Dr. Li Guanghan reply Obstetrics and Gynecology Question

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Can a 9cm Uterine Fibroid Be Removed via Laparoscopy?

Uterine fibroids Dear Doctor: Is it possible to remove a uterine fibroid measuring approximately 9 centimeters using laparoscopic surgery? Does Hsinchu Hospital have a department that performs this type of surgery? Thank you.


Dr. Li Guanghan reply Obstetrics and Gynecology
Do uterine fibroids require surgery? If surgery is necessary, should only the fibroids be removed or is a total hysterectomy needed? Will the procedure be performed through open surgery or laparoscopic surgery? Will it be done through the abdomen or the vagina? These questions ca...

[Read More] Can a 9cm Uterine Fibroid Be Removed via Laparoscopy?


Understanding Endometrial Hyperplasia: Treatment Options and Fertility Concerns

Endometrial hyperplasia Hello, Doctor: In January of this year, I experienced intermittent light pink discharge outside of my menstrual period for two months. After that, my doctor recommended a dilation and curettage (D&C), which revealed endometrial hyperplasia, complex typ...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Complex endometrial hyperplasia can be classified into two types: with cell atypia and without cell atypia. The risk of developing endometrial cancer varies between the two. It is recommended that you first confirm your pathological diagnosis and then consult your current ...

[Read More] Understanding Endometrial Hyperplasia: Treatment Options and Fertility Concerns


Understanding Maternal Blood Screening: Two vs. Four Markers for Down Syndrome

Maternal serum screening for Down syndrome: two-marker or four-marker test? Hello, I am currently receiving prenatal care at your hospital and I am 15 weeks pregnant. Last week, I had the maternal serum screening for Down syndrome, but I forgot to ask the doctor whether it was a ...


Dr. Li Guanghan reply Obstetrics and Gynecology
It is a dual indicator, thank you.

[Read More] Understanding Maternal Blood Screening: Two vs. Four Markers for Down Syndrome


Do Hospitals Provide Maternity Bags or Should You Prepare Your Own?

Does the hospital provide a delivery bag? Does your hospital sell (or provide) maternity bags, or do we need to prepare them ourselves?


Dr. Li Guanghan reply Obstetrics and Gynecology
No, thank you.

[Read More] Do Hospitals Provide Maternity Bags or Should You Prepare Your Own?


Understanding Irregular Bumps on the Areola: Causes and Concerns

There are lumps or bumps on the areola? Hello Doctor: I am currently experiencing breast engorgement before my menstrual period. I suddenly noticed irregular small bumps that have always been present around the areola, and now there are small whitehead-like spots appearing at the...


Dr. Li Guanghan reply Obstetrics and Gynecology
We recommend that you visit the breast clinic for an examination. Thank you.

[Read More] Understanding Irregular Bumps on the Areola: Causes and Concerns


Understanding Cervical Inflammation and the Need for Pap Smear Tests

Pap smear for cervical inflammation? Hello Doctor: A while ago, around May 12, I noticed red spots on my vulva and went to see a doctor. The doctor said it was inflammation and prescribed a vaginal suppository for me to use. After a follow-up visit, the doctor recommended a Pap s...


Dr. Li Guanghan reply Obstetrics and Gynecology
Women who are sexually active should have a Pap smear annually. If the Pap smear report indicates inflammation, it is recommended to repeat the Pap smear for follow-up three months after treatment. Thank you.

[Read More] Understanding Cervical Inflammation and the Need for Pap Smear Tests


Understanding Irregular Menstrual Cycles: Causes and When to Seek Help

Irregular menstrual cycle? Hello Dr. Li: My menstrual cycle has always been regular, occurring approximately every 23 to 25 days, with a normal blood flow lasting about 5 days and no menstrual cramps. However, the last two cycles have shown some unusual changes. In the past two m...


Dr. Li Guanghan reply Obstetrics and Gynecology
You have irregularities in your menstrual cycle, as well as abnormalities in menstrual flow and sensations. It is advisable to come in for an examination, preferably after your period ends. Thank you!

