Does Oral Isotretinoin Affect the Efficacy of HPV Vaccines?
Will oral isotretinoin affect the HPV vaccine? Hello Dr. Huang: Today I went to a nearby hospital to receive the HPV vaccine (nine-valent). After returning home, I realized I forgot to ask the doctor whether taking oral isotretinoin (and other general supplements like vitamins, l...
Dr. Huang Yuande reply Obstetrics and Gynecology
The use of retinoic acid (A acid) during pregnancy is not recommended, and it is best to discontinue its use. There have been no reports of harmful effects related to vaccines in this context.[Read More] Does Oral Isotretinoin Affect the Efficacy of HPV Vaccines?
Can I Get Pregnant? Understanding Risks and Birth Control Options
Can I get pregnant? Hello Doctor, my period this month was from October 10 to 17, and last month it was from September 12 to 17. On October 23, I had unprotected intercourse with my boyfriend, but he pulled out before ejaculation. There was no internal ejaculation and no external...
Dr. Huang Yuande reply Obstetrics and Gynecology
In principle, there is a possibility of unintended pregnancy if condoms are not used consistently, as a small amount of sperm may be released before ejaculation. Generally, modern contraceptive pills are quite safe and can be taken if pregnancy is not desired.[Read More] Can I Get Pregnant? Understanding Risks and Birth Control Options
Am I Pregnant? Understanding Ovulation and Unusual Bleeding
Is this pregnancy? Hello doctor, my menstrual period started on October 11th, and I had intercourse with a condom on that day. The next time was on the 18th, also with a condom. My app indicates that my ovulation day is the 21st. On the 19th, I experienced bleeding and had discha...
Dr. Huang Yuande reply Obstetrics and Gynecology
On the 18th, there was sexual intercourse. Even if fertilization occurs, it takes about a week after fertilization for the embryo to implant in the uterus, so it is not possible to know if conception has occurred.[Read More] Am I Pregnant? Understanding Ovulation and Unusual Bleeding
Is Light Pink Discharge Three Days Before Period Normal?
Light pink discharge Is it normal to have light pink discharge three days before menstruation?
Dr. Huang Yuande reply Obstetrics and Gynecology
That's correct, it's normal.[Read More] Is Light Pink Discharge Three Days Before Period Normal?
Should I Consider Surgery for My 7cm Chocolate Cyst?
7 cm chocolate cyst I have a 7cm chocolate cyst on one side. I have consulted two major hospitals, and both recommended surgery. I have been on half a year of Danazol, and it initially reduced the cyst from 5cm to 7cm. I would like to know if surgery is advisable or if I should c...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Whether surgery is necessary depends not only on the size of the tumor but also on the response to medication and the symptoms produced. Typically, if the response to medication is poor, which is often the case in over 70% of patients, surgery may be required.[Read More] Should I Consider Surgery for My 7cm Chocolate Cyst?
Can You Get Pregnant from Sex Five Days Before Your Period?
Urgent!! Is it possible to get pregnant if intercourse occurs five days before menstruation? Having sexual intercourse with your boyfriend on October 17, with one instance using a condom and the other starting without one but finishing inside the condom, means that the risk of pr...
Dr. Huang Yuande reply Obstetrics and Gynecology
If your menstrual cycle is consistently 28 days, the chances of getting pregnant are low, provided that the "menstrual cycle" is accurate.[Read More] Can You Get Pregnant from Sex Five Days Before Your Period?
Understanding Birth Control Pills: Usage and Pregnancy Risks Explained
Contraceptive pill issues I started taking the oral contraceptive pill, Yejih, on September 11 (first time using it). I forgot to take the second to last pill, and after researching online, I found that I could stop taking the pills and start a new pack seven days later, so I sto...
Dr. Huang Yuande reply Obstetrics and Gynecology
This method should still be effective in preventing pregnancy, and the likelihood of conception is low.[Read More] Understanding Birth Control Pills: Usage and Pregnancy Risks Explained
Proving Misdiagnosis: Seeking Expert Opinions on Uterine Conditions
How to prove that it is not symptom A but symptom B? Please provide a new assessment from the doctor? Hello, I have experienced varying menstrual blood flow in the past, and at times, the heavier flow has affected my daily life. Due to this, I consulted multiple hospitals and und...
