Understanding Chocolate Cysts: Causes, Symptoms, and Treatment Options
Chocolate cyst A year ago, I had surgery, and during an ultrasound examination yesterday, it was found that there is a recurrence of either a cyst or a chocolate cyst measuring 4 centimeters. I am unsure if this is related to the recent dietary supplements I have been taking (non...
Dr. Huang Yuande reply Obstetrics and Gynecology
The recurrence rate of chocolate cysts is quite high in young individuals; however, your situation is not significantly related to dietary supplements. Chocolate cysts have a direct relationship with female hormones, and it is advisable to limit the use of certain cosmetics or di...[Read More] Understanding Chocolate Cysts: Causes, Symptoms, and Treatment Options
Choosing Between Cancer Treatment Options for an Elderly Parent
The choice of whether or not to undergo cancer treatment for my mother? Hello, my mother is 83 years old. She fell and fractured her femur on June 1, and during the treatment, she was diagnosed with stage 2A cervical cancer. The physician at Dalin Tzu Chi Hospital recommended rad...
Dr. Huang Yuande reply Obstetrics and Gynecology
The standard treatment for stage IIA cervical cancer is radical hysterectomy. If the patient's physical condition is poor, radiation therapy may also be considered. Radiation therapy typically does not cause significant discomfort at the time of treatment and still has a cer...[Read More] Choosing Between Cancer Treatment Options for an Elderly Parent
Post-Laparoscopy: Understanding Your First Menstrual Cycle Changes
First menstruation after laparoscopic removal of endometriosis and uterine fibroids? Hello, doctor. I underwent a second laparoscopic surgery for endometriosis and uterine fibroids at the end of June. My menstrual period has been delayed by two weeks compared to normal, and the f...
Dr. Huang Yuande reply Obstetrics and Gynecology
1. It is common for the menstrual cycle to be easily disrupted after ovarian and uterine surgeries. As long as the bleeding is not excessive, it is generally sufficient to monitor the situation. 2. Since you did not specify the reason for using "hormones," it is difficu...[Read More] Post-Laparoscopy: Understanding Your First Menstrual Cycle Changes
Can Emergency Contraceptive Pills Cause Ovarian Cysts? Insights and Risks
Luteal cysts caused by emergency contraceptive pills? Hello, doctor. I started taking the oral contraceptive pills Aikij and Yuekij from October 2019 to April 2020, and after taking them for six months, I stopped. In June of this year, I suddenly experienced acute abdominal pain ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. Taking contraceptive pills does not cause corpus luteum cysts and is not related to their rupture. Generally, surgery does not involve the removal of the entire ovary. Therefore, using contraceptive pills in the future should not be an issue, but it i...[Read More] Can Emergency Contraceptive Pills Cause Ovarian Cysts? Insights and Risks
Understanding Pregnancy Risks After Contraceptive Use and Antibiotics
Possibility of Pregnancy I started taking the contraceptive pill on the first day of my period on July 10. However, on July 16, I developed a stye and was prescribed a three-day course of medication containing cephalexin (while continuing to take the contraceptive pill). Then, on...
Dr. Huang Yuande reply Obstetrics and Gynecology
If contraceptive pills are taken continuously, the chances of becoming pregnant are very low, and this is unrelated to the use of antibiotics. Thank you for your question.[Read More] Understanding Pregnancy Risks After Contraceptive Use and Antibiotics
Understanding a Movable Lump Under the Armpit: Causes and Concerns
There is a small round lump about 2 to 3 centimeters in diameter located just below the armpit? There is a small round lump about 2 to 3 centimeters in size under the armpit. It is not painful when pressed and can be moved. What could this condition be?
Dr. Huang Yuande reply Obstetrics and Gynecology
A movable lump in the armpit may indicate localized lymphadenopathy. Please check for any wounds on the upper limb. If it persists, it is advisable to have a surgeon examine the breast and other organs to avoid delaying the diagnosis.[Read More] Understanding a Movable Lump Under the Armpit: Causes and Concerns
Can You Get STDs from Touching a Used Condom? Expert Insights
Sexually Transmitted Diseases (STDs) Hello doctor, I would like to ask if touching a stranger's condom, not knowing whether it has been used, poses a risk of transmission if the other person has a sexually transmitted infection (STI). I immediately disinfected my hands with ...
