Understanding Thyroid Health: Should You Get Tested?
Thyroid examination Hello Doctor, a few days ago I visited a friend's house, and he suggested that I get my thyroid checked. I looked up the symptoms of thyroid disorders online, and I only have a few of them, not all, and I don't have a family history. A few years ago,...
Dr. Yuan Tianmin Reply:
Your current symptoms could actually indicate either hyperthyroidism or hypothyroidism, so it would be more objective to rely on blood tests for an accurate diagnosis.[Read More] Understanding Thyroid Health: Should You Get Tested?
Understanding Breast Nodules: When to Seek Further Evaluation
Breast nodule with indistinct margins? Hello Doctor, I discovered breast nodules during company health check-ups in 2015 (at age 25) and 2017 (at age 27). One nodule measured approximately 1.5 cm with irregular borders, and there were two others measuring 0.6 cm each. After both ...
Dr. Yuan Tianmin Reply:
In fact, benign nodules that have undergone biopsy still have a very small possibility of subsequent biopsies revealing malignancy. As for breast ultrasound during pregnancy, it is recommended to wait until after childbirth to perform the procedure for more accurate results.[Read More] Understanding Breast Nodules: When to Seek Further Evaluation
Do Birth Control Injections and Medications Provide Effective Contraception?
Medication issues Does taking Xiaotaihe and receiving Depo-Provera injections provide contraceptive effects? Is additional contraception needed?
Dr. Yuan Tianmin Reply:
The menopause injection essentially has contraceptive effects.[Read More] Do Birth Control Injections and Medications Provide Effective Contraception?
Post-Thyroidectomy Diet: Managing Iodine Intake for Seniors
Diet After Thyroidectomy Hello! My mother had her entire thyroid removed six years ago due to enlarged thyroid nodules and has been taking levothyroxine daily. She also follows her doctor's advice to avoid high-iodine foods like seaweed. Recently, she has been experiencing s...
Dr. Yuan Tianmin Reply:
Since it is not a malignant thyroid tumor, it should be fine for the patient to occasionally consume iodine-containing foods.[Read More] Post-Thyroidectomy Diet: Managing Iodine Intake for Seniors
Understanding Black Spots on the Areola: Causes and Treatments
Areola hyperpigmentation Dear Dr. Yuan, Hello, I am a male. I would like to consult about 2 to 3 dark spots on my left areola, each approximately 0.3 cm or smaller, oval in shape, and generally brownish-black in color. They are slightly raised above the surface of the areola. I ...
Dr. Yuan Tianmin Reply:
I am concerned that it might be melanoma, but it's best to visit a dermatology clinic or outpatient department for confirmation.[Read More] Understanding Black Spots on the Areola: Causes and Treatments
Managing Persistent Pain in the Left Axillary Breast Tissue: Solutions and Insights
Axillary breast pain? For the past two to three years, I have experienced pain in my left armpit whenever pressure is applied, and it becomes more intense during my menstrual period. Sometimes, even raising my arm causes pain. I have undergone a breast ultrasound, and the breast ...
Dr. Yuan Tianmin Reply:
Based on your description, there shouldn't be any issues with the breast examination. You might want to consider whether there is a problem with the shoulder joint and it would be advisable to see an orthopedic specialist or a rehabilitation physician.[Read More] Managing Persistent Pain in the Left Axillary Breast Tissue: Solutions and Insights
Understanding Chest Pain: Causes and When to See a Doctor
Chest pain? Hello, doctor. I would like to ask about the chest pain I've been experiencing this week. I feel soreness in my chest, especially when I raise my arms, and there's discomfort when I press on it. I've been practicing with a dummy for my certification exa...
Dr. Yuan Tianmin Reply:
If you have never had a breast ultrasound before, it is recommended that you get one and consult with your physician for their advice.[Read More] Understanding Chest Pain: Causes and When to See a Doctor
Understanding Small Hard Lumps Near the Chest Muscle: What to Know
A small hard lump at the edge of the pectoral muscle? Hello, doctor. I found a small, pea-sized, non-painful, and non-mobile hard lump on the edge of my right pectoral muscle, about 3 to 4 centimeters from my armpit. It feels similar to a tiny nipple. What could this possibly be?...
Dr. Yuan Tianmin Reply:
I suggest you see a general surgeon for an evaluation.[Read More] Understanding Small Hard Lumps Near the Chest Muscle: What to Know
Post-Fibroadenoma Surgery: Understanding Pain and Recovery Concerns
Postoperative care for a fibroepithelial tumor? I had surgery for a fibroadenoma at the beginning of last month. The wound has healed since then, but recently I've been experiencing frequent pain in my breast and near the incision site, and occasionally I also have pain in m...
Dr. Yuan Tianmin Reply:
The pain near the wound is likely more related to the surgery, while other breast pain may be more associated with your menstrual cycle.[Read More] Post-Fibroadenoma Surgery: Understanding Pain and Recovery Concerns
Understanding Breast Cysts: Risks and Surgical Considerations
Breast cyst Hello, doctor. There is a family history of breast cancer on my mother's side, with two or more relatives diagnosed before the age of 45 (such as my mother and aunt). Today, at 28 years old, an ultrasound revealed multiple breast cysts, and there is one on the ou...
Dr. Yuan Tianmin Reply:
Based on your age, the likelihood of benign tumors is higher; however, if there is any suspicion regarding the tumor, it is advisable to perform a biopsy.[Read More] Understanding Breast Cysts: Risks and Surgical Considerations
Post-Surgery Consultation for Breast Cancer: Understanding Margins and Recurrence Risks
Consultation on Postoperative Report for Breast Cancer Hello, I would like to ask about my wife's situation after her breast cancer surgery. The doctor explained that she has hormone receptor-positive breast cancer (ER PR 95+), FISH negative, Ki67 9%, Luminal A, Grade 1, and...