Dr. Huang Yuande reply Obstetrics and Gynecology
Your question is not easy to define. Before any surgical diagnosis or treatment, Doctors A, B, and C can only make diagnoses based on their examination findings. Endometriosis is typically managed surgically through dilation and curettage (D&C) of the endometrium. Generally, ...[Read More] Proving Misdiagnosis: Seeking Expert Opinions on Uterine Conditions
Understanding Ovarian Cysts: Pregnancy Possibilities and Concerns
Ovarian cysts and the possibility of pregnancy? Hello, my menstrual cycle is irregular; sometimes it comes every 28 days, but most of the time it's between 30 to 35 days, with the longest being 42 days. In September, my period came normally, about 35 days apart, starting on ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. The issues mentioned above actually require clinical evaluation. 1. It is possible; sometimes it is necessary to wait 3-5 days and retest for confirmation. 2. 3. The general fertility medications used are progesterone, which does not adversely affect ...[Read More] Understanding Ovarian Cysts: Pregnancy Possibilities and Concerns
Post-Laparoscopic Surgery: Managing Umbilical Discharge and Concerns
Postoperative umbilical bleeding after laparoscopic surgery? Hello doctor, I underwent laparoscopic surgery to remove a right ovarian teratoma on October 8th. On October 9th, I had my dressing changed and a hydrogel patch applied. The instructions indicated that if there were no ...
Dr. Huang Yuande reply Obstetrics and Gynecology
If there is redness, swelling, heat, and pain, it may indicate an infection at the wound site, and a return to the hospital for examination is necessary. However, if it is merely a bruise, the area has not expanded, and the wound is gradually drying, then an earlier follow-up app...[Read More] Post-Laparoscopic Surgery: Managing Umbilical Discharge and Concerns
Understanding Pregnancy Risks with Birth Control Pills: Your Questions Answered
The pregnancy rate associated with contraceptive pills? I started taking the oral contraceptive pill, Yejih, on the third day of my menstrual cycle (first day was September 23, started taking it on the evening of September 25). I had unprotected intercourse on September 27, Octob...
Dr. Huang Yuande reply Obstetrics and Gynecology
Theoretically, it only takes one sperm to achieve fertilization. It seems that you have taken emergency contraceptive pills, but it appears that they were not taken according to the standard regimen. Therefore, although the probability is low, it is still recommended to take a po...[Read More] Understanding Pregnancy Risks with Birth Control Pills: Your Questions Answered
How Long Can Sperm Survive in a Woman's Body for Pregnancy?
Sperm can survive in the female reproductive tract for up to five days under optimal conditions? Sperm can survive in the female reproductive tract for approximately 3 to 5 days, which means that intercourse within this timeframe can potentially lead to pregnancy. As for the like...
Dr. Huang Yuande reply Obstetrics and Gynecology
Sperm can generally survive in the vagina for about 2 to 3 days, but their motility decreases over time, which reduces the likelihood of fertilization after three days. However, it is still recommended to take appropriate contraceptive measures.[Read More] How Long Can Sperm Survive in a Woman's Body for Pregnancy?
How to Help Your Wife Recover Sensation After Childbirth
During intercourse, my wife experiences discomfort? Hello, before my wife gave birth, we had a normal sexual life and she was quite responsive. However, after she gave birth (vaginal delivery), our child is now over three years old, and my wife no longer feels much sensation duri...
