Understanding Uterine Fibroids: Impact on Fertility and Surgery Considerations
About uterine fibroids? I have a question. My period was delayed for two weeks, and after seeing a doctor and having an ultrasound, I was told that I have a tumor about 10 centimeters in size, but I am not pregnant. The doctor said it is a uterine fibroid. Since I plan to get mar...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If uterine fibroids are asymptomatic (no excessive menstrual bleeding, abdominal pain, frequent urination, frequent bowel movements, back pain, or thigh numbness), monitoring is sufficient. Uterine fibroids have a minimal impact on the likelihood of pregnancy. Hsinchu City...[Read More] Understanding Uterine Fibroids: Impact on Fertility and Surgery Considerations
Choosing the Right Method for Abortion: Key Considerations
Options for abortion methods? Hello Doctor: I had my last menstrual period around October 26, and as of today (December 1), my period has not arrived. I used a pregnancy test, and the first test showed two very faint lines. Today, I bought another brand of pregnancy test, which s...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please cherish the life given by God. Please take the time to discuss with your boyfriend or husband. You are welcome to come to our hospital for prenatal check-ups. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Choosing the Right Method for Abortion: Key Considerations
Understanding Abdominal Pain After Intense Sexual Activity: What to Know
Abdominal pain Hello Doctor: After having sexual intercourse the night before last, I experienced abdominal pain (the pain felt like needing to use the restroom). I thought I needed to go to the bathroom, so I spent the whole night straining to have a bowel movement, but still fe...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Sexual activity can cause rupture of the ovarian corpus luteum, which may lead to intra-abdominal bleeding. If the bleeding is minimal, the pain in the abdomen will gradually improve after a few days as the blood is absorbed. However, if the bleeding continues, it may resu...[Read More] Understanding Abdominal Pain After Intense Sexual Activity: What to Know
Is Vitamin A Safe During Pregnancy? Risks and Recommendations
Is it safe to supplement with vitamin A during pregnancy? (Forwarded from the Director's mailbox) There are reports from websites citing American research indicating that excessive consumption of vitamin A by pregnant women can adversely affect fetal development. Dr. Chang G...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Excessive vitamin A does indeed pose a risk of teratogenic effects. 2. Pregnant women require 6,800 International Units of vitamin A daily, which can be found in liver, milk, butter, egg yolks, and cod liver oil. 3. Insufficient vitamin A in pregnant women may lead to v...[Read More] Is Vitamin A Safe During Pregnancy? Risks and Recommendations
Can Low Semen Volume Affect Pregnancy Chances? Understanding Fertility Risks
Semen I want to ask! My brother (who studies biotechnology) told me that if the sperm concentration in semen does not reach a certain level, it cannot cause pregnancy. Recently, I've been ejaculating almost every day, and my semen has been quite watery. Does this mean my spe...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the sperm concentration in semen is below 20 million per milliliter, it will indeed reduce the chances of conception; however, this should not be used as a method of contraception. It is still important to use condoms correctly throughout the entire sexual encounter. Hs...[Read More] Can Low Semen Volume Affect Pregnancy Chances? Understanding Fertility Risks
Can Women with Fibroadenomas Take Evening Primrose Oil Safely?
Can I take evening primrose oil if I have a breast fibroma and fibrocystic breast changes? Can I take evening primrose oil if I have breast fibromas and fibrocystic breast disease? I previously had an examination at Chang Gung Memorial Hospital, and the doctor advised me to retur...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. For breast tumor issues, please consult a breast surgeon. 2. If you have long-term menstrual pain, please come in for an examination to determine whether it is primary dysmenorrhea or secondary dysmenorrhea caused by conditions such as endometriosis. After that, we can ...[Read More] Can Women with Fibroadenomas Take Evening Primrose Oil Safely?
Can You Have Sex After Being Diagnosed with Genital Warts?
