Understanding Pregnancy Risks After Emergency Contraceptive Use
Is the probability high? I got my period on July 23. I had sexual intercourse on August 4, and I took the emergency contraceptive pill on August 5. I used a condom partway through, and the ejaculation was inside the condom. I went for a menstrual regulation in August, and my peri...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you are concerned that the bleeding on August 21st is not menstrual but rather early pregnancy bleeding, please come in for an examination. We will perform a pregnancy test and an ultrasound to determine the situation. Hsinchu City Hospital, Department of Obstetrics and...[Read More] Understanding Pregnancy Risks After Emergency Contraceptive Use
Is My Baby's Size Normal at 25 Weeks Pregnant?
Fetus is slightly larger? I am currently 25 weeks and 2 days pregnant. Today, I went for a prenatal check-up, and the doctor mentioned that the fetus is a bit large, weighing 950 grams. Is this really abnormal? My weight has increased from 48 kg to 52 kg during this pregnancy, ye...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The average weight at 26 weeks of gestation is approximately 921 grams, and at 27 weeks of gestation, it is about 1076 grams. A weight of 950 grams is only slightly above the average for 26 weeks, which is just one week more than your current gestational age and is not ...[Read More] Is My Baby's Size Normal at 25 Weeks Pregnant?
Understanding Blood-Streaked Discharge: What It Means for Your Cycle
Vaginal discharge with blood streaks? Hello, doctor: My period started on August 10, and today, August 26, should be around my ovulation period. I have noticed clear cervical mucus in the past few days (which I assume is normal, right?). However, today I observed clear mucus with...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It could be ovulatory bleeding, but a clinical examination is necessary to confirm whether this diagnosis is accurate or if there are other issues. If you have had sexual intercourse and have not had a Pap smear annually, you should come in for an examination immediately. ...[Read More] Understanding Blood-Streaked Discharge: What It Means for Your Cycle
Understanding Labial Bumps: Causes and Concerns in Women's Health
Labial mass I have a question. The area where my labia majora and labia minora meet has a reddish color that has been present for a long time. I used to notice small visible bumps there, resembling the size of goosebumps, but they were not raised. Recently, I noticed three small ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Without an examination, it is really impossible to provide an answer. Please come for a consultation at the Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Labial Bumps: Causes and Concerns in Women's Health
Understanding Irregular Menstrual Cycles and Pregnancy Concerns
excuse me? Last month, my menstrual period started on July 11th. My cycle is not very regular, but it usually ranges from 34 to 38 days. When I am with my boyfriend, we always use condoms. Even though we use condoms, I make sure he does not ejaculate inside; he pulls out and ejac...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. It is certainly possible to be pregnant if your period is delayed. 2. If your current pregnancy test is negative, you should test weekly until your period arrives or until you get a positive result. 3. You are welcome to come in for an examination. Hsinchu City Hospital...[Read More] Understanding Irregular Menstrual Cycles and Pregnancy Concerns
Is Stilnox Safe Before Pregnancy for Insomnia and Depression?
Taking Stilnox before pregnancy? I am a patient with depression and have been suffering from chronic insomnia for three years. I have tried many treatment methods, but none have been effective. I have completely stopped taking antidepressants and take one Stilnox (Zolpidem) befor...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your period is late, you should take a pregnancy test immediately. If you are pregnant, you should promptly consult a psychiatrist to switch all medications to those that are safe for use during pregnancy. There is no need to worry too much. Hsinchu City Hospital, Depar...[Read More] Is Stilnox Safe Before Pregnancy for Insomnia and Depression?
Caffeine Consumption During Pregnancy: Risks and Recommendations
The effects of caffeine on pregnant women? Hello, I am currently 2 months pregnant. Before pregnancy, I used to have a cup of coffee every day, but reports say that caffeine is harmful to the fetus, so now I only have a little on weekends when I can't resist. What exactly is...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Research has shown that excessive caffeine intake can lead to miscarriage, preterm birth, reduced uterine blood flow, and low fetal birth weight. It is advisable to avoid excessive consumption, and abstaining from caffeine altogether is certainly beneficial. Hsinchu City H...[Read More] Caffeine Consumption During Pregnancy: Risks and Recommendations
Understanding and Managing Vulvar Itching and Discomfort
The issue of scratching? Hello: I have been experiencing itching around my vulva and anus, along with yellow discharge. This condition has persisted for a long time. I visited a gynecologist, who mentioned that my vulva has become "lichenified" and advised me to see a d...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Appropriate treatment will naturally alleviate itching. If there is an infectious disease, the correct antibiotics are required. Some conditions may need topical steroids, while genital warts require electrocautery or special topical ointments for treatment. You are welcom...[Read More] Understanding and Managing Vulvar Itching and Discomfort
Understanding Painful Lipoma in the Vulvar Area: Causes and Solutions
Obstetrics and Gynecology A lump has developed at the anterior labial commissure within the last three days, approximately the size of a fingertip. It is not itchy, but it is painful upon touch. What could this be, and what should I do? What might be the cause? Thank you!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: We need to conduct an examination to provide an accurate answer. It's difficult to respond without seeing you in person. You are welcome to visit us at the Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Painful Lipoma in the Vulvar Area: Causes and Solutions
Understanding Uterine Pain Before Menstruation: Causes and Insights
Question The pain in the uterus you experience during the nights 4-7 days before your menstrual period could be attributed to several factors. This discomfort is often related to hormonal changes in the body, particularly the fluctuations in estrogen and progesterone levels that ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It could be premenstrual syndrome or another condition; further examination is needed to determine the cause. You are welcome to visit the Department of Obstetrics and Gynecology at Hsinchu City Hospital.[Read More] Understanding Uterine Pain Before Menstruation: Causes and Insights
Missed Period Concerns: Could It Be Pregnancy or Just Delayed?
excuse me? Hello, my period has not arrived this month; it has been a month already! My last period was from July 11 to July 18. I had intercourse with my boyfriend on July 20, July 25, August 11, and August 12, and we always used protection. Occasionally, there was a little blee...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your menstrual period is overdue, please come in for a pregnancy test. If you experience bleeding after intercourse, you should come in for an examination to rule out the possibility of cervical lesions or other conditions. Hsinchu City Hospital, Department of Obstetric...[Read More] Missed Period Concerns: Could It Be Pregnancy or Just Delayed?
