Understanding Irregular Menstrual Cycles: Causes and Concerns
Menstrual irregularities Hello, doctor. My last three menstrual periods started on December 25, January 29, and March 5 (approximately 35 days apart). I had sexual intercourse on March 17, but from March 27 to April 2, I experienced brownish discharge mixed with blood, which was ...
Dr. Chen Changfu reply Obstetrics and Gynecology
Abnormal vaginal bleeding in women should be evaluated in a gynecology outpatient clinic to diagnose the underlying cause.[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns
Understanding Chlamydia Testing: Why Your Results May Differ
The issue of Clostridium? Hello Dr. Chen: Recently, my husband experienced pain while urinating and went to the urology department for an examination. The test results confirmed a Chlamydia infection, so I also went to the obstetrics and gynecology department last week for a chec...
Dr. Chen Changfu reply Obstetrics and Gynecology
Chlamydia is contagious, but not necessarily so; a negative test result does not definitively indicate the absence of a chlamydia infection, as it is possible to be infected without the infection being detected. Diagnosis must be based on the physician's examination, symptom...[Read More] Understanding Chlamydia Testing: Why Your Results May Differ
Understanding Vaginal Cylinder-Shaped Object During Pregnancy: Concerns and Impacts
Cylindrical foreign body protrusion during pregnancy? Hello, this is my second pregnancy and I am currently 12 weeks along. Last night while urinating, I noticed a 1.5 cm cylindrical foreign object protruding from my vagina. It was painless and I felt no bleeding, I just noticed ...
Dr. Chen Changfu reply Obstetrics and Gynecology
You may have only touched the cervix inside the vagina; if you have any questions or concerns, you should seek evaluation from a gynecologist.[Read More] Understanding Vaginal Cylinder-Shaped Object During Pregnancy: Concerns and Impacts
Is 5mg Folic Acid Safe for Pregnancy? Dosage and Quality Concerns
Folic acid dosage My husband bought a bottle of folic acid at the pharmacy, with a dosage of 5 mg per tablet. Is taking one tablet at a time considered an overdose, and could an overdose be harmful to the baby? The bottle costs only 80 TWD; does that indicate it is a low-quality ...
Dr. Chen Changfu reply Obstetrics and Gynecology
The price cannot determine whether a product is of poor quality; if you have concerns, it is best to discontinue use. Taking folic acid supplements is not absolutely necessary or beneficial for everyone.[Read More] Is 5mg Folic Acid Safe for Pregnancy? Dosage and Quality Concerns
Understanding Delayed Menstruation: Causes and Concerns for Women
Delayed menstruation? I haven't had my period in March; the last one was on February 25, and the one before that was on January 22. According to my cycle, I should have gotten it around March 28 or 29, but as of today, April 1, it still hasn't arrived. On March 17, I ha...
Dr. Chen Changfu reply Obstetrics and Gynecology
A regular ovulation cycle leads to a regular menstrual cycle. If your period is late, it could be due to pregnancy or delayed ovulation. If your period is late and a urine pregnancy test has confirmed that you are not pregnant, please be patient and wait an additional ten days to...[Read More] Understanding Delayed Menstruation: Causes and Concerns for Women
Understanding Irregular Periods and Progesterone Treatment: Your Questions Answered
Irregular menstruation + administration of progesterone? My last menstrual period was on February 18, but I did not have one in March. Therefore, on March 29, I visited a gynecologist who performed a urine test and an ultrasound, both of which indicated that there were no issues ...
Dr. Chen Changfu reply Obstetrics and Gynecology
Currently, the sensitivity of urine pregnancy tests is very good, and the likelihood of being pregnant without a positive result is extremely low. Progesterone administration causes the uterus, which is not pregnant, to experience withdrawal bleeding after stopping the medication...[Read More] Understanding Irregular Periods and Progesterone Treatment: Your Questions Answered
Is Bleeding During Pregnancy Always a Sign of Miscarriage?
Is continuous bleeding hopeless? Hello Doctor: I have been married for two years and I am currently on my third pregnancy. My first pregnancy ended in bleeding with no heartbeat and the embryo had regressed. The second pregnancy also ended in bleeding with no heartbeat, resulting...
Dr. Chen Changfu reply Obstetrics and Gynecology
Having experienced three consecutive early miscarriages, this meets the definition of recurrent pregnancy loss. It is important to consider genetic factors or maternal reproductive organ factors as potential causes. Therefore, the impact of uterine fibroids should be evaluated. C...[Read More] Is Bleeding During Pregnancy Always a Sign of Miscarriage?
