Understanding Pregnancy Risks After Unprotected Sex: Do You Need Emergency Contraception?
Birth control pills Your menstrual period started on the 18th of this month and lasted until the 22nd, with slight bleeding on the first two days. You had sexual intercourse with your boyfriend on the 29th. During the first encounter, you used a condom, and he ejaculated, after w...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Without knowing the details of your menstrual cycle, it is not possible to completely rule out the possibility of unintended pregnancy. Using condoms as a method of contraception can be very effective when used correctly; however, if you forget to use them or do not use them cons...[Read More] Understanding Pregnancy Risks After Unprotected Sex: Do You Need Emergency Contraception?
Managing Uterine Prolapse in Older Women: Non-Surgical Options
Uterine prolapse Hello, Doctor Dong. My mother is 65 years old and recently noticed blood stains on her underwear, which turned out to be caused by uterine prolapse extending to the outside due to constant friction. I would like to ask the doctor: Given that my mother has hyperte...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: Your mother's condition involves uterine prolapse along with hypertension and diabetes. If there are concerns about the risks of surgery and she prefers not to undergo an operation, using a pessary may help alleviate the external friction associated with the prolapse....[Read More] Managing Uterine Prolapse in Older Women: Non-Surgical Options
Painful Urination and Vaginal Blood Clots: What You Need to Know
Frequent urination, painful urination, and the presence of blood clots in the vagina? After having sexual intercourse with my boyfriend, I experienced pain while urinating the next day, and I need to go to the bathroom every half hour. After using the restroom, I noticed blood cl...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: In your case, it is important to be aware of the issue of urinary tract infections. Bleeding from the urethra or vagina may be noticed when using toilet paper. If you consider visiting a gynecologist, that is advisable. Depending on the results of the examination, if there...[Read More] Painful Urination and Vaginal Blood Clots: What You Need to Know
Understanding Vulvar Issues: Itching, Cysts, and Treatment Options
Vulvar-related concerns About four months ago, I first visited a gynecologist due to frequent itching in the vulvar area, which led to scratching and inflammation. This has since healed, but I still experience occasional itching. Additionally, I have been troubled by the appearan...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: The issue you are encountering is one that many women may face. There are several potential causes for vulvar itching, but in terms of localized itching symptoms, scratching or irritation from localized skin inflammation can lead to subsequent skin breakdown, infections, f...[Read More] Understanding Vulvar Issues: Itching, Cysts, and Treatment Options
Pregnant but No Baby on Ultrasound: Understanding the Concerns
I am pregnant, but I can't see the baby? Hello, Doctor! I would like to ask about my situation. Last week, I went to the obstetrics and gynecology department for an examination. The urine test showed two lines, but one line was faint. The doctor told me that I was pregnant a...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: I have seen your questions and would like to explain the following points for your understanding. 1: A pregnancy test showing two lines indicates a positive result for pregnancy. 2: If you go for an ultrasound a week later and see a pregnancy within the uterus, the doctor ...[Read More] Pregnant but No Baby on Ultrasound: Understanding the Concerns
Post-Hysterectomy Care: Nutrition, Hormones, and Health Monitoring
Post-hysterectomy care? Hello Dr. Dong, I would like to ask you about my situation. I had a hysterectomy in January 2008, but my ovaries were preserved. It has been over a year since then. 1. What kind of nutritional supplements should I focus on for maintenance after the surge...
Dr. Dong Yuhong reply Obstetrics and Gynecology
1. Should I pay attention to any nutritional supplements for maintenance in the future? After the age of 30-40, women should consider taking a multivitamin and increase their intake of fruits and vegetables. Of course, if you have any underlying medical conditions, it is advisabl...[Read More] Post-Hysterectomy Care: Nutrition, Hormones, and Health Monitoring
Understanding Galactorrhea: Normal Prolactin Levels and Fertility Concerns
Normal prolactin levels but experiencing issues with lactation? Hello, doctor. I have been experiencing persistent galactorrhea for a long time. My menstrual flow has been normal, but recently my cycles have become irregular (I had a normal period on August 8, a significant decre...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello, Xiao Ru: You are experiencing issues with lactation and menstrual irregularities. Your prolactin level is 8.23 and TSH is 7.96 (units omitted). The prolactin level is within the normal range, so a breast examination by a surgeon is recommended to rule out any potential les...[Read More] Understanding Galactorrhea: Normal Prolactin Levels and Fertility Concerns
Is It Safe to Get the Flu Vaccine Before Pregnancy?
