Breast Hardness After Delivery: When to See a Specialist?
excuse me? Hello, Dr. Lee. I am breastfeeding, and I have developed a hard lump in my breast. Should I make an appointment with obstetrics and gynecology or with a breast surgeon? I currently do not have a fever, but the lump appeared in the areola four days after delivery. For t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, It is recommended to increase massage and breastfeeding (or expressing milk), and please have a physician evaluate the situation (you may start by consulting your obstetrician). Wishing you peace and joy. Dr. Li Guang-Han, Department of Obstetrics and Gynecology...[Read More] Breast Hardness After Delivery: When to See a Specialist?
Post-Myomectomy Menstrual Pain: What to Expect and When to Worry
Postoperative menstrual pain after uterine fibroid surgery? I used to have regular menstrual cycles, and before my period, I would experience breast tenderness and lower abdominal discomfort. However, I rarely had menstrual cramps unless I consumed too many cold foods. I discover...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, There are many potential causes of menstrual pain, including tension, stress, and anxiety. I recommend that you take more rest and try to relax. Please observe your menstrual cycles a few more times. If you continue to feel discomfort, you may consult your physic...[Read More] Post-Myomectomy Menstrual Pain: What to Expect and When to Worry
Understanding Endometrial Hyperplasia: Symptoms, Diagnosis, and Treatment Options
Endometrial hyperplasia Hello, Doctor! In 1996, during a transvaginal ultrasound at a gynecology clinic, my endometrial thickness was measured at 1.998 cm, and during a subsequent ultrasound, it was measured at 2.5 cm. The doctor strongly recommended that I undergo a "menstr...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello, endometrial thickening may be: 1. without pathology. 2. associated with benign conditions (endometrial hyperplasia, polyps, etc.). 3. associated with malignant conditions (endometrial cancer). Your physician's recommendation for a diagnostic dilation and curettage (D&...[Read More] Understanding Endometrial Hyperplasia: Symptoms, Diagnosis, and Treatment Options
Understanding Lipomas: Causes and Treatment Options for Women
I have a growth on my buttocks (forwarded from the Director's mailbox)? I went to see a gynecologist, and he said it was a lipoma. He mentioned it was nothing to worry about. I would like to ask why lipomas occur. He gave me a medication that feels cool when applied, but I&#...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam: Regarding the issue of lipomas, please consult with a general surgeon. Thank you. Dr. Li Guang-Han, Department of Obstetrics and Gynecology, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Lipomas: Causes and Treatment Options for Women
Can You Take Evening Primrose Oil with Endometriosis?
Can evening primrose oil be consumed? I have endometriosis (chocolate cyst) which is benign, and I am currently taking oral contraceptives for treatment. Previously, I heard my doctor mention evening primrose oil, but he only briefly mentioned it, and I didn't think much of ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam: Be very cautious with dietary supplements that have uncertain ingredients and effects. If your primary physician does not actively recommend them, there is no absolute necessity to take them. Dr. Li Guanghan, Department of Obstetrics and Gynecology, Hsinchu Hospit...[Read More] Can You Take Evening Primrose Oil with Endometriosis?
Understanding Your Options: When to See a Gynecologist for Warts
Which specialty should I see? I don't know why I developed warts, but as soon as I noticed them, I went to see a urologist. The doctor prescribed me a topical ointment to apply, but it has been almost two months and there has been no improvement. What should I do?
