Understanding Pregnancy Chances: Menstrual Cycle and Safe Period Insights
Probability of Pregnancy Hello, doctor. My menstrual cycle is regularly 33 days, and my period lasts for six days. My last period was from June 28 to July 3. Currently, I have only engaged in sexual activity with my fingers, but on July 10, my boyfriend touched his penis and then...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Although it may not seem like pregnancy, it is still recommended to use a pregnancy test for confirmation. 2. If July 30 is the date of the last menstrual period, the fertile window is approximately from July 10 to July 18.[Read More] Understanding Pregnancy Chances: Menstrual Cycle and Safe Period Insights
Understanding the Effects of Menstrual Delay Medication: A Patient's Inquiry
Reactions to erectile dysfunction medications? Hello, doctor. I would like to inquire about my menstrual cycle. My periods are usually regular, and I was expecting my period to start on August 4 or 5. Due to an important event, I wanted to delay my period until August 11, so I we...
Dr. Huang Yuande reply Obstetrics and Gynecology
This is normal; it may be that the dosage of the prolongation medication (hormones) is insufficient. Therefore, if an extension is still needed, we will continue taking it. However, it is possible that it may not be sustainable for too long.[Read More] Understanding the Effects of Menstrual Delay Medication: A Patient's Inquiry
Understanding Contraception: Risks and Options for Young Couples
Contraceptive medications Hello, doctor: I have a question. My girlfriend and I engaged in intimate activities one day after her menstrual period. We rubbed against each other through her underwear, and some fluid was released during the process. Is there a chance of pregnancy fr...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. The probability is very low; you can take a pregnancy test first. 2. Ru486 can be used in adults after a physician's examination, provided that the pregnancy is within a normal intrauterine condition.[Read More] Understanding Contraception: Risks and Options for Young Couples
Understanding ASCUS and CIN1: Navigating Abnormal Pap Smear Results and Pregnancy Concerns
The Pap smear showed atypical squamous cells of undetermined significance (ASCUS), and the biopsy results indicated cervical intraepithelial neoplasia grade 1 (CIN1)? I usually go to a nearby hospital for Pap smear tests (ThinPrep Pap test). On March 4, 2020, the results were nor...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Pap smears are used for screening, with an accuracy rate of about 70 to 80 percent. The liquid-based Pap smear is a more accurate type of Pap test, while a biopsy is used for definitive diagnosis. 2. CIN1 does not necessarily require surgical excision; it can also be monitored...[Read More] Understanding ASCUS and CIN1: Navigating Abnormal Pap Smear Results and Pregnancy Concerns
Am I Pregnant? Understanding Irregular Periods and Test Results
I would like to ask if I am pregnant? Hello Doctor: My last menstrual period started around June 23, but I noticed that my period is now 6 days late. Although my cycle is irregular, I decided to take a pregnancy test on July 29 and got one dark line and one faint line, so I thoug...
Dr. Huang Yuande reply Obstetrics and Gynecology
It may be due to the test reagent being immersed in urine for too long, or it could indicate a miscarriage. If there is clinical suspicion, a blood test for β-HCG can provide clarification.[Read More] Am I Pregnant? Understanding Irregular Periods and Test Results
Understanding Fetal Growth Delays: Risks and Options for Expecting Mothers
Fetal growth restriction Hello Doctor, I am currently 31 weeks pregnant. I have had two previous pregnancies; my first child is healthy and four years old, while my second pregnancy ended at 12 weeks due to a loss of fetal heartbeat. I am at high risk for preeclampsia and have be...
Dr. Huang Yuande reply Obstetrics and Gynecology
There are several reasons that could be causing your issue. It may be due to fetal growth restriction caused by preeclampsia, or there could be genetic abnormalities in the fetus itself, or it could be a consequence of certain viral infections during pregnancy. If preeclampsia is...[Read More] Understanding Fetal Growth Delays: Risks and Options for Expecting Mothers
Understanding Pregnancy Chances After Stopping Birth Control Pills
Pregnancy probability Hello, Doctor. I would like to ask a question. I have been consistently taking birth control pills for 6 months. A few days ago, I just finished a 21-day cycle. I had unprotected intercourse on the third day of the pill-free interval. Is there a chance of ge...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Theoretically, pregnancy should not occur. 2. It can indeed reduce the amount of menstrual flow.[Read More] Understanding Pregnancy Chances After Stopping Birth Control Pills
Can Women Consent to Tubal Ligation Without Spousal Approval?
