Understanding Irregular Bleeding: Implantation vs. Ovulation Bleeding
Intermenstrual bleeding The last menstrual period was from October 18 to October 24. There was unprotected intercourse with withdrawal on October 26. Since October 31 until now (November 2), there has been light bleeding. Could this be implantation bleeding or ovulation bleeding?...
Dr. Huang Yiwen reply Obstetrics and Gynecology
This question has already been answered.[Read More] Understanding Irregular Bleeding: Implantation vs. Ovulation Bleeding
Unusual Menstrual Odor: When to Seek Medical Attention?
Abnormal menstrual odor? You have two children, the youngest being 4 years old. You have irregular menstrual cycles but no other issues. During your menstrual period from November 4th to November, you noticed a fishy odor to your menstrual blood (which you have never experienced ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss: Sometimes menstrual flow is not heavy and may remain in the vagina for a longer period without being expelled immediately. The bacteria in the vagina can cause oxidation, which may result in an unusual fishy odor. If the odor disappears after the menstrual period end...[Read More] Unusual Menstrual Odor: When to Seek Medical Attention?
Understanding Prolonged Menstrual Periods: Impact of Propolis and Fibroids
Prolonged menstruation Hello doctor, I would like to ask about my situation. My menstrual period lasted for 18 days with heavy bleeding and blood clots. I went for a consultation and had an ultrasound, and the doctor said my uterus appeared normal. I also had a pelvic examination...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello: There are many factors that can affect the menstrual cycle, and it is recommended to consult a physician at a gynecology clinic.[Read More] Understanding Prolonged Menstrual Periods: Impact of Propolis and Fibroids
Understanding Tuberculosis Testing and Its Implications for Family Health
Tuberculosis (TB) screening? If a family member's sputum test has confirmed the presence of tuberculosis bacteria, and the health department has notified you to undergo re-examination, it is important to understand the implications. If the chest X-ray results are normal, it ...
Dr. Huang Yiwen reply Pulmonology
Dear Mei Mei: The presence of tuberculosis bacteria in sputum indicates open pulmonary tuberculosis, which is contagious. If the X-ray shows no abnormalities, it is also uncommon to perform sputum tests. Sputum contamination is not impossible; it depends on the testing conditions...[Read More] Understanding Tuberculosis Testing and Its Implications for Family Health
Understanding Air Hunger: Causes and Complications in Post-Operative Patients
Mouth breathing The patient is an approximately 80-year-old female who has undergone heart valve replacement surgery. Due to poor consciousness post-surgery, a tracheostomy was performed upon the physician's recommendation. During a recent visit, it was observed that she was...
Dr. Huang Yiwen reply Pulmonology
Dear Da-Ren: Please perform an arterial blood gas (ABG) test to assess oxygen saturation. Generally, there should not be any hypoxia unless there is significant cardiac or pulmonary dysfunction, which may lead to a lack of coordination between the brain and respiration. Please co...[Read More] Understanding Air Hunger: Causes and Complications in Post-Operative Patients
Understanding Fetal Heart Rate Abnormalities During Labor: Key Indicators
Criteria for Determining Abnormalities in Production My sister-in-law is 40 weeks and 2 days pregnant. During labor induction, while she was dilated to about 2-3 centimeters, it was observed that the fetal heart rate suddenly dropped to around 90 beats per minute. After inquiring...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Sad Aunt: It is truly unfortunate that such a tragic event has occurred, and it indeed leaves doctors feeling helpless and heartbroken. Every obstetrician strives to assist mothers in delivering healthy babies safely, utilizing advanced medical instruments to assess the fetal con...[Read More] Understanding Fetal Heart Rate Abnormalities During Labor: Key Indicators
Understanding Vaginal Bleeding: Is It Ovulation or Something Else?
Vaginal bleeding Hello Doctor: Today I experienced vaginal bleeding. My menstrual period started on September 28 and ended around October 4. Today, I noticed a small amount of bright red blood when I wiped, and later there was clear discharge with light pink blood streaks. Could ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Yueyue: The vaginal bleeding you are experiencing is likely occurring around day 15 of your menstrual cycle. If your menstrual cycles are regular and occur every month, it is very possible that this is the ovulation bleeding you suspected. If you are not experiencing a...[Read More] Understanding Vaginal Bleeding: Is It Ovulation or Something Else?
