Understanding Shortened Menstrual Cycles: Causes and Solutions
Menstrual periods are becoming shorter? Dear Doctor, My menstrual cycle has always been quite regular, around 26 to 27 days, and lasts about four days. However, in the past two to three months, my cycle has been getting shorter. My recent lifestyle has been irregular, with disr...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation and do not self-medicate. Without examination, how can we determine if your shortened cycle is just irregular menstruation and not a potential underlying condition? Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Shortened Menstrual Cycles: Causes and Solutions
Is It Safe to Use Diane for Birth Control with New Heart Medications?
Is it safe to use Diane continuously for contraception? Hello, doctor. I would like to ask you about my current situation. I have just started taking medication for suspected hypertension, specifically Nakamide 2.5 mg, along with the following medications: Bokeyd (100), Herbesser...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Oral contraceptives can increase the risk of blood clots; therefore, patients with cardiovascular diseases should use alternative methods for contraception. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Is It Safe to Use Diane for Birth Control with New Heart Medications?
Understanding Early Pregnancy Bleeding: Causes and Risks Explained
Reduced menstrual flow? Thank you very much for your response. I would like to ask what kind of condition is early pregnancy complicated by bleeding, and is it life-threatening? If she has her period next month, does that mean there are no issues?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: There are various possibilities for bleeding during pregnancy, such as threatened miscarriage, blighted ovum, and ectopic pregnancy, among others. If it is an ectopic pregnancy, it can be dangerous. Please come in for an examination. Thank you! Hsinchu City Hospital, Depar...[Read More] Understanding Early Pregnancy Bleeding: Causes and Risks Explained
Understanding Breast Tenderness After Menstruation: Causes and Insights
Chest tenderness I had my menstrual period end on May 16, but since then, I have been experiencing persistent breast fullness and nipple pain upon touch. I currently live alone and have not had any external stimulation. Please provide some insights.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come to our hospital for a breast surgery examination. Thank you! Hsinchu City Hospital Department of Obstetrics and Gynecology.[Read More] Understanding Breast Tenderness After Menstruation: Causes and Insights
Understanding Light Menstrual Flow: Causes and Concerns
Low menstrual flow? My girlfriend recently got her period on the 20th, but it only lasted for about two days and then stopped, leaving some discharge with a slight odor and a bit of blood color. Now it's the 25th, and I'm quite worried. What could be the issue?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you are experiencing an unusually light menstrual flow, the first step is to rule out the possibility of early pregnancy with bleeding. You are welcome to come for a consultation at Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Light Menstrual Flow: Causes and Concerns
Is Ovulation Spotting Normal? Understanding Causes and Symptoms
Is ovulation bleeding normal? Hello! 1. My menstrual period started on May 7th. On May 14th, I noticed clear, egg white-like discharge. On May 19th, in addition to the clear discharge, there were also some streaks of blood, but it wasn't much. Is this ovulation spotting? I...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please seek medical attention. A diagnosis of ovulatory bleeding can only be made after all examinations show no abnormalities and the possibilities of uterine, ovarian, and cervical diseases have been ruled out. Department of Obstetrics and Gynecology, Hsinchu Hospital.[Read More] Is Ovulation Spotting Normal? Understanding Causes and Symptoms
Does 4D Ultrasound Pose Risks to Fetal Health? Key Insights for Parents
Does 4D ultrasound have an impact on fetal health? Hello Doctor: Recently, there was news that the U.S. Food and Drug Administration issued a warning regarding "non-diagnostic" ultrasound examinations, indicating potential risks that could affect fetal development, and ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Thank you for the news you provided. Ultrasound is a form of energy that is currently considered harmless, but medical opinions may change in five or ten years. Excessive exposure to ultrasound for non-diagnostic purposes (such as Tom Cruise purchasing a machine for person...[Read More] Does 4D Ultrasound Pose Risks to Fetal Health? Key Insights for Parents
Impact of Maternal Emotions on Fetal Development: What You Need to Know
Pregnant women's emotions I have been pregnant for nearly three months now. Since the beginning, I have been crying almost every three days. I don't have much discomfort from the pregnancy, but I have always been a person who worries excessively, and it has gotten worse...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Emotional instability during pregnancy can indeed lead to miscarriage or preterm birth. You should inform your obstetrician, and if they agree, seek help from a psychiatrist to identify the root of the issues during counseling and alleviate your stress. Hsinchu City Hospit...[Read More] Impact of Maternal Emotions on Fetal Development: What You Need to Know
Is Heavy Bleeding During Early Pregnancy a Sign of Miscarriage?
Is heavy bleeding during pregnancy always a sign of miscarriage? Hello! My last menstrual period started on April 8. I took a pregnancy test on May 9, which confirmed that I was pregnant. However, I experienced light bleeding on May 12-13. On May 14, after being very upset with m...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for an urgent consultation. We will perform an ultrasound and test for human chorionic gonadotropin (hCG) twice (with a 48-hour interval) to rule out the possibility of an ectopic pregnancy. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Is Heavy Bleeding During Early Pregnancy a Sign of Miscarriage?