Vasectomy Currently, female sterilization or tubal ligation procedures require the consent of both partners to sign the surgical consent form. Is it possible for a woman, regardless of her marital status, to sign the consent form on her own and undergo the sterilization procedure...
Dr. Huang Yuande reply Obstetrics and Gynecology
Legally, it can be signed independently; however, most physicians still require the spouse's consent and provide an explanation of the advantages and disadvantages.[Read More] Can Women Consent to Tubal Ligation Without Spousal Approval?
Can You Get Pregnant from Dry Humping? Understanding the Risks
What will happen? Doctor, I have a question. My girlfriend and I engaged in intimate contact, but there was no penetration and I did not ejaculate inside her; we only rubbed against each other through our underwear. Is it possible for her to get pregnant from this? (We did this o...
Dr. Huang Yuande reply Obstetrics and Gynecology
In principle, the probability is very low.[Read More] Can You Get Pregnant from Dry Humping? Understanding the Risks
Understanding Uterine Fibroids: When Is Surgery Necessary?
Uterine fibroids Hello: Five years ago, I went to the hospital for examination due to menstrual pain and discovered a 4 cm chocolate cyst on my right side. However, the doctor did not recommend surgery, and I did not follow up. Until March of this year, I found that the menstrual...
Dr. Huang Yuande reply Obstetrics and Gynecology
In principle, the priority is given to symptom consideration, and the size of the cyst is merely a reference. If there is a clinical need, health insurance can cover the surgical costs.[Read More] Understanding Uterine Fibroids: When Is Surgery Necessary?
Could I Be Pregnant? Understanding Risks After Unprotected Intercourse
Will this lead to pregnancy? Hello doctor, I would like to provide you with the dates of my recent menstrual cycles: January 28 to February 3, March 1 to March 7, April 4 to April 10, May 4 to May 10, and May 31 to June 6. The average cycle length is about 30 days. I had sexual i...
Dr. Huang Yuande reply Obstetrics and Gynecology
It should still be a possible time for ovulation. Although there was a washout, the effectiveness may not be very good. It's better to wait until early July to take a pregnancy test.[Read More] Could I Be Pregnant? Understanding Risks After Unprotected Intercourse
Impact of High Prolactin Levels on Fetal Development in Early Pregnancy
Hyperprolactinemia Is it true that high prolactin levels during the 11th week of pregnancy from in vitro fertilization can affect the baby's development? Thank you.
Dr. Huang Yuande reply Obstetrics and Gynecology
Unless the tumor in the pituitary gland is too large or there are other hormonal issues, it generally does not occur.[Read More] Impact of High Prolactin Levels on Fetal Development in Early Pregnancy
Understanding Irregular Menstrual Cycles and Unusual Bleeding
Premenstrual bleeding Hello Doctor, my girlfriend has irregular menstrual cycles, approximately every 35 to 40 days. She had her period from April 9 to April 15, had sexual intercourse on April 22 and 23 with full condom use, and then had her period from May 19 to May 25, which w...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. To determine if you are pregnant, it is recommended to use a home pregnancy test, as irregular menstrual cycles make it difficult to predict ovulation. 2. Generally, if the pregnancy test is negative and there is significant bleeding, we would consider it as the onset of a men...[Read More] Understanding Irregular Menstrual Cycles and Unusual Bleeding
Understanding HPV: Can You Get Reinfected After Clearing the Virus?
Please help me take a look at this situation? Hello, Director. I read online that after being infected with the HPV virus, one can recover, but there is still a chance of reinfection. This made me think of a hypothetical situation, and I would like your opinion on whether I am ov...
Dr. Huang Yuande reply Obstetrics and Gynecology
Viruses need to reach a certain concentration to have pathogenic capability, and they are ubiquitous. Generally, our immune system suppresses them. Of course, we should also avoid creating an environment conducive to viral development. Even if infected, it can take several years ...[Read More] Understanding HPV: Can You Get Reinfected After Clearing the Virus?
Understanding Cervical Cancer Risks: Addressing Your Concerns
Please provide the content you would like me to translate? Hello, Doctor. I read online that if a partner is promiscuous, a woman's risk of developing cervical cancer can increase by up to nine times. It also mentioned that out of 70 Pap smears, one may show precancerous les...
Dr. Huang Yuande reply Obstetrics and Gynecology
The known cause of precancerous lesions is infection with HPV (human papillomavirus). Therefore, individuals with complex sexual behaviors are naturally at a higher risk of contracting HPV, which in turn increases the risk of precancerous lesions or cervical cancer. However, it t...[Read More] Understanding Cervical Cancer Risks: Addressing Your Concerns
Understanding Cervical Dysplasia: CIN 1, CIN 2, and CIN 3 Incidence in Taiwan
Waiting for the report? Dear Director, could you please tell me how many cases of cervical intraepithelial neoplasia (CIN) 1, CIN 2, and CIN 3 are diagnosed annually in Taiwan? I would like to know the incidence rate to help alleviate my anxiety, as I am currently waiting for the...
Dr. Huang Yuande reply Obstetrics and Gynecology
The incidence of cervical intraepithelial neoplasia (CIN) precursor lesions is approximately between 1.2 to 2 per thousand, with CIN3 estimated at about 0.6 per thousand, based on results from Pap smears.[Read More] Understanding Cervical Dysplasia: CIN 1, CIN 2, and CIN 3 Incidence in Taiwan
Understanding Cervical Smear Results: Which Statement is More Accurate?
Which statement is more accurate? Hello, Director. I recently had a Pap smear and I'm currently waiting for the results, which makes me quite anxious. I would like to understand more to help alleviate my anxiety. I found two different statements from the health department on...
Dr. Huang Yuande reply Obstetrics and Gynecology
A more objective statement is: Out of every 70 Pap smears, there is 1 case that requires further confirmation to determine if it is a suspected precancerous lesion or cancer.[Read More] Understanding Cervical Smear Results: Which Statement is More Accurate?
Navigating Hormone Therapy: Managing Menopause Symptoms Safely at 59
Hormone therapy medications Hello Doctor: I am 59 years old and have been menopausal for 5 years. I am experiencing discomfort during menopause (nervousness, anxiety, chest tightness, and low mood). Previously, I took 150 mg of soy isoflavones (50 mg in the morning, noon, and eve...
Dr. Huang Yuande reply Obstetrics and Gynecology
If there are no liver diseases or other abnormalities, oral estrogen should be acceptable. Additionally, the dosage of progesterone seems to be on the higher side; it may be advisable to ask the physician for an adjustment.[Read More] Navigating Hormone Therapy: Managing Menopause Symptoms Safely at 59
Does Long-Term Birth Control Use Affect Effectiveness After Surgery?
Long-term use of contraceptive pills? Due to a shoulder labrum tear surgery, I am currently using these medications. Will they affect the effectiveness of my birth control pills? The medications include Arcoia 60 mg tablet, voKER non-coated tablet (YSP/127), ErisPAN-S 0.25 mg tab...
Dr. Huang Yuande reply Obstetrics and Gynecology
No, please continue taking it.[Read More] Does Long-Term Birth Control Use Affect Effectiveness After Surgery?
Understanding Birth Control Pills: Dosage and Bleeding Concerns
Contraceptive pill issues I would like to ask, I took the emergency contraceptive pill (Plan B) for the first time on the fifth day of my menstrual cycle. My doctor said to take another pill if there was bleeding, but after taking it yesterday, the bleeding increased slightly. I ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Taking emergency contraceptive pills can cause menstrual irregularities; it is recommended to take only one pill.[Read More] Understanding Birth Control Pills: Dosage and Bleeding Concerns