Dr. Yuan Tianmin Reply:
The breast cancer treatment process you described is accurate. Based on your wife's condition, the 5-year survival rate can be greater than 90%. Regarding the issue of tumor margins, it depends on the discussion results with the original physician. My personal opinion is tha...[Read More] Post-Surgery Consultation for Breast Cancer: Understanding Margins and Recurrence Risks
Understanding Intermittent Breast Pain: Causes and Concerns
Breast Pain Consultation Hello, doctor. Due to the inconvenience of seeking medical care while being away from home, I would like to consult you through this inquiry. I have been experiencing nipple pain or sharp pain in my chest for about 7-10 days prior (usually on both sides, ...
Dr. Yuan Tianmin Reply:
Based on what you described, it seems that the breast pain is still related to the menstrual cycle. Although it may not be entirely consistent, this intermittent or bilateral non-specific pain appears to be more associated with menstruation.[Read More] Understanding Intermittent Breast Pain: Causes and Concerns
Understanding Nipple Discharge: Is It Normal After Showering?
Nipple discharge I would like to ask if it's normal to experience slight itching in the left nipple after taking a shower today, and after applying some pressure, I noticed a small amount of discharge (which I only saw upon closer inspection). After that, the itching stopped...
Dr. Yuan Tianmin Reply:
This is not a case of gynecomastia; it is caused by itching of the skin.[Read More] Understanding Nipple Discharge: Is It Normal After Showering?
Understanding Nipple Pain: Causes and When to Seek Further Evaluation
Nipple pain About a month ago, I had a suspected sexual encounter that resulted in an injury to my left nipple. I had an ultrasound performed by a breast surgeon, who said there was nothing concerning seen on the scan and that I shouldn't worry about the pain. I had a miscar...
Dr. Yuan Tianmin Reply:
As long as menstruation is still present, there is a possibility of experiencing breast and nipple pain. Based on your description, there should be no concern regarding the risk of breast cancer at this time. It is advisable to follow your physician's recommendation for regu...[Read More] Understanding Nipple Pain: Causes and When to Seek Further Evaluation
Understanding Breast Pain: When to Seek Medical Advice for Symptoms
Breast pain Hello, doctor. I would like to ask if the timing and duration of premenstrual syndrome (PMS) can vary each month depending on individual constitution. For the past 1 to 2 months, I have experienced nipple pain starting around ovulation (lasting about a week), which th...
Dr. Yuan Tianmin Reply:
Premenstrual syndrome varies from person to person. Based on your symptoms, it seems to be a case of monetary syndrome, which differs for each individual. The ultrasound report appears to show benign issues, and regular follow-up is sufficient.[Read More] Understanding Breast Pain: When to Seek Medical Advice for Symptoms
Should You Consider Surgery for a 1.2 cm Fibroadenoma?
Whether a 1.2 cm breast tumor needs to be surgically removed depends on various factors, including the type of tumor, its characteristics, and the patient's overall health. It is essential to consult with a healthcare professional for a thorough evaluation and to discuss the...
Dr. Yuan Tianmin Reply:
Based on your description, I personally do not recommend surgical removal at this time because you are still in your adolescent stage, during which estrogen levels are quite high. There is a possibility that the condition may recur after removal. Therefore, I suggest that you con...[Read More] Should You Consider Surgery for a 1.2 cm Fibroadenoma?
Understanding Male Breast Symptoms: Questions and Insights from a Specialist
Inquiry Consultation Dear Dr. Yuan, Hello, I am a male. Recently, I have been experiencing some issues with my left areola, and I would like to consult you. Here are the symptoms briefly summarized: 1. There is a pain sensation in the left areola and its surrounding area. 2. A...
Dr. Yuan Tianmin Reply:
It is advisable to address these questions based on clinical observations and ultrasound findings, so I recommend visiting a breast surgery clinic for further evaluation.[Read More] Understanding Male Breast Symptoms: Questions and Insights from a Specialist
Understanding Sudden Nipple Redness and Pain: Causes and Concerns
Nipple issues The left nipple suddenly became red, swollen, and painful, and it feels somewhat hard to the touch. I would like to know if this is related to friction. (I am very worried but do not dare to tell my family. I am currently applying a cream prescribed by a dermatologi...
Dr. Yuan Tianmin Reply:
You should see a clinical physician, either a dermatologist or a breast surgeon, regarding your condition.[Read More] Understanding Sudden Nipple Redness and Pain: Causes and Concerns
Understanding Skin Itching: Eczema or Allergic Reaction?
Dry and itchy skin Hello, doctor. I would like to ask about my condition. The skin around my areola is peeling, but it improved after applying Vaseline. After it healed, I stopped using Vaseline for a while, and then it started peeling again. Could this be eczema? It's not j...
Dr. Yuan Tianmin Reply:
It is more common for winter to cause itching due to reduced oil secretion, which leads to dry skin. Using petroleum jelly can be helpful in this case.[Read More] Understanding Skin Itching: Eczema or Allergic Reaction?
Understanding Novadex and Menopause Injections: Effects on Endometrial Thickness
Novartis tablets and menopause injection? Doctor, is it true that the side effect of Novartis tablets includes endometrial thickening? If I also receive menopause injections, I have read that the endometrium may thin out. Is this correct? Thank you.
Dr. Yuan Tianmin Reply:
Receiving menopause injections is similar to entering menopause. For menopausal women taking Nova, is there a risk of endometrial thickening or is it safe?[Read More] Understanding Novadex and Menopause Injections: Effects on Endometrial Thickness