Is It Safe? Understanding Risks of Outer Course and Condom Use
Is there a problem with this? If your girlfriend had her normal menstrual cycle on August 31 and you used a condom, and then on September 17 there was only external rubbing without penetration, this is generally considered to be low risk for pregnancy. However, it's importan...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Although it is only external friction, there is still a possibility of pregnancy as long as ejaculation occurs.[Read More] Is It Safe? Understanding Risks of Outer Course and Condom Use
Understanding Irregular Menstrual Bleeding: Causes and Solutions
Could you please provide more details or context regarding your question about menstruation? I would like to ask, I got my period on August 13 (my menstrual cycle usually lasts about a week), but a week later, I still had some brown discharge (not as heavy as my period) that cont...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
As you mentioned, the bleeding is likely caused by ovarian dysfunction. It is best to adjust the medication continuously for a period of time to achieve optimal results.[Read More] Understanding Irregular Menstrual Bleeding: Causes and Solutions
Cost and Considerations for Reversing Tubal Ligation in Taiwan
Please consult with us? I would like to ask you, I have had only one child and I am now considering reversing my sterilization. Could you tell me how much it would cost? I previously inquired at a private hospital and they quoted over 30,000 NT dollars, but I'm not sure if i...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. The first question is whether the price is reasonable; you might also consider in vitro fertilization (IVF). You should understand that unblocking the tubes does not guarantee success. 2. For the second question, I don't quite understand what you mean, so I cannot provide...[Read More] Cost and Considerations for Reversing Tubal Ligation in Taiwan
Understanding Irregular Menstrual Cycles: Causes and Concerns
Irregular menstruation My menstrual cycle used to be quite regular, but since the beginning of this year, it has only come every two months, and each time lasts only 3-4 days. The flow is heavier on the second and third days, but by the fourth day, it stops almost completely. How...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The menstrual cycle is not regular or normal for all women. As long as ovulation occurs, there is a chance of conception, even if the cycles are not very regular. There is no need to adjust irregular menstruation to make it "normal." Regarding dietary recommendations fr...[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns
Understanding Inflammation in Cervical Smear Results: What You Need to Know
Inflammation If the cervical smear report indicates inflammation, does that mean I just need to visit the outpatient clinic and there is no major concern?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Inflammation can be treated in an outpatient setting, and then its progression can be monitored.[Read More] Understanding Inflammation in Cervical Smear Results: What You Need to Know
Understanding Fetal Movement: Is Active Movement Safe for Your Baby?
Fetal movement Hello Doctor, I would like to ask: Does vigorous fetal movement have any impact on the fetus? Or does it indicate that the fetus is very active and lively? I've heard that excessive movement could lead to umbilical cord entanglement. I'm quite worried... ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Fetal movement is a good sign and indicates that the fetus is healthy and active. However, it is uncertain whether this could lead to issues such as umbilical cord ulcers. Even if ulcers do occur, as long as fetal movement remains strong, there should not be any adverse effects. ...[Read More] Understanding Fetal Movement: Is Active Movement Safe for Your Baby?
Understanding the Cost of IUDs: What Students Need to Know
Contraceptive device Hello, I would like to ask... Is there no health insurance coverage for getting an IUD? How much does it cost? Is it very expensive? My boyfriend and I are both students... Thank you!
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The insertion of an intrauterine device (IUD) is not covered by health insurance and requires out-of-pocket payment. The cost varies depending on the type of IUD. At Nantou Hospital, the cost for the insertion of a Mirena IUD is 500 NTD.[Read More] Understanding the Cost of IUDs: What Students Need to Know
Excessive Vaginal Discharge: Causes, Concerns, and When to Seek Help
Excessive secretion? Hello Doctor: Recently, I have noticed an increase in my discharge, which has a slightly yellow color. In the morning, when I wipe after urination, there is a significant amount, and I also see some in the toilet. During regular urination, it seems to be a bi...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
In general, due to the hormonal cycle, there may be secretions, but they should be clear, transparent, and somewhat viscous. If there is any discoloration, it is advisable to visit a hospital for examination.[Read More] Excessive Vaginal Discharge: Causes, Concerns, and When to Seek Help
Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Uterine necrosis 1. Can uterine laceration cause bleeding? 2. Can uterine laceration heal on its own? 3. Is special treatment necessary?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
What you refer to as uterine erosion is likely cervical erosion. It has the potential to cause bleeding and may even be a precursor to cervical cancer. The chances of spontaneous healing are low, so it is best to seek medical treatment at a hospital. It is especially important to...[Read More] Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Understanding Normal Breast Anatomy: Are Small Bumps on the Areola Common?
Chest issues Hello: Is the skin on the entire chest smooth? If there are 1 to 2 small bumps on the areola (about the size of a grain of rice and the same color as the areola), present on both breasts, is this normal? Thank you.
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The skin on the chest should be smooth, and small bumps on the areola are normal. Both sides should generally be similar, although they may not be exactly the same size. If there are any depressions, wrinkles, or lumps on the skin, it is advisable to have them examined at a hospi...[Read More] Understanding Normal Breast Anatomy: Are Small Bumps on the Areola Common?
