Self-Care Tips After Miscarriage: A Guide for Women
Regarding miscarriage issues? I have already given birth to two children, and due to an accident, I am now pregnant with a third. I don't really want to go to the hospital for an abortion, so I have been living my life normally without paying attention to my abdomen. I have ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please visit the obstetrics and gynecology department to confirm whether a miscarriage has truly occurred and if everything has been expelled completely. If it has been cleared, you may follow the postpartum care guidelines and take herbal medicine to promote the expulsion...[Read More] Self-Care Tips After Miscarriage: A Guide for Women
Understanding Endometrial Issues: When to Consult Your Doctor
Endometrial issues Hello Doctor, my menstrual cycle is very regular, arriving on the 26th of each month. Last month (July 26) was no exception, and there didn't seem to be any shedding of the endometrial lining. Typically, isn't menstruation supposed to include dark red...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Sometimes the endometrium may be covered by blood, which may not be visible to the naked eye. If you are truly concerned, please come in for an ultrasound examination. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Endometrial Issues: When to Consult Your Doctor
Understanding Group B Streptococcus Infections: Diagnosis and Treatment Challenges
Group B Streptococcal infection Hello Doctor: Recently, I have been experiencing yellow or yellow-green discharge. The doctor said it was a bacterial and fungal infection. After taking medication, the discharge turned into a white mass. When I reported this to the doctor, he said...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Not possible. 2. Antibiotic susceptibility testing is for reference only and is not absolute. 3. If the smear is affected by inflammatory cells, it may not be possible to assess whether there are abnormal cervical cells, and the report will indicate inflammation. Howeve...[Read More] Understanding Group B Streptococcus Infections: Diagnosis and Treatment Challenges
Understanding Post-Miscarriage Recovery: Questions About Retained Tissue and Future Fertility
Questions regarding lochia? Hello, some time ago I experienced a natural miscarriage for unknown reasons when I was over five weeks along. On the day of the miscarriage, I passed some tissue-like material (not blood clots) twice after returning home from the hospital. In the foll...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: You have encountered a rare and excellent physician. As long as there is no significant bleeding, any remaining pregnancy tissue or blood clots can be allowed to pass naturally; unnecessary curettage can cause harm. Hsinchu City Hospital, Department of Obstetrics and Gynec...[Read More] Understanding Post-Miscarriage Recovery: Questions About Retained Tissue and Future Fertility
Understanding the Corpus Luteum: Impact on Ovulation and Sexual Activity
What is the corpus luteum? Does it affect ovulation? Hello Doctor: What is the corpus luteum? Does an enlarged corpus luteum affect ovulation? Can sexual intercourse continue when the corpus luteum is enlarged? Does it lead to corpus luteum rupture? Thank you.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: After ovulation, the follicles in the ovaries form a corpus luteum. If the corpus luteum becomes enlarged, it is referred to as a corpus luteum cyst. Excessive vigorous sexual activity can potentially cause it to rupture, leading to internal bleeding that may require emerg...[Read More] Understanding the Corpus Luteum: Impact on Ovulation and Sexual Activity
Understanding Emergency Contraception: What to Expect After Taking the Pill
Took emergency contraceptive pills? Hello, (Note: My girlfriend's last menstrual period started on July 14, and her cycle is 30 days, so her next period should be around August 14.) I would like to ask about an incident that occurred on July 30 in the afternoon when my girlf...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The withdrawal bleeding after taking emergency contraception does not guarantee that pregnancy has been successfully prevented. If your period is late in mid-August, please visit the obstetrics and gynecology department for a pregnancy test. Hsinchu City Hospital, Departme...[Read More] Understanding Emergency Contraception: What to Expect After Taking the Pill
Overcoming Intimacy Challenges: A 26-Year-Old's Struggle with Painful Intercourse
For the past four years, sexual intercourse has not been successful? Hello doctor, I am a 26-year-old woman. For the past four years, I have been unable to successfully engage in sexual intercourse. Every time I get intimate with my boyfriend, we end up unable to penetrate. I hav...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible that the hymen is more resilient and difficult to rupture. You may want to visit the obstetrics and gynecology department for an examination at Hsinchu Hospital.[Read More] Overcoming Intimacy Challenges: A 26-Year-Old's Struggle with Painful Intercourse
