Understanding Abnormal Vaginal Bleeding During Intercourse
Abnormal vaginal bleeding The female partner has experienced this before, but during intercourse, there is vaginal bleeding. In the first three instances, there were only blood streaks, but in the most recent occurrence, the bleeding was more significant. When the penis is withdr...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Bleeding during sexual intercourse, aside from the possibility of local tears, is often caused by cervical polyps or cervical erosion. It is advisable to consult a gynecologist for diagnosis and treatment, as it is usually not serious.[Read More] Understanding Abnormal Vaginal Bleeding During Intercourse
Essential Fertility Tests for Women with Regular Ovulation
Infertility evaluation If ovulation test strips indicate ovulation every month but pregnancy has not occurred, what tests should be conducted and when is the best time for these tests?
Dr. Chen Xuhui reply Obstetrics and Gynecology
The causes of infertility can be initially categorized into male infertility (which requires sperm analysis) and female infertility. Generally, if a woman is ovulating, another factor to consider is the patency of the fallopian tubes. A hysterosalpingography is typically more sui...[Read More] Essential Fertility Tests for Women with Regular Ovulation
Understanding Hymen Myths: Pain During Intercourse Explained
No hymen? Doctor, I asked my girlfriend, and she said that she didn't bleed during her first time and hasn't had any injuries. She doesn't feel pain during intercourse, but she experiences pain afterward that lasts for several days. This happens every time.
Dr. Chen Xuhui reply Obstetrics and Gynecology
The hymen is merely a thin membrane tissue at the vaginal opening, and its structure varies from person to person. It does not necessarily lead to bleeding during first intercourse, nor does it guarantee that one will experience abdominal pain for several days afterward. Possible...[Read More] Understanding Hymen Myths: Pain During Intercourse Explained
Timing for Pap Smear After Quadrivalent HPV Vaccine: Expert Insights
Quadrivalent cervical cancer vaccine Hello Dr. Chen, I hope you don't mind me asking you a question. My question is as follows: My wife is scheduled to receive her third dose of the quadrivalent HPV vaccine this July, and she will turn 30 this year. Dr. Chen, how long after ...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Dr. Chen replied that the Pap smear does not test for human papillomavirus (HPV) antibodies, so there is no time limit for receiving the vaccine. The goal of vaccination is to generate antibodies that can reduce the incidence of cervical cancer over the following decades. Current...[Read More] Timing for Pap Smear After Quadrivalent HPV Vaccine: Expert Insights
When Can Transvaginal Ultrasound Detect Embryo in Early Pregnancy?
Transvaginal ultrasound can typically detect an embryo around 5 to 6 weeks of gestation? Hello Dr. Chen, I would like to ask, if a urine test confirms pregnancy but an ultrasound cannot detect anything, at how many weeks can a transvaginal ultrasound visualize the embryo, and at ...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Hello, pregnancy tests can typically detect pregnancy about 4 weeks after the last menstrual period. Transvaginal ultrasound can detect the pregnancy about a week earlier than abdominal ultrasound. By approximately 4 weeks, the gestational sac can be seen, and the embryo within t...[Read More] When Can Transvaginal Ultrasound Detect Embryo in Early Pregnancy?
When Can You Detect an Embryo with Vaginal or Abdominal Ultrasound?
Vaginal ultrasound and abdominal ultrasound can typically detect an embryo around 6 to 7 weeks of gestation? Director Chen, I have a question. My menstrual cycle is consistently 28 days, and my last period started on February 19. I was supposed to get my period on March 24, but i...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Transvaginal ultrasound at around 4 weeks may reveal a small gestational sac, which at this stage (approximately 4mm) may require further monitoring to confirm it is indeed a gestational sac due to its small size. If the gestational sac is larger than 5 weeks, it is easier to con...[Read More] When Can You Detect an Embryo with Vaginal or Abdominal Ultrasound?
Can You Get the Second Dose of HPV Vaccine Early?
Cervical cancer vaccine Hello Dr. Chen, First of all, thank you for taking the time to respond to this inquiry. My question is: My wife received the first dose of the quadrivalent HPV vaccine approximately five and a half months ago. Can she receive the second dose one week ear...
Dr. Chen Xuhui reply Obstetrics and Gynecology
The quadrivalent vaccine should be administered in three doses, spaced one month apart, rather than six months apart. It is recommended to consult with a hospital to determine when to receive the third dose. If the third dose of the quadrivalent vaccine is typically given at six ...[Read More] Can You Get the Second Dose of HPV Vaccine Early?
