1. Female reproductive organs have abnormal development of female reproductive organs in the process of differentiation, formation, and development. During the process of internal and external factors, there may be stagnation or abnormal development.Different types of development abnormalities.Female reproductive organs are abnormal can affect menstruation, sexual life, fertility, pregnancy and delivery.[Diagnosis Standard] A variety of congenital malformations can occur in female reproductive organs, such as congenital uterine, uterine dysplasia, septum uterus, twin uterus, residual horn uterus, congenital vaginal no, vaginal lock, hymen -locking, hymen -locking, No uterus, no vagina, etc.Different clinical symptoms may occur due to different parts.Consistence of medical history, gynecological examination, B -ultrasound, angiography, CT or magnetic resonance, hysteroscopy, laparoscopy, etc. can assist diagnosis.
2. Cervicitis Cervicalitis is a common reproductive tract inflammation of women of childbearing age. Under normal circumstances, the cervix has a variety of defensive functions, including mucosal immunity, body fluid immunity, and cellular immunity.Important defense, but the cervix is susceptible to sexual intercourse, childbirth, and cervical operations, and the cervical tube single -layer cylindrical epithelium resistance infection ability is poor, and infection is prone to occur.Cervicitis includes cervical vulvar and cervical mucosal inflammation.Clinically, cervicitis is cervicitis. If it is not treated in time, it can cause inflammation of reproductive tract.
[Diagnosis Standard] Most patients are asymptomatic.Symptoms are mainly manifested in increased vaginal secretions, which are mucus pus, and vaginal discharge stimulation can cause itching and burning sensation of the vulva.In addition, symptoms such as menstrual bleeding and sexual intercourse can occur.If the urinary tract infection is combined, urgency, frequent urination, and dysuria may occur.Seeing cervical congestion, edema, and mucous membranes from gynecological examinations, there are mucus purulent secretions flowing out of the cervix, and the cervical tube mucosa is crispy, which is easy to induce bleeding.If it is infected with gonorrhea, the urethral gland and vestibular gland are affected. It can be seen that the urethral mouth, vaginal oral mucosal congestion, edema, and multiple purulent secretions.
Two characteristic signs appear. Use microscope to check the increase in vaginal secretion white blood cells to diagnose cervical inflammation.It is necessary to further test the detection of chlamydia and gonorrhea.Two characteristic signs, with one or two at the same time: ① specimen on the cervical or cervical tubular cotton swab, visible purulent or mucus purulent secretions can be visible to the naked eye.② Wipe the cervix with a cotton swab, which can easily induce bleeding in the cervix.White blood cell detection: can detect white blood cells in cervical duct secretions or vaginal secretions, and the latter needs to exclude the increased vaginal inflammation of the white blood cells.① Cervical pyloridation secretions are applied for Gram -stained, neutral granulocytes> 30/high -power vision.② Vaginal secretion of wet slices, white blood cells> 10/high -power field of vision.Pathogrene testing: It should be tested by chlamydia and gonorrhea, as well as fungal vaginitis and trichomoniasis vaginitis.Because cervicitis can also be a signs of upper genital tract infections, there should be a supreme genital tract infection for patients with cervicitis.
[Effect on pregnancy] The effect on pregnancy is easy to cause abortion, premature fetal membrane, and premature birth; it has less impact on the fetus.
[Risk Category] Patients with cervicitis should be pregnant after disease cure, and the risk is Class B.
[Suggestions for pre -pregnancy eugenics guidance] The treatment of cervicitis is mainly antibiotic drug treatment.Patients with high -risk factors that have sexually transmitted diseases, especially young women, can be treated without the results of the preliminary examination of the disease. The scheme is 1g of Achicterin 1g. It is 100mg of polyxin, 2 times a day for 7 days.For those who obtain pathogens, choose sensitive antibiotics for pathogens.Simple acute gonorrhea Naacerobinitis advocates large doses and dosage.Sodium cephalosporte sodium is 250mg, internal injection in a single muscle, or 400mg of cephalosporin, and take it in a single.Chlamydia infection of the sandylona infection: Choose sensitive drug treatment according to the drug sensitivity test.Commonly used is Achicillin 1g of one -time clothing, or 500 mg of erythromycin 4 times a day, even for 7 days.For patients with drug treatment, 3 to 6 months of pregnancy should be used after stopping the drug.