Vaccination Is it safe to receive the flu vaccine when preparing for pregnancy, and are there any potential side effects? Thank you.
Dr. Dong Yuhong reply Obstetrics and Gynecology
Pregnant women are a high-risk group for H1N1 influenza infection. According to the H1N1-related information from the Department of Health, pregnant women who receive the influenza vaccine have rates of cesarean sections, preterm births, congenital malformations, neurodevelopment...[Read More] Is It Safe to Get the Flu Vaccine Before Pregnancy?
Understanding Female Asexuality: Causes and Treatment Options
Sexual dysfunction Recently, I discussed an issue with my girlfriend. She has noticed that she seems to have little interest in sex and suspects that she may have sexual arousal disorder. What could be the possible causes of this? Are there any treatment options available?
Dr. Dong Yuhong reply Obstetrics and Gynecology
When friends of the opposite sex discuss sexual issues, it indicates a certain level of trust between you, as well as a willingness to face and resolve potential problems together. However, a lack of interest in sex does not necessarily equate to sexual arousal disorder. Female s...[Read More] Understanding Female Asexuality: Causes and Treatment Options
Optimal Age for Pregnancy: Is 36 Too Late for Healthy Babies?
Want to have a baby? Hello Dr. Dong: What is the best age to have a baby? If I have a baby at 36, will the quality be poor?
Dr. Dong Yuhong reply Obstetrics and Gynecology
The ideal age for women to conceive is between 24 to 30 years old. However, in modern society, late marriages and advanced maternal age are becoming increasingly common. Preparing for pregnancy at the age of 36 is considered advanced maternal age, which raises the likelihood of d...[Read More] Optimal Age for Pregnancy: Is 36 Too Late for Healthy Babies?
Is It Normal to Have Blood-Streaked Discharge Outside Menstrual Period?
Questions about secretions? Hello Dr. Dong: Is it normal to have blood-streaked discharge, commonly referred to as leukorrhea, outside of the menstrual period?
Dr. Dong Yuhong reply Obstetrics and Gynecology
There are many causes for the presence of blood-streaked discharge outside of the menstrual period. The more common causes include ovulatory bleeding or dysfunctional uterine bleeding. However, it is also important to consider the possibility of malignant changes in the uterus. O...[Read More] Is It Normal to Have Blood-Streaked Discharge Outside Menstrual Period?
Understanding Fetal Gender, Amniocentesis Risks, and IVF Options in Taiwan
excuse me? 1. At what month of pregnancy can the fetus's sex be determined? 2. At what age should pregnant women consider undergoing amniocentesis, and what are the associated risks? 3. I am a resident of Xinzhuang; does your hospital offer artificial insemination servic...
Dr. Dong Yuhong reply Obstetrics and Gynecology
1. After becoming pregnant, expectant mothers and fathers are not only curious about the gender of their baby but also feel the pressure from family members to find out whether the baby is a boy or a girl. If relying on ultrasound examinations, results are typically available aro...[Read More] Understanding Fetal Gender, Amniocentesis Risks, and IVF Options in Taiwan
Impact of Uterine Fibroids on Fertility: What You Need to Know
Uterine fibroids I would like to ask, during a previous health check-up, uterine fibroids were detected. Will this affect fertility? Is it difficult to conceive?
Dr. Dong Yuhong reply Obstetrics and Gynecology
Uterine fibroids can affect fertility, and their impact is related to factors such as size and location. If a small fibroid measuring 2-3 cm is found during a health check and is not located within the uterine cavity (i.e., it is not a submucosal fibroid), the likelihood of it af...[Read More] Impact of Uterine Fibroids on Fertility: What You Need to Know
Do I Need Surgery for Uterine Fibroids? Exploring Medication Options
Do uterine fibroids require surgery? Is there a medication treatment available? I am 45 years old this year. Last year, an ultrasound examination revealed that I had a uterine fibroid measuring about 3 cm. This year, during a follow-up examination, it has grown to 6 cm. My doctor...
Dr. Dong Yuhong reply Obstetrics and Gynecology
Whether a 6 cm uterine fibroid requires surgery depends on a comprehensive evaluation of multiple factors, such as the location of the fibroid, its impact on menstrual flow, whether it causes anemia, proximity to menopause, and the risks associated with surgery. It is advisable f...[Read More] Do I Need Surgery for Uterine Fibroids? Exploring Medication Options