Concerns About Estrogen Use During Pregnancy Planning: What You Need to Know
Issues with Estrogen Administration Hello, Doctor. My last menstrual period was from July 20 to July 26. However, on the morning of August 5, I noticed brown spotting that continued into the evening, so I decided to visit a clinic. The doctor performed an abdominal ultrasound and...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the medication prescribed is commonly used in general obstetrics and gynecology to manage abnormal vaginal bleeding. It is indeed a hormonal medication, and such medications are typically used with caution when pregnancy is confirmed. If you have already ...[Read More] Concerns About Estrogen Use During Pregnancy Planning: What You Need to Know
Understanding Hormonal Imbalance and Ovulation Medication in Women
Regarding issues related to menstrual regulation and ovulation medications? Hello, Doctor. Recently, my menstrual cycle has been a bit irregular. On the second day of my period, I went to see a gynecologist. After the consultation, the doctor mentioned that I might be experiencin...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: Based on your description, it seems that you are more worried about the possibility of pregnancy than about menstrual irregularities. If this is the case, it is advisable to take contraceptive or fertility medications un...[Read More] Understanding Hormonal Imbalance and Ovulation Medication in Women
Understanding Amenorrhea in Young Women: Causes and Concerns
Amenorrhea in young individuals Hello Doctor: I just turned 21 years old, have not engaged in sexual intercourse, and have not experienced any trauma or surgery to my reproductive organs. My first menstruation was at age 11, and around age 18, my menstrual cycle became occasional...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, it is generally acceptable for menstrual cycles to be irregular during puberty. However, excessively frequent periods that impact daily life require active management. Rapid weight loss can also affect menstrual performance, as it is related to hormonal i...[Read More] Understanding Amenorrhea in Young Women: Causes and Concerns
Could Late Period Be Implantation Bleeding? Understanding the Signs
If your menstrual period is already late, could it still be implantation bleeding? The usual menstrual cycle is approximately 30-31 days, lasting about seven to eight days. The last period started on June 28. Sexual intercourse occurred on July 9 and July 19, with condom use thro...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, you may consider purchasing a home pregnancy test at a pharmacy for self-testing, or you can visit a gynecological clinic to confirm whether you are pregnant. Thank you for your inquiry, and I wish you health and happiness.[Read More] Could Late Period Be Implantation Bleeding? Understanding the Signs
Understanding Pregnancy Chances and Unusual Bleeding After Intercourse
Pregnancy probability Hello, Doctor. I had intercourse with my boyfriend on July 13, using a condom throughout. A day later, I experienced some spotting, which was not expected since my period was due on July 29. The bleeding was very light and lasted for five days; it didn'...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: Due to the limited information provided about your menstrual cycle, it is difficult to determine whether the current physiological condition suspected to be early pregnancy is indeed a case of early gestation. It is advisable t...[Read More] Understanding Pregnancy Chances and Unusual Bleeding After Intercourse
Understanding Pregnancy Risks: Your Questions Answered on Contraceptive Use
Pregnancy probability Hello Doctor: I started taking my birth control pills on July 18, which was after my period had already started, so I only completed 7 days of use by that date. Considering my menstrual cycle is about 33 days, my fertile window was from July 15 to July 20. O...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, based on your description, the likelihood of pregnancy seems low. However, it is important to note that no situation can be completely ruled out. It is advisable to wait a bit longer. If you do not get your period after two months, it is recommended to co...[Read More] Understanding Pregnancy Risks: Your Questions Answered on Contraceptive Use
Understanding Delayed Periods: Pregnancy Concerns and Antibiotics Impact
Pregnancy test questions? Hello Doctor: My girlfriend has irregular menstrual cycles, and her period is currently 7 days late according to the app. We had sexual intercourse on July 8 and July 10. On July 8, we used a condom and withdrew before ejaculation, and on July 10, we use...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: When the body is under health threats, it can potentially lead to an extended menstrual cycle. However, if you are still worried about the possibility of unintended pregnancy, it is advisable to visit a specialized obste...[Read More] Understanding Delayed Periods: Pregnancy Concerns and Antibiotics Impact
