Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Pap smear examination 1. I noticed from the records that I had sexual intercourse late Friday night (which is also Saturday) with a condom, and I wiped the vaginal area with tissue. Is it okay for me to have a Pap smear early Tuesday morning? Will it affect the accuracy of the re...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. No, because the primary purpose of a Pap smear is to screen for cancer, so it will not be affected. 2. No, the virus is ubiquitous; as long as there is clean sexual activity and good local hygiene, it should be fine. 3. No, those are different viruses.[Read More] Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Is It Safe to Breastfeed After Taking Ambroxol Hydrochloride?
Is it safe to breastfeed while taking expectorant tablets? Hello doctor, may I ask if it is safe to breastfeed after taking Yongxin "Chantian Tablet (Ambroxol)" which contains the active ingredient Ambroxol Hydrochloride? Thank you!
Dr. Huang Yuande reply Obstetrics and Gynecology
Sure.[Read More] Is It Safe to Breastfeed After Taking Ambroxol Hydrochloride?
Tamoxifen and Menopause Injection: Managing Endometrial Health After Breast Cancer
Medication Consultation - Tamoxifen & Menopausal Injection Hello Doctor: I have stage 1 type A breast cancer, with ER: 95%, PR: 95%, HER-2: negative, and Ki67: 5%. I underwent surgery in September, did not receive chemotherapy, and completed radiation therapy in November. I a...
Dr. Huang Yuande reply Obstetrics and Gynecology
Tamoxifen is commonly used, but it can sometimes cause stimulation and thickening of the endometrium, so regular monitoring of endometrial thickness is necessary. Administering menopausal hormone therapy (such as medroxyprogesterone acetate) can indeed suppress the endometrium; h...[Read More] Tamoxifen and Menopause Injection: Managing Endometrial Health After Breast Cancer
Impact of Laparoscopic Surgery and Anesthesia on Early Pregnancy
Pregnancy discovered after laparoscopic surgery? I had a laparoscopic cholecystectomy on October 13, and on November 9, I found out that I am 7 weeks pregnant. Will the abdominal and chest X-rays taken before the surgery, as well as the surgical procedure and anesthesia medicatio...
Dr. Huang Yuande reply Obstetrics and Gynecology
Basically, there will be some impact, but a single X-ray should not have a significant effect. The impact caused by medication is approximately between 0.5% to 1%. Therefore, it is still necessary to undergo prenatal check-ups and consultations. What I emphasize is the concept of...[Read More] Impact of Laparoscopic Surgery and Anesthesia on Early Pregnancy
Understanding Vaccination Timing for Pregnancy: A Guide for Women
Could you please provide more context or specify what information you would like regarding the shingles vaccine? Hello Dr. Huang: Previously, I asked you a question, and your responses were as follows: 1. After receiving the hepatitis A vaccine, how long should one wait before tr...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Yes. 2. Due to the viral activity, herpes viruses are more likely to reside in the ganglia. Although there is no direct evidence to prove the risk, I believe it may be relatively safe to follow the interval similar to that of the German measles vaccine. 3. Actually, when t...[Read More] Understanding Vaccination Timing for Pregnancy: A Guide for Women
Understanding Vulvar Issues: Itching, Discoloration, and Concerns for Women
Vulvar issues I am experiencing vulvar itching and darkening, which I suspect might be due to melanin deposition. Sometimes, I also notice bumps that resemble pimples and sebaceous cysts. Is my condition serious? I would like to know if vulvar issues can affect the internal genit...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. It is common to have some degree of this condition; if it causes discomfort, medical attention is necessary. 2. There is usually a correlation, such as when the area is excessively "tight, damp, or hot," which can lead to this issue. It is recommended to wear looser ...[Read More] Understanding Vulvar Issues: Itching, Discoloration, and Concerns for Women
Can You Get Pregnant After Induction Abortion? Understanding Pregnancy Tests
Is pregnancy testing accurate after engaging in sexual intercourse following an induced labor? On September 27, an abortion was performed at 13 weeks. Sexual intercourse occurred on October 18 and October 21. On October 25, a blood test was conducted at the clinic to check for pr...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. From your description, the chances are slim. 2. Since the levels of beta-HCG from the previous pregnancy are gradually decreasing, it is possible to still test positive, but we can check the values to confirm. 3. Menstrual induction medications will not affect the levels.[Read More] Can You Get Pregnant After Induction Abortion? Understanding Pregnancy Tests
How Long Should You Wait to Get Pregnant After Medical Procedures?
