Managing Breakthrough Bleeding While on Birth Control Pills
Contraceptive pill issues? Dear Doctor, I took 21 birth control pills and after a four-day break, I experienced bleeding similar to menstruation. In this situation, should I stop taking the pills and start taking two pills daily to make up for the missed four days? Or should I wa...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
It is recommended to stop the medication for 7 days after taking 4 pills, and then continue with the new first pill. If oral contraceptives are taken regularly, ovulation will not occur. The bleeding that occurs after stopping the medication is called withdrawal bleeding, rather ...[Read More] Managing Breakthrough Bleeding While on Birth Control Pills
Understanding Pregnancy Chances: Irregular Periods and Testing Insights
Pregnancy probability On June 4th, I had intercourse with my boyfriend using a condom, and it lasted for about five minutes. Afterwards, I realized that it was during my fertile window, and the app indicated that my period was due on June 20th. I took a pregnancy test on June 18t...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, if safe sexual practices are consistently followed, the likelihood of pregnancy is low. For any bleeding outside of the menstrual period, it is advisable to seek medical evaluation to assess for possible menstrual irregularities or other underlying causes. Thank you.[Read More] Understanding Pregnancy Chances: Irregular Periods and Testing Insights
Is Lybrel Birth Control Available in Taiwan? A Gynecologist's Insight
Contraceptive pill issues? Hello, doctor. I would like to ask if this contraceptive pill, Lybrel, is available in Taiwan. Thank you.
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to visit an obstetrician-gynecologist for evaluation and to have the physician prescribe medications suitable for you. Alternatively, you may consult the Ministry of Health and Welfare's Food and Drug Administration for information related to medicat...[Read More] Is Lybrel Birth Control Available in Taiwan? A Gynecologist's Insight
Understanding HPV Transmission Risks and Safe Practices in Relationships
Probability of disease occurrence Hello, my husband is a patient with HPV type 16 and has developed head and neck cancer, specifically tongue cancer. We both engage in unprotected sexual intercourse and oral sex. What is the likelihood of my infection? I have not been tested posi...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, since HPV type 16 is highly oncogenic and has a high transmission rate, you may want to consult your primary physician about the need for prophylactic antiviral treatment and the administration of the HPV vaccine. Even after recovering from an HPV type 16 infection, men ca...[Read More] Understanding HPV Transmission Risks and Safe Practices in Relationships
Emergency Contraceptive Pills: Effectiveness and Health Tips After Use
Emergency contraceptive pill Hello Dr. Chen: On July 20th at 12:00 AM, I had intercourse with my girlfriend and later discovered that the condom had a hole (it was confirmed that the hole was on the inside; although I withdrew before ejaculation, I am aware that there are concern...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, emergency contraceptive pills are more effective the sooner they are taken after sexual intercourse, with a success rate of about 90%. After taking emergency contraceptive pills, there is no need for special follow-up. If your partner's next expected menstrual period ...[Read More] Emergency Contraceptive Pills: Effectiveness and Health Tips After Use
Progesterone Use in PCOS: When to Seek Further Medical Advice?
Progesterone and Polycystic Ovary Syndrome (PCOS) Hello, doctor. My last menstrual period was on June 3rd, and I had sexual intercourse on June 11th. I visited the obstetrics and gynecology department on July 2nd, July 10th, and July 17th, where I had a urine pregnancy test that ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, there are various medications for treating polycystic ovary syndrome (PCOS), including contraceptives, progesterone, ovulation induction agents, and insulin-sensitizing medications. If the use of progesterone is ineffective, please return for a follow-up consultation with ...[Read More] Progesterone Use in PCOS: When to Seek Further Medical Advice?
Abnormal Bleeding: Could It Be Pregnancy or Just Irregular Periods?
Abnormal bleeding, menstrual irregularities, could they indicate pregnancy? On June 4th, I had intercourse with my boyfriend using a condom, and it lasted about five minutes. Afterward, I realized that it was during my fertile period, and my app indicated that my period was due o...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, based on your description, the situation in July may indicate menstrual irregularities or abnormal bleeding outside of the normal menstrual period following a regular cycle in June. It is recommended that you visit a gynecologist for a check-up. Thank you.[Read More] Abnormal Bleeding: Could It Be Pregnancy or Just Irregular Periods?
