Understanding Postpartum Pain and Growth: Addressing Concerns About Polyps
I have noticed a polyp of varying sizes in the area of my postpartum wound? Hello Doctor: I gave birth naturally in March of last year. At that time, I experienced persistent pain from a tear in the birth canal that did not heal properly. I consulted the attending physician sever...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: We are here to help you, but please come in for an examination. After the examination, we will discuss the results with you and provide recommendations. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Postpartum Pain and Growth: Addressing Concerns About Polyps
Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations
Uterine leiomyoma Hello, a few years ago I underwent surgery for uterine fibroids, but during a recent follow-up, I was informed that they have grown back. The doctor mentioned that fibroids can be a series of growths and that they do not go away completely. I would like to know ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Adenomyosis is not related to diet. 2. Estrogen medications have a stimulating effect on adenomyosis. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations
Do Women Without Sexual Experience Need Pap Smears for Cervical Cancer?
excuse me? Hello, doctor. I would like to ask if the risk of developing cervical cancer and uterine fibroids is high for someone without sexual experience, and whether a Pap smear is necessary. Thank you! ^^
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The risk of cervical cancer without sexual intercourse is extremely low, and a pelvic examination may damage the hymen, so Pap smears are not recommended. 2. Uterine fibroids are unrelated to sexual activity. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Do Women Without Sexual Experience Need Pap Smears for Cervical Cancer?
Can You Get Pregnant If a Condom Slips Off During Sex?
Could this accidentally lead to pregnancy? Hello, today (January 19) while having intercourse with my girlfriend, the condom accidentally slipped off, and I ejaculated. There was white fluid on the bed. My girlfriend told me that her menstrual cycle ended on January 16 or 17. Is ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: There is no such thing as an absolute safe period; if condoms are not used correctly, there is certainly a possibility of pregnancy. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Get Pregnant If a Condom Slips Off During Sex?
Essential Items for Hospital Delivery: What’s Provided and What to Bring
Inpatient delivery During childbirth and postpartum in the hospital, which items are provided for free by the hospital, and which items are more cost-effective to bring from home?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Each hospital is different, please consult the nurses at Hsinchu Hospital for obstetrics and gynecology during your prenatal check-ups.[Read More] Essential Items for Hospital Delivery: What’s Provided and What to Bring
Are Breast Abnormalities Linked to Cervical Health Issues?
Is there a correlation between breast abnormalities and cervical issues? Hello Doctor: My mother (46 years old and has been taking female hormones for the past three months) has been experiencing breast milk discharge for about six months. Initially, it was clear and colorless, b...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The first step in evaluating abnormal nipple discharge is to rule out the possibility of breast cancer. If the mammogram is normal, the next step is to check for elevated prolactin levels or the possibility of a pituitary adenoma. You are welcome to come for a consultat...[Read More] Are Breast Abnormalities Linked to Cervical Health Issues?
Should Pregnant Women with Hepatitis B Get Immunoglobulin for Newborns?
Should I pay out of pocket for the injection of hepatitis B immunoglobulin? Hello Doctor: I am a pregnant woman who is a carrier of hepatitis B (surface antigen HBsAg is +...1330; e antigen HBeAg is -...0.25). Will there be a risk of vertical transmission to the fetus? Is it nece...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is recommended to get vaccinated. However, online Q&A is for reference only; please discuss with your attending physician before making a decision. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Should Pregnant Women with Hepatitis B Get Immunoglobulin for Newborns?
Understanding Cervical Smear Tests and Painful First Sexual Experiences
I'm sorry, but I need the content you would like me to translate? Hello, I would like to ask... Is it necessary to have sexual intercourse in order to undergo a Pap smear? What is the definition of sexual intercourse? If a male's genitalia is inserted into a female'...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Your description qualifies as sexual intercourse. It is recommended to have your first Pap smear within three years of your first sexual activity. If the results are normal, you should have a Pap smear annually thereafter. The correlation between uterine fibroids and dyspa...[Read More] Understanding Cervical Smear Tests and Painful First Sexual Experiences
Understanding Unexplained Vaginal Bleeding: A Guide for Women
Disease Inquiry Unexplained bleeding from the lower body (appears to be fresh blood).
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation, and we will conduct a thorough examination for you. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Unexplained Vaginal Bleeding: A Guide for Women
Managing Mediterranean Anemia in Pregnancy: RU486 and Essential Tests
Mediterranean anemia and abortion? Currently, a friend is suffering from thalassemia and has recently accidentally become pregnant. Since she is still in school, she is not in a position to have a child. I would like to ask if RU486 is suitable for someone with thalassemia, or if...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The suitability of using RU486 should be assessed by a consulting physician. However, to my knowledge, there is no research indicating that individuals with Mediterranean anemia cannot use RU486. Lastly, since you are currently a student, I recommend that you practice good...[Read More] Managing Mediterranean Anemia in Pregnancy: RU486 and Essential Tests
Understanding Irregular Bleeding During Menstrual Cycle Treatment
Intermenstrual bleeding Hello Doctor, I have polycystic ovary syndrome and irregular menstrual cycles (approximately 15-22 days, with a period of 3 months without menstruation). I have seen a physician and am currently undergoing treatment with progesterone. Initially, I was taki...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is recommended that you return for a follow-up appointment. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Irregular Bleeding During Menstrual Cycle Treatment
Can You Get Pregnant After Taking Emergency Contraceptive Pills?