Understanding Cervical Inflammation and Its Symptoms: What to Know
Cervical inflammation or lesions Hello: Can cervical inflammation or lesions cause abdominal pain or other symptoms? Thank you!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Simple cervicitis is generally less associated with abdominal pain and is more likely to present with abnormalities such as slightly yellow vaginal discharge, but most cases are asymptomatic. Cervical cell changes are also mostly asymptomatic, and without a Pap smear, they...[Read More] Understanding Cervical Inflammation and Its Symptoms: What to Know
Breathing Difficulties and Heart Concerns in Early Pregnancy
Shortness of breath Is it normal to experience difficulty breathing and feel unusual sensations in the heart during early pregnancy?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: During pregnancy, the increased burden on the heart and lungs can certainly lead to some shortness of breath or chest discomfort. However, whether your discomfort is a normal physiological response or indicative of other underlying conditions needs to be evaluated through ...[Read More] Breathing Difficulties and Heart Concerns in Early Pregnancy
Understanding Ectopic Pregnancy: Symptoms, Risks, and Next Steps
I am very afraid that it might be an ectopic pregnancy? Last month, my period started around the 10th and ended early in the month. Recently, I've been experiencing some unusual symptoms, so I bought a pregnancy test and it showed positive. This past Monday, I went to the ob...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the last menstrual period was on July 10, then August 12 would indicate a gestational age of 4 weeks and 5 days. Generally, if the pregnancy has exceeded 5 weeks and no gestational sac is visible in the uterus on ultrasound, then an ectopic pregnancy should be suspected...[Read More] Understanding Ectopic Pregnancy: Symptoms, Risks, and Next Steps
Managing Severe Menstrual Pain: Insights on CA-125 and Endometriosis
CA-125: 139 Hello, I am 30 years old and have been experiencing menstrual pain for the past year and a half, which has progressively worsened and lasts throughout my entire menstrual period. The pain is located in the lower right abdomen (around the appendix area), and during pai...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Endometriosis can be treated with medication or surgery. Many patients in our department have had quite good treatment outcomes. You are welcome to visit us at the Department of Obstetrics and Gynecology, Hsinchu City Hospital.[Read More] Managing Severe Menstrual Pain: Insights on CA-125 and Endometriosis
Understanding Endometriosis: Symptoms, Concerns, and Treatment Options for Teens
Endometriosis? Symptoms: I have been experiencing menstrual pain for over three years, starting about two years after my first period. I have relied on painkillers for a long time, but they have become ineffective, and I often need to receive pain injections, IV treatments, and m...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Endometriosis can be diagnosed through ultrasound, pelvic examination (if there has been no sexual intercourse, a rectal examination may be performed), and blood tests. If all tests are normal, your menstrual pain is likely primary dysmenorrhea, which often improves with a...[Read More] Understanding Endometriosis: Symptoms, Concerns, and Treatment Options for Teens
Understanding Abnormal Vaginal Discharge: Causes and Solutions
Women's Health Issues Hello Doctor: I often notice white discharge on my underwear during my daily showers, sometimes accompanied by thick blood clots. At times, there is also a significant amount of vaginal discharge, which leaves my underwear damp. This has been troubling ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It could be a candidiasis infection or another issue. You are welcome to come for a consultation, and we will definitely assist you. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Abnormal Vaginal Discharge: Causes and Solutions
Can Induction of Labor Be Considered for Fetal Heart Calcification?
Is induction of labor possible? Hello, I would like to ask a question. I am currently 23 weeks pregnant, and the fetus has ventricular calcification, which is suspected to be caused by taking psychiatric medication. If I decide to terminate the pregnancy, would that violate the M...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Inducing labor due to significant fetal abnormalities before the legal gestational age is not illegal. However, whether your fetus has significant abnormalities must be determined by your obstetrician. 2. None of us are perfect, so why can't we accept some imperfec...[Read More] Can Induction of Labor Be Considered for Fetal Heart Calcification?
Understanding Hormonal Medications and Their Effects on Uterine Adenomyosis
Will taking hormone medication have side effects, and what are the issues related to uterine adenomyosis? For over a year, I have been experiencing severe abdominal pain and lower back discomfort during my menstrual periods. After consulting a doctor, I was diagnosed with mild ad...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Adenomyosis can cause the uterine muscle wall to gradually thicken, leading to an enlarged uterus, which can result in dysmenorrhea and increased menstrual bleeding. If it becomes severe enough to cause significant uterine distortion, it can certainly hinder implantatio...[Read More] Understanding Hormonal Medications and Their Effects on Uterine Adenomyosis
Persistent Vaginal Itching and Swelling: Seeking Solutions for Relief
Swelling of the labia. The vulva is itchy? Hello Doctor, I often experience itching in my vagina. After each consultation, I have been prescribed medication, but it doesn't take long before the itching returns! Last month, during an examination, the doctor diagnosed me with ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I am more than happy to assist you, as it is also the responsibility of a physician. However, you need to come in for a consultation soon! Only after an examination can we determine the issue (such as a Candida infection, trichomoniasis, bacterial infection, or other condi...[Read More] Persistent Vaginal Itching and Swelling: Seeking Solutions for Relief