Postpartum Menstrual Issues: Understanding Irregularities After Childbirth
Postpartum Menstrual Issues Hello, I have a history of abnormal cervical cytology and have undergone a cone biopsy. I became pregnant six months post-surgery, and my postpartum follow-up Pap smear results were normal. Additionally, I have issues with premature ovarian failure, bu...
Dr. Chen Changfu reply Obstetrics and Gynecology
Abnormal menstrual bleeding and abnormal vaginal bleeding in females, please consult a gynecologist for examination and treatment.[Read More] Postpartum Menstrual Issues: Understanding Irregularities After Childbirth
Understanding Light Menstrual Flow During Breastfeeding: Is It Normal?
Hypomenorrhea Regarding menstruation during breastfeeding, the second period has arrived... however, the flow is very light, about the amount of one sanitary pad per day. Is it normal for the flow to be so light?
Dr. Chen Changfu reply Obstetrics and Gynecology
During breastfeeding, abnormal vaginal bleeding in women should still raise the possibility of unintended pregnancy. It is advisable to seek a gynecological examination.[Read More] Understanding Light Menstrual Flow During Breastfeeding: Is It Normal?
Understanding Menstrual Cycle Changes: Impact of Climate and Diet
Shortened menstrual cycle? Hello Dr. Chen, my menstrual cycle used to be around 23-25 days with dysmenorrhea, but when I studied abroad last year, it changed to 29-31 days and the pain improved significantly. However, after returning to Taiwan, it gradually reverted to 23-25 days...
Dr. Chen Changfu reply Obstetrics and Gynecology
There is no definitive data to confirm whether a longer or shorter menstrual cycle is beneficial or detrimental to women's health. Additionally, there is no conclusive evidence to support that climate and diet affect women's menstrual cycles. However, it is commonly obs...[Read More] Understanding Menstrual Cycle Changes: Impact of Climate and Diet
Is It Normal to Have Menstrual Changes While Breastfeeding?
Menstruation during breastfeeding? Hello, I gave birth last September and have been breastfeeding since then. I got my first postpartum period last month, but this month it hasn't arrived yet. Sometimes I feel some discomfort in my abdomen. I'm still breastfeeding; is t...
Dr. Chen Changfu reply Obstetrics and Gynecology
Due to breastfeeding, the mother's pituitary gland secretes high levels of prolactin, which may affect the normal ovulatory function of the ovaries, leading to amenorrhea or irregular menstrual cycles. However, it is still important to consider the possibility of pregnancy a...[Read More] Is It Normal to Have Menstrual Changes While Breastfeeding?
Understanding Pregnancy Tests and Abortion Options: A Guide for Women
Pregnancy Testing & Abortion Hello Dr. Chen: My last menstrual period was from January 12 to January 17, 2012. My periods have always been very regular, and they usually come early. It's already the 13th of this month, but my period hasn't arrived yet. I have slight...
Dr. Chen Changfu reply Obstetrics and Gynecology
With advancements in technology, today's urine pregnancy tests are very accurate and can detect pregnancy early. Medication for abortion should only be used after a qualified obstetrician confirms an early intrauterine pregnancy to ensure safety. In terms of physiological im...[Read More] Understanding Pregnancy Tests and Abortion Options: A Guide for Women
Understanding Menstrual Color: What Does Dark Menstrual Blood Mean?
The color of menstrual blood? Hello doctor, my girlfriend told me that her menstrual blood this time is dark in color. She got her period the day after we had intercourse. Could this be the reason for the unusual color of her menstrual blood? Is it possible that something is wron...
Dr. Chen Changfu reply Obstetrics and Gynecology
Abnormal vaginal bleeding in women should definitely be evaluated by a gynecologist. Please take care of her and accompany her to seek medical attention from a gynecologist as soon as possible.[Read More] Understanding Menstrual Color: What Does Dark Menstrual Blood Mean?
Is It Safe to Have Sex After Receiving the HPV Vaccine?
Is it necessary to abstain from sexual intercourse for a period of time after receiving the cervical cancer vaccine? Hello Dr. Chen, my girlfriend recently received the cervical cancer vaccine (she just completed her second dose on March 1, 2012). I would like to ask: (1) Is it a...