Understanding Abdominal Discomfort: When to See a Gynecologist
Abdominal issues? Hello doctor, I have never experienced this situation before. This time during my menstrual period, my lower back is particularly sore. I have done some relaxation exercises and maintaining that position has provided some relief. Today is the second day, and my ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary response: Generally, if it is an occasional situation, it may be associated with the onset of menstruation accompanied by some mild physical discomfort. It is advisable to continue monitoring the situation. The Traditional Chinese Medici...[Read More] Understanding Abdominal Discomfort: When to See a Gynecologist
Understanding Menstrual Mood Swings: Causes and Solutions for Emotional Distress
Menstrual depression Hello, doctor. I'm not sure if I can get a response through this channel 😅. This issue has been bothering me for a long time, and I've considered whether I should seek medical help, but I feel like it might not be that serious. During my menstrual p...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Based on your description, it seems that you are experiencing a more severe form of premenstrual syndrome known as Premenstrual Dysphoric Disorder (PMDD). Literature reports that this condition is caused by a rapid decline in cyclical hormones after ovulation, leading to an imbal...[Read More] Understanding Menstrual Mood Swings: Causes and Solutions for Emotional Distress
Understanding Menstrual Mood Swings: Causes and Solutions for Emotional Distress
Menstrual depression Hello, Doctor. I'm not sure if I can get a response through this channel 😅. This issue has been bothering me for a long time. I've considered seeking medical help, but I feel like it might not be that serious. During my menstrual period, I often fin...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Based on your description, it seems that you are experiencing a more severe form of premenstrual syndrome known as Premenstrual Dysphoric Disorder (PMDD). Literature reports that this condition is caused by a rapid decline in cyclical hormones after ovulation, leading to an imbal...[Read More] Understanding Menstrual Mood Swings: Causes and Solutions for Emotional Distress
Understanding Uterine Polyps: Causes, Symptoms, and Treatment Options
Endometrial polyp Doctor, I have been experiencing irregular menstrual cycles for a while. I underwent a hysteroscopy, and there were polyps as well as some white, fuzzy material attached to a part of the endometrium. My doctor mentioned that he is unsure what the white, fuzzy ma...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: Based solely on your description, it is indeed difficult to determine the nature of the abnormality. However, what your physician stated is correct; a biopsy should be performed for examination by a pathologist to provide a def...[Read More] Understanding Uterine Polyps: Causes, Symptoms, and Treatment Options
Understanding Premenstrual Arrhythmia: Causes and Solutions
Premenstrual arrhythmia Hello doctor, I experience irregular heartbeats, palpitations, chest tightness, and shortness of breath from about 10 days before my menstrual period until the middle of my period. I have visited the emergency room once, but my hemoglobin levels were norma...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the scientific reports on arrhythmias caused by hormonal changes during menstruation are still rare. It is advisable to consult a cardiologist to determine the underlying cause to avoid any delay in diagnosis. Thank you for your inquiry, and I wish you he...[Read More] Understanding Premenstrual Arrhythmia: Causes and Solutions
Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Menstrual issues Doctor, I would like to ask why my menstrual period, which started on June 6, has not ended as of today, July 7. I still see blood when I wipe after urinating, although it's not a lot. Why is this happening? I had an ultrasound at the hospital in April, and ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: The ultrasound examination showed no issues, which means that no tumors or other abnormalities affecting menstrual flow were found structurally. However, this does not rule out potential functional disorders. It is advisable to...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Managing PMDD with Vitex: Dosage Guidance and Family Considerations