3. Overseas gland cysts Overseas gland cysts are caused by obstructive inflammation of the vestibular gonad tube or damage, and the secretion accumulation accumulates.
[Diagnosis Standard] During the maternal examination, oval blocks can be seen at the large vulva labia, and the texture can be soft.
[Effect on pregnancy] Generally, there is little impact on pregnancy, but the vestibular gland cysts during pregnancy may repeat acute attacks.
[Risk Category] Risk is Class B.
[Suggestions for pre -pregnancy eugenics guidance] It is best to surgical resection before pregnancy, and the incision healing can prepare for pregnancy.4. Pelvic inflammatory pelvic inflammatory disease (PID) is a general term for women’s endogenous genitals and surrounding connective tissues, pelvic peritoneal inflammation, and mostly occurs in postpartum, post -abortion and postoperative gynecological surgery.The onset can be limited to one part, several parts, or the entire pelvic organs, which are divided into acute and chronic pelvic inflammatory disease.Including endometritis, fallopianitis, fallopian tube ovarian abscesses, and pelvic peritonitis.
[Diagnosis Standard] Minimum standard: Cervical pain, tenderness, or tenderness in the appendix area.Additional standards: ① Body temperature ≥38.3 ℃.② Cervical or vaginal abnormal mucus, purulent secretions.③ The vaginal secretion 0.9%sodium chloride solution is seen in a large amount of white blood cells.④ Accelerate the settlement rate of red blood cells.⑤ Blood C-reactive protein elevation.⑥ The laboratory confirmed that cervicymacidity of Naacerobacter or sacrhea was positive.Specific standards: Auxiliary diagnosis and other auxiliary diagnostic examinations such as ultrasound, magnetic resonance, endometrial biopsy, and laparoscopy.
[Effect on pregnancy] (1) Chronic pelvic inflammatory disease can cause infertility or ectopic pregnancy.(2) Acute pelvic inflammatory risk of abortion, death, and premature birth during pregnancy.Severe acute pelvic inflammatory disease during pregnancy and puzzle will also increase the risk of pregnant women’s death.
[Risk Category] Patients with pelvic inflammatory disease should be cured after pregnancy, and closely monitored during pregnancy to prevent recurrence and risk is Class C.
[Suggestions for Pre -pregnancy Equipment Guidance] Treatment Principles: (1) Mainly treatment of antibiotic drugs, surgical treatment if necessary.(2) It is reasonable to choose antibiotics based on drug sensitivity experiments.(3) Treatment plan: ① Cefon 2g, quiet drip, twice a day, a total of 14 days.② Cefidine 2g, quiet drip, 4 times a day, a total of 14 days, or addyrinin/metronidazole.③ 0.5 g, oral or quiet, once a day for 14 days.(4) Alternative scheme: ① Vinkin 400mg, quiet drip, 2 times a day, 500mg of metronidazole, quiet drip, twice a day.② 250mg (second -generation or third -generation cephalosporin) of the cephalosporin, internal injection, lasts for 14 days.
Regardless of the pathogen test results of patients with pelvic inflammatory disease, their sexual partners should be monitored and treated with sexual partners.During the treatment, sexual life should be avoided without protecting the barrier.After healing, consult the doctor and then get pregnant.It has not recurred during pregnancy and has a small impact on pregnant women and fetuses.Pelvic inflammation can easily cause fallopian tubes and cause infertility.Infertility patients in pelvic inflammation need laparoscopic adhesion and disintegration surgery or auxiliary reproductive technology.
5 Genital herpes genital herpes are mainly a sexually transmitted disease caused by type Ⅰ and Ⅱ type Ⅱ and Ⅱ.Chronic recurrence process brings great physical and mental pain to patients.Transmission pathway: sexual contact dissemination, passing the maternal and infant transmission (can be transmitted early through the placenta and during childbirth, and passed on the rebellion of the birth canal or the fetal membrane, and the postpartum contact with the newborn) to the fetus and newborn.
