Comparing Birth Control Patches and Pills: Effectiveness and Usage Guidelines
Contraceptive patch I would like to ask if the effectiveness of the contraceptive patch is the same as that of birth control pills? Do doctors recommend using it? If I have just stopped taking the pills after a miscarriage and am experiencing bleeding, can I start using the contr...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. According to the manufacturer, its contraceptive effectiveness is comparable to that of oral contraceptives. 2. I have not conducted an examination for you, so I am unaware if you have any contraindications for oral contraceptives (such as smoking), and therefore cannot...[Read More] Comparing Birth Control Patches and Pills: Effectiveness and Usage Guidelines
Thyroid Concerns During Pregnancy: Risks and Impacts on Your Baby
Thyroid issues I am currently 16 weeks pregnant, but my thyroid index has recently risen to 2.4. I am concerned about the potential significant effects on the fetus. If I do not take medication, will the baby be born with developmental issues? If I do take medication, is there a ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Both hyperthyroidism and hypothyroidism can adversely affect fetal development. Please come in for a consultation. Our obstetricians and endocrinologists will work together to care for you and your baby. If medication is necessary, we will choose drugs that do not pose a r...[Read More] Thyroid Concerns During Pregnancy: Risks and Impacts on Your Baby
Post-Hysterectomy Concerns: Abdominal Bloating and Pain Explained
After a hysterectomy..? Hello Doctor, I underwent a hysterectomy due to uterine fibroids in mid-November, but I have been experiencing the following issues since then: Before the surgery, my lower abdomen was flat (I am naturally slim and did not have a protruding belly), but no...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Without an examination, it is really impossible to provide an answer. We welcome you to come in for a visit, and we will conduct a thorough examination and discuss the findings with you. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Post-Hysterectomy Concerns: Abdominal Bloating and Pain Explained
Impact of Acute Cystitis Medication on Pregnancy: What You Need to Know
excuse me? Hello Doctor, I would like to ask if the medication I am currently taking for the treatment of acute cystitis will have any effects on my desire to conceive or if I may already be pregnant. Thank you for your response.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please take a pregnancy test immediately. If the result is negative, you should follow the doctor's instructions and take your medication on time at Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Acute Cystitis Medication on Pregnancy: What You Need to Know
Understanding Fetal Growth: Is My Baby's Weight Normal at 29 Weeks?
Fetal weight..? Hello, Doctor: I am currently 29 weeks and 3 days pregnant (with a baby boy). The ultrasound measurements related to fetal growth are as follows: BPD = 84.2 mm, AC = 268 mm, EFBW = 1924 g, AGE = 32 weeks and 5 days. Could you please let me know if these values are...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: At 29 weeks of gestation, the 10th percentile weight for male fetuses is 1161 grams, and the 90th percentile is 2072 grams. Your estimated fetal weight is 1924 grams, which falls between these two values and is considered acceptable. Hsinchu Municipal Hospital, Department ...[Read More] Understanding Fetal Growth: Is My Baby's Weight Normal at 29 Weeks?
Pregnancy Concerns: Irregular Periods and Early Symptoms Explained
Pregnancy?? I had sexual intercourse with my boyfriend without using contraception, but we practiced withdrawal. My period has been over a month late, and I've noticed a small amount of pink fluid, which doesn't seem like menstrual blood. What could this be? My menstrua...
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 overdue, please come in for a pregnancy test. Hsinchu City Hospital, Department of Obstetrics ...[Read More] Pregnancy Concerns: Irregular Periods and Early Symptoms Explained
Improving Sperm Quality: Natural Conception or IVF Options?
How to improve sperm quality? I recently underwent a hysterosalpingography and experienced some blockage, but it has been cleared. My husband's sperm count and motility are fine, but the quality is poor, with only 3% normal forms. How can we improve this? Is there still a ch...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The main three items in a male semen analysis report are sperm count, motility, and morphology. If you are referring to quality as morphology, that is somewhat unusual. It is recommended to have it re-evaluated. You are welcome to visit us at Hsinchu City Hospital, Departm...[Read More] Improving Sperm Quality: Natural Conception or IVF Options?