Weight Gain After Taking Provera: What to Expect After Stopping the Medication
Weight gain caused by taking Provera tablets? Hello, doctor. I have not had my period for almost a year and a half due to dieting. When I visited the hospital, the doctor prescribed me Estrogen and Provera. Although my period returned after taking these medications, my weight has...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Vanessa: The doctor has prescribed you a menstrual regulation medication. Generally, people who take menstrual regulation medications may experience some mild side effects such as nausea, vomiting, or weight gain. These side effects are usually more noticeable during the fi...[Read More] Weight Gain After Taking Provera: What to Expect After Stopping the Medication
Understanding Seborrheic Dermatitis: Symptoms and When to Seek Help
Genital Issues / Seborrheic Dermatitis These symptoms have persisted for about a year and a half, but the condition has been fluctuating, so I haven't sought medical attention. Initially, there was itching in the genital area, followed by itching in the armpits and scalp; an...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Cindy: Your condition doesn't seem to be very serious; it might just be folliculitis or dermatitis. You can try applying a general topical ointment first, and if there's no improvement, then consult a doctor.[Read More] Understanding Seborrheic Dermatitis: Symptoms and When to Seek Help
Understanding Menstrual Irregularities After Emergency Contraceptive Use
Postcoital contraceptives can cause irregular menstruation? Hello Doctor: I took the emergency contraceptive pill on September 4th (within 12 hours). After that, I did not experience any significant side effects or discomfort, and my menstrual period arrived on time on September ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Angela: Taking emergency contraceptive pills can sometimes affect your next menstrual cycle, but it could also be due to high stress levels or other factors causing ovulation irregularities, leading to a delayed period. It should not be a significant concern. This situation...[Read More] Understanding Menstrual Irregularities After Emergency Contraceptive Use
Pain in Right Chest During Deep Breathing: Possible Causes and Solutions
Experiencing pain in the right chest during deep breathing? Due to long-term work in a barbecue restaurant, I usually grill meat with both hands, but only my right chest has this condition. Raising my right arm does not cause pain, but taking a deep breath does hurt, although I c...
Dr. Huang Yiwen reply Pulmonology
Dear Paggy: The cause of your chest pain may be related to the pain location, duration, and nature of the pain you described. Based on your description, I personally believe it could be due to respiratory obstruction. I recommend that you visit the hospital for a pulmonary functi...[Read More] Pain in Right Chest During Deep Breathing: Possible Causes and Solutions
Should I Get an LDCT Scan for Chest Pain and Discomfort?
Is a low-dose computed tomography (LDCT) scan necessary? Hello Doctor: I am 34 years old and have no family history of lung cancer. This year, I have experienced intermittent chest tightness, chest pain, tenderness on the sides of the sternum, occasional mild coughing, and a pers...
Dr. Huang Yiwen reply Pulmonology
Dear Sonic: Do you have a history of smoking? Based on your description, a Low-Dose Computed Tomography (LDCT) scan does not seem to be the first recommended option. It would be advisable to first conduct pulmonary function tests and autonomic nervous system evaluations, as the s...[Read More] Should I Get an LDCT Scan for Chest Pain and Discomfort?
Can You Get Pregnant from Friction and Pre-Ejaculate? Key Insights
Is it possible to get pregnant this way? Q1: Is there a chance of pregnancy in this situation? Q2: Is there a need to take emergency contraception? Q3: Can pre-ejaculate fluid be pushed into the vagina during sexual intercourse (with a condom)?