[Diagnosis Standard] (1) History of unclean sexual life and history of contact with infection.(2) Clinical manifestations: often have systemic symptoms such as fever, headache, fatigue, and other systemic symptoms; there are clusters or scattered small blisters around the external genitals or anus, forming erosion or ulcer after ulceration; groin lymph nodes are enlarged and tender.(3) Laboratory examination can be diagnosed.
[Effect on pregnancy] (1) Can cause disseminated herpes virus infections in pregnant women’s organs.(2) The impact on pregnancy can easily cause abortion, premature birth, death, dead birth, fetal malformations.(3) It will cause newborn herpes and endanger life.
[Risk Category] Patients with genital herpes should be cured and pregnant after 6 months of antiviral drugs should be cured. The risk is Class B.
[Suggestions for Pre -pregnancy Equipment Guidance] Treatment Principles: Support therapy combined with antiviral treatment.After 3 to 6 months after healing, you can get pregnant after consulting the doctor.(1) Primary genital herpes: ① 200 mg of Ageluovir (Ringno -free), orally, 5 times a day for 7 to 10 days.② Pancolorville 125 ~ 250mg, orally, 3 times a day for 7 to 10 days.(2) Recordal genital herpes: ① 200mg of Agelovovir, orally, 5 times a day, for 5 days.② 400mg of Acelovir, orally, 3 times a day for 5 days.③ Pancolorville 125 ~ 250mg, orally, 3 times a day, 5 days in a row.(3) Local medication: 3%Agellovir cream;
6 Condyloma acuminatum genital warts, also known as genital warts or sexually transmitted diseases, are a proliferative disease caused by low -risk subtype infections of human papilloma virus (HPV).
[Diagnosis Standard] (1) There is a history of unclean contact, a history of sexual partners infection or indirect infection.(2) There is often no symptoms of consciousness. Some patients can touch wart -like objects around the vulva and anus, accompanied by itching, foreign body sensation or pain.(3) A single or multiple pimples, nipples, cauliflower -like humid meat suppels appear in vulva, perineal, anus, vagina, and cervix. The surface is rough and keratinized, which can be used as a clinical diagnosis.(4) For those who are not typical, they can do laboratory examinations to find HPVs, or tissue pathological examinations.
[Effect on pregnancy] (1) No one has been found to be related to the ending of bad pregnancy such as abortion, premature birth, and dead tires.(2) HPV can be transmitted to the fetus through the birth canal of the pregnant woman, or the fetus infection HPV infection in the infection of the infection in the uterus, causing the fetal skin and mucous membranes to be damaged.It can also cause newborn respiratory tract (throat) papilloma and genital warts.(3) Condyloma acuminatum is susceptible to recurrence and increase during pregnancy.
[Risk Category] Those who are infected with HPV should be cured after pregnancy, and the condition is closely monitored throughout the pregnancy. The risk is Class C.
[Suggestions for Pre -pregnancy Equipment Guidance] (1) HPV infection Suggestions: HPV -positive, liquid -based cytological examination is negative treatment opinion: regularly perform HPV detection plus liquid cytology, and further vaginal examination.HPV is recommended to pregnancy.(2) Condyloma acuminatum treatment: ① Frozen.② Surgical resection.③ Electric brand/heat permeability therapy.④ laser therapy.⑤ Foot leaves.⑥ trichloride.⑦5%fluorine pyrine ointment.⑧The whole body interferon is not recommended; after the healing of sharp acumin warts, the doctor can be pregnant after consulting the doctor.
7 vulvar nipples occur in vulvar skin or mucous membranes. Most of the papilloma is mostly a benign tumor caused by chronic stimulation or virus infection, the surface is covered with scale -like epithelium, and the interstitial is a fiber connective tissue.If it is caused by HPV infection, the treatment is the same.
[Diagnosis Standard] The vulva can see a single or more small and more nipple -like protrusions, cauliflower -like or wart -like.
[Effect on pregnancy] Generally, it has little impact on pregnancy, but pregnancy may accelerate the growth of tumors; if there is evil, pregnancy will accelerate the spread of tumors.
[Risk Category] Risk is Class B.