How Soon Can You Confirm Pregnancy After a Missed Period?
How long does it take to know if you are pregnant? It has been more than 7 days since my period was due. On the fifth day of the missed period, I went to the hospital for a check-up and was told I am not pregnant. I also received medication to induce menstruation, but it has now ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The pregnancy test showed no pregnancy, but after finishing the menstrual induction medication, it has been a week and still no period. You should return for a follow-up appointment to check for pregnancy at the Hsinchu City Hospital Obstetrics and Gynecology Department.[Read More] How Soon Can You Confirm Pregnancy After a Missed Period?
Cervical Cancer Vaccination: Costs, Insurance Coverage, and Schedule
Cervical cancer May I ask if your hospital offers the cervical cancer vaccine? What is the cost? Is there any insurance coverage? How often is the vaccine administered? Thank you.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Our Department of Health has just approved this, and our hospital is currently preparing to provide this medical service to the public. 2. This vaccine is self-paid, with an estimated cost of over 4,000 NTD per dose. 3. It is recommended to receive three doses, with the...[Read More] Cervical Cancer Vaccination: Costs, Insurance Coverage, and Schedule
Does Frequent Use of RU486 Affect Future Fertility?
Could it lead to infertility? Having taken RU486 multiple times in the past, could this lead to difficulties in becoming pregnant in the future? I asked the doctor who prescribed the medication at the time, and he said it wouldn't cause any issues, but I still feel concerned...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Each abortion is a physical and psychological trauma; it is impossible to say that it leaves no trace. 2. However, what is done is done, and what is to come can be pursued; since you are currently unmarried, you should try to avoid premarital sexual intercourse for the ...[Read More] Does Frequent Use of RU486 Affect Future Fertility?
Can You Have Surgery in Early Pregnancy? Risks and Considerations
Is it safe to perform surgery during early pregnancy? I was originally scheduled for surgery on Thursday, November 23rd, to remove a benign fibroadenoma from my right breast, which is about 3 centimeters in size. It is a minor procedure performed under local anesthesia. However, ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The risks of local anesthesia to the fetus are minimal. If there is a lump in the breast, how can we be certain it is benign and not breast cancer without excision and pathological examination? The urgency and importance of the situation should be very clear. Please discus...[Read More] Can You Have Surgery in Early Pregnancy? Risks and Considerations
Is My 28-Week Fetus Weighing 936g Normal or Too Small?
At 28 weeks of pregnancy, the fetus weighs only 936 grams? Hello, doctor: I would like to ask. Yesterday, during my prenatal check-up at 28 weeks, the doctor said the fetal weight is approximately 936 grams, which is within the normal range. However, when I got home and checked t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The following statistical data is for your reference: If we have 100 fetuses at 28 weeks of gestation sorted by weight from smallest to largest, the weight of the 90th percentile is approximately 1764 grams, the 75th percentile is approximately 1449 grams, the 50th percent...[Read More] Is My 28-Week Fetus Weighing 936g Normal or Too Small?
Feeling Pulsations Near the Anus During Pregnancy: Is It Normal?
Sitting in a chair, I can feel a sensation near my buttocks (around the anus) as if there is a heartbeat there? Hello, doctor. I know this question might seem strange, but I am really troubled. I am currently 34 weeks pregnant, and while sitting in a chair, I sometimes feel a not...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If this pulsation is in sync with your own heartbeat, it is likely the small artery pulsation near the anus. You may want to ask your doctor to check it during your next prenatal visit. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Feeling Pulsations Near the Anus During Pregnancy: Is It Normal?