Am I Pregnant? Understanding Your Menstrual Cycle and Symptoms
Am I pregnant? I got my period on June 28 (with a cycle of about 28-29 days). I had unprotected intercourse with my boyfriend on July 7, July 10, and July 17. Normally, I should have gotten my period by July 26, but as of now, July 30, it still hasn't arrived. Could I be pre...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your period is delayed, please visit the obstetrics and gynecology department for a pregnancy test at Hsinchu Hospital.[Read More] Am I Pregnant? Understanding Your Menstrual Cycle and Symptoms
Understanding Vaginal Inflammation During Pregnancy: Symptoms and Treatments
Vaginitis Hello, doctor: Is the discharge from vaginal inflammation white? I am currently over 7 months pregnant; can I insert anti-inflammatory medication into the vagina? Will this affect the fetus? If I do not use medication, will the vaginal inflammation heal on its own? Than...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Vaginal discharge does not necessarily indicate inflammation. If the discharge is white and not itchy, painful, or foul-smelling, it is less likely to be inflammation. If you are pregnant and do have vaginitis, an obstetrician-gynecologist will prescribe a safe suppository...[Read More] Understanding Vaginal Inflammation During Pregnancy: Symptoms and Treatments
Concerns About a Painful Lump Under the Armpit: What You Need to Know
A small growth has developed? I have a small lump under my right armpit, similar to what that girl has. It hurts when I press on it. You mentioned that I should get a breast surgical examination, but it seems there isn't one available here in Penghu. What should I do? This l...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the hospital does not have a breast surgery department, you can also ask a general surgeon or an obstetrician-gynecologist to perform the examination. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Concerns About a Painful Lump Under the Armpit: What You Need to Know
Understanding Menstrual Issues: Ovarian Health and CA-125 Testing
Menstrual irregularities Hello Doctor: I have two questions I would like to ask you..................1. I received a menstrual induction injection and have been taking birth control pills for about a month, but I still haven't had my period. I had an ultrasound, and everythi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. There are many reasons for missed menstruation, including pregnancy, chronic anovulation, elevated prolactin levels, thyroid abnormalities, and the use of psychiatric medications. Please come to the clinic for an examination. 2. If you want to use CA125 to check for ova...[Read More] Understanding Menstrual Issues: Ovarian Health and CA-125 Testing
Does My Partner's Medication Affect Our Pregnancy Plans?
Does taking medication for treatment affect my plans to get pregnant? The recent examination revealed that my husband has prostatitis and needs to continue medication. However, we are planning to conceive, and we are concerned whether the medication will affect his sperm or the h...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: During medication treatment for prostatitis, it is advised to refrain from sexual intercourse or using condoms. You can attempt to conceive after recovery. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Does My Partner's Medication Affect Our Pregnancy Plans?
Understanding Ovulation Pain and Abdominal Discomfort in Women
Severe bloating and discomfort? I have been experiencing ovulation pain for about 4.5 years (from the first day of my menstrual cycle until about 5 to 7 days after it completely clears). I also have premenstrual syndrome symptoms and ovulation pain that makes me feel like I need ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The most likely diagnosis for abdominal bloating before menstruation is premenstrual syndrome (PMS), which typically alleviates after menstruation begins. If the bloating is extremely uncomfortable and unbearable, a medication to induce menstruation can be administered to ...[Read More] Understanding Ovulation Pain and Abdominal Discomfort in Women
Concerns About Fetal Health: Understanding Growth and Amniotic Fluid Issues
Is the baby healthy? Hello: My wife is currently 28 weeks and 5 days pregnant. Ten days ago (July 17), she was hospitalized due to frequent contractions for bed rest. During her hospitalization, the baby was measured to be two weeks smaller (previously, at each prenatal check-up,...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: At 28 weeks, the amniotic fluid index (AFI) ranges from 94 mm to 228 mm. If your AFI is 0 + 0 + 15 + 20 = 35 mm, it indeed meets the criteria for oligohydramnios. First, early rupture of membranes should be ruled out. Next, a high-level ultrasound should be performed to ch...[Read More] Concerns About Fetal Health: Understanding Growth and Amniotic Fluid Issues
Pain Under Right Breast: When to Seek Medical Attention?
