Understanding Cervical Issues: Do I Need Surgery After Abnormal Pap Results?
Cervical issues Dear Vice Dean Chen, I would like to ask a question. At the beginning of the month, I had a Pap smear that showed some issues. After being informed by my doctor, I underwent a biopsy. Upon reviewing the results, the doctor said there is no need to worry as it is ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello: Regarding your question, to obtain a definitive diagnosis, obstetricians and gynecologists often perform a cone biopsy. If you have any further questions or concerns, please consult your attending physician. Thank you for your message.[Read More] Understanding Cervical Issues: Do I Need Surgery After Abnormal Pap Results?
Understanding Cervical Polyps: Are They the Same as Cervical Tumors?
Cervical polyp Hello Doctor: Last year, I visited a gynecologist due to irregular menstruation and underwent a pelvic examination. At that time, the doctor performed a cervical polyp excision (approximately 0.5 cubic centimeters in size), and the pathological examination revealed...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello: Cervical polyps refer to cervical polyps, which are mucosal proliferations. Cervical intraepithelial neoplasia (CIN) is not cancer but rather a precancerous change![Read More] Understanding Cervical Polyps: Are They the Same as Cervical Tumors?
Which Specialist Should I See for My Persistent Abdominal Pain?
Which medical specialty should I consult? Hello, Vice Dean Chen. Since April, I have been experiencing persistent lower abdominal pain and lower back discomfort, so I have visited a gynecology clinic multiple times. Although the medications prescribed alleviate the pain, it only ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello: Based on the situation you described, it appears to be a urinary tract infection. However, whether it is related to gynecological issues causing the symptoms still needs to be diagnosed by specialists in obstetrics and gynecology as well as urology.[Read More] Which Specialist Should I See for My Persistent Abdominal Pain?
Understanding Vaginal Discharge and Itching Before Menstruation
Secretions Hello Doctor: Every time a week before my menstrual cycle, I experience itching in my vagina and an increase in discharge, which is white and thin with no strong odor. When I visit the gynecologist, they use a machine to suction out the discharge from my vagina. The do...
Dr. Chen Nengjin reply Obstetrics and Gynecology
It is advisable to visit a tertiary hospital for examination when symptoms are pronounced.[Read More] Understanding Vaginal Discharge and Itching Before Menstruation
Can You Test Progesterone Levels at Home with Saliva Strips?
Methods for testing progesterone deficiency? I previously had my estrogen and progesterone levels checked at the hospital through a blood test. Now that I am taking the hormones prescribed by my doctor, there has been some improvement, but self-monitoring is quite inconvenient. I...
Dr. Chen Nengjin reply Obstetrics and Gynecology
1. The progesterone test strip is for urine testing, not for saliva testing. 2. Although the test strip can conveniently provide information about the condition, the use and discontinuation of medication should still follow the instructions of the prescribing physician.[Read More] Can You Test Progesterone Levels at Home with Saliva Strips?
Essential Nutrients for Pregnant Women: What to Eat and Avoid
What should pregnant women eat? Hello, Vice Dean Chen: My wife has confirmed her pregnancy (first child). I checked online for dietary recommendations and found that it is usually advised to increase calcium and iron intake. However, my wife is extremely afraid of drinking milk; ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Please refer to http://food.doh.gov.tw/english/health/health_4_2.htm and contact the hospital's nutrition department.[Read More] Essential Nutrients for Pregnant Women: What to Eat and Avoid
Is It Safe to Undergo Laser Mole Removal During Early Pregnancy?
Is it safe to undergo facial laser mole removal treatments during early pregnancy? Will it affect the fetus, and what do doctors recommend?
Dr. Chen Nengjin reply Obstetrics and Gynecology
The laser itself is harmless, but the potential psychological effects and postoperative medications cannot be generalized. It is recommended that you discuss this in person with your regular obstetrician.[Read More] Is It Safe to Undergo Laser Mole Removal During Early Pregnancy?
Determining Baby's Gender: Insights from 17 Weeks Ultrasound
Male or female? I am currently 17 weeks pregnant. I recently went to the hospital for an ultrasound, and the doctor said that from the side view, it looks like a boy because there is a protrusion, but from the front view, there is nothing that resembles a girl. Based on this, is ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
If even the physician performing the ultrasound cannot determine the gender, how can I provide you with an answer through simple text?[Read More] Determining Baby's Gender: Insights from 17 Weeks Ultrasound
Managing Perineal Healing After Natural Birth: Concerns and Treatments
Issues with suturing the wound? Hello Dr. Chen, I gave birth naturally on April 21st, and this is my second child. After my first delivery, I developed a polyp at the site of the vaginal sutures, which was subsequently removed. Now, after my second delivery, I am experiencing s...
Dr. Chen Nengjin reply Obstetrics and Gynecology
It is recommended that you work closely with your obstetrician to receive optimal medical care.[Read More] Managing Perineal Healing After Natural Birth: Concerns and Treatments
Impact of Medication on Male Fertility: A Guide for Couples Trying to Conceive
Pregnancy Consultation Hello doctor, my husband is currently taking medication for ankylosing spondylitis. The doctor mentioned that he can stop taking it by August this year, but I am planning to get pregnant by the end of September. Will this have any impact? The doctor said it...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Hello Ms. Chen: To inquire about the effects of a medication, you should at least provide the name of the drug, dosage, and administration method to understand what has happened. In fact, the prescribing physician is the most knowledgeable about related issues, so you can directl...[Read More] Impact of Medication on Male Fertility: A Guide for Couples Trying to Conceive
Understanding HPV Test Results: What to Do After a Positive Low-Risk Type 43 Result
Human Papillomavirus (HPV) The cervical human papillomavirus (HPV) test report shows the following results: 1. Positive reaction 2. Low-risk type 43. Should further examination or precautions be taken?