Impact of Premature Ejaculation on Fertility and Baby Gender
Fertility issues related to premature ejaculation? I have a problem with premature ejaculation and am planning to conceive (hoping for a boy, as my wife is under stress). I would like to ask the doctor the following questions: 1. Does premature ejaculation affect the gender of ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Research on medications and teratogenic effects primarily focuses on female drug users, and to my knowledge, there are not many studies available regarding male subjects. 2. For related inquiries, please consult a urologist. Thank you. Department of Obstetrics and Gynec...[Read More] Impact of Premature Ejaculation on Fertility and Baby Gender
Is Rapid Fetal Weight Gain at 34 Weeks Normal? Expert Insights
Pregnancy issues Doctor, I am 34 weeks pregnant and my fetus weighs over 2800 grams. The doctor who performed my prenatal checkup said that my fetus has already reached the weight of a 37-week-old baby. During my checkup on April 12, the fetus weighed only over 1500 grams, then i...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Prenatal check-ups are a comprehensive and long-term examination, and the assessment of normalcy should be answered by your prenatal care physician. I can only provide you with some reference data: An ultrasound weight of 1500 grams corresponds to approximately 30 weeks, 2...[Read More] Is Rapid Fetal Weight Gain at 34 Weeks Normal? Expert Insights
Can I Get Pregnant After Taking Emergency Contraceptive Pills?
Is it possible to get pregnant? My period started on May 2nd, and I had intercourse with my boyfriend on May 13th. During the act, I felt something flowing inside me, but my boyfriend said he didn't feel like he ejaculated. Afterward, I bought emergency contraception and too...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Emergency contraception is not 100% effective. You should take a pregnancy test if your next period is delayed. It is advisable to avoid premarital sexual intercourse; if you must engage in it, you should use condoms correctly throughout the entire act to prevent sexually ...[Read More] Can I Get Pregnant After Taking Emergency Contraceptive Pills?
Root Canal Treatment During Pregnancy: Safety and Considerations
Root canal treatment for pregnant women? Hello Doctor: I am currently 23 weeks pregnant. I visited the dentist on May 15 and had a dental cleaning. The dentist mentioned that I have a cavity that is too deep and may require a root canal. I would like to ask: 1. Is it safe to perf...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The decision to perform a root canal treatment is determined by the dentist's professional judgment. 2. Local anesthetics generally do not have significant effects. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Root Canal Treatment During Pregnancy: Safety and Considerations
Understanding Abnormal Vaginal Discharge and Itching: What You Need to Know
Secretions Hello, doctor. I would like to ask... It's normal for women to have vaginal discharge, right? However, I have been experiencing itching in my genital area, and I have been having a large amount of discharge for about a week. Additionally, I don't eat much col...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It could be a case of fungal vaginitis. Please come in for an examination to confirm the diagnosis, after which appropriate medication will be provided. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Abnormal Vaginal Discharge and Itching: What You Need to Know
Understanding Hypothyroidism During Pregnancy: Risks and Management
Hypothyroidism during pregnancy? Doctor: I am currently 5 months pregnant. Recently, during my prenatal check-up, the doctor informed me that my blood test results from 4 months ago showed TSH at 12.182, FREE T3 at 2.79, and FREE thyroxine at 0.84. The first and third values indi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: In the past, there may have been various influences, but I believe no physician can provide a definitive answer. I recommend that you work closely with an endocrinologist to ensure your thyroid function is maintained within the normal range. The medications you are taking ...[Read More] Understanding Hypothyroidism During Pregnancy: Risks and Management
Understanding Atypical Squamous Cells in Pap Smear Results
Pap smear examination (atypical squamous cells) The presence of atypical squamous cells in a Pap smear indicates that there are abnormal changes in the squamous cells of the cervix. This finding may suggest a potential precancerous condition or the presence of an infection. Furth...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A Pap smear is a type of screening test. ASCUS is an abnormal Pap smear result, and it is recommended to arrange for a colposcopy and cervical biopsy. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Atypical Squamous Cells in Pap Smear Results
Common Pregnancy Concerns: Heat Sensitivity and Infection Risks
Pregnancy issues I have a few questions for the doctor: 1. I am currently 10 weeks pregnant and have been feeling very prone to heat exhaustion these days. Is this normal? How can I address it? 2. I have a history of frequent vaginal infections and uterine inflammation. Since bec...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Your discomfort may be a common symptom of early pregnancy or could indicate an underlying condition; a medical examination is necessary to determine the cause. 2. Yellow vaginal discharge accompanied by itching may be indicative of bacterial or fungal vaginitis, and it...[Read More] Common Pregnancy Concerns: Heat Sensitivity and Infection Risks
Understanding Breast Pain and Changes in Menstrual Flow: What to Know
Nipple pain? Hello Doctor: Recently, my menstrual flow has decreased. It used to last 3 to 4 days, but in the last few cycles, the flow has diminished and stopped after just 2 days! I used to experience nipple swelling and pain before my period, which would disappear after menstr...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is recommended to consult a breast surgeon at Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Breast Pain and Changes in Menstrual Flow: What to Know
Can You Get Pregnant from Foreplay? Understanding Risks and Testing
Petting and Pregnancy If I was intimate with my girlfriend without penetration and later ejaculated near the vagina, and I wiped it off immediately, is there a chance of pregnancy? How can we test for it? If her period comes, does that mean she is not pregnant? If it's been ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Concerned about pregnancy, please have your girlfriend come for an evaluation to see if emergency contraception can be used. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Get Pregnant from Foreplay? Understanding Risks and Testing
How to Determine Your Ovulation Day from Temperature Charts
I would like to ask when is the ovulation day? Here is my temperature chart for this month: Date: April 8: 25°C April 9: 28°C April 10: 26°C April 11: 19°C (first day of menstruation) April 12: 26°C April 13: 22°C April 14: 24°C April 15: 24°C April 16: 22°C (...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is not apparent, please schedule a follow-up appointment after three cycles at the Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] How to Determine Your Ovulation Day from Temperature Charts