Understanding Irregular Menstruation: Causes and Solutions
Menstruation is still irregular? Hello, I had an ultrasound in July, but nothing significant was found. I was prescribed medication for regulating my menstrual cycle. I did not have my period on time in August, and I did not have it at all in September. This situation has been on...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: In the years following the onset of menstruation, most menstrual cycles are anovulatory, characterized by irregularity. If a physician has ruled out the possibility of organic pathology, it is recommended to let it take its natural course. If menstruation does not occur fo...[Read More] Understanding Irregular Menstruation: Causes and Solutions
Understanding Post-Abortion Care and Concerns About Future Pregnancies
Abortion issues Hello Doctor, I have a few questions to ask you. 1. I underwent a surgical procedure on September 2nd. After returning home and removing the bandage, I noticed that there was no bleeding. I have been following up with my appointments. During my first follow-up, ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The duration of bleeding after a miscarriage can vary from person to person. If your doctor has examined you and confirmed that everything is clear, there is no need to worry excessively. 2. Not using a condom certainly increases the risk of pregnancy and sexually trans...[Read More] Understanding Post-Abortion Care and Concerns About Future Pregnancies
Understanding Irregular Periods: Hormonal Treatments and Their Effects
Irregular menstrual cycle? Hello, Doctor. I would like to ask a question. I am 30 years old and have not had my period since April (not pregnant). Recently, I visited a gynecologist, and the doctor advised me to track my basal body temperature and prescribed half a dose of estrog...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Generally, menstrual induction starts with progesterone; if ineffective, estrogen can be added to the progesterone. 2. Besides pregnancy and menstrual irregularities (i.e., functional disorders), a small number of cases may be caused by elevated prolactin levels, hypoth...[Read More] Understanding Irregular Periods: Hormonal Treatments and Their Effects
Understanding HPV DNA Results: What Does a Value of 494.01 Mean?
The HPV DNA value of 494.01 needs to be interpreted in the context of the specific test and the laboratory reference ranges. Generally, HPV DNA tests are used to detect the presence of high-risk types of human papillomavirus that are associated with cervical cancer. Normal valu...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: HPV has high-risk groups (which can cause cervical cancer) and low-risk groups (which only cause genital warts). The results of high-risk HPV DNA testing are categorized as either negative or positive. If the result is positive and the Pap smear is abnormal, further examin...[Read More] Understanding HPV DNA Results: What Does a Value of 494.01 Mean?
Understanding Nipple Pain: Could It Be a Sign of Pregnancy?
Nipple 1. Recently, I have been experiencing unexplained nipple pain that feels intense, almost as if it's going to break. It hurts just to touch it. Could this be a sign of pregnancy? My last menstrual period was on September 12, and I had sexual intercourse on September 24...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If your period is delayed, please visit the obstetrics and gynecology clinic for a pregnancy test. 2. Nipple pain and lower abdominal pain do not necessarily indicate whether you are pregnant or not. 3. Generally, basal body temperature does rise after ovulation, but ir...[Read More] Understanding Nipple Pain: Could It Be a Sign of Pregnancy?
Is a 2.48 Neural Tube Defect Value Considered High or Normal?
Could you please provide the content you would like me to translate? A value of 2.48 for the neural tube defect screening is considered elevated. It is important to consult with your healthcare provider for further evaluation and interpretation of your results in the context of y...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The AFP value of 2.48 MOM is indeed elevated. Please discuss with your obstetrician whether to perform amniocentesis or a high-level ultrasound to rule out the possibility of neural tube defects. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Is a 2.48 Neural Tube Defect Value Considered High or Normal?
