Do Muscle Relaxants and Anti-Inflammatories Affect Fetal Development?
Do anti-inflammatory drugs and muscle relaxants affect the fetus? I visited the clinic on August 8th due to a stiff neck and received an injection of a muscle relaxant, along with a prescription for anti-inflammatory medication. However, I only took 2 packs of the anti-inflammato...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to address your inquiry and provide the following advice: If you took medication on August 8th, any potential effects on the fetus would typically result in a miscarriage, and the fetus would not continue to develop. It would not c...[Read More] Do Muscle Relaxants and Anti-Inflammatories Affect Fetal Development?
Potential Risks of Ingesting Oxygen Absorbers During Pregnancy
Accidental ingestion of chemicals during pregnancy? If a pregnant woman consumes food containing an oxygen absorber at 17 weeks of gestation, what potential side effects or impacts could there be on the fetus? The oxygen absorber, commonly made from iron powder, is used in food p...
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 information and suggestions: According to the literature and relevant data, it is used to preserve functional inhibition for biological growth, and it should have no significant...[Read More] Potential Risks of Ingesting Oxygen Absorbers During Pregnancy
Post-Menopausal Care: HPV Testing and Premarin Usage Explained
Gynecological issues Hello, Director Chuang! My mother has had normal results for HPV tests for two consecutive years after menopause, and she has been getting Pap smears regularly every year. Should she continue to have HPV tests in the future? She has been using Premarin for 4 ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, ma'am: Thank you for your inquiry. I would like to respond to your question and provide the following recommendations: It is important to continue having annual Pap smears as long as the results remain normal. As for the human papillomavirus (HPV), annual testing may ...[Read More] Post-Menopausal Care: HPV Testing and Premarin Usage Explained
Understanding Lipomas: Concerns and Management in Women's Health
Lipoma Hello, Director Chuang! I have a friend in California who was diagnosed with breast cancer. Initially, cancer cells were found in her left breast, and after surgery, she was monitored for four years without any issues. During those four years, she switched to a vegetarian ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to address your inquiry and provide the following advice: Lipomas are benign tumors and are significantly different from cancer. If you are concerned, you may consider having the lipoma surgically removed and monitored regularly, b...[Read More] Understanding Lipomas: Concerns and Management in Women's Health
Is It Late Period or Pregnancy? Understanding the Signs
Is it delayed menstruation or pregnancy? My girlfriend was supposed to get her period on July 30, but it hasn't arrived yet. We had sexual intercourse, and although there was ejaculation outside, we didn't use a condom and it was during her safe period. Could this be a ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, sir: Thank you for your inquiry. In response to your question, I would suggest that you visit a gynecologist for a thorough examination, as it is difficult to provide a definitive answer based on the information you provided.[Read More] Is It Late Period or Pregnancy? Understanding the Signs
Does a Strong Shoulder Tap Affect Pregnancy? Concerns for Expecting Mothers
Pregnant and being tapped on the shoulder? I just found out that my wife ran into a male classmate she hadn't seen in years while shopping. He unexpectedly gave her a strong pat on the shoulder without knowing she is pregnant, which startled both her and her friends. I'...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, sir: Thank you for your inquiry. In response to your question, I would like to provide the following advice: If there is an impact, it may result in abdominal pain and other symptoms. If these symptoms are absent, it is likely not a concern. However, this type of shoulder ...[Read More] Does a Strong Shoulder Tap Affect Pregnancy? Concerns for Expecting Mothers
Postpartum Concerns: Understanding Abnormal Discharge After Delivery
Postpartum issues Hello, doctor. It has been over two months since I gave birth (on April 30). The lochia cleared up around 42 days postpartum, but then (about 60 days postpartum) I experienced a small amount of red and brown discharge, approximately 5cc per day, which lasted for...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your inquiry. I would like to address your question and provide the following advice: Generally, postpartum hemorrhage occurs earlier and is usually significant in volume. As you mentioned, it may be due to poor uterine contractions or hormonal imbalance. I r...[Read More] Postpartum Concerns: Understanding Abnormal Discharge After Delivery
Understanding HPV During Pregnancy: Risks and Treatment Options
Pregnancy and genital warts? Hello Dr. Chuang, I would like to ask a question. I am currently six months pregnant and last week I discovered two small white lesions at the vaginal opening. I went to see an obstetrician who mentioned two possibilities: folliculitis or genital wart...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to address your concern and provide some advice: If you unfortunately come into contact with condylomata acuminata (genital warts) associated with syphilis, there is a possibility of infection, such as in public restrooms. If there...[Read More] Understanding HPV During Pregnancy: Risks and Treatment Options
Understanding the Impact of Uterine and Ovarian Removal in Endometrial Cancer
Due to endometrial cancer, a hysterectomy, oophorectomy, and partial lymphadenectomy are required? Dr. Chuang: Hello! I would like to ask about my mother (born in 1943, currently 53 years old) who has been diagnosed with cancer (as mentioned in the title). I heard that a hysterec...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. I would like to address your inquiry and then provide some suggestions: The removal of the ovaries will inevitably result in the absence of female hormone secretion in the body. However, considering your mother's age of 53, it is likely th...[Read More] Understanding the Impact of Uterine and Ovarian Removal in Endometrial Cancer
Understanding the Effects of Birth Control Pills on Women's Health
Consequences of Birth Control Pills Dear Doctor: I have been taking birth control pills for over two years continuously. A previous physician advised me to stop for six months before resuming, so I stopped taking the pills after my last menstrual period on May 4. Now, I have not ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello Miss Hsiao-Ning: Thank you for your inquiry. I would like to respond to your question and provide some advice: If you are pregnant, the BABP (Birth Control Pill) will not be affected. I recommend that you relax and rest, as prolonged use of contraception is not appropriate ...[Read More] Understanding the Effects of Birth Control Pills on Women's Health
Safety of Hemorrhoid Creams During Pregnancy: What You Need to Know
Hemorrhoid ointment Hello: I am currently 21 weeks pregnant and have been prescribed Proctosedyl ointment by my obstetrician for hemorrhoids. Could you please tell me what category this medication falls under in terms of drug classification? The active ingredients include cinchoc...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello: Thank you for your question. To address your inquiry, it is generally recommended to avoid use whenever possible. However, if the assessment of the condition necessitates it, cautious use may be appropriate. What you mentioned is for external use and has only been applied ...[Read More] Safety of Hemorrhoid Creams During Pregnancy: What You Need to Know
How to Accurately Calculate Your Menstrual Cycle
Menstruation How to accurately calculate the menstrual cycle.
