Dr. Li Guanghan reply Obstetrics and Gynecology Question - Page 40

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Concerns About Medication Use During Early Pregnancy: What You Need to Know

Realizing a possible pregnancy after taking medication? I apologize for asking a question here, as I am not in Taiwan, but I hope to receive a response from a Taiwanese doctor. Thank you. My last menstrual period started on February 25. For the three months prior, my cycle has be...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Generally speaking, before the ultrasound shows the fetus (approximately before 6 weeks of gestation), the impact of medications is relatively small, but I cannot guarantee that there will be no effects. No one is perfect, and your fetus is also not perfect, but they are a...

[Read More] Concerns About Medication Use During Early Pregnancy: What You Need to Know


Understanding Infertility Testing: Key Questions and Answers for Couples

Regarding infertility testing? Hello Doctor: I am 31 years old and have been married for over a year without getting pregnant. My husband has had a sperm analysis report that showed no issues, and I have been taking ovulation medication for six months. My menstrual cycle is appro...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. HSG can indeed be quite painful, but if anti-inflammatory medication has been taken, the likelihood of inflammation is low. HSG has a positive effect on pregnancy rates. 2. Since you have already undergone HSG, there is no need for a patency test. 3. Blood tests can pro...

[Read More] Understanding Infertility Testing: Key Questions and Answers for Couples


Understanding Delayed Periods: Pregnancy Concerns and Medication Effects

Am I pregnant? Hello, my period is already two weeks late, and the discharge has been the same. Two weeks ago, I had discharge for about a week before my period started, but now it hasn't come. I bought a pregnancy test and it showed I'm not pregnant. I have had sexual ...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your menstrual period is overdue, please seek medical attention at an obstetrics and gynecology clinic. Thank you!

[Read More] Understanding Delayed Periods: Pregnancy Concerns and Medication Effects


Understanding Post-Laser Cervical Changes: Granules and Concerns

Granules remain after cervical laser treatment? Hello, I underwent laser surgery for cervical erosion in late March. Recently, while using a suppository, I noticed a lump resembling a polyp deeper inside. However, after multiple checks post-surgery, my doctor has assured me that ...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: In my personal experience, when patients report feeling a lump inside the vagina, it is often the vaginal folds or their own cervix. Please make sure to communicate your concerns clearly to your physician during your next visit! Hsinchu City Hospital, Department of Obstetr...

[Read More] Understanding Post-Laser Cervical Changes: Granules and Concerns


Understanding Infections: The Impact of Masturbation and Hygiene in Women's Health

Infection..? Doctor: I got an infection a few days ago. I haven't had any sexual experiences, so how could I get infected? I'm very careful about hygiene. However, a few days before the infection, I did engage in masturbation (just touching the vulva, without actual vag...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Moderate masturbation is normal, but it is important to pay attention to hygiene. Keep your nails short, wash your hands, and clean the genital area before engaging in the activity. Afterward, you should also wash immediately. Avoid using unusual objects during the process...

[Read More] Understanding Infections: The Impact of Masturbation and Hygiene in Women's Health


Understanding Heavy Menstrual Bleeding: Causes and Concerns

Menorrhagia? Hello Doctor: My menstrual cycle has always been very regular, lasting about 4-5 days each time. However, this month my period was nearly two weeks late, and when it started, the blood was a deep red, almost black, but then it turned bright red. Additionally, the ble...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It could be just irregular menstruation, or it might be an early miscarriage. Please seek medical attention promptly. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

[Read More] Understanding Heavy Menstrual Bleeding: Causes and Concerns


Infertility Concerns: Essential Tests and Basal Body Temperature Guide

Infertility? It has been almost a year and a half since we got married, and we still haven't conceived. What tests are needed for infertility evaluation? How do I measure my basal body temperature?


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The husband needs to undergo a semen analysis, while the wife should measure her basal body temperature to confirm ovulation and undergo a hysterosalpingography to check for patency of the fallopian tubes. 2. Please go to the pharmacy to purchase a mercury basal thermom...

[Read More] Infertility Concerns: Essential Tests and Basal Body Temperature Guide


Understanding Breathing Difficulties During Pregnancy: Causes and Concerns

Difficulty breathing during pregnancy? Hello, I am currently 12 weeks pregnant and sometimes feel that my breathing is not very smooth. Yesterday, I suddenly experienced difficulty breathing for 2-3 minutes, along with shaking and sweating. Could this be caused by pressure from t...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please promptly visit the cardiology department to check for any potential heart, thyroid, or other organ diseases. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

[Read More] Understanding Breathing Difficulties During Pregnancy: Causes and Concerns


Understanding Bleeding After First Sexual Experience: What to Know

Bleeding during first sexual experience? Hello, doctor: I had sexual intercourse with my girlfriend yesterday. She mentioned that she was still a virgin, but there was no bleeding afterward, and she only felt abdominal discomfort (which I assume is normal due to the use of vagina...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Based on your description, it is most likely that the bleeding is caused by a hymenal or vaginal tear. Please seek medical attention promptly at Hsinchu City Hospital, Department of Obstetrics and Gynecology.

[Read More] Understanding Bleeding After First Sexual Experience: What to Know


NuvaRing: Availability, Access, and Comparison with Other Contraceptives

NuvaRing contraceptive ring Hello, doctor! May I ask if this type of contraceptive device is available in Taiwan? How can it be obtained? How does it compare to other contraceptive methods? Thank you!


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I apologize for the confusion. The intrauterine device (IUD) used in our hospital is the most widely used in the country, with a contraceptive efficacy of over 95%. It is recommended to replace it every five years. Based on user experience, approximately one in ten individ...