Understanding Uterine Contractions During Pregnancy: What to Expect
Regarding uterine contractions? Hello, Doctor: I would like to ask, I am currently 22 weeks pregnant. How many uterine contractions are considered normal in one hour? Recently, I have been experiencing frequent uterine contractions, my abdomen feels hard, and sometimes it hurts, ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
During a normal pregnancy, uterine contractions may occur, but they are typically mild and infrequent, not causing significant discomfort to the pregnant woman. There should not be any leakage of fluid. As you mentioned, it is important to monitor for signs of premature rupture o...[Read More] Understanding Uterine Contractions During Pregnancy: What to Expect
Is It Normal for One Breast to Be Larger Than the Other?
Breast issues I would like to ask the doctor, I recently noticed while showering that my left breast is significantly larger than my right breast. Is this a normal phenomenon?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Generally speaking, organs on both sides of the body, such as hands, feet, and breasts, are not the same size, but the difference should not be significant. If, as you mentioned, there is a "large difference," it is advisable to visit a hospital for an examination.[Read More] Is It Normal for One Breast to Be Larger Than the Other?
Understanding Polycystic Ovary Syndrome: Causes and Concerns Explained
Polycystic Ovary Syndrome (PCOS) Dr. Chuang: Hello, I finished my menstrual period last January, and I may have taken care of my genital area poorly, which led to inflammation. I went to a gynecologist in Changhua to get medication. After that, I did not have my period starting i...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Irregular menstruation is related to hormonal changes, and polycystic ovary syndrome (PCOS) is one of the contributing factors. It is advisable to undergo an ultrasound and blood tests at a hospital for a more targeted approach to the issue. Nipple pain is also associated with ho...[Read More] Understanding Polycystic Ovary Syndrome: Causes and Concerns Explained
Understanding Abnormal Bleeding: Causes, Concerns, and Solutions for Women
Abnormal bleeding Hello Doctor: I apologize for taking up your valuable time, and I appreciate you answering my questions amidst your busy schedule. I am 31 years old, and for the past two years, I have occasionally experienced bleeding about ten days after my menstrual period, l...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Bleeding about ten days after your menstrual period is likely due to ovulation; however, considering you mentioned pain during intercourse and skin tearing, along with the fact that you haven't had a Pap smear, it is advisable for you to seek medical evaluation at a hospital...[Read More] Understanding Abnormal Bleeding: Causes, Concerns, and Solutions for Women
Is It Normal to Have Brown Discharge During Menstruation?
excuse me? Hello Doctor: My wife noticed some brownish discharge during her menstrual period, and she's a bit worried. Is this normal? What could cause brownish discharge to appear, and does she need to see a doctor? Thank you.
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Green vaginal discharge is likely a sign of trichomoniasis, and it is advisable to seek medical treatment at a hospital.[Read More] Is It Normal to Have Brown Discharge During Menstruation?
Understanding Menstrual Cramps: Causes and Relief for Teens
Menstrual pain issues? Hello, I am a middle school student. About a week before my period starts, I experience abdominal pain that lasts until around the second day of my menstruation. Why do I have abdominal pain before my period?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Due to hormonal changes, there may be congestion in the pelvic cavity, which can lead to discomfort and, in some cases, potential organ pathologies. It is advisable to visit a hospital for an ultrasound examination and blood tests.[Read More] Understanding Menstrual Cramps: Causes and Relief for Teens
Could I Be Pregnant? Understanding Fertility After Your Period
Can I get pregnant? I got my period on May 31 and left on June 4. I had intercourse on June 12 and June 19. Is there a possibility of pregnancy?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
As long as there is sexual intercourse, there is a possibility of pregnancy, which involves many factors such as the menstrual cycle. Therefore, it is best to wait until after the missed period to visit a hospital for a check-up.[Read More] Could I Be Pregnant? Understanding Fertility After Your Period
Managing Menstrual Issues: Guidance on Medication and Symptoms
Menstrual issues Dear Dr. Chuang, I am your patient who underwent a hysteroscopy due to suspected intrauterine adhesions. After your examination, you prescribed me two medications: PROVERA (medroxyprogesterone acetate) to be taken continuously for 21 days followed by a 7-day bre...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. I'm not sure if you took the wrong medication (the white pills should be taken for 12 days). 2. Now we are starting a new cycle and you should begin taking the medication from the beginning. 3. Therefore, please come back to the clinic to pick up the medication for the en...[Read More] Managing Menstrual Issues: Guidance on Medication and Symptoms
Understanding Abnormal Bleeding After Medication: When to Seek Help
Abortion Hello Dr. Chuang, I visited Nantou Hospital last Friday (the 21st) for a consultation with you. I am the one who wrote a long list of questions, and you suspected that my symptoms might be due to intrauterine adhesions. After our consultation, you prescribed me a 7-day ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The amount of bleeding is not significant, so continue taking the medication for 7 days as planned, and come in for your appointment at the originally scheduled time.[Read More] Understanding Abnormal Bleeding After Medication: When to Seek Help
Understanding Pregnancy Weeks: When to Expect Heartbeat and Ultrasound
Gestational age Hello Doctor: I noticed some light blood traces when I went to the bathroom before bed on February 14. On February 15, I realized my period had started. I found out I was pregnant on March 31 after taking a pregnancy test. My average menstrual cycle is 32 days, an...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
(1) The current gestational age should be determined as 6 weeks and a few days (calculated from the first day of the last menstrual period). (2) Fetal heartbeat can typically be detected via abdominal ultrasound around 7 weeks. (3) There are no restrictions on when to perform an ...[Read More] Understanding Pregnancy Weeks: When to Expect Heartbeat and Ultrasound