Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Obsessive-Compulsive Disorder (OCD) and Breathing Issues Hello Doctor: I have obsessive-compulsive disorder and have been on medication (taking 2 tablets of Sertraline daily for a little over six months). Many of my symptoms have improved, but recently I have been very troubled b...
Dr. Huang Zhijia reply Psychiatry
Hello: Increasing the dosage of medication may alleviate the concerns, but correspondingly, the side effects will also increase. Pharmacotherapy presents a dilemma. The more one cares, the more anxious one becomes; increased anxiety can exacerbate obsessive-compulsive disorder, l...[Read More] Managing OCD: Overcoming Breathing Anxiety and Nasal Obsessions
Understanding the Habit of Talking to Oneself: Insights from Psychiatry
The habit of talking to oneself? Since elementary school, I have been talking to myself. When I turned 21, I felt emotionally unstable and sought medical help. At that time, I asked the doctor about my condition, but I did not mention that I was experiencing a mental illness. Now...
Dr. Huang Zhijia reply Psychiatry
Hello: The diagnosis of mental disorders requires a multifaceted approach and even long-term observation; it cannot be determined by a single complaint.[Read More] Understanding the Habit of Talking to Oneself: Insights from Psychiatry
Understanding I-131 Treatment: Concerns About Salivary Glands and Dental Health
Many worries, not sure what to do? Hello, Doctor. During a lecture, a physician from the nuclear medicine department mentioned that the isotope I-131 can lead to decreased saliva gland secretion, which may increase the risk of dental caries. Is this primarily associated with high...
Dr. Zhuang Zhijian reply Nuclear Medicine
Hello! Thank you for your inquiry. Here are the responses to your questions: 1. Effects of Iodine-131 on Salivary Glands: Iodine-131 is a radioactive isotope used for diagnosis and treatment, with varying dosages. (1) For whole-body scans, approximately 2-5 mCi is used; (2) for ...[Read More] Understanding I-131 Treatment: Concerns About Salivary Glands and Dental Health
Understanding Missed Periods: Causes and Concerns for Women
Menstruation Not pregnant, but have not had a menstrual period for two months; however, the lower abdomen is distended and firm, with no pain.
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following recommendation: It is advisable to visit a hospital for a gynecological examination. Wishing you safety and happiness~~[Read More] Understanding Missed Periods: Causes and Concerns for Women
High Prolactin Levels and Infertility: Seeking Guidance for Pregnancy Challenges
Infertility for over a year with elevated prolactin levels? I have several questions for the doctor and hope you can help me. I had a blood test at the hospital, and my prolactin level seems to be 23.6 (or 25.6), but I'm not sure. The doctor prescribed medication to lower my...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: Generally speaking, based on your concerns, I sincerely recommend that you visit an obstetrics and gynecology clinic for further examination and consultation with y...[Read More] High Prolactin Levels and Infertility: Seeking Guidance for Pregnancy Challenges
Understanding HPV: Managing Condyloma and Safe Sexual Practices
Cauliflower (Condylomata Acuminata) Dear Dr. Chuang, In mid-February, I discovered condylomata acuminata on the inner labia and vaginal opening. The HPV pap smear result was positive for type 6. I underwent treatment with "Wartec" for four cycles and have been consiste...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: The treatment and follow-up for condyloma (warts) typically last about a year, during which there is approximately a 50% chance of recurrence. This can be attributed to...[Read More] Understanding HPV: Managing Condyloma and Safe Sexual Practices
Understanding White Bumps on the Areola: Causes and When to Seek Help
Areola? I have a white bump on my areola that looks like a pimple. It doesn't hurt, and when I squeeze it, a thick white discharge comes out. It has been there for a long time! Could it be a blocked milk duct? Should I see a doctor?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to respond to your question and provide the following recommendation: I suggest that you go directly to a gynecologist or a breast surgeon for further examination. Wishing you safety and happiness![Read More] Understanding White Bumps on the Areola: Causes and When to Seek Help
Postpartum Symptoms: Understanding Pain and Discomfort After Delivery
Postpartum symptoms Doctor, I experienced a bladder infection during my pregnancy due to low amniotic fluid levels. Later on, I was unsure if the pain in my right leg, which felt like something was pressing on it, was due to the low amniotic fluid or the bladder infection. I have...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, Miss: Thank you for your inquiry. I would like to address your question and provide the following advice: Generally speaking, based on your description, I cannot determine how long it has been since your delivery. Typically, the uterus gradually returns to its normal size ...[Read More] Postpartum Symptoms: Understanding Pain and Discomfort After Delivery
Postpartum Thigh Pain: Causes, Treatment, and When to Seek Help
Postpartum edema? Hello, I often experienced thigh pain during my pregnancy. My primary doctor told me it was due to pressure on the thigh nerve, but why does it still hurt so much after giving birth? I can't even sleep on my side. Which specialist should I see? How can I re...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. In response to your question, I suggest the following: Based on the information you provided, it is difficult to draw a conclusion. I recommend that you consult with specialists in obstetrics and gynecology, family medicine, and orthopedics for ...[Read More] Postpartum Thigh Pain: Causes, Treatment, and When to Seek Help
Do You Need Hospitalization for Cauliflower Electrocautery Treatment?
Is hospitalization required for cauliflower (cervical) electrotherapy? Is hospitalization required for cauliflower ear electrotherapy? If so, how many days would the stay be, and what would the costs be?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, Miss: Thank you for your response. I would like to provide the following suggestions: Generally speaking, cauliflower (or condyloma acuminatum) treatment with electrocautery usually does not require hospitalization, and the costs are covered by health insurance. Wishing yo...[Read More] Do You Need Hospitalization for Cauliflower Electrocautery Treatment?