[Suggestions for pre -pregnancy eugenics guidance] The effect of vulvar nipples has little effect on pregnancy. In order to eliminate the malignant changes in tumors, surgical resection and pathological examination of pre -pregnancy surgery.Those who are not found to be malignant, the postoperative incision can be prepared to get pregnant.If malignant changes are found, follow the advice of the oncologist.If it is proven to be HPV infection, antiviral treatment is required.
8 Vulvar pigment pigment mole is a pigment plaques caused by excessive growth of skin pigment cells.[Diagnostic Standard] During the maternal examination, brown, brown or blue and black plaques can be seen at the labia majora of the vulva.
[Effect on pregnancy] Generally, the impact of pregnancy is not great. If the pigment mole changes evil, pregnancy will accelerate the spread of the tumor.
[Risk Category] Because there is not much relationship with pregnancy, but some patients have possibility of evil and need to be a specialty, so the risk is U.
[Suggestions for the Guidance of Eugenics before pregnancy] Pseudonym patients need to go to a specialist before pregnancy; those who suspect that there are possibilities of evil changes, surgical resection as soon as possible.Democratic examinations are removed, and those who have not found evil changes can be prepared to get pregnant; those with evil changes, follow the oncologists to handle suggestions.
9 vulvar tumor vulva tumor is a benign vulvar tumor caused by the expansion of sweat gland tube malformation and the obstruction of the vulvar sweat glands.
[Diagnosis Standard] During the maternal examination, you can see or touch the subcutaneous nodules at the large and small labia of the vulva. The color is gray and hard.
[Effect on pregnancy] Generally, there is not much impact on pregnancy. If there is a bad change, pregnancy will accelerate the spread of tumors.
[Risk Category] The risk is U.
[Suggestions for Pre -pregnancy Equipment Guidance] It is best to surgical resection before pregnancy, remove the pathological examination of the resection, and those who have not found bad changes can prepare for pregnancy. If there are evil changes, follow the oncologist’s treatment suggestions.
10 vulvar fibroma vulvar fibroma is a benign vulvar tumor caused by connective tissue and a small amount of muscle fiber proliferation.
[Diagnosis Standard] During the women’s examination, the vulva can see a single hair, mung bean to cherry -sizes, and some of them can be as large as the head of the child. It is hard, with the skin, the color is similar to the skin, the epidermis has grooves, roughly rough, rough, rough, and rough.How wrinkled.
[Effect on pregnancy] Smaller fibroma generally has little effect on pregnancy. Larger fibroma can affect the fetal head delivery during childbirth, and tumors may break during childbirth.Fibrous tumors are rare.
[Risk Category] The risk is U.
[Suggestions for Pre -pregnancy Equipment Guidance] It is best to surgical resection before pregnancy, remove the pathological examination of the resection, and those who have not found bad changes can prepare for pregnancy. If there are evil changes, follow the oncologist’s treatment suggestions.
11 vulvar lipoma vulvar lipoma is a benign vulvar tumor caused by lipoplastment proliferation.When the fat cells are differentiated and mature, there are fibrous tissue and blood vessels in the interstitial quality.
[Diagnosis Standard] During the maternal examination, the base can be seen in the vulva large labia or under the skin of the pussy.
[Effect on pregnancy] Smaller lipoma generally has little effect on pregnancy. Larger lipoma can affect the fetal head delivery during childbirth, and tumors may rupture during childbirth.
[Risk Category] The risk is U.
[Suggestions for Pre -pregnancy Equipment Guidance] It is best to surgical resection before pregnancy, remove the pathological examination of the removal, and those who have not found bad changes can prepare for pregnancy. Those with evil changes should be determined according to the advice of the oncologist to decide whether to pregnancy.
12 vulvar fibroids outer vulva flat fibroids are benign tumors caused by muscle cell hyperplasia. They grow slowly and are mostly benign.
[Diagnostic Standard] During the maternal examination, the skin can be widely, litter, or dumbbell -shaped blocks in the skin of the labia and labia tie in the skin of the labia and labia straps.Smoomyoma that is greater than 5cm is likely to change sarcoma.
[Effect on pregnancy] Smaller smooth fibroids generally have little impact on pregnancy. Larger smooth muscle fumors can affect the fetal head delivery during childbirth.
[Risk Category] The risk is U.
