Understanding Unusual Menstrual Symptoms: When to Seek Help
Menstrual issues Hello, doctor. I would like to ask a couple of questions: 1. During my menstrual period, in addition to bright red blood, I sometimes notice dark-colored clots being expelled, resembling the caramel layer at the bottom of a pudding (just as a comparison). Howev...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation. The physician will perform an ultrasound examination. If there has been sexual activity, a pelvic exam and Pap smear will also be conducted. If everything is normal, it may just be irregular menstruation related to stress, anxiety, or an irr...[Read More] Understanding Unusual Menstrual Symptoms: When to Seek Help
Can My Wife Get Pregnant After Treating Tuberculosis?
Can I get pregnant? Hello Doctor: My wife was diagnosed with tuberculosis in March of this year, and by the end of September, the doctor said she has been treated successfully and needs to be monitored for another year. She will need to have an X-ray every three months. Can my wi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your pulmonologist has stated that you are cured, there is no reason to insist on a specific waiting period before trying to conceive. During pregnancy, if your pulmonologist believes that a chest X-ray follow-up is necessary, it should be performed. Please ensure that ...[Read More] Can My Wife Get Pregnant After Treating Tuberculosis?
Understanding Delayed Menstruation: Causes and Concerns for Women
It has been over a month and my period still hasn't arrived? Hello, Doctor: Due to my late menstruation, I visited a gynecologist on October 11, where I underwent an ultrasound and urine test. The results indicated that I am not currently pregnant, but I am still very worrie...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. A negative pregnancy test indicates that your HCG hormone levels are low, meaning you are not pregnant or that fertilization has just occurred but HCG levels have not yet risen. If you are truly concerned about being pregnant and your period does not arrive, you may tak...[Read More] Understanding Delayed Menstruation: Causes and Concerns for Women
Understanding Abdominal Pain: When to Seek Gynecological Care
Abdominal pain Two weeks ago, I started feeling sudden pain in my lower left abdomen (about 2 inches below the navel and 2 inches to the left). Initially, it occurred 2 to 3 times a day, but in the last 3 to 4 days, it has happened more than 10 times daily. I'm not sure if I...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation. The doctor will perform an ultrasound, and if there has been sexual intercourse, a pelvic examination should also be conducted. Only if both are normal can we rule out the possibility of gynecological diseases. Hsinchu City Hospital, Departm...[Read More] Understanding Abdominal Pain: When to Seek Gynecological Care
Understanding Irregular Periods: Causes and Next Steps
Irregular menstruation? My menstrual cycle has always been regular and normal, but at the end of August, I took medication for a cold, and as a result, my period was delayed by a week. Now, this month, it is almost two weeks late (I have purchased a pregnancy test and it shows no...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation to check for any specific causes of amenorrhea. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Irregular Periods: Causes and Next Steps
Can I Still Get Pregnant After Hysterectomy? Options Explained
Medical consultation I underwent a hysterectomy this year due to bleeding caused by the rupture of both fallopian tubes. Since I have had my uterus removed, do I still have a chance to become pregnant? If so, what methods are available for me to conceive? I really want to have a ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the uterus has been removed, it is not possible to conceive and give birth. Surrogate motherhood is currently not legal in the country, so you may consider adopting through normal legal channels. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can I Still Get Pregnant After Hysterectomy? Options Explained
Understanding Ovulation and Fertility After Miscarriage: Key Insights
Ovulation period after miscarriage! I took the first dose of RU486 on September 9th. Then I started bleeding on September 10th, which continued until September 27th! I had sexual intercourse on October 5th, with external ejaculation, but then I inserted again for a moment! I'...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The timing of ovulation or the first menstruation after a miscarriage or childbirth cannot be estimated. Even during regular non-pregnant days, the safe period is unreliable; only consistent and correct use of condoms can effectively prevent sexually transmitted infections...[Read More] Understanding Ovulation and Fertility After Miscarriage: Key Insights