Dr. Chen Nengjin reply Obstetrics and Gynecology
It is recommended that you return to the original testing facility for a follow-up consultation.[Read More] Understanding HPV Test Results: What to Do After a Positive Low-Risk Type 43 Result
Concerns About Irregular Menstrual Cycles and Abdominal Discomfort
Worry Dear Doctor: I experienced brown discharge a few days before my period in February, and it was still not close to my expected menstrual date. After examination, the doctor diagnosed me with irregular menstrual cycles and administered a menstrual induction injection along wi...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Your issue requires an in-person examination at the hospital to confirm the diagnosis. Please visit the nearest gynecology outpatient clinic for evaluation. Thank you.[Read More] Concerns About Irregular Menstrual Cycles and Abdominal Discomfort
Understanding Uterine Issues: Causes, Treatments, and Concerns for Young Women
Issues related to the uterus? Hello Dr. Chen, I would like to ask you about my 17-year-old girlfriend. She often tells me that she experiences severe pain during her menstrual cycle. Today, I took her to a clinic for an examination, and the doctor mentioned that she has "ut...
Dr. Chen Nengjin reply Obstetrics and Gynecology
There are many possibilities, and without an in-person examination, I cannot provide you with an answer. Please consult your original physician directly.[Read More] Understanding Uterine Issues: Causes, Treatments, and Concerns for Young Women
Understanding Polycystic Ovary Syndrome: Symptoms, Concerns, and Solutions
Polycystic ovary syndrome (PCOS) Hello, what a coincidence! I also live in Hualien City. Here is my medical history: I am 27 years old and have two children, aged 9 and 6. After giving birth to my second child, my health has not been good. I had an intrauterine device (IUD) inser...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Please visit the gynecology outpatient clinic for an examination to determine the cause of your issue and discuss it in person.[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Concerns, and Solutions
Exploring Natural Birth Positions: Why Are Supine Births Common in Taiwan?
What are the methods of natural childbirth? Yesterday, the National Geographic Channel aired a segment on "In-Utero Diaries," which mentioned that the best positions for natural childbirth are standing, sitting, or squatting, while the supine position is considered less...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Any delivery that occurs through the birth canal is considered a natural birth. The position for natural birth depends on the environment and the support available at the time, and there is no definitive good or bad position.[Read More] Exploring Natural Birth Positions: Why Are Supine Births Common in Taiwan?
High HPV Levels: Should I Be Worried About Cancer?
Hello, doctor. I recently had my HPV levels tested, and they reached 2324.13? Hello, doctor. I recently tested my HPV levels, and they reached 2324.13. Am I in the late stages of cancer? I'm really worried because six months ago, my HPV test was only 11.5, and at that time, ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
You should go to the original testing hospital for further screening to identify the issue.[Read More] High HPV Levels: Should I Be Worried About Cancer?
When to Start Cervical Pap Smear Tests: Guidelines and Considerations
Pap smear test Doctor, when should cervical smear tests begin, and are there any restrictions? Is it sufficient to have given birth to start the tests?
Dr. Chen Nengjin reply Obstetrics and Gynecology
1. All sexually active women are advised to undergo a Pap smear. However, health insurance only provides one free examination per year for women aged 30 and above. Women under 30 or those wishing to have a second examination within a year must register and pay for it themselves. ...[Read More] When to Start Cervical Pap Smear Tests: Guidelines and Considerations
What Could Be Causing Small, Painful Growths Near the Genital Area?
Could you please clarify what you mean by "many small tumor-like growths"? I have developed many small, black, tumor-like growths in the area close to my groin (but not on the genitals). They are mostly located on the left side. They are painful when I touch them and on...
Dr. Chen Nengjin reply Obstetrics and Gynecology
Please visit the gynecology or dermatology outpatient clinic for medical care.[Read More] What Could Be Causing Small, Painful Growths Near the Genital Area?
Effects of Antihistamines and Allergy Medications on Fetal Development
Does the antihistamine Periactin and allergy medications have an effect on the fetus? Doctor, my wife is 28 weeks pregnant and often experiences nasal congestion, runny nose, and sneezing. The obstetrician mentioned it might be allergies and prescribed the following medications: ...
Dr. Chen Nengjin reply Obstetrics and Gynecology
At 28 weeks of pregnancy, the embryo has already developed significantly, and short-term low-dose antihistamines are unlikely to affect the fetus. It is believed that your gynecologist made this decision after careful consideration.[Read More] Effects of Antihistamines and Allergy Medications on Fetal Development
Why Are My Breasts Getting Smaller After Breastfeeding?
The breasts are becoming smaller? Hello, doctor! Since I stopped breastfeeding a month after giving birth, it has been over six months now, and my breasts seem to be getting smaller every day. This has left me feeling quite confused. What factors could be causing this? Thank you!
Dr. Chen Nengjin reply Obstetrics and Gynecology
Please visit the gynecology outpatient clinic for an examination.[Read More] Why Are My Breasts Getting Smaller After Breastfeeding?