Understanding Growths on the Areola: When to Seek Medical Advice
Small nodules on the areola? Hello Doctor: I have developed small, granular growths on my areola that are the same color as the areola itself. I left them alone, but I noticed that they are getting larger, almost the same size as my nipple. Recently, I also noticed some new small...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please consult or seek treatment from the breast surgery department at Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Growths on the Areola: When to Seek Medical Advice
Can I Get Pregnant? Understanding Risks and Symptoms After Intercourse
Is pregnancy possible? Hello, Doctor: I would like to ask, I had sexual intercourse on November 4th during my fertile period, but the male partner used a condom. After ejaculation, when he pulled out, there was a white, sticky substance at the tip of the condom (only at the tip),...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Correct and consistent use of condoms has a good contraceptive efficacy, but it cannot achieve 100% effectiveness. 2. A yeast infection generally presents with an itching sensation. 3. You can take a pregnancy test if your period is delayed. 4. If you are pregnant, you ...[Read More] Can I Get Pregnant? Understanding Risks and Symptoms After Intercourse
Understanding Delayed Menstruation After Taking Progesterone: What to Do?
What happens after taking menstrual induction medication (progesterone)? Question: The doctor prescribed six days of progesterone 5mg (three times a day), and it has been four days since I stopped taking it, but my period has not arrived. Is this normal? (My basal body temperatur...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If there is no withdrawal bleeding one week after stopping the medication, please visit the obstetrics and gynecology department for a pregnancy test. 2. Please consult your physician about which tests to order. Hsinchu City Hospital, Department of Obstetrics and Gyneco...[Read More] Understanding Delayed Menstruation After Taking Progesterone: What to Do?
Does Testosterone Therapy Increase the Risk of PCOS in Transgender Men?
Can administering male hormones lead to polycystic ovary syndrome (PCOS)? Because I am a transgender individual who wants to transition to male, I plan to inject male hormones. However, I have heard that excessive male hormones can lead to polycystic ovary syndrome (PCOS). I woul...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Patients with polycystic ovary syndrome (PCOS) often have excessive secretion of androgens from the ovaries, and the causal relationship is contrary to what you may have heard. Women with elevated androgen levels are more prone to issues such as obesity, hirsutism, and acn...[Read More] Does Testosterone Therapy Increase the Risk of PCOS in Transgender Men?
Is It Safe to Wear High Heels During Early Pregnancy?
Pregnancy Hello Doctor, I am currently about 3 weeks pregnant. A couple of days ago, I wore shoes with about a 2-inch heel and walked around for over an hour. After returning home, I experienced mild abdominal pain for nearly half an hour, but there were no other symptoms. I am v...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Throughout the entire pregnancy, it is recommended to wear loose, comfortable flat shoes. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Is It Safe to Wear High Heels During Early Pregnancy?
Understanding Vaginitis: Why Your Doctor Prescribed Multiple Treatments
Vaginitis? I recently had a Pap smear, and the doctor mentioned that I have vaginitis and that my husband needs to take medication as well. However, I have never experienced any abnormal discharge or itching, and everything seems normal. Why did the doctor say I have vaginitis, a...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Welcome to the clinic. We will discuss after your examination. If you are unable to come in and have doubts about the previous doctor's diagnosis, I suggest you consult a different physician nearby for a second opinion. Hsinchu City Hospital, Department of Obstetrics ...[Read More] Understanding Vaginitis: Why Your Doctor Prescribed Multiple Treatments
Understanding Unusual Vaginal Discharge Before Menstruation
The discharge before menstruation can have an unpleasant odor and may be watery? Hello, I have had an intrauterine device (IUD) for over a year. Recently, in the days leading up to my period, I have noticed an increase in vaginal discharge that is more watery than usual, but it h...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If there is a fishy-smelling discharge from the vagina, the most likely diagnosis is bacterial vaginosis. Please seek medical attention promptly. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Unusual Vaginal Discharge Before Menstruation
Understanding Chronic Abdominal Pain: Causes and When to Seek Help
Abdominal pain I have been experiencing persistent pain in my lower abdomen for a long time. I have consulted both obstetrics and gynecology, as well as nephrology, but the cause remains undetermined. The abdominal pain is accompanied by soreness on both sides of my lower back, a...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Our hospital has a health check-up center on the 6th floor. You are welcome to come for a comprehensive full-body health examination. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Chronic Abdominal Pain: Causes and When to Seek Help
Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns
Uterine polyp Hello, I previously underwent an ultrasound examination at the first hospital, where it was discovered that I had a polyp in my uterus and that my cervix was scraped. The doctor recommended surgery to address the issue before planning for pregnancy, but also mention...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If a hysteroscopy confirms that there are polyps in the uterine cavity and this is the only possible cause of your abnormal bleeding, then surgical removal may be considered; this is not a major surgery and is unlikely to cause significant adhesions. Hsinchu City Hospital,...[Read More] Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns
Understanding Emergency Contraceptive Pills: Menstrual Changes and Miscarriage Risks
Regarding emergency contraception? After taking the emergency contraceptive pill, is the bleeding that occurs a week later considered a menstrual period, or is it just spotting? Can a menstrual induction injection terminate a pregnancy that is approximately three weeks along?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It's possible. You must be worried about pregnancy! Please take a pregnancy test in two weeks to find out. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Emergency Contraceptive Pills: Menstrual Changes and Miscarriage Risks
Understanding Abnormal Bleeding and Infertility Concerns in Young Women
Hemorrhage My menstrual period started on October 17, and my average cycle is over 33 days. However, today I noticed that my period seems to have started again, with a heavy flow requiring regular absorbency pads. I have a habit of tracking my basal body temperature, and I am sti...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you have been married for over a year and have had regular unprotected intercourse without conceiving, then infertility testing may be necessary. However, since you just became pregnant in April, it clearly does not meet the definition of infertility, so there is no nee...[Read More] Understanding Abnormal Bleeding and Infertility Concerns in Young Women
Managing Irregular Periods: What to Do When Menstruation is Unpredictable
What should I do if my menstrual cycle is irregular? 1. What kind of treatment should I pursue to normalize my menstrual cycle without relying on menstrual induction medication, or should I simply not worry about it regardless of whether my period comes or not? 2. Does the regu...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Please come in for a consultation to determine the cause of your irregular menstruation before deciding on a treatment plan. 2. If you do not wish to conceive, do not use ovulation-stimulating medications, as they increase the risk of future ovarian disorders. If menstr...[Read More] Managing Irregular Periods: What to Do When Menstruation is Unpredictable
How Long Can Sperm Survive Outside the Body in Air?