[Read More] Understanding Irregular Menstrual Cycles: Causes and When to Seek Help


Can Breastfeeding Moms Safely Consume Pickled Plums for Baby's Health?

About breastfeeding? Dear Doctor, can breastfeeding mothers consume pickled plums? If consumed, can it help regulate the baby's constitution? Its ingredients include 100% concentrated green plum essence, hawthorn extract, and hibiscus extract. Thank you for your response!


Dr. Li Guanghan reply Obstetrics and Gynecology
I'm sorry, but if this is a type of health supplement rather than a medication, it may not be found in medical databases.

[Read More] Can Breastfeeding Moms Safely Consume Pickled Plums for Baby's Health?


Understanding Polycystic Ovarian Syndrome: Symptoms and Impacts on Fertility

Multicystic ovarian cysts refer to the presence of multiple fluid-filled sacs (cysts) within the ovaries. These cysts can vary in size and may be associated with hormonal imbalances or other underlying conditions. They are Hello, doctor. I am 28 years old and have been experienci...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: There are many questions and answers related to Polycystic Ovary Syndrome (PCOS), and there is a wealth of information available on this website or through online searches for reference. Although patients with PCOS may experience irregular ovulation or anovulation, advance...

[Read More] Understanding Polycystic Ovarian Syndrome: Symptoms and Impacts on Fertility


Understanding Cervical Cell Changes: Treatment, Monitoring, and Prevention

Cervical cell dysplasia Recently, the clinic physician performed a biopsy on me, and besides inflammation, they found cellular atypia. The physician conducted cryotherapy and prescribed medication. I have been attending follow-up appointments for treatment, but the physician info...


Dr. Li Guanghan reply Obstetrics and Gynecology
1. It is recommended that you first determine whether your cervical cell changes are mild, moderate, or severe. 2. If you have mild cervical cell changes and your physician has performed cryotherapy and medication treatment, and advised you to have regular Pap smears, you should...

[Read More] Understanding Cervical Cell Changes: Treatment, Monitoring, and Prevention


Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns

Ovarian cyst Hello Doctor, I would like to ask you about something. About 3 to 4 years ago, I had a whole-body CT scan and found something on my left ovary. Later, when I went to see a gynecologist, the tumor had shrunk (if I remember correctly, it was around 4 to 6 cm!). Does th...


Dr. Li Guanghan reply Obstetrics and Gynecology
There are many possibilities for describing "something in the ovary," such as a chocolate cyst, teratoma, corpus luteum cyst, or tumor, among others. It is recommended to come in for a consultation, where an ultrasound will be performed, and if necessary, blood tests fo...

[Read More] Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns


How to Delay Your Period: Tips and Medication Options

How to delay menstruation? Hello, doctor. I will be going to mainland China for six days starting April 13, which coincides with my menstrual period. It will be very inconvenient while traveling. If I want to delay my period, should I take birth control pills? I have some contrac...


Dr. Li Guanghan reply Obstetrics and Gynecology
The use of contraceptive pills to delay menstruation has its indications and contraindications, as well as varying components and dosages. Therefore, it is not advisable to take them impulsively based on online Q&A. It is recommended to consult with a gynecologist. Thank you!

[Read More] How to Delay Your Period: Tips and Medication Options


Understanding Complex Endometrial Hyperplasia: Risks and Concerns

Issues related to endometrial hyperplasia? Hello Doctor: A month or two ago, I experienced abnormal bleeding before my period, but my menstrual cycle has been normal. However, I had brown discharge that appeared two weeks early. I underwent a dilation and curettage (D&C) on J...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. You have been diagnosed with Complex Hyperplasia, which may indeed lead to abnormal bleeding. 2. As a general principle, it is advised to refrain from sexual intercourse if there is vaginal bleeding. 3. Complex Hyperplasia can be classified into two types: with atypia a...