Dr. Huang Yuande reply Obstetrics and Gynecology
In principle, the probability is low, but since the quantity and duration of the virus or bacteria on an unfamiliar condom cannot be determined, it is still necessary to monitor the situation.[Read More] Can You Get STDs from Touching a Used Condom? Expert Insights
Understanding Pregnancy Risks: Safe Practices During Menstrual Cycles
Using condoms during the fertile period? Hello doctor, my girlfriend's last menstrual period started on May 21. We had intercourse on May 29 and May 31, and we used condoms throughout. Afterward, we checked to ensure the condom did not break. However, I did touch my penis be...
Dr. Huang Yuande reply Obstetrics and Gynecology
From a date perspective, if your girlfriend has a menstrual cycle of 28 days and her period is late, the chances of conception are low. However, it is generally recommended to use condoms throughout the entire sexual encounter, rather than putting it on midway, to prevent uninten...[Read More] Understanding Pregnancy Risks: Safe Practices During Menstrual Cycles
Understanding Bleeding Patterns After Taking RU486: What to Expect
I just had my second dose of blood and it didn't flow much? Hello Doctor, I would like to inquire about my situation. On May 15th, an ultrasound showed that the embryo was three weeks old. On May 16th, I took the first dose of RU486 at the clinic, and the next day I took the...
Dr. Huang Yuande reply Obstetrics and Gynecology
Using RU486 for abortion, general bleeding typically occurs around 12 days later, with heavier bleeding following the intake of the second dose. It is recommended to visit an obstetrician-gynecologist for an ultrasound after taking the second dose to confirm that the uterus is cl...[Read More] Understanding Bleeding Patterns After Taking RU486: What to Expect
Understanding Ovarian Cysts During Early Pregnancy: Causes and Management
Cyst discovered during pregnancy? During the second week of pregnancy, an 8 cm ovarian corpus luteum cyst was discovered, but a natural miscarriage has since occurred. What causes the formation of ovarian corpus luteum cysts during pregnancy, and how can they be prevented and man...
Dr. Huang Yuande reply Obstetrics and Gynecology
The occurrence of corpus luteum cysts in early pregnancy is not uncommon and usually does not require treatment. Most of these cysts will resolve on their own by the 10th week of gestation. Therefore, it is important to avoid abdominal trauma or excessive exercise, and seek medic...[Read More] Understanding Ovarian Cysts During Early Pregnancy: Causes and Management
Heavy Menstrual Bleeding Despite Taking Tranexamic Acid: What to Do?
Taking hemostatic medication, the menstrual flow is still relatively heavy? I will undergo a dilation and curettage (D&C) procedure next week, but I am currently on my menstrual period. After taking the prescribed transamin three times a day, the flow is still heavy, and I am...
Dr. Huang Yuande reply Obstetrics and Gynecology
It is difficult to determine the cause from your statement; it could be due to the presence of a growth or simply a hormonal imbalance. A clinical examination is necessary to identify the underlying reason.[Read More] Heavy Menstrual Bleeding Despite Taking Tranexamic Acid: What to Do?
Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Endometriosis adenomyosis Hello, my mother recently had a gynecological examination because she was diagnosed with an adenoma a long time ago. She has been experiencing heavy bleeding and severe pain during her menstrual periods, but she has not received any treatment, only dieta...
Dr. Huang Yuande reply Obstetrics and Gynecology
For a 48-year-old woman, whether surgery is needed for endometriosis or adenomyosis depends on the severity of the symptoms, as the likelihood of malignant transformation is low. However, based solely on your description, it is difficult to provide accurate recommendations. Furth...[Read More] Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Post-Chocolate Cyst Surgery: Understanding Irregular Menstrual Cycles and Risks
Postoperative care for chocolate cysts? Hello, I had laparoscopic surgery for a chocolate cyst at the end of March and have not taken any postoperative medication yet. My period started in early April and lasted for a week, but then I had another period around April 20th, and it ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. The ovaries are hormone-secreting organs, so after ovarian surgery, hormone levels will inevitably be affected, leading to menstrual irregularities. You can consult a gynecologist for assistance in managing this. Additionally, progesterone generally h...[Read More] Post-Chocolate Cyst Surgery: Understanding Irregular Menstrual Cycles and Risks
Understanding CA-125 Levels: What High Readings Mean for Ovarian Health
Ovarian CA-125 Hello Doctor, my last CA-125 level was as high as 107, and there is also a tumor on my left ovary. I have undergone ultrasound and Doppler imaging, and the doctor currently assesses it as benign, with ongoing monitoring. I have been researching online and found tha...