How long should one wait before trying to conceive again? Hello, Doctor: 1. After receiving the hepatitis A vaccine, how long should one wait before trying to conceive? What is the recommended waiting period for safety? 2. After receiving the inactivated shingles vaccine (Shing...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Generally, it does not have an impact; if possible, it can be spaced a few weeks apart. 2. Three months. 3. The two do not conflict. 4. No impact. 5. A simple chest X-ray will not have an effect.[Read More] How Long Should You Wait to Get Pregnant After Medical Procedures?
Understanding Conception Dates: Clarifying Your Pregnancy Timeline
Date of conception I would like to ask about my last menstrual period, which started on January 1, 2022. I did not have my period on February 1, and I took a pregnancy test on February 6, which showed one line. Until February 14, when I tested again, the first line appeared, and ...
Dr. Huang Yuande reply Obstetrics and Gynecology
It is difficult to determine from your description. It is recommended to confirm the due date through ultrasound and then calculate backwards for a more reliable estimate.[Read More] Understanding Conception Dates: Clarifying Your Pregnancy Timeline
How Long Can HPV Survive Outside the Body? Key Insights and Risks
The survival time of the HPV virus outside the body? Hello Doctor: I have been troubled by these questions for a long time. 1. How long can this virus survive outside the body at room temperature? Can it survive for more than 24 hours? Is the survival time on the skin the same as...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Under normal conditions, HPV quickly becomes inactive once it leaves the human body. However, in warm and humid environments, it may survive for 2 to 3 days. 2. The chances are very low in a dry environment. 3. It is unlikely. 4. The chances are very low. 5. Unless there is im...[Read More] How Long Can HPV Survive Outside the Body? Key Insights and Risks
Post-Myomectomy Gastrointestinal Discomfort: Causes and Concerns
Occasionally experiencing gastrointestinal discomfort after undergoing surgery for uterine fibroids? Hello Doctor! I underwent surgery for uterine fibroids on September 28, during which 9 fibroids and a cyst from one of my fallopian tubes were removed. The surgery lasted nearly 5...
Dr. Huang Yuande reply Obstetrics and Gynecology
After surgery for uterine fibroids, there is indeed a possibility of adhesions forming. However, it is not easy to confirm this through examinations unless it leads to symptoms such as bowel obstruction. Therefore, it is still recommended to have a physician evaluate the situatio...[Read More] Post-Myomectomy Gastrointestinal Discomfort: Causes and Concerns
Could I Be Pregnant? Understanding Risks After Condom Failure
Can I get pregnant? The last menstrual period was from September 30 to October 6, so the next one should start around October 30. There was intercourse on October 15, during which the condom broke. It was noticed immediately, and another one was put on right away. There was no ej...
Dr. Huang Yuande reply Obstetrics and Gynecology
Theoretically, there is a chance, but it has been over 48 hours since taking the emergency contraceptive pill, so the only options now are to wait for the menstrual period to arrive or to take a pregnancy test.[Read More] Could I Be Pregnant? Understanding Risks After Condom Failure
Understanding Pregnancy Risks: Emergency Contraception and Ovulation
Can I get pregnant? Using a mobile app, I noticed that the day after intercourse was my ovulation day. I took emergency contraception about 24 hours after intercourse. What is the likelihood of success for taking emergency contraception during the ovulation period? How long shoul...
Dr. Huang Yuande reply Obstetrics and Gynecology
If taken correctly within 24 hours, the success rate of emergency contraception is over 99%, so there is generally no need to worry too much.[Read More] Understanding Pregnancy Risks: Emergency Contraception and Ovulation
Understanding the Differences Between Uterine Septum and Bicornuate Uterus
The issues related to a septate uterus and a bicornuate uterus? Hello Dr. Huang, Thank you for your response. Previously, I asked you a question: "If a bicornuate uterus can lead to uterine perforation when the septum is resected using hysteroscopy, why did you answer ...
