Understanding Prolactinoma: Weight Gain and Treatment Options
Prolactinoma Hello, doctor. I have gained 30 kilograms in the past year and have experienced symptoms of amenorrhea, so I visited a gynecology clinic. After blood tests, the doctor found that my prolactin levels were as high as 142, and I was referred to a neurologist. The neurol...
Dr. Huang Yuande reply Obstetrics and Gynecology
Prolactin is secreted by the pituitary gland. When there is an adenoma in the pituitary gland, not only is prolactin elevated, but other hormones may also be affected. It is recommended that you undergo an MRI as soon as possible to assist the physician in determining whether to ...[Read More] Understanding Prolactinoma: Weight Gain and Treatment Options
Understanding Swelling in the Mons Pubis: When to Seek Medical Advice
There is a lump felt on the mons pubis? I noticed that the area on the right labia majora feels swollen when I touch it while showering. The lump seems to move a bit when pressed, and I don't feel any pain. At first, I thought it was just an illusion, but after checking the ...
Dr. Huang Yuande reply Obstetrics and Gynecology
A palpable movable mass in the right labial region or groin area could potentially be a hernia or lymphadenopathy, but it may also indicate the presence of a tumor. It is advisable to visit a hospital for a physical examination or ultrasound by a specialist for a more accurate as...[Read More] Understanding Swelling in the Mons Pubis: When to Seek Medical Advice
Post-Oophorectomy Medication Choices: Managing Menstrual Symptoms
Medication consultation Last year, I underwent a bilateral oophorectomy and salpingectomy due to a bacterial infection, so I should no longer have menstruation, right? After the surgery, my attending physician did not conduct any additional tests and only mentioned two medication...
Dr. Huang Yuande reply Obstetrics and Gynecology
After bilateral salpingo-oophorectomy, menstruation will cease; however, if female hormones are supplemented, the endometrium may still proliferate due to stimulation, resulting in menstrual-like bleeding, which is normal. Nonetheless, the medication may also stimulate abnormal e...[Read More] Post-Oophorectomy Medication Choices: Managing Menstrual Symptoms
Is It Normal to Get Your Period 19 Days After Chocolate Cyst Surgery?
Is it normal to have my period 19 days after surgery for a chocolate cyst? Hello, doctor. I would like to ask about my situation. I underwent laparoscopic surgery for an endometrioma on April 8th, and I started taking Dienogest on April 15th, one tablet daily. The doctor informed...
Dr. Huang Yuande reply Obstetrics and Gynecology
Dear A-Zhen, thank you for your question. After undergoing ovarian surgery, hormonal changes may occur, which can lead to abnormal uterine bleeding. Generally, unless the bleeding is heavy, it is recommended to observe for one to two menstrual cycles. As for the internal wounds, ...[Read More] Is It Normal to Get Your Period 19 Days After Chocolate Cyst Surgery?
Can You Get Pregnant While Taking Diane Birth Control?
Can I get pregnant? Hello, I am currently on my second pack of Diane and had sexual intercourse on the tenth day (with ejaculation inside). Is there a chance of pregnancy? When I consulted my doctor, he mentioned that this dosage is considered high and that I could take it before...
Dr. Huang Yuande reply Obstetrics and Gynecology
Dear user, thank you for your question. If medications are taken as prescribed, the likelihood of pregnancy is very low. Poor gastrointestinal function does not affect the effectiveness of contraception, unless vomiting occurs or the medication is not taken.[Read More] Can You Get Pregnant While Taking Diane Birth Control?