Dr. Huang Yuande reply Obstetrics and Gynecology
Pain in the deep vaginal area during sexual intercourse may be caused by: 1. Injury to the vagina during childbirth; 2. Endometriosis or adhesions in the pelvic cavity; 3. Relaxation or injury of the uterine ligaments. These causes require clinical examination for diagnosis.[Read More] How to Help Your Wife Recover Sensation After Childbirth
Understanding Abnormal Bleeding: When to Seek Gynecological Care
Abnormal bleeding Hello, doctor. My menstrual cycle is approximately 35-45 days. The first day of my last period was on August 29. However, yesterday (September 21), after urinating, I noticed a faint blood color when I wiped with toilet paper. This morning, after urinating and w...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. Not necessarily. 2. If bleeding lasts more than a week or if the amount of bleeding is significant, medical attention is required. 3. Is there accompanying abdominal pain, any abdominal masses, or external genital injuries?[Read More] Understanding Abnormal Bleeding: When to Seek Gynecological Care
Understanding Abnormal Menstrual Bleeding: Causes and Next Steps
Not menstrual bleeding? Hello, Doctor. I had a Pap smear done at the end of December last year, which was normal except for some inflammation. In July, my menstrual cycle was irregular and lasted for 14 days. I visited a doctor on the 24th and had a vaginal ultrasound, which was ...
Dr. Huang Yuande reply Obstetrics and Gynecology
First, you need to consult a gynecologist for a diagnostic evaluation to determine the cause, including: 1. whether there is a tumor, 2. hormone testing, and 3. assessment of endometrial thickness. The treatment steps include: 1. medications for contraction and hemostasis, 2. hor...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Next Steps
Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Menstrual issues If you start experiencing light bleeding about ten days before your period (approximately changing two sanitary pads a day), and then after nearly a week it turns into brown discharge, followed by the absence of your expected period while continuing to have inter...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. Based on your description, it may be anovulatory menstruation, as the lack of ovulation leads to insufficient progesterone, which can cause bleeding in the latter half of the cycle. If this is a concern, it is advisable to consult a physician for diag...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Can I Get Pregnant with Ovarian Tumor and Hydrosalpinx?
Can pregnancy still occur under these circumstances? I would like to ask if I can get pregnant during the observation period for a hydrosalpinx in my left fallopian tube and a tumor in my left ovary, as diagnosed by the hospital. The doctor mentioned to monitor the tumor. If I do...
Dr. Huang Yuande reply Obstetrics and Gynecology
The size, location, and type of ovarian tumors can potentially affect pregnancy, and the extent of this impact can only be determined based on clinical and laboratory results. Please consult your physician for further discussion to facilitate future pregnancies.[Read More] Can I Get Pregnant with Ovarian Tumor and Hydrosalpinx?
Can You Get Pregnant from Hand Jobs? Understanding the Risks
Can I get pregnant? If I had my period on August 31 and it's the fourth day now, I helped my boyfriend with manual stimulation. His semen was wiped clean, but he didn't wash with water afterward. Then I went to the bathroom to change my sanitary pad, and I washed my han...
Dr. Huang Yuande reply Obstetrics and Gynecology
From a temporal perspective, the chances are quite low, and since it involves only indirect contact through external sanitary pads, there is likely no need to worry about the possibility of pregnancy.[Read More] Can You Get Pregnant from Hand Jobs? Understanding the Risks
Understanding Severe Lower Abdominal Pain After Intercourse: Causes and Concerns
Severe pain in the lower abdomen? Hello doctor, I experience bleeding after having sexual intercourse with my boyfriend, but it stops the next day. Why does this happen? Additionally, I have severe lower abdominal pain and nausea afterward. What could be the reason for this? The ...
Dr. Huang Yuande reply Obstetrics and Gynecology
There are many reasons for bleeding after sexual intercourse, such as trauma, cervical erosion, or the presence of polyps. Severe lower abdominal pain may be caused by endometriosis or ovarian tumors, which requires clinical examination to determine the underlying cause.[Read More] Understanding Severe Lower Abdominal Pain After Intercourse: Causes and Concerns
Exercising After IUD Insertion: Can You Continue Your Routine?
Engaging in aerobic exercise and strength training after the insertion of an intrauterine device (IUD)? Hello, Dr. Huang. I would like to ask if I can continue my regular activities such as weight training, aerobic exercise, and hiking after having an intrauterine device (IUD) in...
Dr. Huang Yuande reply Obstetrics and Gynecology
The insertion of an intrauterine device (IUD) does not affect normal activities, so there is no need for rest; however, it is still recommended to refrain from sexual intercourse for one to two days.[Read More] Exercising After IUD Insertion: Can You Continue Your Routine?