Dr. Huang Yuande reply Obstetrics and Gynecology
A. It simply involves the resection of the septal portion, which generally does not lead to perforation. B. Essentially, all surgeries carry some level of risk. My recommendation is to have a thorough discussion with your attending physician and undergo a proper examination. The ...[Read More] Understanding the Differences Between Uterine Septum and Bicornuate Uterus
Understanding Vulvar Itching: Causes, Symptoms, and When to See a Doctor
Genital itching Vulvar itching sometimes leads to bleeding from scratching! After scratching, there is a sensation of heat. Hormonal levels are normal, and there is no foul odor. Since the scratching, the vulva has become darker and has some white patches. After the bleeding, it ...
Dr. Huang Yuande reply Obstetrics and Gynecology
It is recommended to consult an obstetrician-gynecologist for evaluation of chronic dermatitis, pubic lice, or folliculitis. This is not age-related, and usually, a diagnosis can be made at a glance.[Read More] Understanding Vulvar Itching: Causes, Symptoms, and When to See a Doctor
Understanding Menstrual Irregularities After Emergency Contraception
Menstrual discomfort Hello, doctor. I took the emergency contraceptive pill, and on August 23, I used a condom and there was no ejaculation. However, I am concerned because my period came on time on September 8, and it was bright red but not heavy. In the second month, on October...
Dr. Huang Yuande reply Obstetrics and Gynecology
Taking emergency contraceptive pills can disrupt the menstrual cycle, potentially leading to abnormal bleeding or lower abdominal pain in the following month, which are side effects of hormonal changes.[Read More] Understanding Menstrual Irregularities After Emergency Contraception
Understanding Septate and Bicornuate Uterus: Surgical Insights and Risks
Please continue to ask about the issue of uterine septum? Hello Dr. Huang Yuande: Thank you for your response. Previously, I asked you the following question: 1. If a patient has both a septate uterus and a bicornuate uterus, can the hysteroscope be used to only address the septu...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Yes, but the current diagnostic tools should not lead to misdiagnosis. 2. Because partial treatment can be performed, the degree of a bicornuate uterus is not always the same, and sometimes achieving the treatment goal is sufficient.[Read More] Understanding Septate and Bicornuate Uterus: Surgical Insights and Risks
Understanding Vulvar Issues: Itching, Discoloration, and Potential Risks
Vulvar issues Itching in the vulva, along with dark discoloration, and red, raised bumps that resemble mosquito bites during bathing, can be concerning. Scratching to the point of bleeding and causing the skin to tear is not advisable. This condition has persisted for two years. ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Basically, it should not affect the uterus and endocrine system, but it's still best to consult a physician for proper treatment.[Read More] Understanding Vulvar Issues: Itching, Discoloration, and Potential Risks
Understanding Pregnancy Risk After Unprotected Intercourse: Key Insights
Probability of Pregnancy On September 28 (the day after my girlfriend's ovulation), we had sexual intercourse while taking a shower (using a condom throughout). Before ejaculation, I pulled out and ejaculated on her buttocks, but I'm unsure if some semen may have flowed...
Dr. Huang Yuande reply Obstetrics and Gynecology
It seems that the likelihood of pregnancy is very low, and since the emergency contraceptive pill was taken within 48 hours, there should be peace of mind.[Read More] Understanding Pregnancy Risk After Unprotected Intercourse: Key Insights
Understanding Bicornuate Uterus: Risks and Surgical Considerations
Bicornuate uterus Hello Doctor: 1. If a patient has both a septate uterus and a bicornuate uterus, can the hysteroscope be used to only address the septum? 2. If a hysteroscope is used to resect the septum in such a uterus, is the risk of uterine rupture significant? Is the risk ...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Yes. 2. It only involves cutting the diaphragm and does not lead to uterine rupture. 3. The primary approach is to perform suturing through an open abdominal procedure. 4. Generally correct.[Read More] Understanding Bicornuate Uterus: Risks and Surgical Considerations