Understanding Sudden Menstrual Pain: Causes and Treatment Options
Sudden menstrual cramps? Hello Doctor: I started experiencing menstrual pain in the third year after my first period, and it has been five years now. This year, there was a period when it improved, but this month the pain has returned severely. An ultrasound last year showed no i...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come in for an ultrasound and a pelvic examination (if there has been no sexual activity, a rectal examination will be performed). If there are no abnormalities found, this menstrual pain is more likely to be primary dysmenorrhea, which is associated with being youn...[Read More] Understanding Sudden Menstrual Pain: Causes and Treatment Options
Understanding Neural Tube Defects: Risks and Ultrasound Insights During Pregnancy
Neural tube defects Hello, I underwent maternal blood screening for Down syndrome when I was 17 weeks pregnant. The doctor mentioned that the test primarily checks for two conditions: one is Down syndrome, and the other assesses whether the baby may have neural abnormalities. The...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the maternal blood screening indicates a higher probability of neural tube defects, an amniocentesis or a high-level ultrasound examination should be performed. If further testing shows no abnormalities, there is no need for excessive concern. Hsinchu Hospital, Departme...[Read More] Understanding Neural Tube Defects: Risks and Ultrasound Insights During Pregnancy
Understanding Mucus Discharge Before Labor: What to Expect
Late pregnancy At full term, with only three days until the due date and no signs of labor, it is not uncommon to notice some vaginal discharge that may contain mucus mixed with yellowish clumps. This discharge can sometimes be thick or pasty, and if it is not accompanied by pain...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: As the due date approaches, there is indeed an increase in discharge; however, to determine if there is an infection, a pelvic examination and possibly a bacterial culture are necessary. Among bacterial infections of the vagina or cervix, Group B Streptococcus (GBS) is par...[Read More] Understanding Mucus Discharge Before Labor: What to Expect
Understanding High Prolactin Levels After Childbirth: Causes and Solutions
Hyperprolactinemia Hello, I would like to ask why my menstruation has not returned since I gave birth. After examination, it was found that I have elevated prolactin levels. Before having my child, my menstrual cycle was always normal. Why has it changed so much after childbirth?...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If there is an excess of prolactin, it is important to check for a pituitary adenoma. If present, neurosurgical intervention may be considered. You are welcome to visit us at the Department of Obstetrics and Gynecology, Hsinchu City Hospital.[Read More] Understanding High Prolactin Levels After Childbirth: Causes and Solutions
Managing Eczema During Pregnancy: Safety of Betaderm Cream
Topical ointments for eczema Hello Doctor: I am nearly 9 weeks pregnant and have eczema on my forehead and cheeks, with three areas each about 2 cm in size. A dermatologist prescribed Betaderm cream, advising me to apply it thinly to the affected areas twice daily, and that it wo...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you are concerned about the safety of using steroid ointments during pregnancy, you may discuss this further with your dermatologist and inquire whether you can first use a non-steroidal ointment for treatment, and then make a decision based on the observed changes. Hsi...[Read More] Managing Eczema During Pregnancy: Safety of Betaderm Cream
Do I Need Surgery for Endometriosis? Seeking Expert Opinions
I would like to ask? I would like to ask if surgery is necessary for endometriosis. I don't have chocolate cysts, but I experience significant pain with each menstrual period, so my doctor has recommended surgery. Should I consult several doctors to compare opinions, or is s...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Welcome to Dr. Lee's clinic for an ultrasound and pelvic examination (if there has been no sexual intercourse, a rectal examination will be performed). If there is no suspicion of endometriosis, we certainly will not recommend surgery. Hsinchu City Hospital, Departmen...[Read More] Do I Need Surgery for Endometriosis? Seeking Expert Opinions
Understanding Skin Irritations During Menstruation: Causes and Solutions
Skin issues on the abdomen during menstruation? Every time my menstrual cycle starts, my abdomen becomes very itchy and feels lumpy when I touch it. I don't know the reason for this, and it has been bothering me for a long time, so I haven't dared to see a doctor. Is th...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I'm sorry, but based on your description, I'm not sure what the diagnosis is. Please visit a dermatologist as soon as possible. If the doctor deems it necessary, they may recommend that you see an obstetrician-gynecologist at Hsinchu City Hospital.[Read More] Understanding Skin Irritations During Menstruation: Causes and Solutions
Understanding Pregnancy Tests After Medication Abortion: Key Insights
Pregnancy test after medication abortion? Two weeks ago, I underwent a medical abortion, and I am still experiencing bleeding. However, when I took a pregnancy test today, initially there was only one line, and after five minutes, the pregnancy line appeared, but it was faint. Do...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible to test positive for pregnancy within a few weeks after a miscarriage. As for whether the miscarriage is complete, please follow your doctor's instructions and return for follow-up appointments for the physician to assess. Hsinchu City Hospital, Departm...[Read More] Understanding Pregnancy Tests After Medication Abortion: Key Insights
Understanding Irregular Periods and Pregnancy Concerns: A Guide for Women
I'm sorry, but I need more context or specific information to provide assistance? For the past six months, my period has consistently started on the 1st or 2nd of each month, but in September, it started on the 4th. On the 11th, I had intercourse with my boyfriend and took t...