Can I engage in sexual activity if I have genital warts? Two weeks ago, after my consultation, the doctor told me I have genital warts and I'm being treated with Aldara. I feel like the treatment is progressing slowly, and I'm worried it won't get better. Can I sti...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. It is advisable to avoid sexual intercourse before the cauliflower (genital warts) is fully treated to prevent transmission to your husband or boyfriend. 2. The incubation period for genital warts can last up to nine months. 3. In my personal experience using Aldara to ...[Read More] Can You Have Sex After Being Diagnosed with Genital Warts?
Understanding Abnormal Bleeding: Causes and Concerns for Women
Abnormal bleeding Hello, I had a preconception check-up at the hospital on November 4th, which coincided with the first day of my menstrual period. During my follow-up appointment on the 21st to review the results, the doctor also performed a Pap smear and a vaginal ultrasound. T...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A Pap smear involves scraping the surface of the cervix with a wooden spatula. It is common to experience slight bleeding after the procedure. However, if the bleeding persists for more than five days, you should come in for an examination to check for any other issues. Hs...[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women
Managing Hyperthyroidism and Gestational Diabetes During Pregnancy
Hyperthyroidism and gestational diabetes? Before pregnancy, I had hyperthyroidism and I am currently taking 100 mg of PTU daily. Now at 28 weeks of pregnancy, I have been diagnosed with gestational diabetes. Does having both conditions increase the risk of problems for the baby? ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Both of these conditions can cause fetal abnormalities, but if well-managed, the impact can be minimized. 2. Regular movement is more like the vibrations from your own abdominal aorta pulsating, which can stimulate the uterus. Hsinchu City Hospital, Department of Obstet...[Read More] Managing Hyperthyroidism and Gestational Diabetes During Pregnancy
Difficulty Urinating During Pregnancy: Causes and Solutions
During pregnancy, experiencing difficulty urinating or having to wait a long time to urinate can occur? I am currently about 12 weeks pregnant, and recently I've been having difficulty urinating. It takes a long time for me to be able to urinate, and I'm not sure what t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Whether the difficulty in urination is due to the pressure of the pregnant uterus on the urethra or caused by a urinary tract infection can be determined by checking for the presence of white blood cells or bacteria in the urine during a clinic visit; of course, there are ...[Read More] Difficulty Urinating During Pregnancy: Causes and Solutions
Does Light Menstrual Flow Affect Your Chances of Conception?
Menstrual Flow and Pregnancy Hello Doctor: My menstrual period lasts about 4-5 days, but it usually stops by the second night, and the following days have very little flow, almost just enough to use a panty liner. Will this light flow affect my chances of conception? Thank you!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A low menstrual flow may indicate insufficient thickening of the endometrium before ovulation, or it could be that the endometrium is adequately thickened but the uterus has excellent hemostatic function during menstruation, resulting in a reduced amount of menstrual blood...[Read More] Does Light Menstrual Flow Affect Your Chances of Conception?
Understanding Ovulation Bleeding: Duration, Causes, and Sexual Activity
Ovulation bleeding? Hello Doctor: My menstrual period started at the end of last month. On November 15th during the day, I experienced some bleeding that was lighter than my menstrual flow, but in the evening it increased slightly to about the amount of a panty liner. I also felt...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Ovulatory bleeding typically lasts about 3-5 days. During ovulation, there is a slight decrease in female hormones, and if the thickened endometrium is particularly sensitive to this change, some endometrial shedding may occur, resulting in ovulatory bleeding. It is advise...[Read More] Understanding Ovulation Bleeding: Duration, Causes, and Sexual Activity
Can I Get Pregnant After a Recent Abortion and Unprotected Sex?
Could this lead to pregnancy? Hello doctor, I had an abortion on October 1st, and my period started on November 4th. I had sexual intercourse on November 16th, and I am very worried. Is it possible that I could be pregnant again?
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; the rhythm method is unreliable. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can I Get Pregnant After a Recent Abortion and Unprotected Sex?