Dr. Chen Changfu reply Obstetrics and Gynecology
Sexual activity does not affect the efficacy of the cervical cancer vaccine. It is important to complete all three doses of the cervical cancer vaccine on schedule.[Read More] Is It Safe to Have Sex After Receiving the HPV Vaccine?
Understanding Pregnancy Chances and Changes in Vaginal Discharge
Probability of Pregnancy Two days ago, I had intimate contact with my girlfriend without using a condom, but we only engaged in standing friction without penetration. What is the likelihood of her becoming pregnant? My girlfriend mentioned that her vaginal discharge has increased...
Dr. Chen Changfu reply Obstetrics and Gynecology
There have been reports that sperm present in the urethral mucus during male genital arousal and erection could potentially lead to pregnancy in women, even without penile penetration. Of course, the likelihood is very low, but how low? Only time will tell. If there is an increas...[Read More] Understanding Pregnancy Chances and Changes in Vaginal Discharge
Postpartum Lower Abdominal Pain: Causes, Concerns, and Future Pregnancy Risks
Postpartum lower abdominal pain? In April, I became pregnant, but due to the baby's heart irregularities, enlarged kidneys, and thick neck skin, the doctor diagnosed the situation and I underwent a medical abortion at 22 weeks. I was induced with medication and delivered as ...
Dr. Chen Changfu reply Obstetrics and Gynecology
There are many possible causes of lower abdominal pain in women, which are not necessarily related to gynecological issues and may not be directly associated with a previous miscarriage. It is advisable to seek medical consultation for proper diagnosis and treatment.[Read More] Postpartum Lower Abdominal Pain: Causes, Concerns, and Future Pregnancy Risks
Understanding Delayed Menstruation and Abnormal Bleeding: Key Concerns
Menstruation Hello, doctor. My expected menstrual period was on the 28th of last month, but my period is now about 20 days late. I have been experiencing dark brown discharge almost every day, occasional mild pain, and very light bleeding. Recently, during two sexual encounters w...
Dr. Chen Changfu reply Obstetrics and Gynecology
Abnormal menstrual cycle and abnormal vaginal bleeding in females should certainly raise the suspicion of possible abnormal pregnancy-related bleeding; it is essential to seek medical evaluation promptly.[Read More] Understanding Delayed Menstruation and Abnormal Bleeding: Key Concerns
Is It Safe to Get Pregnant After Surgery and Chronic Pain?
Fear of sequelae or complications before pregnancy? Hello Dr. Chen: I am considering pregnancy, but I have a history of hernia and hemorrhoids (both surgeries were performed in May of last year and April of this year). I also have a previous back injury, which makes it difficult ...
Dr. Chen Changfu reply Obstetrics and Gynecology
Your described medical history does not present any contraindications for pregnancy. However, advanced maternal age is a concern; if you are considering having children, it is advisable to conceive as soon as possible. During pregnancy, increased intra-abdominal pressure may lead...[Read More] Is It Safe to Get Pregnant After Surgery and Chronic Pain?
Is It Safe to Take Cold Medicine During Early Pregnancy?
Taking cold medicine during the fifth week of pregnancy? Hello doctor, my last menstrual cycle was on November 13. I tested positive with two lines on December 20, and during an ultrasound on January 3, I saw a flickering heartbeat (approximately 5 weeks and 3 days gestation). Ho...
Dr. Chen Changfu reply Obstetrics and Gynecology
During pregnancy, the principle of medication use is to determine the necessity and safety of treatment; otherwise, it should be avoided whenever possible. The cold symptom treatment medications you have taken have no reported association with fetal malformations in humans, so th...[Read More] Is It Safe to Take Cold Medicine During Early Pregnancy?
Should You Continue Taking Pregnancy Support Medication After Bleeding Stops?
Regarding medications for maintaining pregnancy? Dear Doctor, I experienced some bleeding in the early stages of my pregnancy. The doctor administered a progesterone injection and prescribed me with seven days of progesterone medication. If the bleeding has stopped, should I cont...
Dr. Chen Changfu reply Obstetrics and Gynecology
I am not aware of your condition regarding pregnancy-related bleeding, nor do I know the medications you are taking for pregnancy maintenance. It is not appropriate for me to provide advice; it is best to consult your prescribing physician.[Read More] Should You Continue Taking Pregnancy Support Medication After Bleeding Stops?