Can You Dye Your Hair During Your Period? Health Implications Explained
Can I dye my hair while on my period? Hello Dr. Chen, I would like to ask you about my menstrual cycle. I am 22 years old, and since I started menstruating, my periods have lasted 7 to 8 days. I am a nursing student, and one of my obstetrics professors told me that since I am not...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Hello, Xiaohua: Generally, when books mention heavy menstrual flow, it refers to a menstrual period lasting longer than a week, which is just a rough estimate; a week is considered normal. If you have concerns, you may want to consult a gynecologist to check for conditions such a...[Read More] Can You Dye Your Hair During Your Period? Health Implications Explained
Effective Solutions for Clogged Milk Ducts After Childbirth
Breastfeeding. Blocked milk ducts? Hello, doctor. My wife has been breastfeeding our baby for nine days since giving birth. She is experiencing some issues with a hard lump in the areola area while trying to massage and clear the milk ducts. What are some effective ways to addres...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Breast engorgement should be relieved by expressing milk or allowing the baby to suckle. During this transitional period, initially, the baby may not latch on effectively, but it will improve over time. It is recommended to consume lecithin or use an electric breast pump, massage...[Read More] Effective Solutions for Clogged Milk Ducts After Childbirth
Can Vaginitis Be Cured or Is It a Recurring Issue?
Can vaginitis be completely cured? In March, I noticed an increase in discharge and went to see a doctor, who diagnosed me with vaginitis. I used suppositories, and after two to three weeks, the discharge decreased, so I didn't return to the doctor. However, about a week lat...
Dr. Chen Xuhui reply Obstetrics and Gynecology
The use of suppositories for 2-3 weeks is usually sufficient for treatment; however, recurrence may indicate a reinfection. Some fungal infections can cause prolonged inflammation, especially if the source of infection is in the gastrointestinal tract. In such cases, systemic ora...[Read More] Can Vaginitis Be Cured or Is It a Recurring Issue?
Understanding Menstrual Pain and Miscarriage: Key Insights for Women
Menstruation or miscarriage Hello, I would like to ask: I had a vasectomy about ten years ago. For the past six years, I have experienced significant pain during my menstrual periods, which typically occur every 30-35 days. My last period was on January 25, and the most recent on...
Dr. Chen Xuhui reply Obstetrics and Gynecology
If your period is late, you can take a pregnancy test to determine if you are pregnant. If your period arrives and you suspect a possible miscarriage, a pregnancy test can also help clarify the situation. If the test is positive, you should be cautious about the possibility of an...[Read More] Understanding Menstrual Pain and Miscarriage: Key Insights for Women
Understanding Irregular Periods: Possible Causes and Next Steps
Menstruation has not occurred for half a month? Hello, I would like to ask a question regarding my friend. She is 22 years old and mentioned that her menstrual period has not occurred for six months. She has consulted both gynecologists and traditional Chinese medicine practition...
Dr. Chen Xuhui reply Obstetrics and Gynecology
There are many possible reasons for not having a menstrual period for six months. The pituitary tumor you mentioned could be associated with hyperprolactinemia, and if the uterus has not fully developed, an ultrasound examination is necessary. Excessive stress may warrant hormone...[Read More] Understanding Irregular Periods: Possible Causes and Next Steps
Can HPV Be Transmitted to the Fetus During Pregnancy?
Can HPV be transmitted to the fetus? Hello Doctor: I have been infected with HPV (10.8). Will I transmit the virus to my fetus during pregnancy? Also, can it be spread to others through sharing food or kissing, via saliva? Thank you very much for taking the time to respond. A ver...
Dr. Chen Xuhui reply Obstetrics and Gynecology
1. HPV infection may be transmitted to the child during the process of natural childbirth. 2. Living with family members typically does not transmit HPV, as it is primarily spread through sexual contact; however, it cannot be completely ruled out. Some people believe that public ...[Read More] Can HPV Be Transmitted to the Fetus During Pregnancy?