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Mr. Anonymous: Based on the situation you described, the likelihood of your girlfriend being pregnant is quite low. However, I cannot say there is absolutely no chance, as October 3rd falls on the 13th day of her menstrual cycle, which is considered a fertile window. Althou...[Read More] Can You Get Pregnant from Friction and Pre-Ejaculate? Key Insights
Missed Birth Control Pills: Managing Irregular Bleeding Concerns
Missed contraceptive pill leading to abnormal bleeding? Hello, I forgot to take Diane for two days on September 11 and 12. I have been taking Diane for up to 5 years and have never missed a dose before. As a result, my period started on September 13. I quickly resumed taking the ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Chuang: If your bleeding continues, it is advisable for you to return to see your doctor, as you may need a medication adjustment for your menstrual cycle.[Read More] Missed Birth Control Pills: Managing Irregular Bleeding Concerns
Understanding Progesterone Side Effects: When to Seek Help
Side effects of progesterone? Hello, I visited the doctor last Tuesday due to my menstrual cycle being consistently short and irregular. The doctor prescribed progesterone (one pill in the morning and one in the evening). I started taking the first pill on Tuesday night, and by T...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Dan Dan: Progesterone is the most commonly used medication for regulating menstrual cycles. If there is no need for contraception or pregnancy, the first-line medication prescribed by most physicians is usually progesterone. Generally, progesterone has minimal side ef...[Read More] Understanding Progesterone Side Effects: When to Seek Help
Could I Be Pregnant? Understanding Symptoms and Testing
Is it possible to be pregnant? Hello doctor, I got my period on August 29 (one day late), and it lasted for six days. My usual cycle is around 30-32 days. Then, on September 22, I had unprotected intercourse with ejaculation outside. My period, which was due on the 29th, did not ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Xin: If your menstrual cycle is quite regular, then testing for pregnancy on September 30th and receiving a negative result indicates that the likelihood of being pregnant is very low. I suggest not to worry too much; you can wait another week and if your period still ...[Read More] Could I Be Pregnant? Understanding Symptoms and Testing
How Long for Strong Antibiotics to Work on Lung Infections?
The effectiveness of the strongest antibiotics for treating severe pneumonia caused by abdominal bacterial infections can vary depending on several factors, including the specific bacteria involved, the patient's overall health, and the presence of any underlying conditions....
Dr. Huang Yiwen reply Pulmonology
Dear Lin: Postoperative lung adenocarcinoma complicated by pulmonary infection and pleural effusion is indeed challenging to manage. Generally, we assess the effectiveness of medications, taking into account not only the types of drugs selected but also the patient's immune ...[Read More] How Long for Strong Antibiotics to Work on Lung Infections?
Understanding Wheezing: Asthma or Bronchitis Symptoms?
Wheezing during respiration? I have been experiencing wheezing in my breathing for the past couple of days. After using my medication, the wheezing only subsides for one to two hours, and I have to use the inhaler several times a day. I don't have much of a cough, but I do h...
Dr. Huang Yiwen reply Pulmonology
Dear Mr. Hsiao: Thank you for your inquiry. Asthma is characterized by an exaggerated response of the airways, leading to increased mucus production and bronchoconstriction, which results in difficulty breathing. Medication can help improve symptoms, but unless a short-acting bro...[Read More] Understanding Wheezing: Asthma or Bronchitis Symptoms?
Understanding Left Chest Pain: Symptoms, Causes, and Risk Factors
Left chest pain? 1. I have been experiencing pain in my left chest along with numbness in my pinky finger and the area behind my elbow since last night. Are there any methods to alleviate this? 2. How can one differentiate between a myocardial infarction and muscle pain? 3. A...
Dr. Huang Yiwen reply Pulmonology
Dear Wuyuan: Thank you for your inquiry. 1. Clinical symptoms should be evaluated at a hospital by a physician for differential diagnosis. 2. Myocardial infarction and muscle pain can be somewhat differentiated based on clinical symptoms. Muscle pain is usually more localized ...[Read More] Understanding Left Chest Pain: Symptoms, Causes, and Risk Factors
Post-Surgery Concerns: Managing Pain and Infections After Chocolate Cyst Removal
Postoperative care for chocolate cysts? Hello Doctor, I had a laparoscopic cystectomy two years ago, and the treatment seemed to have concluded. However, recently I have been experiencing menstrual pain (which requires medication) along with frequent urinary tract infections and ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Anonymous: Ovarian chocolate cysts have a high recurrence rate, with approximately half of patients experiencing a recurrence within five years. Therefore, it is recommended that you undergo regular follow-up examinations. As for urinary tract infections and vaginal i...[Read More] Post-Surgery Concerns: Managing Pain and Infections After Chocolate Cyst Removal