[Read More] NuvaRing: Availability, Access, and Comparison with Other Contraceptives


Understanding Menstrual Blood Clots: When to Seek Medical Advice

Menstrual blood clots Hello, doctor. In the past 3 to 4 months, during the second day of my menstrual period, I experience a sudden surge of heavy bleeding accompanied by large blood clots. It feels like the blood is continuously flowing out, and during these episodes, there is a...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: There are many possible causes for increased menstrual flow, such as fibroids, adenomyosis, and endometrial hyperplasia, but they are less likely related to warts. Please seek medical attention promptly. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

[Read More] Understanding Menstrual Blood Clots: When to Seek Medical Advice


Understanding Right Lower Abdominal Pain Before Menstruation

There is occasional pain in the lower right abdomen? Doctor, I have been experiencing pain in my lower right abdomen every time I approach my menstrual period for the past two months. Could this be due to an issue with my fallopian tubes, or could there be other factors causing t...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your abdominal pain occurs before your menstrual period and resolves after menstruation ends, the most likely diagnosis is premenstrual syndrome (PMS). Medication treatment generally responds well, so please seek medical attention promptly. Thank you! Hsinchu City Hospi...

[Read More] Understanding Right Lower Abdominal Pain Before Menstruation


Understanding Cervical Cancer: Risks, Symptoms, and Screening Insights

Cervical cancer 1. The first time was at 17 or 18 years old. Is that too early? 2. I have been sexually active for about three to four years, but my partner is the same person, and we are both quite innocent. Recently, I want to get a Pap smear. After looking into some informat...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The cause of cervical cancer has been established as an infection of the cervix by the HPV virus, with sexual intercourse being the most likely mode of transmission. Additionally, the younger the age, the poorer the cervix's resistance to HPV, which increases the like...

[Read More] Understanding Cervical Cancer: Risks, Symptoms, and Screening Insights


Understanding Delayed Periods: Pregnancy Testing and Concerns

I'm very worried? This month, my menstrual cycle hasn't arrived, but pregnancy tests have not shown any positive results. I initially thought it was just a few days late, but it's now been almost three weeks, and the longer it goes, the more worried I become. I had...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If fertilization occurs and implantation takes place, it can be detected in urine approximately two weeks later. If you take a home pregnancy test and it shows negative but your menstrual period still hasn't arrived, please seek medical attention promptly. Hsinchu Cit...

[Read More] Understanding Delayed Periods: Pregnancy Testing and Concerns


Understanding Female Sterilization: Timing, Costs, and Requirements

Female sterilization What is the timing for sterilization? Should it be done before or after menstruation? Is a partner's signature required? How long does the surgery take? What are the costs? Is hospitalization necessary?


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. After menstruation and before ovulation. 2. Spousal signature is required. 3. The surgery takes about half an hour. 4. The cost is approximately over ten thousand (depending on the hospital). 5. Hospitalization may be required or not, depending on the situation. Hsinchu...

[Read More] Understanding Female Sterilization: Timing, Costs, and Requirements


How Soon Can You Take a Pregnancy Test After Conception?

Pregnancy test If a woman becomes pregnant, how long does it take to detect it?


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your period is overdue, you should take a pregnancy test. If fertilization occurs and implantation takes place, it can typically be detected in urine about two weeks later. Hsinchu Hospital, Department of Obstetrics and Gynecology.

[Read More] How Soon Can You Take a Pregnancy Test After Conception?


Understanding Genital Warts: Diagnosis, Treatment, and Follow-Up Care

Pelvic examination Hello, doctor. I discovered small warts in the groin and on the labia last November. I visited a gynecologist who said it was an infection, but it hasn't improved. I had a Pap smear in January that came back normal. In March, I saw a dermatologist who diag...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Genital warts (condylomata acuminata) are a viral sexually transmitted infection. Treatment options include electrosurgery, cryotherapy, or topical medications. Women who are sexually active should have a Pap smear annually, and if the results are normal, they can repeat i...

[Read More] Understanding Genital Warts: Diagnosis, Treatment, and Follow-Up Care


Did My Doctor Perform an HPV Test During My Recent Checkup?

I am not sure if doctors really have HPV tests? I recently went to a health department hospital for a Pap smear, and I informed the nurse that I wanted to have an HPV test as well. However, I remember that last year I went to another hospital for an HPV test, and the cost was 150...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Welcome to the Department of Obstetrics and Gynecology at our hospital. The HPV test is only NT$1200. Hsinchu Municipal Hospital, Department of Obstetrics and Gynecology.

[Read More] Did My Doctor Perform an HPV Test During My Recent Checkup?


Can You Get Pregnant from Wet Conditions in a Bathtub?

Is it possible to get pregnant this way? It is highly unlikely for pregnancy to occur in the scenario you described. Sperm typically requires direct ejaculation into the vagina or very close proximity to it to have a chance of fertilizing an egg. The water in the bathtub would di...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Only the correct and consistent use of condoms can prevent sexually transmitted infections and effectively prevent pregnancy. Of course, intimate touching can also lead to pregnancy. Hsinchu Hospital, Department of Obstetrics and Gynecology.

[Read More] Can You Get Pregnant from Wet Conditions in a Bathtub?


Understanding Irregular Menstrual Cycles: Causes and Concerns

I'm confused..? Hello, Doctor. My period started on April 6 and lasted for three days. Two days later, I noticed a little bit of blood again, which is the same color as my menstrual blood. During this period, the first day was heavy, the second day was lighter, and by the th...


Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: When experiencing menstrual irregularities, the first step is to take a pregnancy test to rule out pregnancy. Next, a gynecological examination, ultrasound, and possibly blood tests should be conducted to exclude any organic lesions in the reproductive system. The final di...

[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns


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