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, It is recommended that you return for a follow-up appointment. Your physician will assess whether a change in medication or electrocautery treatment is necessary. May God bless you. Dr. Li Guang-Han, Department of Obstetrics and Gynecology, Hsinchu Hospital, Mi...[Read More] Understanding Your Options: When to See a Gynecologist for Warts
Essential Tests for Recurrent Miscarriage: A Guide for Couples
What tests should be conducted for recurrent miscarriages? Hello, I would like to ask about my wife. She has had two pregnancies where the fetus did not have a heartbeat. My wife has diabetes and is overweight, and we both have a family history of diabetes. My wife has diabetes, ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, Recurrent miscarriage is defined as having three consecutive pregnancy losses. Both partners may consider undergoing blood tests for chromosomal analysis. You can consult with the obstetrics and gynecology department at the hospital. It is recommended that women ...[Read More] Essential Tests for Recurrent Miscarriage: A Guide for Couples
Understanding Fetal Growth Restriction in Twin Pregnancies: Risks and Care
Fetal growth restriction Hello Doctor: I am currently 37 weeks pregnant with twins. One fetus measures 1700 grams and the other 1800 grams, indicating growth restriction. I have undergone many tests, all of which have come back normal, and no cause has been identified. Today, I a...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, Low birth weight infants typically require hospitalization in the neonatal intensive care unit (NICU) where they will be cared for by pediatric healthcare professionals. It is advisable to ask them any questions you may have. The more accurate information you obt...[Read More] Understanding Fetal Growth Restriction in Twin Pregnancies: Risks and Care
Managing Diarrhea in Early Pregnancy: Causes and Treatment Options
Early pregnancy diarrhea Hello Dr. Li, I am currently nine weeks pregnant and have been experiencing diarrhea for a week. About one to two hours after each meal, I have abdominal pain and the urge to use the restroom, resulting in loose, mud-like stools several times a day, even...
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam: Category C medications are not contraindicated for use during pregnancy. However, if you continue to experience diarrhea and dehydration, leading to electrolyte imbalances and potential complications, this poses a greater risk. It is advisable to consult and commu...[Read More] Managing Diarrhea in Early Pregnancy: Causes and Treatment Options
Is the Seasonal Flu Vaccine Safe for Pregnant Women at 23 Weeks?
Influenza vaccine Is it suitable for pregnant women to receive the seasonal flu vaccine? Will it have any adverse effects on the baby? Currently, I am 23 weeks pregnant.
Dr. Li Guanghan reply Obstetrics and Gynecology
Dear Sir/Madam, The Department of Health has announced on its website that the safety of influenza vaccination for pregnant women is high. Additionally, pregnant women who contract influenza are at a higher risk of severe illness. Therefore, the Department of Health recommends t...[Read More] Is the Seasonal Flu Vaccine Safe for Pregnant Women at 23 Weeks?
Hospitals for Abortion Services in Hsinchu and Miaoli: Safety and Costs
Hospitals for Induced Abortion Doctor, I would like to ask which hospitals in Hsinchu and Miaoli perform artificial abortion. Is there any risk associated with undergoing an abortion at 14 weeks of pregnancy, and what is the approximate cost?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. In our country, the procedure for induced abortion must comply with the Maternal and Child Health Act. It is recommended to have at least a general understanding of the contents of this law. 2. Induced abortion carries certain risks, so it is advisable to consult in per...[Read More] Hospitals for Abortion Services in Hsinchu and Miaoli: Safety and Costs
Does Wearing Two Condoms Increase the Risk of Breakage and Pregnancy?
During sexual intercourse? Hello Doctor: Recently, when I had sexual intercourse with my girlfriend, I was worried that the condom might break and cause her to get pregnant. So, I used two condoms during intercourse. However, I've heard that using two condoms increases the l...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Dear young friends, there is no contraceptive method that is 100% effective. The best way is to avoid premarital sexual intercourse. May God help you. 2. The key to using condoms is to use them correctly throughout the entire duration of intercourse. Correct usage gener...[Read More] Does Wearing Two Condoms Increase the Risk of Breakage and Pregnancy?
Accuracy Comparison of Traditional and New Pap Smears in Gynecology
The accuracy of traditional Pap smears and the new Bethesda system Pap smears..? Doctor, I have a few questions: 1. What is the accuracy of the traditional Pap smear compared to the new liquid-based Pap smear? 2. If both the traditional Pap smear and the liquid-based Pap smear ar...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Both types of Pap smears are tools for cervical cancer screening. The liquid-based Pap smear has a slightly higher detection rate than the traditional Pap smear, but if women undergo regular screenings annually, the traditional Pap smear (which is free once a year for w...[Read More] Accuracy Comparison of Traditional and New Pap Smears in Gynecology
Is Dr. Cheng Jin-He Available for Saturday Gynecology Appointments?