Understanding Decreased Menstrual Flow: Causes and Solutions for Women
Menstrual flow reduction Dr. Chen: Hello! I started my menstruation at the age of 11-12, and I am now 38 years old, unmarried, and have never had children. My menstrual cycle is typically 24-28 days. Over the past year, I have noticed a decrease in menstrual flow, approximately o...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Common causes of reduced menstrual flow include uterine adhesions after miscarriage, thyroid dysfunction, elevated prolactin levels, use of contraceptives, advanced age, and hormonal deficiencies. Please consult a physician for diagnosis and treatment.[Read More] Understanding Decreased Menstrual Flow: Causes and Solutions for Women
Can You Get Pregnant If He Only Inserts a Little During Period?
Is it easy to get pregnant this way? I'm not a doctor, but I can provide some general information. If penetration occurred but there was no ejaculation, the likelihood of pregnancy is significantly reduced, but not entirely eliminated. Sperm can be present in pre-ejaculate...
Dr. Chen Xuhui reply Obstetrics and Gynecology
1. Using the calendar method for contraception is a very unreliable approach, especially when a woman's menstrual cycle is irregular (as it makes it difficult to accurately predict ovulation). Generally, it is possible to confirm pregnancy by taking a urine test about two we...[Read More] Can You Get Pregnant If He Only Inserts a Little During Period?
Understanding Low Menstrual Flow: Causes and Concerns for Women's Health
Hypomenorrhea Hello, I would like to ask how to determine if menstrual flow is too light. My menstrual flow has been decreasing over the past few months; could this indicate a potential health issue?
Dr. Chen Xuhui reply Obstetrics and Gynecology
A normal menstrual period lasts between 2 to 7 days and a volume of 20 to 60 ml is considered normal. Light menstrual flow is often a subjective symptom, accompanied by a decrease in the number of days of menstruation. Causes of reduced menstrual flow may include the use of contr...[Read More] Understanding Low Menstrual Flow: Causes and Concerns for Women's Health
Medication Concerns During Early Pregnancy: What You Need to Know
Issues Related to Medication Use in Early Pregnancy My last menstrual period started on September 5, with a cycle length of about 25-28 days. My periods have always been regular. The only days I had sexual intercourse after my last period were from September 22 to September 24, d...
Dr. Chen Xuhui reply Obstetrics and Gynecology
1. To determine if you are pregnant, a urine test can provide the answer. If sexual intercourse occurred between September 22 and September 24, a test can typically be taken after October 10. 2. The effects of medications on fetal malformations mostly occur between weeks 5 to 10 ...[Read More] Medication Concerns During Early Pregnancy: What You Need to Know
Essential Pre-Pregnancy Considerations for Women with HPV History
About pregnancy? Hello Doctor, I would like to ask you another question. I previously had a genital wart infection, which was treated with electrosurgery, but my husband did not get infected and has undergone blood tests at the hospital to confirm that he is fine. We are currentl...
Dr. Chen Xuhui reply Obstetrics and Gynecology
Currently, there are no blood tests available for the diagnosis of human papillomavirus (HPV) types 6 and 11 associated with genital warts. Diagnosis primarily relies on visual inspection or colposcopy. It is recommended that pregnant women undergo colposcopic examinations every ...[Read More] Essential Pre-Pregnancy Considerations for Women with HPV History
Understanding Advanced Maternal Age: Risks and Testing Options
Advanced maternal age Hello Doctor, I would like to inquire about issues related to advanced maternal age. I was born at the end of March in 1974. If I become pregnant before the end of this year and give birth next year, would I be considered an advanced maternal age? Would I ne...
Dr. Chen Xuhui reply Obstetrics and Gynecology
According to regulations, if the actual age exceeds 34 years on the day of amniocentesis, there is government assistance available. Generally, amniocentesis is performed around four months into the pregnancy. A "geriatric pregnancy" refers to a pregnancy in which the mo...[Read More] Understanding Advanced Maternal Age: Risks and Testing Options
Am I Pregnant? Understanding Early Pregnancy Signs and Tests
Am I pregnant? Hello Doctor, I previously wrote to consult about my menstrual cycle, which started on March 27 and lasted until April 24. I was with my boyfriend on April 3, and on April 4, I took emergency contraception (after which I did not have any sexual intercourse). I expe...
Dr. Chen Xuhui reply Obstetrics and Gynecology
The last sexual intercourse was on April 3rd. If there is a possibility of pregnancy, it should be detectable around April 20th. You tested on April 28th, May 6th, and May 13th, and all three tests were negative, which suggests that pregnancy is unlikely unless there was another ...[Read More] Am I Pregnant? Understanding Early Pregnancy Signs and Tests