Understanding Menstrual Irregularities: Causes and Solutions
Menstrual issues I got my period on the 13th of last month, and it still hasn't arrived. Recently, I've noticed some brownish discharge on my underwear, similar to the last few days of my period, and I've been experiencing some abdominal pain. After my period last ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. PP: Your situation may be due to an impending menstrual period or early pregnancy. I recommend that you take a urine test to check for pregnancy first.[Read More] Understanding Menstrual Irregularities: Causes and Solutions
Chronic Dry Cough: Understanding Symptoms and Concerns After Quitting Smoking
Persistent dry cough without phlegm? I have been experiencing a dry cough and itchy throat without phlegm for a year. Before quitting smoking, I would cough and feel chest tightness, but that is no longer the case. Initially, after quitting smoking, I had some black phlegm, but n...
Dr. Huang Yiwen reply Pulmonology
Dear Yi: Congratulations on quitting smoking! This is a great achievement. Your current condition seems more like post-nasal drip or an allergic reaction. If you are concerned about cancer, you can arrange for a low-dose CT scan at Changhua Hospital. They care about you.[Read More] Chronic Dry Cough: Understanding Symptoms and Concerns After Quitting Smoking
High Fever After Starting Birth Control Pills: Is It a Side Effect?
After starting to take oral contraceptives, experiencing a persistent high fever? Recently, after my first visit to the obstetrics and gynecology department, I took the oral contraceptive pill (Yueji) for the first time at 8 PM on the fifth day of my menstrual cycle. The next mor...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Stella: Your condition and symptoms are more likely indicative of acute pelvic inflammatory disease. The most common side effects of oral contraceptives are nausea, vomiting, and gastrointestinal discomfort. Since you have already seen a doctor, I recommend that you ob...[Read More] High Fever After Starting Birth Control Pills: Is It a Side Effect?
Pregnant or Just Menstruating? Understanding Your Symptoms
Is it pregnancy or is my period about to start? I originally had my period on June 13, but then I got it again two weeks later on June 28, and it started with some spotting for 2-3 days before the actual flow began. Now, on July 23, I am experiencing some breast tenderness, and t...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Yu: Your period is overdue, and the most likely reasons are menstrual irregularity or early pregnancy. I suggest you not to worry too much and first take a urine test to check for pregnancy. If you are still concerned, consult a doctor for further evaluation.[Read More] Pregnant or Just Menstruating? Understanding Your Symptoms
Ultrasound Examination: Can It Reveal Sexual Activity History?
Regarding ultrasound exposure? Hello, I have had sexual experiences but have always taken protective measures. My parents are unaware, and for health reasons, they want me to undergo an ultrasound to check the health of my uterus and ovaries, without a pelvic exam. I would like t...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss Blue: Ultrasound cannot determine whether someone has had sexual experience, so there is no need to worry. Generally, it is not possible to discern virginity based on sensation.[Read More] Ultrasound Examination: Can It Reveal Sexual Activity History?
Understanding Abdominal Pain After Taking Menstrual Induction Medication
Abdominal pain from menstrual induction medication? Hello doctor, I haven't had my period for three months, so I went to see a gynecologist. The doctor said I have polycystic ovary syndrome and prescribed me medication to induce menstruation. After taking the medication for ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Ni: Before your menstrual period starts, especially when it's uncertain whether it will come, it is common to experience abdominal pain. If the pain is not persistent, I suggest you wait a few days; once your period begins, the pain should subside.[Read More] Understanding Abdominal Pain After Taking Menstrual Induction Medication
Can You Get Pregnant If You Pull Out Before Ejaculation?
Can I get pregnant? If you had sexual intercourse with your girlfriend on June 10 and her period is expected around June 16-18, there is a possibility of pregnancy. If you withdraw before ejaculation, it reduces the risk of pregnancy, but it is not a foolproof method. Pre-ejacula...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Mr. Anonymous: The likelihood of pregnancy is low, but ultimately, we will have to wait until next month's menstrual period to determine if it has occurred.[Read More] Can You Get Pregnant If You Pull Out Before Ejaculation?
