Understanding Ovulation: Can You Get Pregnant with a 1.3 cm Egg?
Ovulation Hello Doctor: I would like to ask, when I went to the gynecology department to check the size of my egg, it was 1.3 cm on Monday. If I have intercourse on Monday, is it still possible to get pregnant? How large does the egg need to be to be released? Do I have to wait f...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The average size of follicles when they measure between 18mm and 20mm is associated with better quality eggs that are more likely to be fertilized. When follicles are too small or too large, the quality of the eggs released is poorer. Hsinchu City Hospital, Department of O...[Read More] Understanding Ovulation: Can You Get Pregnant with a 1.3 cm Egg?
Can You Have Sex During Early Pregnancy? Safety Tips and Considerations
Pregnancy It is generally considered safe to have sexual intercourse during the early stages of pregnancy, including ejaculation inside the vagina, as long as there are no complications or contraindications. However, it is important to consult with a healthcare provider to ensure...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If there is no abdominal pain, bleeding, and no abnormalities during prenatal check-ups, sexual intercourse is permissible, but it should be gentle, avoiding excessive thrusting and abdominal pressure. 2. There is no scientific evidence indicating that ejaculation insid...[Read More] Can You Have Sex During Early Pregnancy? Safety Tips and Considerations
Understanding Abnormal Bleeding During Pregnancy: Causes and Concerns
Abnormal bleeding during pregnancy? Hello, I have abnormal bleeding every time I get pregnant, which lasts until the third month of pregnancy. If my last natural miscarriage was on February 16, and I have had light bleeding continuously since March 15 of this month, how should I ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If the pregnancy test is negative, consider March 15 as the first day of menstruation. 2. The most common cause of early pregnancy bleeding is unstable implantation or insufficient progesterone secretion from the ovaries. 3. No obstetrician would advise a patient agains...[Read More] Understanding Abnormal Bleeding During Pregnancy: Causes and Concerns
Can Abdominal Ultrasound Replace Vaginal Ultrasound for Early Pregnancy?
What should I do??? I'm so worried....? Hello Doctor: I would like to ask if, during early pregnancy, abdominal ultrasound can be used instead of transvaginal ultrasound to check for ectopic pregnancy, as I have an inexplicable and intense fear of internal examinations that ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Transvaginal ultrasound cannot be replaced by abdominal ultrasound. 2. The diagnosis of ectopic pregnancy requires transvaginal ultrasound and blood tests for human chorionic gonadotropin (HCG). Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can Abdominal Ultrasound Replace Vaginal Ultrasound for Early Pregnancy?
Can You Determine Baby's Gender Through Blood Test After Miscarriage?
Blood test for gender determination? Hello, I had a natural miscarriage at 6 weeks two months ago, and now I am pregnant again. I would like to know if it is possible to have a blood test to determine the baby's gender, and how much it typically costs. Thank you.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Our hospital does not offer this examination. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Determine Baby's Gender Through Blood Test After Miscarriage?
Understanding Lower Back Discomfort During Pregnancy: Causes and Solutions
Lower back discomfort? Hello, I would like to ask you about the symptoms I have been experiencing since before my pregnancy. I cannot sleep on my back; whenever I do, I feel significant discomfort on both sides of my lower back. Recently, even when I sleep on my side, I experienc...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for an examination to check if hydronephrosis is causing your lower back discomfort. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Lower Back Discomfort During Pregnancy: Causes and Solutions
Understanding Atrophic Vaginitis: What It Means and How to Manage It
Pap smear test Hello, I am 64 years old and have been having regular Pap smears every year, which have always been normal. However, this year's results showed atrophic vaginitis. What does this mean? I don't quite understand. The report advised me to go to the hospital ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the Pap smear report indicates cellular atrophy, it suggests that the cervical cells are undergoing aging changes due to a lack of hormones. Appropriate treatment should be administered, and a repeat Pap smear should be performed afterward. You are welcome to visit Dr. ...[Read More] Understanding Atrophic Vaginitis: What It Means and How to Manage It
Understanding Ovulation: Analyzing Your Basal Body Temperature Changes
Is there ovulation? Hello Doctor, I am trying to conceive, so I have been monitoring my basal body temperature consistently. My menstrual cycle is 35 days, and my last menstrual period started on March 5th. This morning, I woke up early because I needed to use the bathroom, but ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The basal body temperature is measured once each morning under the tongue with a mercury basal thermometer before getting out of bed. 2. If the basal body temperature on a certain day rises more than 0.5 degrees Celsius compared to the previous day and exceeds the red l...[Read More] Understanding Ovulation: Analyzing Your Basal Body Temperature Changes
Understanding Symptoms of Cervical Insufficiency During Pregnancy
The symptoms of cervical incompetence may include: 1. Pelvic pressure or discomfort. 2. Changes in vaginal discharge, such as an increase in amount or a change in color. 3. Spotting or bleeding from the vagina. 4. Cramping or contractions. 5. A history of premature birth or seco...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The manifestations of cervical incompetence typically present as sudden miscarriage or preterm labor during the second trimester without prior warning signs of contractions. To confirm the diagnosis, an examination should be conducted during a non-pregnant and non-puerpera...[Read More] Understanding Symptoms of Cervical Insufficiency During Pregnancy
Understanding Early Pregnancy Cramping: Causes and Solutions
Lower abdominal cramping in early pregnancy? I am currently four weeks pregnant, and since the third week, I have been experiencing intermittent cramping in my lower abdomen and on both sides. What could this be, and what should I do?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The gestational age is calculated from the first day of the last menstrual period. If a pregnancy test is positive around this time, it should be approximately five weeks along. At this stage, you may experience a feeling of heaviness or discomfort in the lower abdomen; if...[Read More] Understanding Early Pregnancy Cramping: Causes and Solutions
Can You Get Gonorrhea from Sitting on an Infected Chair?
