Dr. Ding Liping, Department of Reproductive Health

Dr. Ding Liping of the Department of Reproductive Health has 18 years of clinical experience and is a physician with associate senior professional title who specializes in polycystic ovary syndrome assisted pregnancy, recurrent miscarriage intervention and adolescent reproductive health education. She does not blindly prescribe examinations or over-treat, and is a "down-to-earth doctor" who is consistently ranked among the top three in the department in terms of outpatient scores.

Last Wednesday, when I was attending the lunch clinic with her, I met a 22-year-old girl who came in behind her boyfriend holding a registration form. She blushed and asked if taking emergency contraceptive pills would affect future pregnancies. Ding Liping first invited the boy accompanying her to the waiting area outside the clinic, closed the curtain between the clinics, and then sat back on the chair. She took out a small card with a cartoon ovulation cycle printed on it and drew it for her: Occasionally taking hormone fluctuations will only affect the menstrual period of the month, which is not related to infertility at all, but eating more than 100 grams of ovulation cycle in a year Three times it would indeed disrupt endocrine, so he turned around and told me the correct way to take short-acting contraceptive pills, and even mentioned how to check the shelf life of condoms. Finally, he added a half-joking reminder: "If he finds it troublesome to even put on a condom, you should think more about whether this person is worth trusting. ”When the little girl left, she clutched the small popular science leaflet she gave her. Her face was still red, but her steps were obviously much faster than when she came in.

Speaking of which, I have to mention the polycystic treatment plan that is currently very noisy in the reproductive circle: one group of experts believes that as long as polycystic disease is diagnosed and there are signs of hyperandrogen, one must first take Diane 35 regulating hormone for 3-6 months before ovulation promotion, otherwise the success rate of implantation will be low and the risk of miscarriage will be high.； There is also a more radical view that if the patient is anxious to get pregnant, has little hormonal deviation, and has no obvious symptoms of Kaohsiology, ovulation can be directly promoted without waiting. Ding Liping never sides with any particular faction. It all depends on the patient's specific situation: Last year, there was a 32-year-old polycystic patient who had not been pregnant after five years of marriage. Her androgen was only 0.2ng/ml higher than the upper limit of normal. She had no symptoms of hirsutism or acne. Her menstruation was only delayed but not amenorrhea, so she did not prescribe Daying. She first asked the patient to adjust her work and rest for 2 months, combined with a low-GI diet and small-dose ovulation stimulation, and she became pregnant in the third month. The baby is now half a year old. But she also said that not everyone is suitable for this plan. She just received a patient last month whose androgen levels were three times the normal upper limit. She also had recurring acne on her chin and heavy body hair. She still insisted that the patient take Diane for six months to adjust the hormones. Otherwise, she would be prone to miscarriage even if she became pregnant. "There is no best plan, only the most suitable plan for you," she said to the patient several times every day.

Oh, by the way, there are always mint candies and baby warmers stuffed in the drawer of her examination table. In winter, when a girl with dysmenorrhea comes to see a doctor, she will just stuff a baby warmer into it. Some patients are so nervous that they become stiff during vaginal ultrasound, so she will hand them a mint candy: "If you hold it in your mouth, you don't have to panic. I'm light-handed and it'll be done in two minutes." ”There is also the controversial issue of whether to check for a full set of immune tests for repeated miscarriages. Some doctors believe that as long as you have a history of more than two miscarriages, you must have a full set of immune tests worth thousands of dollars before you can prepare for pregnancy. Some doctors think that most immune indicators do not affect pregnancy, and checking is excessive medical treatment. Ding Liping's approach is to first ask the patient about her previous miscarriage: whether it was a chemical pregnancy or a fetal heartbeat followed by fetal arrest, and whether there were symptoms of autoimmune diseases such as rash and joint pain. If there were only two unprovoked biochemical miscarriages and no other abnormalities, she would only prescribe 3 core immune indicators first. If there is no problem, she will directly send the patient back to prepare for pregnancy. If there are any abnormalities, follow-up items will be checked. There was a patient who spent more than 4,000 yuan to get a complete set of immunization tests at another hospital. When he brought it to her, she looked through it for half an hour and reported that except for a slightly higher level of anticardiolipin antibodies, everything else was fine. She was prescribed aspirin for more than ten yuan and asked to go back to prepare for pregnancy. Later, the patient gave birth to a daughter naturally and specially sent wedding candies. The box of wedding candies is still placed on the corner of the cabinet on her consultation table.

She also has a habit that has lasted for almost 10 years: going to nearby middle schools every Wednesday afternoon to give reproductive health education. Many parents feel that teaching contraception and sexual health to middle school students is too early and will teach bad things to their children. She is not angry every time she meets parents who object. She gives an example she encountered last year: a 17-year-old girl found out she was five months pregnant and could only undergo induction of labor. The endometrium was as thin as paper, making it difficult to get pregnant in the future. “Sex education is not about teaching children to do bad things, it is about teaching them how to protect themselves." The educational PPTs she makes are all cartoon illustrations, and there are no embarrassing medical pictures. She also specially leaves her own online consultation QR code to tell children who are embarrassed to ask questions in person that they can come to her anytime if they have questions without fear of being scolded.

I met her at the elevator entrance after get off work yesterday, carrying a large bag of freshly printed popular science leaflets. She said she was going to the community over the weekend to lecture elderly women on postmenopausal reproductive health precautions. It was so busy that the corners of her white coat were blown up by the wind in the corridor. It was completely different from the way she slowly lectured patients on precautions in the clinic for half an hour. One of the words she often talks about is: "Reproductive health is not a shameful matter, just like a cold or a fever. If you feel uncomfortable, come and see it. Don't delay. In the end, you will be the one to suffer." ”