Postpartum Abdominal Pain: Causes and When to Seek Help
Abdominal pain two months postpartum? More than two months postpartum, I experienced abdominal pain after my first menstrual cycle (currently four months). Initially, the pain was intermittent, but it has been persistent for the past two weeks. After a pediatric examination, I wa...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. In response to your question, I would like to provide the following advice: Based on what you have described, it is unclear whether your delivery was vaginal or cesarean. I recommend that you visit our obstetrics and gynecology outpatient clinic...[Read More] Postpartum Abdominal Pain: Causes and When to Seek Help
Understanding Ectopic Pregnancy: Symptoms, Risks, and When to Seek Help
Ectopic pregnancy Hello, Director Chuang: I would like to ask you about my visit to the obstetrics and gynecology department on March 4th, where the doctor confirmed that I am pregnant. However, I am very concerned about the possibility of an ectopic pregnancy because a friend of...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: In general, during pregnancy, an ultrasound can be used to examine the embryo or fetus at a certain gestational age. Since you have not specified the gestational week, ...[Read More] Understanding Ectopic Pregnancy: Symptoms, Risks, and When to Seek Help
Can You Get Pregnant After Unprotected Sex on Day 5 of Your Cycle?
Is it possible? Hello Doctor: If my menstrual cycle averages about 31 days, and I have sexual intercourse on the 5th day after my period starts without using contraception, is there a possibility of pregnancy?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to respond to your inquiry and provide some related advice as follows: Generally speaking, if you count from the first day of your menstrual period, by the fifth day, you are unlikely to be pregnant. However, if you are referring t...[Read More] Can You Get Pregnant After Unprotected Sex on Day 5 of Your Cycle?
Post-Conization Surgery Care: Key Considerations and Pregnancy Timeline
Cone biopsy surgery Hello Doctor: 1. What should I pay attention to after undergoing a cone biopsy? 2. How long after the procedure can I start trying to conceive?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. In response to your inquiry, I would like to provide the following advice: After surgery, it is generally recommended to avoid sexual intercourse for about a month to allow for proper wound healing. Once the wound has healed, there are no furth...[Read More] Post-Conization Surgery Care: Key Considerations and Pregnancy Timeline
Understanding Down Syndrome Risk in Pregnancy: Key Questions Answered
Questions about babies with Down syndrome? Hello Doctor, I underwent a maternal serum screening for Down syndrome at 11 weeks and 3 days of pregnancy, and the test results are as follows: PAPP-A: 1.9 mIU/ml (0.63 MoM) and free Beta-HCG: 120 ng/ml (2.19 MoM). The risk of this fetu...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Generally speaking, blood test results can serve as a reference. You may consult your physician and even consider an ultrasound to assist in the diagnosis. Lastly, I...[Read More] Understanding Down Syndrome Risk in Pregnancy: Key Questions Answered
Impact of Liver Medication on Pregnancy: What to Know for a Healthy Baby
Hespera I would like to ask: My husband has been taking Hepatoprotective medication for a year and has switched to another liver support medication for 6-7 months (he is still taking it now). I am currently five weeks pregnant. What is the impact on the fetus, and is it safe for ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to respond to your inquiry and provide the following advice: In reality, it will not have an impact. If it were to affect sperm quality, it generally would not lead to deterioration or affect embryo implantation. Wishing you peace ...[Read More] Impact of Liver Medication on Pregnancy: What to Know for a Healthy Baby
Does Using Placenta-Based Night Cream Affect Male Fetus During Pregnancy?
There is no conclusive evidence to suggest that applying placental extract facial cream to the abdomen has any impact on a fetus, regardless of gender. However, it is always advisable for pregnant individuals to consult with their healthcare provider before using any topical prod...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to respond to your question and provide some related advice as follows: Generally speaking, during pregnancy, it is recommended to avoid using medications unless absolutely necessary for treatment. Even topical applications should b...[Read More] Does Using Placenta-Based Night Cream Affect Male Fetus During Pregnancy?
Understanding Birth Control Pills: When to Start Your Next Pack
Regarding the use of contraceptive pills? Doctor, I started taking my first pack of birth control pills (Mizolut) on September 14, so I finished the last pill on October 4. When should I start taking my second pack? Also, I haven't gotten my period this month; could it be de...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. After stopping the medication, you should start taking the next cycle of pills on the eighth day (a total of seven days without medication). 2. If you have been taking the medication on schedule,...[Read More] Understanding Birth Control Pills: When to Start Your Next Pack
Understanding Vaginal Tightening Surgery: Costs, Insurance, and Effectiveness
Perineal issues? Hello Dr. Chuang, I have given birth to three children naturally, and I would like to inquire about a vaginal tightening surgery. Is this procedure covered by health insurance, or is it out-of-pocket? If it is out-of-pocket, what is the approximate cost? Additi...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: The use of gel may not be meaningful. Whether the cost is out-of-pocket or covered by insurance depends on the medical condition. If the condition requires it, insuranc...[Read More] Understanding Vaginal Tightening Surgery: Costs, Insurance, and Effectiveness
Safe Medication Use During Pregnancy: What to Avoid and Consider
Medications during pregnancy Hello Doctor, I would like to ask if it is problematic to take a gastric emulsion (Apex Gastro-Comfort Suspension) containing the following ingredients during pregnancy: Oxethazaine...................2mg, Aluminium Hydroxide Gel....0.95ml, Magnesium H...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to address your question and provide the following suggestions: Generally, gastric emulsions have no adverse effects on pregnant women. However, it is important to consider factors such as the gestational age, dosage, and ingredient...[Read More] Safe Medication Use During Pregnancy: What to Avoid and Consider