Understanding Endometriosis: Adhesions, Pain Management, and Treatment Options
Endometriosis with uterine adhesions? The doctor said I have endometriosis and adhesions in my uterus. I went for an examination due to abdominal pain, and the doctor recommended an ultrasound. The ultrasound showed adhesions, which are causing the pain. The doctor suggested that...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, endometriosis or adhesions can be treated with either medication or surgery. It is unclear what you mean by "patches," so it is advisable to seek medical evaluation and discuss treatment options with your physician to avoid delaying necessary treatment. Generally...[Read More] Understanding Endometriosis: Adhesions, Pain Management, and Treatment Options
Understanding Abnormal Bleeding: When to Seek Medical Advice
Abnormal bleeding Hello, Doctor. I am currently 31 years old, 158 cm tall, and weigh 52 kg. I have been exercising regularly for the past six months and usually use a mobile app to track my menstrual cycle, which averages 35-40 days. I feel that my menstrual flow is relatively li...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, work, psychological stress, or changes in life can all affect the menstrual cycle. If your period is significantly delayed or absent, it is advisable to seek medical evaluation. You can also inquire about health check-up arrangements during your outpatient visit. Thank you...[Read More] Understanding Abnormal Bleeding: When to Seek Medical Advice
Managing PCOS: The Role of Emergency Contraceptives and Menstrual Regulation
Polycystic Ovary Syndrome (PCOS) and the use of emergency contraceptive pills? Hello, Doctor. I am a patient with polycystic ovary syndrome (PCOS) and have been using menstrual regulation medication prescribed by my gynecologist for nearly a year. I have had adjustments to the do...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, please inform during your follow-up visit that common side effects of emergency contraceptive pills include nausea, vomiting, abnormal bleeding, breast tenderness, bloating, abdominal pain, dizziness, headache, and fatigue. If you experience abnormal bleeding or abdominal ...[Read More] Managing PCOS: The Role of Emergency Contraceptives and Menstrual Regulation
Understanding Hormonal Imbalances and Their Impact on Sexual Desire
Hormones and Sexual Desire Issues Hello, I experience irregular feelings of severe depression and emotional instability about ten to fourteen days before my menstrual period. I have a history of anxiety disorder and am currently on medication prescribed by a psychiatrist. Additio...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, Ms. Tseng. It is recommended that you visit the obstetrics and gynecology outpatient clinic for medical consultation. Please proactively inform the physician about any treatments or medications you are currently undergoing to assist in their evaluation. Thank you.[Read More] Understanding Hormonal Imbalances and Their Impact on Sexual Desire
Can Women with PCOS Safely Consume Whey Protein Supplements?
Can individuals with polycystic ovary syndrome (PCOS) consume whey protein? Hello, Doctor: I have polycystic ovary syndrome (PCOS) and weigh around 110 kilograms. Through traditional Chinese medicine, exercise, and dietary control, I have lost about 10 kilograms in the past month...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
It is recommended to consult with a physician or seek advice from a nutritionist before consuming whey protein. Thank you.[Read More] Can Women with PCOS Safely Consume Whey Protein Supplements?
Can You Safely Get Botox While Taking Birth Control Pills?
Emergency contraceptive pills and Botox injections? I have been taking oral contraceptives for nearly a year and have no plans for pregnancy. I would like to schedule a Botox treatment for wrinkle reduction this weekend. I would like to ask the doctor if it is safe to receive Bot...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended that you actively inform your physician about the medications you are currently taking to facilitate preoperative assessment. You may also consult at the obstetrics and gynecology outpatient clinic. Thank you.[Read More] Can You Safely Get Botox While Taking Birth Control Pills?