Can You Ovulate After a Hysterectomy? Understanding Your Body
Will ovulation still occur after a hysterectomy? Will there be ovulation after a hysterectomy? If a hysterectomy is performed but the cervix and ovaries are still intact, there will be no menstrual periods, but will there still be ovulation? Is it normal to have light brown disch...
Dr. Li Guanghan reply Obstetrics and Gynecology
1. If the ovaries have not yet reached the age of physiological failure (generally around 50 years old), ovulation will still occur, regardless of whether the uterus has been removed or not. 2. The source of menstruation is the uterine body; if the uterine body has been completel...[Read More] Can You Ovulate After a Hysterectomy? Understanding Your Body
Understanding Adenomyosis: Is Hysterectomy the Right Solution?
Question Hello Doctor: I have three children, but I experience heavy menstrual bleeding that lasts 14 to 20 days. After examination, it was found that I have adenomyosis, which causes this phenomenon. My hemoglobin levels are consistently low, and I often take iron supplements or...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Adenomyosis can initially be managed with medication (such as progestins) to alleviate dysmenorrhea and reduce menstrual bleeding; surgery is considered only when medical treatment is ineffective. You are welcome to visit us at Hsinchu City Hospital, Department of Obstetri...[Read More] Understanding Adenomyosis: Is Hysterectomy the Right Solution?
Understanding Uterine Fibroids: Surgical Options and Recovery Tips
Issues related to uterine fibroids? I am currently unmarried and have a 6 cm uterine fibroid, which was just over 5 cm six months ago. Although I do not have any discomfort, I am worried that it may continue to grow, as I hope to undergo laparoscopic surgery and do not want to ha...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If uterine fibroids are asymptomatic, there is no need for surgery; monitoring is sufficient. Foods containing hormones can accelerate the growth of fibroids. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Uterine Fibroids: Surgical Options and Recovery Tips
Concerns About X-rays During Pregnancy: Risks and Precautions
Pregnancy issues Hello Doctor: I am two months pregnant, but I recently had a chest X-ray, and I am really worried about whether it will affect my baby. What kind of complications could arise? What should I pay attention to during prenatal check-ups? Are there any remedial measur...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Excessive exposure to radiation can indeed lead to teratogenic effects or miscarriage. 2. The radiation dose from a chest X-ray is not too high, so there is no need to worry excessively; continue with regular prenatal check-ups. In the future, avoid unnecessary X-ray ex...[Read More] Concerns About X-rays During Pregnancy: Risks and Precautions
Understanding Emergency Contraception: Concerns and Effectiveness
Regarding emergency contraception? I have been taking birth control pills consistently, and after taking them for six months, I stopped for a month in October. My menstrual period started around early October (about the 10th, lasting for approximately three days). I had sexual in...
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. A pregnancy test should be conducted weekly if menstruation is delayed. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Emergency Contraception: Concerns and Effectiveness
Understanding the Relationship Between Menstrual Delay and Contraception
What is the relationship between menstrual regulation and contraception? Because my husband's birthday is on the 9th of next month, and my menstrual cycle is expected to start on the 6th of this month, I am concerned that if we engage in sexual activity on his birthday, ther...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you want to delay your menstruation, you should start taking the medication ten days before the estimated date of your next period and continue until the end of your holiday. Generally, menstruation will occur about three to five days after stopping the medication. Duri...[Read More] Understanding the Relationship Between Menstrual Delay and Contraception
Understanding Uterine Inflammation and Tumors: Treatment Options and Recovery
Uterine inflammation and sarcoma? My wife has been diagnosed with uterine inflammation and enlargement, and there is also a tumor present (various doctors have given different opinions, so it is uncertain what type of tumor it is, but it is believed to be benign). The doctor has ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Please bring your wife for an examination; we can only provide answers after the check-up. 2. Without a uterus, it is not possible to conceive. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Uterine Inflammation and Tumors: Treatment Options and Recovery