Understanding Brown Discharge Before Menstruation: What It Means
Menstruation has not yet arrived, only brown discharge? Hello, doctor. I would like to ask about my situation. My period did not come at the beginning of January, so I received a menstrual induction injection around January 15-16, and my period started then. After that, my menstr...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your inquiry. Based on your description, it seems there may be an issue with hormonal imbalance, which could be due to factors such as anovulation or stress. I recommend that you visit a gynecologist for a clinical examination to obtain a definitive diagnosis. The C...[Read More] Understanding Brown Discharge Before Menstruation: What It Means
Understanding Ovarian Cysts: When to Worry and Surgical Considerations
Ovarian cyst Hello, a few days ago I experienced mild abdominal swelling and pain. A gynecological ultrasound revealed a mass over 6 centimeters, which the doctor suggested could be a cyst or a corpus luteum cyst. Since it is fluid-filled and lacks solid tissue and septations, I ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. In young women, ovarian cysts are often functional ovarian cysts that typically resolve on their own; however, close monitoring is still necessary. Generally, surgery is required if the cyst is larger than 7 centimeters, if tumor markers are abnormal,...[Read More] Understanding Ovarian Cysts: When to Worry and Surgical Considerations
Post-Surgery Hematoma Management After Chocolate Cyst Removal
Hematoma at the surgical site after excision of a subcutaneous chocolate cyst on March 9? Hello, Director. After the subcutaneous chocolate cyst surgery on March 9, there has been a hematoma issue around the wound. I have followed up with Dr. Liu and would like to inquire again a...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your inquiry! Subcutaneous hematomas usually resolve on their own within a few weeks. Applying local heat can help speed up the absorption process, and generally, no treatment is necessary. If you have any concerns, you may visit an outpatient clinic for evaluation....[Read More] Post-Surgery Hematoma Management After Chocolate Cyst Removal
Understanding the Risks of Emergency Contraceptive Pills: Key Questions Answered
Risks of Using Emergency Contraceptive Pills Hello Doctor: I would like to ask a few questions regarding preconception contraceptive pills. 1. Is it advisable for individuals with a family history of breast cancer to use preconception contraceptive pills? (After researching onl...
Dr. Huang Yuande reply Obstetrics and Gynecology
For individuals with a family history of breast cancer, it is important not to forget routine screenings. In general, excessive supply of female hormones should be avoided. Birth control pills are synthetic estrogens or progestins and typically do not increase the cancer risk for...[Read More] Understanding the Risks of Emergency Contraceptive Pills: Key Questions Answered
Understanding Post-Surgery Lymphatic Fluid Leakage After Endometrial Cancer
Surgery for endometrial cancer? Hello, doctor. A family member was recently diagnosed with early-stage endometrial cancer, and after evaluation, the physician decided to perform minimally invasive surgery to remove the uterus. It has been about a week post-surgery, and she is sti...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. After a hysterectomy, the vaginal cuff may develop granulation tissue or remnants of sutures, which can lead to increased discharge. However, due to the possibility of cancer spread from the surgery, it is essential to have this evaluated and treated ...[Read More] Understanding Post-Surgery Lymphatic Fluid Leakage After Endometrial Cancer
Understanding Pregnancy Risks: When to Test and Missed Period Causes
Pregnancy test, safe period, missed period, am I pregnant? The last menstrual period of the female partner was on December 20, and the previous one was on January 17. She has not had her period this month, and today marks a week of delay. Sexual intercourse occurred on February 1...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. If your period is delayed by about 3-5 days, a urine pregnancy test can typically detect pregnancy if the hormone levels are sufficient. However, based on your situation, the chances of conception seem low. Menstrual cycles can be easily affected by h...[Read More] Understanding Pregnancy Risks: When to Test and Missed Period Causes
Managing Adenomyosis: Can You Use Menstrual Delay Medications?
Adenomyosis Hello Doctor: I have two adenomyosis tumors measuring 2.5 cm and 2 cm. I am planning to travel abroad, but my menstrual period will coincide with my trip. I would like to know if it is safe to take medications to induce or delay my period. What side effects might I ex...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question! To advance or delay menstruation, hormonal medications can be used for adjustment. Generally, there are not many side effects, but it may cause irregularities in the next menstrual cycle. It is recommended to discuss this with a gynecologist before pr...[Read More] Managing Adenomyosis: Can You Use Menstrual Delay Medications?
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Abnormal bleeding Hello, doctor. My last menstrual period was from January 16 to January 22. I had sexual intercourse on February 10, but it was only external friction. After the intercourse, I experienced a stinging sensation when I went to the bathroom, and the next day I notic...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question! Generally, ovulation bleeding lasts about 1-2 days and the amount is usually not significant. Based on your description, it is difficult to make a judgment. It is advisable to visit a gynecology clinic for an examination for your safety. The Chiayi Ho...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Can You Get Pregnant If You Have Sex on Day 3 of Your Period?
