Dr. Cai Yonglong reply <a href="https://doctorqna.com/en/faq/obstetrics-and-gynecology" target="_blank">Obstetrics and Gynecology</a> Question

Understanding Pregnancy Tests: Common Concerns and Misconceptions

Pregnancy test questions? My last menstrual period was on August 6, and my next period is expected on September 7. My periods sometimes get delayed by 3-4 days. I had unprotected intercourse on August 25 and took emergency contraception within 24 hours. I’m wondering if implantat...

Dr. Cai Yonglong reply Obstetrics and Gynecology
It is recommended to use condoms throughout sexual intercourse, as there is still a possibility of pregnancy even after taking emergency contraception within 24 hours. It is advised to wait until the expected time of menstruation to take a pregnancy test, as home pregnancy tests ...

Early Removal of IUD: What to Do Next?

Removing the intrauterine device (IUD) one week early? The IUD was inserted on August 20, and it was supposed to be removed on September 10, but I mistakenly removed it on September 3, which means it was in place for only two weeks. I would like to know if I should wait for 7 day...

Dr. Cai Yonglong reply Obstetrics and Gynecology
It is recommended to insert a new contraceptive ring after the menstrual period has ended and there is no more bleeding. During the period when the contraceptive ring is not in place, please use alternative methods of contraception.

Understanding HPV: Transmission, Family History, and Vaccination Concerns

Human Papillomavirus (HPV) Hello Doctor: 1. I was diagnosed with HPV type 31 at a major hospital, and after a biopsy and outpatient treatment, I would like to ask if this virus is truly 100% caused by sexual activity? 2. There have been cases of endometrial cancer in my famil...

Dr. Cai Yonglong reply Obstetrics and Gynecology
(1) HPV virus is commonly found in the environment and on the surface of human skin. Sexual activity can more easily transfer the virus to the surface of the cervix, but it is not the only cause of cervical HPV infection. (2) Some patients with endometrial cancer have a genetic p...

Understanding Itchy Right Breast: Causes and Concerns

Itching in the right side of the chest? Hello, doctor. Recently, I suddenly noticed that my right breast has shrunk and it also itches. It doesn't itch when I wear a bra, but it itches a lot when I'm not wearing one, which I find very strange. It doesn't seem like ...

Dr. Cai Yonglong reply Obstetrics and Gynecology
If the itching persists, it is recommended to consult a dermatologist for examination and treatment. If you notice any lumps, please see a breast surgeon, and a biopsy may be necessary.

Understanding Delayed Periods: Pregnancy Concerns and Symptoms

Physical condition I would like to ask the doctor, my period started on September 13th, but on September 23rd, I had sexual intercourse with my boyfriend. The first time was just manual stimulation, and the second time we used a condom without ejaculation. An hour later, we took ...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Around October 1st, close to the ovulation period, engaging in sexual intercourse may lead to prolonged bleeding during ovulation. It is recommended to take a pregnancy test 30 days after the last menstrual period. Testing too early may result in low levels of beta-HCG in the uri...

Thyroid Issues and Menstrual Irregularities: What You Need to Know

Menstrual Thyroid Issues Hello, Doctor! I was diagnosed with hyperthyroidism in February, which transitioned to hypothyroidism by April. Recently, my treatment has been stabilizing, and my values are normal! The endocrinologist has advised me to have regular follow-ups for manage...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Hypothyroidism is one of the common causes of amenorrhea, but it typically does not cause lower back pain, lower abdominal pain, or increased discharge. It is advisable to consider the possibility of a gynecological infection and to seek a complete evaluation and treatment at a n...

Does Reusing a Condom Inside Out Increase Pregnancy Risk?

Reversing a condom that was put on incorrectly? If a condom is put on inside out and then reversed and used after coming into contact with bodily fluids, what is the likelihood of pregnancy?

Dr. Cai Yonglong reply Obstetrics and Gynecology
Wearing a condom inside out and then reusing it, even if it has come into contact with bodily fluids, has a low probability of causing pregnancy. However, it is important to note that reusing condoms significantly increases the risk of breakage, which could lead to pregnancy. Cau...

Understanding Brown Discharge: Is It Normal After Hormonal Changes?

The presence of discharge? Hello doctor, I started experiencing irregular periods last month and underwent an ultrasound examination. The doctor said it was due to insufficient progesterone. I took medication for four days without any bleeding, but on the fifth day, I noticed bro...

Dr. Cai Yonglong reply Obstetrics and Gynecology
A normal menstrual cycle occurs when progesterone naturally decreases in the absence of pregnancy, leading to the shedding of the endometrial lining. Therefore, when progesterone is taken and the medication is stopped, it can induce a withdrawal bleed similar to a menstrual perio...

Understanding Pregnancy Chances: Irregular Symptoms and Concerns

Possibility of Pregnancy Hello, doctor. My menstrual cycle is regularly 33 days, and my period lasts for six days. My last period was from June 28 to July 3. Currently, I have only engaged in sexual activity with my fingers, but on July 10, my boyfriend touched his penis and then...

Dr. Cai Yonglong reply Obstetrics and Gynecology
If there is no direct contact with the genital organs and the menstrual period is not delayed, the likelihood of pregnancy is very low. Changes in menstrual flow, such as increased or decreased bleeding and the presence of blood clots, can be influenced by various factors (for ex...

How Soon Can You Try to Conceive After Taking Menstrual Induction Medication?

How long after taking menstrual induction medication should one wait before trying to conceive? I have been trying to conceive, but my menstrual period has been delayed for about two weeks. I took a home pregnancy test and also tested at a clinic, both of which showed negative re...