[Suggestions for pre -pregnancy eugenics guidance] It is best to surgical resection before pregnancy, remove the pathological examination of the resection, and prepare for pregnancy in a timely manner.
13 Vulvar vulva, vulva, vulva is a benign vulvar tumor composed of countless capillary or sponge -like vascular.
[Diagnostic Standard] During the maternal examination, you can see the small red blood vessel mole or dot, red sponge -like mass at the labia minora and the pussy.Pressoring the campaign redness can be retreated, and relaxation can restore the original state.
[Effect on pregnancy] Generally, there is not much impact on pregnancy. If there is a bad change, pregnancy will accelerate the spread of tumors.Tumor rupture can be caused during vaginal delivery.
[Risk Category] The risk is U.
[Suggestions for Pre -pregnancy Equipment Guidance] According to the opinion of the specialist opinion, whether to remove surgical resection, remove the pathological examination of the resection, and prepare for pregnancy in a timely manner to follow the advice of the surgeon.
14. Vulvar cancer and vulvar cancer occur in malignant tumors in the vulva.
[Diagnostic Standard] During the maternal examination: nipple -shaped creatures can be seen in any part of the vulva, or ulcer -type or influential lesions.Po virgoscopy: visible alien blood vessels and necrotic tissues.Tablet cytology test: positive rate can reach 50%.Pathological examination: For the basis of diagnosis, a pathological examination should be obtained in a biopsy in a non -necrotic area of suspicious cancer tissues.Imaging examination: B -ultrasound, CT, MRI, and lymph angiography at the pelvic cavity are helpful to determine whether there are lymph nodes transfer.
[Effect on pregnancy] Generally, it has little effect on pregnancy, but pregnancy will accelerate the growth and spread of tumors.Early vulvar cancer will not have a great impact on pregnancy.The incision after vulvar cancer is healed well, and vaginal delivery is not taboo.
[Risk Category] Patients with early tumors still have reproductive abilities after cure, and the risk is Class C.Patients with advanced tumors are category X without reproductive ability.
[Suggestions for Pre -pregnancy Equipment Guidance] (1) Once discovered, it is treated early.(2) Early patients should actively treat the disease. Those who still have fertility after they are completely cured. Before pregnancy, they must conduct a comprehensive inspection under the guidance of obstetrics and gynecologists and oncologists to evaluate the general condition of the body.Essence(3) Patients with advanced cancer, those who do not receive treatment, and are generally poor after receiving treatment. Those who are difficult to tolerate pregnancy should not be pregnant.
15 Ovarian tumor ovarian tumor refers to tumors that occur on the ovaries and are one of the common common tumors in female genitals.Ovarian malignant tumors are tumors with the highest mortality in gynecological malignant tumors.
[Diagnosis Standard] Based on clinical manifestations, signs and laboratory examinations, imaging examinations, and pathological diagnosis.(1) Imaging examination: ①B super check.② Abdominal X -ray camera.③ CT/MRI/PET check.(2) Tumor marks: ① Serum CA125 elevated (sensitive to ovarian epithelium cancer).② Efficacy of serum AFP (which has specific diagnostic value for yolk cystic tumors).③ HCG has specificity for primary ovarian choric membrane cancer.④ sex hormone (granular cell tumor, follicular membrane cell tumor produce higher level estrogen).
[Effect on pregnancy] If it is a malignant tumor of the ovarian, treatment may be delayed during pregnancy.If it is a benign tumor or cyst, it may increase during pregnancy, causing complications such as infection and twisting.
[Risk Category] Bench tumors should be cured after pregnancy, and the risk is Class C.Malignant tumors may affect patient life and should not be pregnant. The risk is X.
[Suggestions for pre -pregnancy eugenics guidance] (1) Specialty diagnosis and treatment, should not have childbirth during the disease, and have children under the guidance of obstetrics and gynecologists after the disease.(2) Considering benign ovarian tumors, the size is below 5cm, and pregnancy can be closely monitored.(3) The size of the ovarian lump is greater than 5cm, or tumor markers such as CA125 are elevated, and tumor resection should be should be applied.Tumors were found during the operation that were malignant, and the scope of surgery should be further expanded.Severe patients need to be removed from uterine and appendix, supplemented by chemotherapy and radiotherapy.