Understanding Postpartum Pain During Intercourse: Causes and Solutions
Dyspareunia Hello, I gave birth two months ago, and I experience pain during intercourse with my husband; there is also discomfort during friction. I had pain during intercourse while I was pregnant, and I thought it would improve after giving birth. However, during my first inte...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The most common cause of pain during intercourse is insufficient lubrication. You can communicate with your partner to extend the foreplay time or purchase a lubricant as an aid. If the issue persists, you should seek medical evaluation. Hsinchu City Hospital, Department o...[Read More] Understanding Postpartum Pain During Intercourse: Causes and Solutions
Understanding Infertility: Questions About Chocolate Cysts and Treatment Options
Infertility issues? I apologize for the lengthy message, but I would appreciate your response to my concerns. I have been married for over three years, and initially, my husband and I decided to avoid having children early, so we practiced safe periods for intercourse and used wi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: For couples experiencing infertility with all tests normal, if an ultrasound raises suspicion of endometriosis, laparoscopy should be considered to confirm the diagnosis and actively treat the condition in order to improve the chances of pregnancy. Hsinchu Hospital, Depart...[Read More] Understanding Infertility: Questions About Chocolate Cysts and Treatment Options
Can Isovalric Acidemia Be Detected During Prenatal Checkups?
Can isovaleric acidemia be detected during prenatal screening? I have a classmate who underwent artificial insemination due to infertility and has successfully given birth to a healthy baby. However, during the medical examination, the doctor suspected a case of isovaleric acidem...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Isovaleric acidemia is a rare congenital metabolic disorder that can be detected by performing a heel prick blood test on the baby three to five days after birth, using fluorescent immunoassay. For related inquiries, you can contact the Newborn Screening Room at the Taipei...[Read More] Can Isovalric Acidemia Be Detected During Prenatal Checkups?
Understanding Recurrent Uterine Infections: Causes and Concerns
Recurrent uterine infections Hello Doctor: I would like to ask, ever since I became sexually active over a year ago, I have been experiencing frequent infections in my uterus and vagina starting this year. Is the pain during these infections always in the lower abdomen, similar t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Recurrent pelvic inflammatory disease may lead to adhesions or blockages in the fallopian tubes, affecting the chances of conception. 2. It is not said to be impossible, but the principle of care during menstruation is to rest more and avoid engaging in excessively vigo...[Read More] Understanding Recurrent Uterine Infections: Causes and Concerns
Managing Irregular Menstrual Cycles After Childbirth: A Guide
Irregular menstruation? Since giving birth to my two children (I had a cesarean section), my menstrual cycle has been irregular. I have seen a doctor and have been taking birth control pills for over six months, but I still experience spotting for 15 to 20 days, and my menstrual ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation to undergo an ultrasound examination, pelvic examination, and Pap smear. If necessary, we will arrange for blood tests and hysteroscopy to determine the cause of your symptoms (such as whether it is adenomyosis, endometrial polyps, fibroids, ...[Read More] Managing Irregular Menstrual Cycles After Childbirth: A Guide
Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Abnormal bleeding Hello: My menstrual cycle ranges from 30 to 40 days, lasting about 3 to 5 days each time. I experience headaches and abdominal discomfort in the one or two days leading up to my period. In late July, my period lasted only three days and was very light, requiring...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation. The doctor will perform an ultrasound. If there has been sexual intercourse, a pelvic examination will also be conducted. If necessary, a blood test may be performed. If all results are normal, it is likely just irregular menstruation, which...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Concerns About Vaginal Infections and Fertility After Sexual Activity