Dr. Cai Yonglong reply Obstetrics and Gynecology
You can continue trying to conceive without needing to wait a month. However, please note that if you are taking medications to regulate your menstrual cycle or induce menstruation, the uterus will not be able to conceive. Therefore, do not take menstrual regulation or induction ...

How Soon Can You Try to Conceive After Taking Menstrual Induction Pills?

Can You Continue Menstrual Delay Medication After Light Bleeding?

Is it still possible to delay menstruation if bleeding has already started? Hello doctor, I originally intended to delay my period. I took the first pill, but my period started anyway, although the flow is light. Should I stop taking the medication and let it continue, or can I k...

Dr. Cai Yonglong reply Obstetrics and Gynecology
If bleeding has already started, it is very difficult to continue delaying menstruation unless the medication dosage is increased. However, it is important to note that increasing the dosage may cause side effects such as dizziness, nausea, and even thrombosis. It is recommended ...

Can Breastfeeding Mothers Take Menstrual Delay Pills?

Is it safe to take menstrual regulation medication during breastfeeding? I will be traveling from August 4 to August 9, and my menstrual period is expected during that time. I would like to ask if I can take menstrual delay medication since I am currently breastfeeding (but I had...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Breastfeeding women should avoid using oral contraceptives that contain estrogen. The intake of estrogen can cause gastrointestinal reactions in breastfeeding women, affect appetite, and lead to a decrease in the levels of proteins, fats, and trace elements in breast milk, which ...

Should You Get the New 9-Valent HPV Vaccine After 4-Valent?

Questions about the HPV vaccine? Hello, I would like to ask if I received three doses of the quadrivalent human papillomavirus (HPV) recombinant vaccine (types 6, 11, 16, and 18) 5 to 6 years ago, would you still recommend getting the latest nine-valent HPV vaccine? Thank you.

Dr. Cai Yonglong reply Obstetrics and Gynecology
The nine-valent cervical cancer vaccine covers nine types of HPV (6, 11, 16, 18, 31, 33, 45, 52, 58). In addition to preventing cervical cancer and other related cancers, it can also prevent genital warts (condylomata acuminata) and other sexually transmitted infections. It is re...

Understanding Vaginal Bleeding After Masturbation: Causes and Concerns

Vaginal bleeding after masturbation? Hello doctor, I had sexual intercourse with my boyfriend on June 26, but the condom broke and there was no ejaculation inside. I also consulted a doctor who said that it was during the safe period and that I wouldn’t get pregnant, so no medica...

Dr. Cai Yonglong reply Obstetrics and Gynecology
If vaginal dryness increases the risk of tearing, please visit a gynecologist if there is persistent bleeding.

Understanding Abnormal Bleeding: Ovulation or Pregnancy?

Intermenstrual bleeding Your girlfriend's last menstrual period ended on June 24, and you had sexual contact with her on June 30, using your hands instead of direct penetration (to avoid contact with sperm). That night, she experienced pink discharge, which has since turned ...

Dr. Cai Yonglong reply Obstetrics and Gynecology
Engaging in sexual activity with fingers can lead to bleeding due to factors such as vaginal dryness causing tearing or excessive force. If menstruation is persistently delayed, it is advisable to visit a gynecologist.

Impact of Incorrect IUD Insertion Timing on Menstrual Cycle and Contraceptive Effectiveness

Incorrect timing for the insertion of an intrauterine device (IUD)? Hello, doctor. I have been using an intrauterine device (IUD) for six months, and my menstrual cycle has been regular with no other issues. However, last month (June), I decided to give my body a break, so I remo...

Dr. Cai Yonglong reply Obstetrics and Gynecology
It is recommended to remove the contraceptive device first and check for any signs of pregnancy. If menstruation continues to be absent, it is advised to visit a gynecologist for an examination.

Am I Pregnant? Understanding Your Symptoms and Cycle

Will I get pregnant? Hello doctor, I would like to ask about my situation. My last menstrual period was from June 20 to June 24, and I had intercourse with my boyfriend on June 25, the day after my period ended. Is there a high chance of pregnancy? We used a condom the entire tim...

Dr. Cai Yonglong reply Obstetrics and Gynecology
The chances of pregnancy are low, but if there is a delay in menstruation of more than one week, it is recommended to visit a gynecology clinic.

Can You Get Pregnant from Anal Sex with Ejaculation?

Could I be pregnant? Engaging in unprotected anal intercourse can pose risks, including the potential for sexually transmitted infections (STIs). However, the likelihood of pregnancy from anal intercourse is extremely low, as sperm typically needs to enter the vaginal canal to fe...

Dr. Cai Yonglong reply Obstetrics and Gynecology
If semen does not enter the vagina, the chances of pregnancy are low. If there are any issues or if menstruation is delayed, it is advisable to visit a gynecology clinic.

Post-Surgery Pain Management for Endometriosis: Seeking Solutions

Postoperative pain issues after chocolate cyst surgery? I would like to consult a doctor: Two years ago, I underwent surgery for chocolate cysts, as I had five-centimeter ovarian cysts on both sides. After evaluating my condition, the doctor performed laparoscopic surgery to remo...

Dr. Cai Yonglong reply Obstetrics and Gynecology
It is possible that the chocolate cyst was not completely removed along with the cyst wall, leading to recurrence. It is advisable to return for a follow-up visit and undergo ultrasound or CT scan for evaluation. If symptoms are severe (and possibly unresponsive to medication), s...

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