Understanding Menstrual Irregularities: Causes and Concerns
Menstrual irregularities I finished my menstrual period on June 4th, but I had sexual intercourse on June 8th using a condom, and I checked afterward to ensure it didn't break or leak. My next period was due on June 29th, but it was delayed by five days, and when I took a pr...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, conditions such as hormonal imbalances or uterine fibroids, as well as psychological factors like stress from academics, work, or daily life, can all affect the menstrual cycle. It is recommended to maintain a regular lifestyle, avoid staying up late, ensure adequate sleep...[Read More] Understanding Menstrual Irregularities: Causes and Concerns
Managing HPV16 and CIN2: Post-Surgery Fertility and Infection Prevention
HPV type 16 CIN2 Currently infected with HPV type 16 and diagnosed with CIN 2, I have a cone biopsy scheduled for next week. I would like to know how to avoid reinfection if I want to conceive after the surgery. Since I'm unsure if my husband is also infected, how should he ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, based on your letter, I would recommend that your husband also undergo testing. A rectal smear test should be performed to determine if treatment is necessary. Additionally, both you and your husband should receive the HPV vaccine to reduce the risk of recurrence and preve...[Read More] Managing HPV16 and CIN2: Post-Surgery Fertility and Infection Prevention
Is It Safe for Pregnant Women to Use Antiperspirants?
Can pregnant women use antiperspirants? There is a family history of bromhidrosis, and I am also troubled by it. I have been using antiperspirants for a long time, specifically "Youdafen" antiperspirant two days a week. I am planning to become pregnant and would like to...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, please refer to the instructions and usage guidelines for antiperspirants, which should include any contraindications or precautions. You may also bring the antiperspirant with you to the obstetrics and gynecology clinic for preconception counseling. Thank you.[Read More] Is It Safe for Pregnant Women to Use Antiperspirants?
Emergency Contraception: Understanding Pregnancy Risks After Unprotected Sex
Emergency contraceptive pill During the fifth day of your girlfriend's menstrual period, on June 5th, you had unprotected intercourse and she took emergency contraception the following morning on June 6th. She experienced bleeding on June 10th. Given that she was on her peri...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Emergency contraceptive pills can only reduce the likelihood of pregnancy and do not guarantee 100% prevention. The extent to which they lower the risk is closely related to the timing of sexual intercourse, the timing of taking the medication, and the menstrual cycle. After taki...[Read More] Emergency Contraception: Understanding Pregnancy Risks After Unprotected Sex
Post-Pill Bleeding: Understanding Changes in Menstrual Flow After Emergency Contraception
After taking the emergency contraceptive pill, the menstrual flow has decreased but has not stopped for an extended period? Hello doctor, I had intercourse with my boyfriend on May 20th, but I was unsure if the condom slipped off during the act. Therefore, I took the emergency co...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Emergency contraceptive pills can only reduce the likelihood of pregnancy and do not guarantee 100% prevention. The extent to which they lower the risk is closely related to the timing of sexual intercourse, the timing of taking the medication, and the menstrual cycle. After taki...[Read More] Post-Pill Bleeding: Understanding Changes in Menstrual Flow After Emergency Contraception
Managing Menstrual Cycles with Birth Control Pills: Your Questions Answered
Menstrual regulation, preemptive contraceptive pills? Hello, doctor. My last menstrual period started on June 5, and my next expected period is on July 6. However, I have plans to go to a hot spring on July 11-12, so I would like to ask if I can start taking the medication "...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
The Yejihui oral contraceptive should be started at the same time on days 3 to 5 of the previous menstrual cycle to be effective. For additional medications, it is recommended that you consult with a gynecologist for further advice. Thank you.[Read More] Managing Menstrual Cycles with Birth Control Pills: Your Questions Answered
Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods
Endometrial ablation Due to dysmenorrhea, every second feels unbearable, sitting on the toilet while vomiting and having diarrhea, my face turns not pale but green after the pain. Currently, painkillers are effective, but it takes half an hour for them to take effect, and even th...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Endometrial ablation is only effective for primary dysmenorrhea. It is not effective for pain caused by endometriosis, pelvic adhesions, or other conditions. Please seek medical attention to clarify the cause of the pain and discuss treatment options with your physician. Thank yo...[Read More] Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods