Understanding Ovulation Symptoms After Stopping Birth Control Pills
Is it possible to experience ovulation symptoms without taking birth control pills? Hello, I have been using 21-day birth control pills for over 8 years and have stopped taking them for nearly two years. Recently, I started tracking my menstrual cycle and noticed that during ovul...
Dr. Huang Yuande reply Obstetrics and Gynecology
It is indeed possible to experience the symptoms you described after discontinuing ovulation medications, but they typically improve after a few cycles. If the symptoms are very uncomfortable, medication can be used for symptom management.[Read More] Understanding Ovulation Symptoms After Stopping Birth Control Pills
Understanding Elevated CA125 Levels After Ovarian Cyst Surgery
Abnormal CA-125 levels? Hello, doctor! I underwent laparoscopic surgery to remove a chocolate cyst on February 26. My last CA-125 level before the surgery was 36. During my follow-up appointment on March 8 to check the incision, I had another blood test for CA-125, and the result...
Dr. Huang Yuande reply Obstetrics and Gynecology
Although this index is slightly elevated, it is likely due to the recent surgery, as there may still be inflammatory responses or residual ectopic tissue in the abdominal cavity. Therefore, it is recommended that data from three months later will be more meaningful for comparison...[Read More] Understanding Elevated CA125 Levels After Ovarian Cyst Surgery
Should You Stop Birth Control Before Surgery for Adenoma?
Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal, and the patient is currently using an intrauterine device (IUD), is it necessary to discontinue the medication? If discontinuation is required, should the new c...
Dr. Huang Yuande reply Obstetrics and Gynecology
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...[Read More] Should You Stop Birth Control Before Surgery for Adenoma?
Managing IUD Use Before Surgery: What You Need to Know
Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal and the patient is currently using an intrauterine device (IUD), is there a need to discontinue the medication? If so, should the new cycle be recalculated start...
Dr. Huang Yuande reply Obstetrics and Gynecology
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...[Read More] Managing IUD Use Before Surgery: What You Need to Know
Understanding Abnormal Bleeding: Symptoms, Causes, and Concerns for Women Over 40
Abnormal bleeding I am 48 years old, unmarried, and my menstrual cycle has been approximately 22-25 days in recent years. I usually experience bleeding for 3-5 days during the ovulation period, which occurs around days 10-15. I started my period on February 17 (with a few days of...
Dr. Huang Yuande reply Obstetrics and Gynecology
As one approaches menopause, ovarian secretion becomes unstable, and hormonal changes may lead to irregular menstruation. If this persists for too long, it is necessary to consult a physician to check for: 1. Any tumor lesions. 2. Hormonal function tests. Treatment will then be b...[Read More] Understanding Abnormal Bleeding: Symptoms, Causes, and Concerns for Women Over 40
Understanding Blood-Tinged Discharge: Is It Ovulation or Pregnancy?
Vaginal discharge with blood (unsure if it is ovulatory bleeding)? Hello, doctor. After being intimate with my boyfriend on February 26, I discovered that the condom had broken (there was no ejaculation, and I did not take any emergency contraception). I visited a gynecologist th...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. The use of progesterone does not provide contraception, and there may be bleeding after discontinuation of the medication. Therefore, your bleeding may be related to the medication. 2. To determine if you are pregnant, you will need to wait until early April for testing.[Read More] Understanding Blood-Tinged Discharge: Is It Ovulation or Pregnancy?
Do I Need to Take a Break from Birth Control Pills After 4 Years?
Is it necessary to take a break from using the menstrual regulation medication "Yueji" after taking it for about three to four years? Hello Doctor: I would like to ask if I need to take a break from oral contraceptives after taking them for almost four years. I have bee...
Dr. Huang Yuande reply Obstetrics and Gynecology
You may consider taking a break from the medication. Observe any changes in symptoms and then discuss with your physician whether it is necessary to continue the treatment.[Read More] Do I Need to Take a Break from Birth Control Pills After 4 Years?
Understanding Birth Control Pills and Irregular Periods: What You Need to Know
Birth control pills and irregular menstruation? In the case of irregular menstruation and having not had a period for six months, if you start taking oral contraceptive pills, you should use additional contraceptive methods for the first seven days after starting the pills before...
Dr. Huang Yuande reply Obstetrics and Gynecology
Emergency contraceptive pills are effective only when taken regularly starting a few days before menstruation, rather than just for 7 days. If the menstrual cycle is irregular, it may require even more time to achieve contraceptive effectiveness.[Read More] Understanding Birth Control Pills and Irregular Periods: What You Need to Know
Determining the Likely Conception Date: A Guide for Women
Which day did conception occur? My last menstrual period was on January 14, 2022, with a typical duration of four to five days and a regular cycle of about 28-30 days. I had intercourse with my ex-boyfriend on January 23, and with my current boyfriend on January 28 and January 30...
Dr. Huang Yuande reply Obstetrics and Gynecology
It's difficult to determine this; ideally, it should be the one on January 28th.[Read More] Determining the Likely Conception Date: A Guide for Women
Managing Post-Surgery Discomfort: Addressing Leg Pain After Endometrial Cancer Treatment
Lower limb lymphatic pain? In January 2020, I underwent surgical treatment for stage 1a endometrial cancer. Postoperatively, I experienced numbness and tingling in my lower limbs, which I am unsure when it resolved. Recently, I have been doing squats and VR jumping exercises. I a...
Dr. Huang Yuande reply Obstetrics and Gynecology
Consider localized massage or heat therapy to promote lymphatic circulation, which may help improve the condition.[Read More] Managing Post-Surgery Discomfort: Addressing Leg Pain After Endometrial Cancer Treatment
Understanding Conception Timing and Pregnancy Outcomes: A Doctor's Insight
Pregnancy status and conception timing? Hello Doctor, my last menstrual period started on December 27, with a cycle length of 31-32 days, so I expected my next period around January 12-13. I had unprotected intercourse during the period of January 12-14 (I experienced ovulation p...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. It seems more likely that conception occurred around January 13. 2. Therefore, on February 6, the gestational age would be a little over 5 weeks, and an abdominal ultrasound would likely not show anything. On February 6, the HCG level was 900, so today (February 16), a transva...[Read More] Understanding Conception Timing and Pregnancy Outcomes: A Doctor's Insight
Can I Be Pregnant? Understanding Pregnancy Risks After Protected Sex
Can I get pregnant? Hello doctor, I had sexual intercourse with my boyfriend on January 26th (with a condom) and my period started 5 days later. Additionally, I took a pregnancy test on February 10th and it showed one line. Can I be confident that I am not pregnant? Thank you!
Dr. Huang Yuande reply Obstetrics and Gynecology
If the occurrence on February 1st was a menstrual period, then it can be reasonably assured that there is no pregnancy.[Read More] Can I Be Pregnant? Understanding Pregnancy Risks After Protected Sex
Understanding Post-D&C Complications and Fertility Concerns
Suction curettage (D&C) for abortion? Hello, Director! I underwent a dilation and curettage (D&C) procedure on January 11 due to a missed miscarriage at approximately 8 weeks gestation. I have been following up with appointments and even switched hospitals for further eva...
Dr. Huang Yuande reply Obstetrics and Gynecology
If there is persistent bleeding and the endometrium remains thickened, it indicates the presence of retained blood or residual endometrium. It is recommended to perform another dilation and curettage (D&C) procedure, which should help to stop the bleeding.[Read More] Understanding Post-D&C Complications and Fertility Concerns
Understanding Hymenal Prolapse After Childbirth: Causes and Solutions
Hymenal prolapse After giving birth to a second child and currently being six months postpartum, why has the hymen not fully recovered and is protruding at the vaginal opening?
Dr. Huang Yuande reply Obstetrics and Gynecology
It may be due to incomplete repair of the residual hymen during suturing, or misalignment. Alternatively, it could be caused by significant prolapse.[Read More] Understanding Hymenal Prolapse After Childbirth: Causes and Solutions
Understanding Pregnancy Chances After Contraceptive Pill Use: What You Need to Know
Probability of Pregnancy I have finished the second pack of emergency contraceptive pills without missing any doses, and I took them around the same time (within an hour). I also used condoms during sexual intercourse. When I was on the first pack, my period started on the fourth...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. If medications are taken regularly, the chances of pregnancy are very low. 2. It is common to experience slight irregularities in menstruation during the initial period of medication use, and it can be monitored further.[Read More] Understanding Pregnancy Chances After Contraceptive Pill Use: What You Need to Know
How to Properly Use Menstrual Delay Medication: A Guide
How to take menstrual delay medication? I would like to ask how to properly take medication to delay my period. I previously took medication prescribed by a doctor, but I still experienced menstrual cramps and a little bit of brown discharge on the expected days of my period. Is ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Progesterone is commonly used to delay menstruation. If taken closer to the menstrual period, there may be some brown discharge. Menstruation will occur shortly after discontinuing the medication.[Read More] How to Properly Use Menstrual Delay Medication: A Guide
Can You Get Pregnant from Prostate Fluid? Understanding Risks and Myths
Prostatic fluid 1. Is it possible for my girlfriend to get pregnant if we were intimate (without sexual intercourse) and I had some pre-ejaculate and secretions from masturbation on my hands, but I washed my hands with soap before touching her vagina, especially since her menstru...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. The chances are very low, as sperm may not survive for long and should be during the safe period. 2. Most can be washed away.[Read More] Can You Get Pregnant from Prostate Fluid? Understanding Risks and Myths
Managing Medications for Pregnancy: Yutopar Use and Delivery Timing
Clinical medication issues from pregnancy to delivery? I would like to ask the doctor, in clinical practice at hospitals, when using Yutopar for hospitalization to prevent premature labor, how long before the scheduled cesarean delivery should the medication be stopped? Should th...
Dr. Huang Yuande reply Obstetrics and Gynecology
Typically, medications should be stopped 12 hours prior, but unless there are signs of preterm labor, it is advisable to avoid using this method to induce "scheduled timing."[Read More] Managing Medications for Pregnancy: Yutopar Use and Delivery Timing
Left Lower Abdominal Pain and Vaginal Discomfort: When to See a Gynecologist?
Left lower abdominal pain with vaginal cramping? Hello doctor, initially I only had pain in the lower left abdomen, but starting the next day, I began to experience pain in the pelvic area as well. The pain feels like cramping, and the area in the lower left abdomen feels warm to...
Dr. Huang Yuande reply Obstetrics and Gynecology
It is recommended that if the pain persists, you should consider consulting a gynecologist. Before your appointment, please drink water to fill your bladder, as this will make it easier for ultrasound diagnosis.[Read More] Left Lower Abdominal Pain and Vaginal Discomfort: When to See a Gynecologist?
Am I at Risk of Pregnancy After Unprotected Sex?
Can I get pregnant? I had sexual intercourse with my girlfriend about five days before her period while using a condom. There was some bleeding during the act, and a little bit of semen got into the condom, but ultimately, I withdrew and finished outside. Afterward, I checked the...
Dr. Huang Yuande reply Obstetrics and Gynecology
If the menstrual cycle is a regular 28 days, there should be no need to take emergency contraception; otherwise, it would be necessary.[Read More] Am I at Risk of Pregnancy After Unprotected Sex?