Understanding Menstrual Cycle Changes and Pregnancy Concerns
Are you pregnant? Hello, doctor. Thank you for your hard work. 1. My menstrual cycle used to be 26 days, and my periods were very regular. However, it seems that due to the stress of being in school, or possibly other reasons, my last two periods (in March and April) were delay...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Due to irregular cycles, it is not possible to confirm if April 6th was a normal menstruation based on your question. It is recommended to take a home pregnancy test or observe if menstruation occurs next month. You may also consider visiting a gynecologist for further examinatio...[Read More] Understanding Menstrual Cycle Changes and Pregnancy Concerns
Post-Hysterectomy Hormone Replacement Therapy Options in Taiwan
Total Hysterectomy Hormone Replacement Therapy I previously underwent a total hysterectomy abroad, which included the removal of both ovaries, fallopian tubes, and the cervix. One month post-surgery, I started hormone replacement therapy using a patch with a dosage of 75 mg, chan...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hormone replacement therapy has various recommendations. Please visit a gynecology outpatient clinic at a regional hospital or higher for evaluation and recommendations from a specialist that are suitable for your condition. Thank you.[Read More] Post-Hysterectomy Hormone Replacement Therapy Options in Taiwan
Understanding Delayed Menstruation: When to Seek Medical Advice
Delayed menstrual period? Hello, my menstrual cycle has always been around 28-30 days. I usually experience slight bleeding before my period. However, today (April 11) is the 34th day of my cycle, and aside from symptoms similar to those of my period, such as lower abdominal pain...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, if pregnancy has been ruled out, it is recommended to visit a gynecologist after 14 days past the expected menstrual period. Thank you.[Read More] Understanding Delayed Menstruation: When to Seek Medical Advice
Managing Side Effects of Birth Control Pills: Safety of Combining Medications
Emergency contraceptive pills can cause discomfort in the body? Hello, I started taking Diane to adjust my menstrual cycle, but I'm experiencing significant side effects such as nausea, vomiting, and dizziness. I bought an antiemetic (a white round pill and a pink round pill...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Nausea and vomiting are common adverse reactions associated with the use of Daliyan. It is unclear what specific antiemetic you are referring to; to avoid potential drug interactions, it is advisable to consult your original treating physician for further guidance. Thank you.[Read More] Managing Side Effects of Birth Control Pills: Safety of Combining Medications
Understanding Your Pap Smear Results: Benign Inflammation Explained
The smear test results indicate benign inflammation? Hello Doctor: I have regular Pap smears every year and HPV (human papillomavirus) tests every two years. The first result I received was "benign inflammation (no lesions)." It mentioned that I could return for a consu...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Benign inflammation refers to a possible bacterial infection, such as candidiasis, without any lesions, meaning there are no pathological changes or cancer cells. If there are no discomforting symptoms, there is no need for excessive worry. However, if there is an increase in vag...[Read More] Understanding Your Pap Smear Results: Benign Inflammation Explained
Understanding Abnormal Pap Smear Results: Next Steps and Concerns
Cervical Pap smear screening Hello Doctor: Last December, I underwent a Pap smear, and the result was abnormal category 4: Atypical Squamous Cells of Undetermined Significance (ASC-US). After receiving medication and suppositories, the doctor advised me to return for a follow-up ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, regarding the clinical approach for ASC, some physicians may ask patients to undergo a repeat Pap smear a few months later. If the results are normal for three consecutive tests, the patient can return to annual screenings. If any abnormalities are detected during this per...[Read More] Understanding Abnormal Pap Smear Results: Next Steps and Concerns
Understanding Perineal Swelling: Causes and Treatment Options
Perineal mass Hello: I noticed a lump in the perineal area while showering. It is not painful when pressed, but there is itching nearby. Later, I observed redness and swelling, and the discharge is mostly yellow-green and resembles cottage cheese. I have seen a doctor, but they o...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
If you have any questions, it is recommended to actively consult your attending physician during your outpatient visit. If you have already seen a doctor, please follow the prescribed treatment. If you still experience discomfort, please schedule an earlier follow-up appointment....[Read More] Understanding Perineal Swelling: Causes and Treatment Options
Understanding Teratomas: Laparoscopic Surgery and Malignancy Risks
Teratoma benign and malignant classification / surgery / association with the liver? Hello Dr. Chen, 1) I would like to ask if both benign and malignant teratomas can be treated laparoscopically? My doctor only performed an AFP blood test after discovering a 4 cm teratoma on ult...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Each individual's condition is different. Online articles are for reference only. Please discuss your concerns with your attending physician. If you need a second opinion, it is advisable to consult in an outpatient setting. Thank you.[Read More] Understanding Teratomas: Laparoscopic Surgery and Malignancy Risks
Understanding Pregnancy Tests: Accuracy and Timing Explained
Pregnancy test questions? Hello, after 21 days of sexual intercourse, I used a Mentholatum pregnancy test stick purchased from 7-11 to test my morning urine, and the result showed one line. Is this accurate? If I use the pregnancy test again in 2-3 days, which would be about 24 d...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections (STIs) and also to avoid unintended pregnancies. While these measures can significantly lower the chances, for 100% accuracy, please visit a gynecologist for an examination. ...[Read More] Understanding Pregnancy Tests: Accuracy and Timing Explained
Understanding Pink Discharge Before Menstruation: When to Seek Help
Pink discharge before menstruation? This menstrual cycle is about a week late. In the past, I usually experienced dark brown discharge on the first or second day, followed by red menstrual blood. This time, after a week of delay, I noticed light pink discharge once while using th...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Cervical polyps are usually multiple and may not be limited to just one polyp. They typically do not exceed 1 centimeter in size. When the polyps are larger, they may cause abnormal vaginal bleeding. Due to the high recurrence rate of polyps, regular follow-up is recommended, and...[Read More] Understanding Pink Discharge Before Menstruation: When to Seek Help