Dr. Huang Yuande reply Obstetrics and Gynecology
CA-125 is only a reference marker for ovarian cancer and lacks specificity; therefore, conditions such as endometriosis and infections can also cause elevated levels. Generally, imaging studies are still required for further evaluation.[Read More] Understanding CA-125 Levels: What High Readings Mean for Ovarian Health
Understanding Mediterranean Anemia: What Does a Positive Test Mean?
Positive? If my husband tested positive for Mediterranean anemia, does that mean he does not have Mediterranean anemia?
Dr. Huang Yuande reply Obstetrics and Gynecology
The initial screening for thalassemia is based on a mean corpuscular volume (MCV) of less than 80 fL. However, further blood tests are necessary to confirm whether it is indeed thalassemia.[Read More] Understanding Mediterranean Anemia: What Does a Positive Test Mean?
Lower Abdominal Pain and Backache: Home Remedies and Advice
Lower back pain and lower abdominal pain? Hello, Director. My current symptoms include lower abdominal pain, lower back pain, increased discharge, and occasional urgency to urinate with only a small amount produced. These symptoms have persisted for about a week, but since I retu...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. 1. If the symptoms are not severe, increasing water intake and frequent urination, as well as consuming yogurt or cranberry juice, may be helpful. 2. If the symptoms are more severe, antibiotics may be necessary. You can call the hotline at 1922 for a...[Read More] Lower Abdominal Pain and Backache: Home Remedies and Advice
Understanding Emergency Contraception and Menstrual Irregularities
Postcoital medication for menstrual irregularities? I would like to ask if I had sexual intercourse on the day of playing softball on March 15 and took emergency contraception that day. Then, on March 23, I experienced brown discharge, which lasted for five to six days before ret...
Dr. Huang Yuande reply Obstetrics and Gynecology
If taken correctly, the chances of becoming pregnant after using emergency contraception are very low, and it is normal to experience bleeding about a week after taking the pill. Once you take the emergency contraceptive pill, your menstrual cycle may become irregular, so it is n...[Read More] Understanding Emergency Contraception and Menstrual Irregularities
Understanding Oral Contraceptive Pills: Menstrual Cycle Changes and Effectiveness
Oral contraceptive issues? Hello doctor, I have been taking oral contraceptive pills (28 pills) for over a year, and I usually get my period on the third night to the fourth morning after stopping the pills. This time, my period started on the third day, which is a day earlier. I...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. It is common for menstruation to be delayed by 1 to 2 days, and there is no need to worry as it will not affect the effectiveness. The key point is to avoid forgetting to take the medication for more than 2 consecutive days.[Read More] Understanding Oral Contraceptive Pills: Menstrual Cycle Changes and Effectiveness
Missed Period After Emergency Contraceptive: Am I Pregnant?
Taking emergency contraception, if a pregnancy test shows negative but menstruation has not occurred, is it possible to be pregnant? Hello Doctor: My menstrual cycle is usually around 34 days, and each period lasts about 5 days. The last two menstrual periods were as follows: 12/...
Dr. Huang Yuande reply Obstetrics and Gynecology
After taking the emergency contraceptive pill, menstruation will definitely be affected, which may result in either an earlier or delayed period. It is recommended to wait one to two weeks before taking a pregnancy test.[Read More] Missed Period After Emergency Contraceptive: Am I Pregnant?
Understanding Medication for Menstrual Irregularities: Your Questions Answered
Medication consultation I haven't had my period for a month, so I went to see a doctor. The physician said my uterus is normal and prescribed me two days' worth of [Provera 10 mg] to take after each meal. Is this dosage sufficient? I read online that it should be taken ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. A two-day dosage may be slightly low; typically, menstruation will occur 2 to 5 days after finishing the medication.[Read More] Understanding Medication for Menstrual Irregularities: Your Questions Answered