Will this lead to pregnancy? The situation is as follows: After engaging in sexual intercourse, a dose of emergency contraception was taken. Following that, another sexual encounter occurred without any protective measures. The female partner has not had her menstrual period for ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is advised that unmarried young couples should truly avoid premarital sexual intercourse, as it is beneficial for your physical and mental development. If sexual activity does occur, it is essential to use condoms correctly throughout the entire process to prevent sexua...[Read More] Can You Get Pregnant After Taking Emergency Contraceptive Pills?
How to Differentiate Between Amniotic Fluid and Vaginal Discharge?
How can amniotic fluid be distinguished from discharge? Hello Doctor: 1. I am currently over eight months pregnant. Sometimes I feel a little liquid flowing from my lower body, or I may not feel anything at all. At times, I notice that my underwear is dry but appears white. Sin...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Please come for a consultation, where we will perform an ultrasound, a pelvic examination, and use amniotic fluid test strips for evaluation. 2. If left untreated, there is a risk of bacterial infection, which could potentially lead to preterm labor; antifungal vaginal ...[Read More] How to Differentiate Between Amniotic Fluid and Vaginal Discharge?
Impact of Ankylosing Spondylitis Medications on Pregnancy Chances
Probability of Pregnancy My husband has been taking medication for ankylosing spondylitis for over two years. I asked the doctor if it would affect our plans to conceive, and he said that it might only reduce sperm count, but it shouldn't have much impact on the child. I...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Psalm 127:3 states: "Children are a heritage from the Lord, the fruit of the womb is a reward." If you believe in God and sincerely pray to Him, He will surely listen and grant you abundant blessings. Signed, Hsinchu Hospital Department of Obstetrics and Gynecolo...[Read More] Impact of Ankylosing Spondylitis Medications on Pregnancy Chances
Understanding Vaginal Care: Addressing Discharge and Hygiene Practices
Vulvar care Hello, doctor. I sometimes experience a light yellow to yellowish thick discharge, but it is not painful or itchy. I have had sexual intercourse and have seen a doctor who prescribed a suppository. The doctor mentioned that if the amount is not significant and there i...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the examination shows no abnormalities, then rinse with clean water thoroughly and dry afterward. Wear jeans less often, avoid using panty liners during non-menstrual periods, wear cotton underwear, and maintain ventilation and dryness to prevent heat and moisture. Ther...[Read More] Understanding Vaginal Care: Addressing Discharge and Hygiene Practices
Cervical Cancer Vaccine in Taiwan: Availability, Clinics, and Age Limits
Cervical cancer vaccine 1. May I ask if Taiwan has started administering the cervical cancer vaccine, or is it still in the trial phase? 2. Which hospitals are available for vaccination? Are there any age restrictions? Thank you.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The Department of Health has approved it. 2. The Department of Health recommends that women receive the vaccination between the ages of 12 and 26. Our hospital is currently in the process of implementing this, and we will soon provide this medical service at the Hsinchu...[Read More] Cervical Cancer Vaccine in Taiwan: Availability, Clinics, and Age Limits
Understanding the Consequences of Missed Periods: What You Need to Know
Missed menstruation? I would like to ask what complications may arise from not having my period. I have taken a pregnancy test and confirmed that I am not pregnant, and it has been almost 2 months since my last period.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The most important step in addressing the absence of menstruation in non-pregnant individuals is to determine the underlying cause, such as elevated prolactin levels, hypothyroidism, premature ovarian failure, or simply anovulation. After identifying the cause, appropriate...[Read More] Understanding the Consequences of Missed Periods: What You Need to Know
Is It Normal for a Fetus Not to Have a Heartbeat at 8-9 Weeks?
Is the fetus normal in the early stages of pregnancy? Hello Doctor: I have several questions to ask you! I found out I was pregnant on October 27, which means I should be about 8 to 9 weeks along. However, my obstetrician informed me that the fetus has no heartbeat. Is this norma...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: For women with a regular menstrual cycle, an ultrasound at seven weeks of pregnancy should be able to detect the fetal heartbeat. If the heartbeat is still not visible at nine weeks, the likelihood of a blighted ovum is high. Hsinchu City Hospital, Department of Obstetrics...[Read More] Is It Normal for a Fetus Not to Have a Heartbeat at 8-9 Weeks?
Understanding Delayed Periods: Signs and What to Do Next
I'm sorry, but I need content to translate? My last menstrual period was on November 7th and 8th, and today is December 11th, which means it is already four to five days late. I have taken all the necessary precautions (initially just going in briefly before withdrawing), bu...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Only the correct and consistent use of condoms can prevent sexually transmitted infections and provide effective contraception; withdrawal method is unreliable. If your period is delayed, please come in for a pregnancy test. Hsinchu Hospital, Department of Obstetrics and G...[Read More] Understanding Delayed Periods: Signs and What to Do Next
Understanding Male Fertility Issues and Their Impact on Pregnancy
Coitus test After the intercourse test, everything is normal, and there is no rejection between the couple. However, the husband's sperm quality is poor, with two tests showing only 3% normal sperm. They are now trying to conceive naturally. Will the husband's poor sper...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Welcome to our obstetrics and gynecology outpatient clinic. Please bring your semen analysis report and cohabitation test report. We will provide you with a detailed explanation and thoroughly examine the cause of your abdominal pain. Thank you. Hsinchu City Hospital, Depa...[Read More] Understanding Male Fertility Issues and Their Impact on Pregnancy