Understanding Chest Discomfort: Causes and Solutions for Your Symptoms
Chest Inquiry Hello Dr. Huang, I have been experiencing some discomfort in my chest lately. It's hard to describe, but it feels like I'm very short of breath after exercising. My chest often feels tight and uncomfortable, and there have been several instances of sudde...
Dr. Huang Yiwen reply Pulmonology
Dear Mr. Chang: I believe that psychological issues should be considered only after ruling out any problems with other organs. You can start by getting an X-ray and undergoing an endoscopy to determine the next steps in addressing your concerns. Changhua Hospital cares about you.[Read More] Understanding Chest Discomfort: Causes and Solutions for Your Symptoms
Is Medication the Only Solution for Irregular Periods?
Is it only possible to induce menstruation through medication? Hello Doctor, I have been experiencing irregular menstrual cycles since I started menstruating in sixth grade. Sometimes my period comes every twenty days, other times it takes over forty days, and during college, I e...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Ting: Based on the laboratory data, your condition appears to be polycystic ovary syndrome (PCOS), as your LH levels are significantly higher than your FSH levels (more than twice). Additionally, your testosterone levels are also elevated. You meet more than two criteri...[Read More] Is Medication the Only Solution for Irregular Periods?
Understanding Irregular Bleeding After Menstruation: Causes and Concerns
Abnormal bleeding after menstruation? Hello Doctor, my period started on May 7th and lasted for 4 days, after which there was no bleeding at all. Usually, my periods last for 5 days with lighter flow and a few days of residual spotting, but this time it ended very cleanly. The la...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Anonymous: Your situation sounds like ovulatory bleeding. The most common characteristics of ovulatory bleeding include clear vaginal discharge accompanied by some spotting and lower abdominal pain, with symptoms lasting about three to four days. Your symptoms seem to...[Read More] Understanding Irregular Bleeding After Menstruation: Causes and Concerns
Understanding Delayed Menstruation: When to Wait and When to See a Doctor
Delayed menstruation? Hello, I usually use an app to track my menstrual cycle, and it has been quite regular. However, this time it is already 4 to 5 days late. Should I wait a few more days or see a doctor? The app calculated the first day of this month as the day my period was ...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Miss 33: Since your menstruation is delayed by four to five days, it is advisable to take a urine test to check for pregnancy. It is not uncommon for women to experience irregular periods once or twice a year, so there is no need to worry too much about that. However, if yo...[Read More] Understanding Delayed Menstruation: When to Wait and When to See a Doctor
Effective Use of Allergy Medications for Bronchial Allergies: Dosage and Timing
Bronchial treatment Can the allergy relief film-coated tablets effectively treat bronchial allergies? How should they be taken? Can they be taken only at night?
Dr. Huang Yiwen reply Pulmonology
DEAR ANGLE: The current usage is once a day before bedtime. Its effectiveness in treating bronchial allergies is not very clear, and it is rarely used clinically. Asthma treatment is based on the severity levels according to guidelines. Changhua Hospital cares about you.[Read More] Effective Use of Allergy Medications for Bronchial Allergies: Dosage and Timing
Understanding Cough Variant Asthma: Symptoms and Diagnosis
Cough-variant asthma Doctor, I previously had acute bronchitis, and now I am experiencing coughing with phlegm at night. The phlegm is clear and bubbly. Could this be a case of cough-variant asthma?
Dr. Huang Yiwen reply Pulmonology
DEAR ARTHUR: Cough variant asthma refers to a type of asthma that primarily presents with a cough rather than wheezing. Clinically, it is often associated with nighttime cough and morning cough, and may sometimes be accompanied by allergic nasal symptoms. Cough variant asthma can...[Read More] Understanding Cough Variant Asthma: Symptoms and Diagnosis
Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Throat tightness, chest tightness, and tension in the upper back and chest cavity? Recently, while eating snacks and laughing, I felt something foreign enter my throat and get stuck at the level of the Adam's apple. My voice changed, and I started to cough violently after on...