I'm very worried..? Hello Doctor: Q1. If my boyfriend's hand comes close to my vagina during sexual intercourse, is there a risk of vaginal inflammation? Q2. If I have experienced vaginal inflammation in the past (more severe cases), does that increase the likelihood of...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Of course, if his hands are not clean. 2. If vaginitis is treated appropriately, and afterwards attention is paid to rest, dryness, ventilation, and hygiene (especially hygiene during intercourse), the likelihood of recurrence can generally be reduced. 3. Recurrent infl...[Read More] Concerns About Vaginal Infections and Fertility After Sexual Activity
Post-Operative Care and Risks After Uterine Cyst Surgery
excuse me? Hello, doctor. After undergoing a hydrosalpinx surgery, what should I pay attention to, such as dietary restrictions and activities to avoid? Could you please inform me about this? Additionally, what are the potential complications and drawbacks of hydrosalpinx surgery...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. After any gynecological surgery, it is advisable to avoid irritating foods, such as those that are overly spicy, salty, or cold. 2. Are you referring to surgery for a benign ovarian cyst? Any surgery has the potential to cause adhesions. Your attending physician is most...[Read More] Post-Operative Care and Risks After Uterine Cyst Surgery
Understanding Unusual Anatomy: Two Urethral Openings Explained
I have two urethral openings? Hello doctor, out of curiosity, I looked at my genital area in the mirror and discovered that I have three openings, not including the anus. Above the vaginal opening, there are two openings, one on each side. Is that the urethra? What should I do? I...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: There should be only one urethral opening, with a small gland (Skene's gland) opening on each side. Please seek medical attention promptly. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Unusual Anatomy: Two Urethral Openings Explained
Post-Myomectomy Concerns: Menstruation, Sexual Activity, and Pain
Postoperative issues after uterine fibroid surgery? Hello: I just underwent a traditional myomectomy on September 16. I have a few questions: 1. When can I expect my menstrual period to return? 2. When is it safe to resume sexual activity? 3. Sometimes, after walking for a long t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. It's not certain, but if you calculate one month after the last menstrual period before the surgery and it still hasn't arrived, you should consult a doctor for an examination. 2. After one month post-surgery, the doctor will evaluate and then make a decision....[Read More] Post-Myomectomy Concerns: Menstruation, Sexual Activity, and Pain
Understanding Orgametril: How It Affects Your Menstrual Cycle and Ovulation
I'm sorry, but I need the content you would like me I last had my menstrual period on August 28, and today is October 5. My period has not arrived yet; although it is only a week late, my cycles usually come early rather than being delayed for so many days. Therefore, I went...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Orgametril (generic name: Lynestrenol) is a progestin. The use of progestins varies, leading to different functions such as inducing menstruation, delaying menstruation, suppressing ovulation, treating dysfunctional uterine bleeding, and managing endometriosis. 2. The l...[Read More] Understanding Orgametril: How It Affects Your Menstrual Cycle and Ovulation
Why Can't Taiwan Test for Natural Killer Cells in Fertility Cases?
Why is it that NK testing is not available in Taiwan (even for self-payment)? (Forwarded from the Director's mailbox) Why can't we find hospitals in Taiwan that test for NK cells to prevent the following conditions? This has become a common examination in the United Sta...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Recurrent miscarriage is defined as having three consecutive miscarriages. It is generally recommended that both partners undergo blood tests for chromosomal analysis. If the results are normal, the female partner should be tested for potential autoimmune diseases. If any ...[Read More] Why Can't Taiwan Test for Natural Killer Cells in Fertility Cases?
Why Am I Experiencing Bleeding After Sex Right After My Period?
Why do I experience bleeding the day after my period ends when I have intercourse? I had my period for 7 days, and by the 7th day, there was no bleeding. However, the next morning (the 8th day), after having intercourse with my boyfriend, I noticed a little bit of bleeding. Why d...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: After experiencing postcoital bleeding, it is important to first rule out the possibility of cervical pathology. Please seek medical attention promptly; the physician will perform appropriate examinations, including a Pap smear. Hsinchu City Hospital, Department of Obstetr...[Read More] Why Am I Experiencing Bleeding After Sex Right After My Period?