Understanding Endometrial Cells in Pap Smear Results After Menstrual Cycle
The smear test report indicates inflammation, but endometrial cells are present? Last year, after the removal of uterine polyps, my menstrual period lasted about 9-10 days, and both the pathology and hysteroscopy results were normal. On March 4th, I had a Pap smear, and the repor...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
It is recommended to schedule a follow-up appointment for further examination. Thank you.[Read More] Understanding Endometrial Cells in Pap Smear Results After Menstrual Cycle
Understanding Clear Vaginal Discharge During Perimenopause
Serous discharge I started menopause last year and have not been menopausal for a full year yet. A few months after my last period, I initially didn't have much hormonal activity, but recently, every evening, I've been noticing a small amount of clear, odorless, watery ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to visit the obstetrics and gynecology clinic for examination to check for any infections or abnormalities in the endometrium. Thank you.[Read More] Understanding Clear Vaginal Discharge During Perimenopause
Understanding Emergency Contraception: What to Expect After Taking the Pill
Emergency contraceptive pill Hello, I got my period around February 4th, but I had unprotected intercourse on March 2nd and I'm not sure if there was ejaculation. I immediately went to see a doctor and took emergency contraception. Since taking it, I haven't had any ble...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
"Every time I urinate, I feel like I haven't fully emptied my bladder, and after finishing, I still have the urge to urinate but can't. It is recommended to visit a gynecology clinic to check for infections or other underlying causes, and to consult with a physicia...[Read More] Understanding Emergency Contraception: What to Expect After Taking the Pill
Understanding Abnormal Vaginal Discharge and Bleeding After Menstruation
Abnormal bleeding after vaginal discharge outside of the menstrual period? Hello, doctor. I have been experiencing intermittent vaginal discharge for several months. Since I am undergoing dialysis, I am certain it is not urinary incontinence; the fluid is coming from my vagina. I...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
After completing the treatment, it is recommended to return for a follow-up appointment to allow the physician to assess whether further treatment is necessary or if additional examinations should be arranged. Thank you.[Read More] Understanding Abnormal Vaginal Discharge and Bleeding After Menstruation
Understanding Ovulation Spotting: Causes and Pregnancy Concerns
Ovulation bleeding After the first occurrence on January 3rd, my menstrual period was delayed by 15 days and came from January 29 to February 2. The second menstrual period came 24 days later and was normal (February 22 to February 27). However, just three or four days later, I s...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections, while also preventing unintended pregnancies. If your menstrual period is delayed, you may take a home pregnancy test or visit a gynecologist for an examination. Additionall...[Read More] Understanding Ovulation Spotting: Causes and Pregnancy Concerns
Understanding Late Menstruation: Could Pregnancy Be the Cause?
Delayed menstruation? Hello doctor, the last time I had sexual intercourse was on January 13th (with full condom use). My menstrual period in January started on the 25th, and my periods are usually very regular. However, I did not get my period in February, and as of March 5th, m...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is advisable to practice safe behaviors to reduce the risk of sexually transmitted infections (STIs) and also to prevent unintended pregnancies. If your period is delayed, you can take a home pregnancy test or visit a gynecologist for an examination. Thank you.[Read More] Understanding Late Menstruation: Could Pregnancy Be the Cause?
Understanding Provera: Does It Delay or Induce Menstruation?
Menstrual medication issues? Hello, does Provera 10mg have the effect of delaying menstruation? I initially wanted to delay my period, so I visited a gynecologist who prescribed me Provera 10mg, to take one tablet every night for six days. However, after taking the fifth tablet, ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Provera® is a commonly used medication for short-term menstrual delay. If you have a future need for menstrual delay, please inform your physician about this situation so they can evaluate whether to prescribe other medications for menstrual delay. Thank you.[Read More] Understanding Provera: Does It Delay or Induce Menstruation?
Understanding Candida Infections and the Role of Soy Isoflavones in Treatment
Candida infection treatment + soy isoflavones issues 1. Because of a Candida vaginal infection, my doctor prescribed Pevaryl vaginal suppositories, Acyclovir cream, and Nystatin capsules for three days. I found online that the treatment duration should be 1 to 2 weeks, but the do...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Generally, a Candida infection does not require follow-up; however, there are physiological cycle issues that need to be evaluated. It is recommended to discuss your concerns with your physician during your next visit. Thank you.[Read More] Understanding Candida Infections and the Role of Soy Isoflavones in Treatment
Understanding Period Sex: Risks and Considerations for Women
Menstrual intercourse Hello, yesterday I had sexual intercourse with my girlfriend, and during the process, the condom slipped off without us noticing until halfway through. However, I did not ejaculate, but I am concerned about pre-ejaculate fluid. My girlfriend is on the eighth...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections, while also preventing unintended pregnancies. Please consult with a gynecologist before using any medication. Thank you.[Read More] Understanding Period Sex: Risks and Considerations for Women
Persistent Hiccups After Taking Gynecological Medication: What to Do?
Experiencing persistent hiccups after taking medication? I previously had irregular menstrual cycles, and after consulting a doctor, I was prescribed medication. After taking the medication, I started experiencing persistent burping, which I didn't have before. I'm not ...
Dr. Chen Zhiyu reply Obstetrics and Gynecology
In addition to medication, diet, lifestyle, and appropriate stress management are also very important. It is recommended to follow up with your attending physician or consult other doctors in the outpatient clinic. Thank you.[Read More] Persistent Hiccups After Taking Gynecological Medication: What to Do?