Dr. Huang Yiwen reply Pulmonology
Dear Mr. Luo: Thank you very much for your support of the Taiwan e-Hospital. The purpose of this platform is to help the public clarify doubts or provide preliminary advice. Of course, the medical field is quite complex, and some questions may not be answered satisfactorily or ma...[Read More] Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Post-Cold Cough: Understanding Symptoms and Recovery Time
Coughing after a cold? Hello doctor, I previously had acute bronchitis and have seen several doctors and had an X-ray, which showed no pneumonia. It has been a month since the onset of my symptoms, and I still occasionally cough. My throat sometimes feels itchy, and the phlegm is...
Dr. Huang Yiwen reply Pulmonology
Dear Patient: Coughing after a cold is typically a response to irritation of the tracheal mucosa. Generally, this cough should resolve within 1-2 weeks with adequate rest. However, if your immune system is compromised or if you have pre-existing airway hypersensitivity, it may pe...[Read More] Post-Cold Cough: Understanding Symptoms and Recovery Time
Understanding Menstrual Induction: Common Concerns and FAQs
Menstrual induction Hello, Doctor: I had sexual intercourse on March 19 with a condom. On April 1, I had sexual intercourse without a condom at first, but then I used one. On April 7, I visited a gynecologist because I hadn't gotten my period in March, and my periods had als...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Karen: 1. You have taken the menstrual induction medication for three days, and it is normal to experience brown discharge in the past two days. It is recommended that you stop taking the medication, and your menstrual flow should increase. 2. There is still a possi...[Read More] Understanding Menstrual Induction: Common Concerns and FAQs
Managing Hair Loss: Can You Combine Steroids and Diane for PCOS?
Hair loss medications Hello, I would like to ask about my situation. I have been experiencing alopecia areata since December of last year, and I discovered I have polycystic ovary syndrome (PCOS) and irregular menstrual cycles in March of this year. These issues started to appear...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello, Miss Anonymous: It is not recommended to take both medications simultaneously; you should start with either one. After all, there is no specific or effective treatment for alopecia areata. However, some patients may naturally recover after a period of time.[Read More] Managing Hair Loss: Can You Combine Steroids and Diane for PCOS?
Prolonged Menstrual Bleeding: Is It Related to Birth Control?
Menstruation lasting more than 10 days? Hello doctor, my menstrual cycle has been regular, but this time I had very light flow for the first three days (almost no need for sanitary pads), and then it increased in the following days. What used to last about a week has now extended...
Dr. Huang Yiwen reply Obstetrics and Gynecology
Hello Ms. Melody41: Your menstrual cycle this time is different from before, which may be caused by the discontinuation of birth control pills. Generally, after stopping birth control, the first or second menstrual period may be irregular. It is recommended that you wait another ...[Read More] Prolonged Menstrual Bleeding: Is It Related to Birth Control?
Chronic Cough: Understanding Causes and When to Seek Treatment
Persistent cough that does not improve? I have been coughing for a long time, at least a year. It started as a cold, and I often had colds. I remember two years ago I just felt like I had phlegm, but then I don't know when it started that I began to cough continuously. Somet...
Dr. Huang Yiwen reply Pulmonology
Dear Yise: There are many causes of chronic cough, but based on your description and age, I personally believe it may be due to allergies. You should consider going to the hospital for further examination, especially regarding asthma-related tests, as this condition can sometimes...[Read More] Chronic Cough: Understanding Causes and When to Seek Treatment
Managing COPD in Elderly Patients: Key Questions for Better Care
Chronic Obstructive Pulmonary Disease (COPD) Hello Dr. Huang, my grandmother is currently 86 years old and has chronic obstructive pulmonary disease (COPD), stage III asthma, pneumonia, and stage IV chronic kidney disease. Her lung function is at 53%. She was recently hospitalize...
Dr. Huang Yiwen reply Pulmonology
DEAR PIG50658: Thank you for your concern for Grandma. If the diagnosis is correct, the current three-in-one medication is the standard treatment. Of course, if you still feel it is not satisfactory, there are two additional oral medications, XANTHIUM and PDE4 inhibitors, that ca...[Read More] Managing COPD in Elderly Patients: Key Questions for Better Care