excuse me? Sperm can survive outside the body in the air for a very short period of time, typically only a few minutes. Once exposed to air, sperm quickly begin to dry out and lose their motility, making them unable to fertilize an egg.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Sperm can survive for up to three days in an appropriate environment, such as the vagina. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] How Long Can Sperm Survive Outside the Body in Air?
Understanding Blood Clots During Menstruation: When to Seek Help
Blood clot Hello Doctor: This time, my menstrual cramps were not as severe on the first or second day compared to usual, but starting on the fourth day, the pain became very intense. I am also passing blood clots, approximately 2x2 to 2x3 cm in size, which are quite painful. Toda...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The presence of blood clots during menstruation does not necessarily indicate a problem. If a physician's examination reveals no abnormalities, it may simply be irregular menstruation. If the irregularity does not lead to anemia, medication may not be necessary. Reduc...[Read More] Understanding Blood Clots During Menstruation: When to Seek Help
Impact of Car Accidents on Pregnant Women: Risks and Symptoms
Issues Arising from Car Accidents Involving Pregnant Women Hello Doctor: I have a few questions to ask you. Thank you! My wife is 28 weeks pregnant. In September, she was involved in a car accident and subsequently developed the following symptoms: preeclampsia, hypertension, ges...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The formal name for gestational hypertension is preeclampsia. The exact cause is currently unknown, but theories regarding its development are often related to poor vascular health. There is likely little direct correlation with automobile collisions. 2. If a pregnant w...[Read More] Impact of Car Accidents on Pregnant Women: Risks and Symptoms
Safe Vitamin A Intake for Pregnant Women: Guidelines and Risks
Nutritional supplements for pregnant women? Hello: I would like to ask about the recommended daily limit for vitamin A in prenatal supplements. Is it true, as reported in recent newspapers and magazines, that prenatal supplements should not contain vitamin A? What are the potenti...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your diet is balanced during pregnancy, there is really no need to take any supplements; however, if you feel more secure taking something and are concerned about vitamin overdose, it is recommended to take "Shin Po Na Duo" once a day, as it has been used for ...[Read More] Safe Vitamin A Intake for Pregnant Women: Guidelines and Risks
Understanding Emergency Contraception: Timing, Risks, and Pregnancy Testing
Regarding the issue of emergency contraception..? Hello, doctor. My last menstrual cycle started on October 6, with a cycle length of 25-28 days. Therefore, I should expect my period to arrive between November 1-3. However, I had sexual intercourse from October 29-31, and I did n...
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 safe period and emergency contraceptive pills are unreliable. If your period is due and you suspect pregnancy, please consult a healthcare pr...[Read More] Understanding Emergency Contraception: Timing, Risks, and Pregnancy Testing
Understanding Unusual Vaginal Discharge and Itching: Causes and Solutions
Regarding secretions? Recently, I've been experiencing itching in the genital area again. Sometimes it's very itchy, and other times it's not. I've also noticed an increase in discharge, which has a slightly yellow-green color. What could be the cause of this?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Itching in the genital area may be a sign of a fungal infection, while yellow-green vaginal discharge could indicate a bacterial or trichomonas infection. Please seek medical attention promptly and avoid self-medicating. Department of Obstetrics and Gynecology, Hsinchu Hos...[Read More] Understanding Unusual Vaginal Discharge and Itching: Causes and Solutions
Understanding Vaginal Discharge and Itching: Causes and Treatments
Discharge and vaginal itching? Hello! I have been experiencing discharge issues for a long time. Initially, it was just an increase in discharge, but in recent years, I have started to notice different colors. Recently, the discharge has been milky white, sometimes with a slight ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible that you have a mixed bacterial and fungal vaginitis, but a definitive diagnosis should be made through a pelvic examination and relevant tests. Please seek medical attention promptly. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Vaginal Discharge and Itching: Causes and Treatments
Understanding Menstrual Discomfort: Risks of Inducing Menstruation
That's really strange? Hello Doctor: I previously consulted you about premenstrual discomfort. I have been experiencing lower back pain and abdominal cramps even though my period has not started yet, and I have not engaged in sexual intercourse. Last month, due to menstrual ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Menstrual induction can alleviate your current premenstrual discomfort. You are only 15 years old, and most of your menstrual cycles are anovulatory, which means they are likely irregular and not related to whether or not you induce menstruation. Hsinchu City Hospital, Dep...[Read More] Understanding Menstrual Discomfort: Risks of Inducing Menstruation