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 and emergency contraception are unreliable. If your period is delayed, please seek medical attention promptly. Hsinchu City Hos...[Read More] Understanding Irregular Periods and Pregnancy Concerns: A Guide for Women
Understanding Post-Abortion Symptoms and Costs for Surgical Procedures
Can you help me with an answer? I would like to ask... I started taking abortion pills on September 2nd. When I saw the doctor on September 9th, he told me there was still some bleeding, so he prescribed me contraction medication for three days. During this time, I accidentally d...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please come for a consultation. It is recommended to have a weekly blood test for beta-HCG (pregnancy hormone) to determine whether there has been a complete miscarriage or if there are still remaining pregnancy tissues. I do not perform abortion procedures; please inquire...[Read More] Understanding Post-Abortion Symptoms and Costs for Surgical Procedures
Can You Get Pregnant While Breastfeeding? Risks and Considerations
I want to get pregnant? Hello, I am a new mother currently breastfeeding. I would like to ask a question: if I do not use contraception, is it possible to become pregnant again? If I do become pregnant, will it affect the fetus in my womb? Since I want to conceive a second child,...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: During breastfeeding, it is possible to suppress ovulation and reduce the chances of pregnancy. However, it is not advisable to rush into having another child at the expense of your current child's opportunity to breastfeed for a longer duration. If you are fortunate ...[Read More] Can You Get Pregnant While Breastfeeding? Risks and Considerations
Impact of Early Menstruation on Growth and Future Health in Girls
What are the effects of early onset menstruation in children? Hello Dr. Chiu: My daughter is 10 years old and has been menstruating for almost a year. It seems that her height has not increased. Will she have a chance to grow taller in the future? What impact will this have on he...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Precocious puberty can indeed lead to early closure of the growth plates, resulting in a halt in height increase. Please consult a pediatrician or pediatric orthopedic specialist. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Early Menstruation on Growth and Future Health in Girls
Does Hormone Therapy During Menstruation Increase Cancer Risk?
Regarding whether taking hormones during menstruation can cause cancer? Hello! I am 46 years old, and my menstrual cycle has been quite regular, although the flow is not heavy and lasts only three to four days. However, this month, I have experienced intermittent bleeding for nea...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Long-term use of hormones (such as in menopausal women) may slightly increase the risk of breast cancer, stroke, and heart disease. However, if hormones are used for short-term menstrual regulation, there is no need for excessive concern. 2. Long-term estrogen supplemen...[Read More] Does Hormone Therapy During Menstruation Increase Cancer Risk?
Is Prolonged Menstrual Flow Normal After Starting Birth Control?
The duration of the menstrual cycle has increased? It has been a week since I started taking the contraceptive pill (Huishe - Xindingou) on the first day of my menstrual cycle, and my flow is still quite heavy. Previously, my menstrual cycle would completely end within a week wit...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Generally, after taking contraceptive pills, the menstrual flow tends to decrease and the duration usually shortens. Please come in for an examination. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Is Prolonged Menstrual Flow Normal After Starting Birth Control?