Could you please provide more context or information regarding Dr. Cheng Jin-He? Are there no gynecological consultations available in the evenings? I am in the early stages of pregnancy and everyone highly recommends Dr. Cheng Jin-He. However, I cannot make an appointment online...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Our obstetrics and gynecology department does not have evening consultations. We generally reserve a number of slots for walk-in patients, including on Saturdays, where we have about ten to twenty walk-in numbers available. We encourage you to take advantage of this. Wishi...[Read More] Is Dr. Cheng Jin-He Available for Saturday Gynecology Appointments?
Navigating Irregular Menstrual Cycles and Ovarian Cysts: Key Considerations
I'm sorry For someone with irregular menstrual cycles ranging from 30 to over 50 days (with 35-40 days being the most common), and who has an ovarian cyst, it is advisable to visit the hospital to obtain medication around the time when the menstrual cycle is least likely to ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If you want to delay your period, it is generally recommended to schedule an appointment 10 days before your estimated next menstrual date. 2. If the ovarian cyst has not resolved after six months, it is advisable to visit a gynecologist at the hospital. The doctor will...[Read More] Navigating Irregular Menstrual Cycles and Ovarian Cysts: Key Considerations
Do Expecting Mothers of Twins Need to Gain Double the Weight?
Should the weight of twins be twice that of a singleton? Is it normal for a mother carrying twins to weigh twice as much as one carrying a single baby, or should the weight gain be similar to that of a singleton pregnancy? Currently, I am 27 weeks pregnant with twins and have gai...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. For twins at 27 weeks, a weight gain of 7 kilograms is indeed less than average, but whether it is normal or not should be determined by your obstetrician's advice. 2. If your stomach is being pushed by the uterus, it is recommended to eat smaller, more frequent me...[Read More] Do Expecting Mothers of Twins Need to Gain Double the Weight?
Monitoring Follicle Size for Fertility: Coverage and Options in Taiwan
Follicle tracking I heard from a friend that tracking follicle size can help with conception. Can I come to your hospital for monitoring? Is it covered by health insurance or is it out-of-pocket?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you and your husband have not been married for many years and have been actively trying to conceive without success, it is recommended to start tracking your basal body temperature. This can help the couple identify the ovulation period and increase the chances of conce...[Read More] Monitoring Follicle Size for Fertility: Coverage and Options in Taiwan
Can Cranberries Help with Uterine Fibroids and Excess Discharge?
Can women with uterine fibroids consume cranberries? Hello, doctor: I have uterine fibroids and generally cannot use traditional Chinese medicine for supplementation. However, I have excessive discharge and would like to take cranberry to improve this condition, but I also have a...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Female hormones can stimulate the growth of uterine fibroids. If you want to know whether any dietary supplements you are using contain female hormone components, it is recommended to consult the manufacturer. Thank you! Wishing you peace and health.[Read More] Can Cranberries Help with Uterine Fibroids and Excess Discharge?
Understanding Endometriosis: Surgical Options and Risks Explained
Endometrial ectopic tumor I would like to ask: In 2001, I underwent surgery for an endometrioma (chocolate cyst) that was 12 cm in size, based on my doctor's recommendation. In 2004, I had another surgery for a similar cyst that was 7 cm. Now, I have been diagnosed with a ne...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Whether an ovarian cyst requires surgery can be considered based on the following points: A: Is there any suspicion of malignancy? B: Are there any symptoms? C: Will it affect fertility? 2. Any surgical procedure carries the risk of adhesions. 3. An ovarian cyst develop...[Read More] Understanding Endometriosis: Surgical Options and Risks Explained
Is Ovarian Removal Necessary with Uterine Fibroids?
Hysterectomy with bilateral salpingo-oophorectomy? Hello Dr. Lee, my mother (currently 51 years old and postmenopausal) is experiencing issues with uterine fibroids, which are approximately 7 to 8 centimeters in size. Recently, she has been suffering from frequent abdominal pain,...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: For postmenopausal women, removing the ovaries can prevent ovarian cancer; however, some scholars advocate for their preservation, arguing that they can still secrete small amounts of hormones. Currently, both approaches have their proponents among physicians. Wishing you ...[Read More] Is Ovarian Removal Necessary with Uterine Fibroids?