It hurts when pressed? Hello, I have a painful area under my right breast that hurts when I touch it. I don't feel any pain in the same area on my left breast, and I have previously noticed similar peeling marks on my chest. Should I get this checked? Which specialist should...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please consult or seek treatment from the breast surgery department. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Pain Under Right Breast: When to Seek Medical Attention?
Does Smoking Affect Fertility? Insights for Women Trying to Conceive
Does smoking affect fertility? Hello, Doctor. I've been wanting to have a second baby for a while now, but after nearly six months of trying, there has been no news. My husband and I have been intimate around the ovulation days and on the day itself, yet I still get my perio...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please quit smoking first and continue to make efforts. If after one year there is still no good news (i.e., meeting the criteria for secondary infertility), please come to the clinic for a check-up together as a couple. Department of Obstetrics and Gynecology, Hsinchu Hos...[Read More] Does Smoking Affect Fertility? Insights for Women Trying to Conceive
Managing Pseudocysts Caused by Inflammation and Adhesions in Women
Pseudocyst? Hello, I would like to ask what methods can be used to manage pseudocysts caused by inflammatory adhesions? Are women who have undergone surgery more prone to intestinal adhesions? Thank you!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Inflammatory pseudocysts can be monitored if asymptomatic. If symptoms occur (such as abdominal pain), anti-inflammatory medication can be administered initially. If the treatment is ineffective, surgical intervention may be considered. Department of Obstetrics and Gynecol...[Read More] Managing Pseudocysts Caused by Inflammation and Adhesions in Women
Understanding Molar Pregnancy and Ectopic Pregnancy: A Patient's Journey
Molar pregnancy? Ectopic pregnancy as well! Hello Dr. Cheng: At the end of last month (June 23), I visited your clinic due to an abnormal pregnancy. At that time, I was nearly 7 weeks pregnant. A blood test in Zhongli on June 20 showed a B-HCG level of 6000, and the doctor diagno...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Ectopic pregnancy rarely presents with such high initial beta-HCG levels of 6000, followed by 12000 in 72 hours, especially without internal bleeding (ruptured fallopian tube); therefore, the first physician could reasonably suspect a molar pregnancy and perform a dilation...[Read More] Understanding Molar Pregnancy and Ectopic Pregnancy: A Patient's Journey
Understanding Recurring Ovarian Cysts After Hysterectomy: What to Do Next?
Why does water retention keep occurring? Hello! I would like to ask... My mother had a hysterectomy in 1990, and then in 1991, she had her ovaries removed due to intestinal adhesions. Now, after so many years, a cyst about 6 centimeters has developed on the same side. The recent ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Ovarian cysts can potentially be tumors, physiological cysts, or pseudocysts caused by inflammation and adhesions. It is important to first perform an ultrasound examination to differentiate between them, as this will determine the appropriate management. You are welcome t...[Read More] Understanding Recurring Ovarian Cysts After Hysterectomy: What to Do Next?
Does Menstrual Flow Impact Fertility Chances? Insights for Women
Does the amount of menstrual flow affect the chances of conception? 1) The menstrual flow is heavy, with blood clots, and the color is dark brown, taking about 7 days to completely clear. 2) There is an increased amount of discharge. Could these two points affect fertility?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Heavy menstrual flow or increased discharge may indicate potential underlying diseases, but they can also be normal physiological variations. Without examination, it is difficult to provide an answer to your question. Department of Obstetrics and Gynecology, Hsinchu Hospit...[Read More] Does Menstrual Flow Impact Fertility Chances? Insights for Women