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello Ms. Hsien-Hsien: Thank you for your inquiry. I would like to address your question and provide some suggestions. I'm not sure what you mean by accurately calculating the menstrual cycle. For some women, menstrual cycles are often irregular, but this does not necessaril...[Read More] How to Accurately Calculate Your Menstrual Cycle
Understanding Chocolate Cysts: What You Need to Know
Chocolate cyst What is a chocolate cyst?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, Miss Hsien-Hsien: Thank you for your inquiry. To address your question and provide some advice, a chocolate cyst is a type of ovarian endometriosis, which occurs when endometrial tissue grows on the ovaries. Over time, this accumulation leads to a painful cyst that resembl...[Read More] Understanding Chocolate Cysts: What You Need to Know
Is It Safe to Take Prenatal Vitamins in Early Pregnancy?
Is it safe to take Newborn Prenatal Multivitamins during early pregnancy? My wife started taking prenatal vitamins (Xinpao Nado) two weeks into her pregnancy. Since it's my first time being a dad and I saw advertisements suggesting to start taking them from the first day of ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello, thank you for your question. In general, it is not recommended to take any supplements during the early stages of pregnancy. If supplementation is necessary, it is advised to start after the first trimester. As for prenatal supplements, they typically contain vitamins and ...[Read More] Is It Safe to Take Prenatal Vitamins in Early Pregnancy?
Understanding Emergency Contraception: Your Questions Answered
Emergency contraception Hello: My menstrual period started on April 28, and I had sexual intercourse on May 6 and May 8. I took Primperan 5mg tablets on May 10. Am I still at risk of becoming pregnant? Also, I have another question: Primperan seems like a strange name for a medic...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Hello Ms. Huang: I am responding to your question and providing some advice. Primperan 5mg tablets primarily promote gastric motility, facilitate the passage through the pylorus, and enhance appetite. I am not very familiar with the use of this medication for post-coital contrace...[Read More] Understanding Emergency Contraception: Your Questions Answered
Choosing the Right Time for Scheduled C-Section: A Guide for Parents
Timing of Cesarean Section Dear Doctor, Hello. My wife's due date is in late March. She has a double uterus and double cervix. The baby is currently in a breech position with some malpresentation, and there is also a slight deficiency in amniotic fluid. The doctor has recom...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Based on your description, a cesarean section would be more ideal. Generally, the procedure is performed after the fetus reaches full term (at least 37 weeks). If a scheduled time is arranged and all preparations are in place, it is considered safer. In contrast, performing an em...[Read More] Choosing the Right Time for Scheduled C-Section: A Guide for Parents
Can You Get Pregnant After Your Period? Timing for Pregnancy Tests
Can I get pregnant? If I have intercourse on the sixth day after my period ends, is there a chance of getting pregnant? When is the best time to take a pregnancy test?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
To estimate pregnancy or contraception based on days, it is essential that her menstrual cycle is regular. Therefore, the dates you mentioned may indicate a possibility of pregnancy. If pregnancy testing is needed, it can be done using a urine test after the expected date of her ...[Read More] Can You Get Pregnant After Your Period? Timing for Pregnancy Tests
Do Antenatal Medications Affect Fetal Heartbeat and Survival?
Do miscarriage prevention medications affect fetal mortality? Hello Doctor: My friend is due to give birth to a baby girl in two weeks. She went to the hospital because of some discharge, and the doctor gave her medication. On Thursday, she took one or two packets, and on Friday ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Generally, miscarriage medications do not affect fetal viability. The causes of fetal death are numerous and may depend on the specific circumstances observed by the hospital at the time.[Read More] Do Antenatal Medications Affect Fetal Heartbeat and Survival?
Understanding Pelvic Inflammatory Disease Symptoms and Diagnosis
Regarding inflammatory symptoms..? Hello, doctor. I would like to ask about the main symptoms of pelvic inflammatory disease (PID). Does it cause abdominal pain or increased endocrine activity? A few months ago, I had an ectopic pregnancy, so I want to know what could be the caus...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Pelvic inflammatory disease (PID) typically presents with symptoms such as abdominal pain and increased discharge. As for the mild abdominal pain you experience post-surgery, it may be related to adhesions that can develop after the procedure.[Read More] Understanding Pelvic Inflammatory Disease Symptoms and Diagnosis
Understanding Due Dates: How to Calculate Pregnancy Weeks Correctly
Calculate the due date? The due date is typically calculated by adding 280 days (or 40 weeks) to the first day of the last menstrual period (LMP). The formula you mentioned, which is months + 9 days + 7, is a simplified method that may lead to confusion, as it does not account fo...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Adding 9 to the month and 7 to the day is correct; thus, the estimated due date is 40 weeks, with the first day being the first day of the last menstrual period (therefore, this is based on a regular menstrual cycle). A pregnancy is considered full-term at 37 weeks, and any deliv...[Read More] Understanding Due Dates: How to Calculate Pregnancy Weeks Correctly