Can I get pregnant? If your girlfriend is on the third day of her menstrual period and you had intercourse without a condom but did not ejaculate inside her, the chances of pregnancy are generally low. However, it is still possible for sperm to be present in pre-ejaculate fluid, ...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. The probability is very low unless there are any abnormalities with this menstrual cycle.[Read More] Can You Get Pregnant If You Have Sex on Day 3 of Your Period?
Does Frequent Masturbation Affect Female Fertility? Insights and Guidelines
Masturbation Does long-term masturbation in women lead to infertility? If proper hygiene is maintained, what other effects might it have on the body? How many times a week is considered not excessive?
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question! If proper hygiene is maintained, masturbation should not lead to infertility. However, being overly focused on sexual matters for an extended period can hinder normal social interactions and relationships. It is advisable to maintain a balanced routin...[Read More] Does Frequent Masturbation Affect Female Fertility? Insights and Guidelines
Could I Be Pregnant? Understanding Irregular Periods and Risks
Can I get pregnant? Hello, I had unprotected intercourse on November 24, with ejaculation outside. My last menstrual period started on October 29, and I had a normal flow on December 6. However, my period was expected on the 13th of this month, and it still hasn't arrived. I...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question! During pregnancy, a urine pregnancy test can typically detect pregnancy 5-7 days after the missed menstrual period. If the test does not show a positive result, the likelihood of pregnancy is low. However, for patients with irregular menstrual cycles,...[Read More] Could I Be Pregnant? Understanding Irregular Periods and Risks
Zika Virus Testing for Pregnancy: Do You Need It After Travel?
Zika virus testing Hello Dr. Huang, my wife and I traveled to the Philippines and Singapore in April and December of last year. Since we are planning to have a baby early this year, I would like to ask if we need to get tested for the Zika virus. Where can we get tested? Thank yo...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your inquiry. According to the international epidemic report from the Centers for Disease Control, the two countries in question are not considered epidemic areas, so there is no need for special testing. However, please continue to be vigilant about mosquito and in...[Read More] Zika Virus Testing for Pregnancy: Do You Need It After Travel?
Do Antifungal Creams Affect Menstrual Cycle and Birth Control Pills?
Will the ointments for tinea cruris and psoriasis affect the menstrual cycle? Dear Director Huang, I have three questions I would like to ask you, and I would appreciate your help in answering them. Thank you. 1. Can the topical ointment for psoriasis cause an early onset of me...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. Generally, topical treatments for tinea should not affect the menstrual cycle or flow, and oral contraceptives will not be influenced by the aforementioned medications. I hope this information is helpful to you.[Read More] Do Antifungal Creams Affect Menstrual Cycle and Birth Control Pills?
Can Taking Birth Control Pills for Just One Cycle Disrupt Your Menstrual Cycle?
If you only take one pack of birth control pills and then stop without continuing, will your menstrual cycle become irregular afterward? Dear Director Huang, I have previously taken (Yueji 21 tablets) for over four years, and I have been off the medication for almost two years n...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question! The use of contraceptive pills can indeed cause disruptions in the menstrual cycle. If it aligns with your travel plans, the method you mentioned is feasible. In case of light spotting during the course of taking the pills, it is advisable to continue...[Read More] Can Taking Birth Control Pills for Just One Cycle Disrupt Your Menstrual Cycle?
Understanding Ovarian Cysts in Older Women: When to Seek Further Evaluation
The mother has a 2.7 cm ovarian cyst? Dear Director, my mother is 71 years old. During a health check last year, a 2.5 cm ovarian cyst was discovered. Since she has been postmenopausal for many years, blood tests were conducted, and the doctor indicated that the results were norm...
Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. Generally speaking, ovarian tumors that are approximately 5 cm or smaller with normal blood tests have a low likelihood of malignancy. Additionally, a measurement of 2.5 cm or 2.7 cm may simply be a measurement error. Therefore, if there are no other ...[Read More] Understanding Ovarian Cysts in Older Women: When to Seek Further Evaluation