be taken seriously. 1. Dysfunctional uterine bleeding It is the name of a disease in modern medicine, which refers to uterine bleeding caused by ovarian dysfunction, referred to as "functional uterine bleeding". 2. Vaginal cancer Vaginal cancer is a rare vaginal malignancy that can be divided into two types: primary and secondary. 3. Vulvar cancer Vulvar cancer is a malignant tumor of the vulva and is not uncommon. 4. Ovarian cancer Ovarian cancer is a malignant tumor that occurs in ovarian tissue. Clinically, symptoms such as lower abdominal discomfort, abdominal pain, abdominal mass, menstrual disorders, and compression may occur. 5. Cervical cancer Cancerous changes in the epithelial cells lining the cervical vagina or endocervical canal. From the tissue point of view, cervical squamous cell carcinoma and uterine cervix are the main ones. 6. Uterine cancer It usually refers to uterine body cancer, that is, endometrial cancer. Symptoms such as irregular vaginal bleeding may appear in the early stages. 7. Hydatidiform mole Blister-like fetal masses are caused by abnormal proliferation of trophoblastic cells of the placental villi after pregnancy, which causes the terminal villi to turn into blisters, and the connections between the blisters are shaped like a bunch of grapes. 8. Cervicitis Cervicitis is a common disease among women of childbearing age. It can be divided into two types: acute and chronic. Chronic cervicitis is the most common type in clinical practice. 9. Vaginitis Vaginitis is a common disease in gynecological clinics. Clinically, the main clinical features are changes in the nature of leucorrhea and itching and burning pain in the vulva. Dyspareunia is also common. 10. Pelvic inflammatory disease When the female internal reproductive organs (such as the uterus, fallopian tubes, ovaries, and pelvic peritoneum) and their surrounding connective tissue and pelvic peritoneum become inflamed, it is called pelvic inflammatory disease. 4. Uterus and appendages Purpose of examination: To understand the location of the uterine fundus, whether it is active, and its texture. If the uterus is enlarged, too hard, or has an uneven surface, these are abnormal phenomena and further examination is required. Normal uterus: inverted pear-shaped, 5 to 6 cm long, 4 to 5 cm wide, and 3 to 4 cm thick. Most are in an anteriorly tilted and anteflexed position, with a medium hard texture and good mobility. The ovaries and fallopian tubes are collectively called "appendages". They are movable and feel slightly sore and swollen when touched. Normal fallopian tubes cannot be palpated. The doctor takes out the speculum, puts on a pair of very thin rubber gloves, applies Vaseline, and slowly inserts one or two fingers into the vagina. The other hand is placed on the lower abdomen and presses down hard. This is an examination of the uterus and appendages. You will feel pain when your fingers touch the bottom of the uterus, but it will not last long, about 1 minute. 5. Leucorrhea examination The vaginal secretion is smeared and observed under a microscope. The vaginal cleanliness is determined by the number of vaginal bacilli, white blood cells (WBC) and miscellaneous bacteria. There are 4 levels: Grade I: There are a large number of vaginal bacilli and epithelial cells, no miscellaneous bacteria or white blood cells, the field of vision is clear, and the secretions are normal. Grade II: There are moderate amounts of vaginal bacilli and epithelial cells, a small amount of white blood cells and miscellaneous bacteria, and it is still normal vaginal secretions. Grade III: A small amount of vaginal bacilli and squamous epithelium, but a relatively large number of miscellaneous bacteria and white blood cells, indicating milder vaginal inflammation. Grade IV: There are no vaginal bacilli, only a few epithelial cells, a large number of white blood cells and miscellaneous bacteria. It indicates relatively severe vaginal inflammation, such as candidal vaginitis and Trichomonas vaginitis. |
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