Will it be infectious? Is it possible to get infected with gonorrhea by sitting on a chair that someone with the infection has just used?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Gonococcus is primarily transmitted through sexual intercourse, and the chance of transmission by sitting on a chair while wearing pants is very low. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Get Gonorrhea from Sitting on an Infected Chair?
Understanding Your Fertility: Risks and Emergency Contraception Explained
Can I get pregnant? Hello doctor, my last menstrual period started on January 29, and this time it started on March 7. When is my fertile window? I had intercourse on March 21, and it was an internal ejaculation. What are the chances of getting pregnant? I do not want to become p...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Quite significant 2. Please come to the clinic within seventy-two hours after intercourse. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Your Fertility: Risks and Emergency Contraception Explained
Understanding Post-Abortion Bleeding: Causes and Concerns for Future Pregnancies
Bleeding after an abortion? Dear Doctor: I underwent a medical abortion on February 17 (when I was six weeks pregnant) and experienced light bleeding for about seven days. After three days, I noticed lower abdominal pain, and upon returning to the doctor, I was informed that ther...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If an ultrasound shows no suspicious images in the uterus and a urine pregnancy test is negative one month after pregnancy termination (including delivery and miscarriage), it indicates that this pregnancy has concluded. Light bleeding may initially accumulate in the vagin...[Read More] Understanding Post-Abortion Bleeding: Causes and Concerns for Future Pregnancies
Understanding Changes in Menstrual Flow: Possible Causes and Concerns
Menstrual flow has decreased? I would like to ask about my menstrual cycle. It has been 1-2 days since my period started, but the flow is significantly lighter than before (almost half). I had a surgical abortion last year, but my periods have been normal since then. I had sexual...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Please come in for a pregnancy test. 2. There are many reasons for light menstrual flow; a check-up is necessary to determine the cause, but the most common reason is irregular menstruation. 3. Frequent urination may indicate a urinary tract infection; a urine test is n...[Read More] Understanding Changes in Menstrual Flow: Possible Causes and Concerns
Understanding Pre-Menstrual Bleeding: Causes and Concerns
Premenstrual bleeding Hello, doctor. I am married, and my Pap smear report in January indicated inflammation. I would like to ask about my situation. My last menstrual period started on February 24, and I expect my next one around March 22 (my cycles are usually regular). However...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello; your suspicions are all possible. Please come in for a consultation. We will perform an ultrasound, blood tests, a pelvic exam, and a Pap smear. If all results are normal, it may just be luteal phase bleeding. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Pre-Menstrual Bleeding: Causes and Concerns
Understanding Symptoms and Reactions During Embryo Implantation
Implantation of the fertilized egg? During the implantation of a fertilized egg, individuals may experience various physical sensations or physiological responses. Some common signs may include mild cramping or spotting, often referred to as implantation bleeding. Additionally, h...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Usually, there are no noticeable symptoms. If you are concerned or hoping to be pregnant, please come for a check-up two weeks after intercourse. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Symptoms and Reactions During Embryo Implantation
Understanding Pseudopregnancy: Positive Tests and Ultrasound Insights
Pseudopregnancy Can a false pregnancy test show a positive result? Why is the pregnancy test positive but the transvaginal ultrasound does not show anything? Can a transvaginal ultrasound detect an ectopic pregnancy at five weeks? Assuming it is already the fifth week!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A positive pregnancy test indicates pregnancy or, less commonly, a choriocarcinoma or the effects of previous medications such as hCG injections. There are distinctions between intrauterine and ectopic pregnancies. If a transvaginal ultrasound does not show an intrauterine...[Read More] Understanding Pseudopregnancy: Positive Tests and Ultrasound Insights
Understanding Menstrual Pain: When to Seek Medical Attention
Menstrual periods can be quite painful at times..? Hello Doctor: About a year and a half ago, I started experiencing pain on the first day of my menstrual period approximately every 3-4 months, and the flow tends to be lighter that month. My recent schedule has been quite normal....
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation after your painful menstrual period ends. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Menstrual Pain: When to Seek Medical Attention
When Will My Period Start in March? Understanding Your Cycle
When will you be coming? If your menstrual cycle started on January 14 and February 14, then your next period in March is likely to start around March 14 or shortly after that date.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your cycle is 31 days, it may be March 17th. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] When Will My Period Start in March? Understanding Your Cycle
Severe Abdominal Pain Outside Menstrual Cycle: Causes and Solutions
Severe bilateral pain outside of the menstrual period? Hello, I would like to ask about experiencing severe pain on both sides outside of my menstrual period for the past six months. The pain is extremely intense. During this time, I visited a nearby gynecology clinic and En Chu ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Physical examination, ultrasound, X-ray, blood tests, and if there has been sexual activity, add a pelvic exam and Pap smear. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Severe Abdominal Pain Outside Menstrual Cycle: Causes and Solutions