Chaste Tree Berry (Vitex) Hello Doctor, I have been experiencing premenstrual tension (PMT, PMDD) since I started menstruating at the age of 12. When I was 18, I visited a specialized clinic at Chang Gung Memorial Hospital for premenstrual tension. I have thyroid nodules, which h...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary response: Generally, abnormal thyroid hormone levels can affect menstrual flow. However, your condition seems to be more related to the thyroid gland itself rather than thyroid hormones. It is recommended that you be evaluated by a metab...[Read More] Managing PMDD with Vitex: Dosage Guidance and Family Considerations
Understanding Abnormal Bleeding and Hormonal Imbalances in Women
Intermenstrual bleeding Hello, Doctor: For the past six months, I have been experiencing intermenstrual bleeding. I have visited a gynecologist several times, and health checks on my uterus and ovaries showed no significant issues. The doctor mentioned it could be ovulation bleed...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here are the responses to questions one and two: Even if the gynecological examination shows no structural issues with the uterus and ovaries, functional disorders can still lead to the abnormal conditions you described. Question three: The relationship b...[Read More] Understanding Abnormal Bleeding and Hormonal Imbalances in Women
Understanding Acne, Weight Gain, and Abnormal Menstrual Blood Color
Acne, weight gain, and abnormal menstrual blood color? Hello, Doctor! In the past six months to a year, I suddenly experienced severe acne on my face, rapid weight gain, and my menstrual blood color has often been abnormal (sometimes brown or dark red). I feel easily fatigued and...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: Your description seems to be related to hormonal imbalances in the body. Consulting an endocrinologist can provide a comprehensive assessment of any hormonal imbalances. On the other hand, obstetrics and gynecology typic...[Read More] Understanding Acne, Weight Gain, and Abnormal Menstrual Blood Color
Understanding Breakthrough Bleeding While Taking Birth Control Pills
Bleeding symptoms have occurred before finishing the birth control pills? Hello, doctor. I previously took Meliane (21 pills) continuously, then stopped for a while, and started taking it again a few months ago. I am currently on my second pack. When I reached the last pill (on J...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: Generally, as your physician mentioned, medication should be resumed on the 4th or 5th day after stopping the medication when you notice bleeding. However, based on the information you provided, it is recommended to consider st...[Read More] Understanding Breakthrough Bleeding While Taking Birth Control Pills
Understanding Abnormal Bleeding: Causes and Solutions for Women
Abnormal bleeding Hello Doctor: 1. Duration: I have been experiencing abnormal bleeding outside of my menstrual period for about three years. 2. Timing and Color: Each time, it occurs the day after external stimulation of the clitoris, presenting as brown or dark red, accompanie...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, the response is as follows: Abnormal bleeding while on hormonal medication must consider possible endometrial pathology, and issues related to the vagina or cervix cannot be ruled out. A pelvic examination is necessary to clarify the situation. If the pre...[Read More] Understanding Abnormal Bleeding: Causes and Solutions for Women
Understanding Uterine Prolapse: Kegel Exercises and Recovery Insights
Uterine prolapse issues? I would like to ask the doctor, I am 27 years old and have four children. After giving birth last year, the doctor mentioned that I have uterine prolapse. Can Kegel exercises help the uterus return to its original position? Recently, I can feel something ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, theoretically, even if you insert your fingers deeply into the vagina, you should not be able to reach the internal reproductive organs. It is possible that what you are feeling is the cervix, which indirectly confirms the suspicion of pelvic organ prolap...[Read More] Understanding Uterine Prolapse: Kegel Exercises and Recovery Insights
Understanding Breakthrough Bleeding After Stopping Birth Control Pills
Discontinuation of contraceptive pills? I started my period on May 11th and began taking the oral contraceptive pill, but I stopped after three days due to discomfort. Then, on May 19th, it seemed like my period returned and lasted for five days. From June 3rd to around June 5th,...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: The issues you mentioned, such as discontinuing medication without following proper procedures, staying up late, and even unexpected early pregnancy, can all lead to unanticipated abnormal vaginal bleeding. In addition t...[Read More] Understanding Breakthrough Bleeding After Stopping Birth Control Pills