[Read More] Understanding Complex Endometrial Hyperplasia: Risks and Concerns


Understanding Chocolate Cysts: Post-Surgery Menstrual Changes Explained

Chocolate cyst Hello Dr. Lee, I underwent laparoscopic surgery for a chocolate cyst on my right ovary last year and received six months of Lupron treatment. My menstrual cycle has returned for the fourth time, but the flow is significantly lighter compared to normal. There was on...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you have received Leuplin for six months after surgery and then had your menstrual period return four times, it has been about a year since the surgery. You should schedule a follow-up appointment for monitoring and evaluation. Wishing you peace and good health.

[Read More] Understanding Chocolate Cysts: Post-Surgery Menstrual Changes Explained


Understanding Heavy Menstrual Bleeding: Causes and Solutions

Menorrhagia Hello Doctor: My menstrual flow has always been very heavy (13 tampons plus one pack of sanitary pads). I had a uterine fibroid removed over a year ago, and my menstrual blood volume did not significantly decrease. Two months ago, during a follow-up examination, a pol...


Dr. Li Guanghan reply Obstetrics and Gynecology
I recommend that you consult your physician for an examination to check for any recurrence of fibroids or endometrial thickening, among other conditions. Thank you!

[Read More] Understanding Heavy Menstrual Bleeding: Causes and Solutions


Understanding Recurrent Infection After C-Section: Causes and Diagnosis

Cesarean section wound recurrent infection? My sister's amniotic sac ruptured prematurely, leading to an early cesarean section. However, after the surgery, although there was no fever, the wound has been repeatedly infected. Despite the doctor treating it with antibiotics f...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Any surgical procedure carries a risk of wound infection, and it may not always be possible to determine the exact cause. 2. If there is suspicion of an intra-abdominal lesion, imaging studies such as ultrasound or computed tomography (CT) may be necessary. Wishing you ...

[Read More] Understanding Recurrent Infection After C-Section: Causes and Diagnosis


Understanding PCOS Diagnosis and Its Impact on Future Insurance Rights

Could you please provide the content you would like me to translate? I went to the hospital the day before yesterday and was diagnosed with polycystic ovary syndrome (PCOS), but why did the doctor type "benign ovarian tumor" in the computer? This makes me very worried. ...


Dr. Li Guanghan reply Obstetrics and Gynecology
I'm sorry, but I really don't know who you are or the circumstances of your visit at that time. If you still have questions about your condition, please feel free to come back for a consultation. Thank you! Wishing you peace and joy!

[Read More] Understanding PCOS Diagnosis and Its Impact on Future Insurance Rights


Understanding the Appearance and Packaging of Levonorgestrel Tablets

Post-anesthetic appearance Hello, Doctor. I would like to inquire about the appearance of LEVONORGESTREL emergency contraceptive pills and the Chinese and English text on the packaging. Thank you.


Dr. Li Guanghan reply Obstetrics and Gynecology
I'm sorry, our hospital does not have the medication "Huan An Ding."

[Read More] Understanding the Appearance and Packaging of Levonorgestrel Tablets


Understanding Benign Breast Tumors: Risks and Follow-Up Care

A tumor was found in the chest? Hello Doctor, I would like to ask a question. My mother went to the hospital for an examination, where the doctor performed a mammogram and ultrasound. They found a very small tumor in her right breast, but the doctor said it is still very small ...


Dr. Li Guanghan reply Obstetrics and Gynecology
Please consult with a breast surgeon. Thank you.

[Read More] Understanding Benign Breast Tumors: Risks and Follow-Up Care


Do Hormonal Supplements Affect Uterine Fibroids and Cysts?

The relationship between uterine fibroids and hormones? Hello Doctor: I would like to ask if patients with uterine fibroids or cysts should avoid taking dietary supplements that contain growth hormones or hormones, such as royal jelly, pollen, or bee larvae. If they do take these...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Qualified health supplements should not contain growth hormones or female hormones; otherwise, they should be classified as pharmaceuticals. 2. Female hormones can stimulate the growth of uterine fibroids, so fibroids in premenopausal women generally tend to grow. 3. If...

[Read More] Do Hormonal Supplements Affect Uterine Fibroids and Cysts?


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