Impact of Chest X-Ray and Herbal Supplements on Early Pregnancy
If a chest X-ray (large film) was taken before knowing about the pregnancy, what impact could it have on the fetus? Hello, doctor: I apologize for bothering you again. I was informed on the 14th that I am five weeks and three days pregnant. However, during my health check on Octo...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I'm sorry, I don't understand traditional Chinese medicine. Please consult the Department of Traditional Chinese Medicine. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Chest X-Ray and Herbal Supplements on Early Pregnancy
Postpartum Hair Loss: Causes, Concerns, and When to Seek Help
Postpartum hair loss? Hello, Doctor. I am now five and a half months postpartum, and my hair is falling out more and more. I am really afraid of becoming bald. Is this normal? What could be causing it? Which specialist should I see? Thank you! Concerned Mrs. Lee.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible that the ovaries have not yet restored normal endocrine function. You may consult both the obstetrics and gynecology department and the dermatology department. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Postpartum Hair Loss: Causes, Concerns, and When to Seek Help
Unusual Bleeding After Emergency Contraceptive: Side Effects or Not?
Abnormal bleeding five days after taking the medication Anjing (安錠) – could this be a side effect of the drug? Last Saturday, I had unprotected intercourse (my menstrual cycle just ended on Friday). However, I was worried, so I bought emergency contraception and took it at midnig...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Taking emergency contraceptive pills may result in withdrawal bleeding within a week, but this bleeding does not necessarily indicate successful contraception. If your next period is delayed, you should take a pregnancy test. 2. If you notice an unusual odor in your vag...[Read More] Unusual Bleeding After Emergency Contraceptive: Side Effects or Not?
Understanding Fetal Movement: Signs of Potential Heartbeat Issues in Late Pregnancy
Fetal movement I have recently seen many cases online where mothers who are over 35 weeks pregnant suddenly find that their babies have no heartbeat, which has made me quite worried. I would like to ask the doctor, what are the signs that may occur before a loss of heartbeat? If ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The situation you described is usually an accident, something beyond our control. What you need to do is to attend regular prenatal check-ups, monitor fetal movements daily, and seek medical attention immediately if there are any abnormalities. As for matters beyond human ...[Read More] Understanding Fetal Movement: Signs of Potential Heartbeat Issues in Late Pregnancy
Impact of Chest X-Ray Before Knowing Pregnancy on Fetal Health
If a chest X-ray (large film) was taken before knowing about the pregnancy, what impact could it have on the fetus? Hello Doctor: I just found out yesterday that I am five weeks pregnant. However, I am very concerned about one thing: I had a chest X-ray (large film) during a comp...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If November 14th is the 5th week, then the possible ovulation date would be October 24th. Fertilization had not occurred by October 17th, so please do not worry excessively. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Chest X-Ray Before Knowing Pregnancy on Fetal Health
Understanding Uterine Size: Concerns and Next Steps for Women
Uterine size In June of this year, I experienced postcoital bleeding and visited a gynecologist, where it was found that my uterus measured over 8 centimeters. During a follow-up appointment in mid-November, the size of my uterus remained over 8 centimeters, and it had even incre...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Typically, an ultrasound is performed first, followed by a Pap smear. 2. Generally, if a thickened endometrium is observed on ultrasound, it raises suspicion for endometrial hyperplasia or endometrial cancer; if the physician has such concerns, they will recommend a dil...[Read More] Understanding Uterine Size: Concerns and Next Steps for Women
Understanding Post-Sexual Intercourse Bleeding and Pain: Causes and Next Steps
Sexual intercourse..? I would like to ask why I experience bleeding and slight abdominal pain every time I have unprotected sexual intercourse, but I do not have any bleeding or pain when I use protection. Do I have some kind of illness? Please let me know so I can take the next ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: After experiencing postcoital bleeding, it is important to first rule out the possibility of cervical pathology. Please come in for an examination as soon as possible. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Post-Sexual Intercourse Bleeding and Pain: Causes and Next Steps