Understanding Irregular Periods: Causes and Concerns in Women's Health
Could you please clarify your request? I finished my period on February 24, but on March 11, I was hospitalized for IV fluids due to stomach discomfort. According to my usual cycle, I should have gotten my period around March 25, but it hasn’t arrived. My periods have been regula...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It may just be irregular menstruation, but you should still seek medical attention to rule out the possibility of reproductive system disorders at Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Irregular Periods: Causes and Concerns in Women's Health
Can You Get Pregnant from Shower Play? Understanding the Risks
Is it possible to get pregnant like this...? I'm not a doctor, but I can provide some general information. In your situation, the likelihood of pregnancy is quite low, especially since there was no direct genital contact and you are still a virgin. However, if his semen came...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Only the correct and consistent use of condoms can prevent sexually transmitted infections and effectively provide contraception. Of course, intimate touching can also lead to pregnancy. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Get Pregnant from Shower Play? Understanding the Risks
Managing High Blood Pressure and Sugar Levels During Pregnancy: Key Insights
Gestational hypertension and high urinary glucose? Hello, I had my 28-week prenatal check-up last week. My blood pressure was 140/70. Since becoming pregnant, I have only had one prenatal visit with normal blood pressure; it has consistently been high, and this time it was partic...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The diagnosis of preeclampsia (commonly referred to as toxemia) is based on hypertension, edema, and proteinuria. If you only have hypertension, the diagnosis would be gestational hypertension rather than preeclampsia. The management principles are: 1. Regular prenatal che...[Read More] Managing High Blood Pressure and Sugar Levels During Pregnancy: Key Insights
Understanding Contraceptive Films and Sponges: Safety and Effectiveness Explained
Regarding the contraceptive diaphragm and contraceptive sponge? Could you please clarify if using the two products mentioned above could harm girls? Could it cause fetal deformities? It seems there isn't much information available about these two products on the market, and ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I am not familiar with these two products. Spermicides contain nonoxynol-9 or octoxynol, which are not absorbed by the vagina, and there is no research indicating that they increase the rates of miscarriage or congenital abnormalities. The downside of spermicides is that t...[Read More] Understanding Contraceptive Films and Sponges: Safety and Effectiveness Explained
Does Pelvic Instability Affect Fertility and Pregnancy Outcomes?
Does pelvic instability affect fertility? Hello Doctor: I have been troubled by sciatica and underwent an X-ray in orthopedics. The X-ray showed several vertebrae in the coccygeal region stacked at different angles and pelvic tilt. There are also white spots in the pelvic cavity,...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello; old pelvic injuries have little impact on future pregnancy rates and miscarriage rates, but during pregnancy, the pressure from the weight of the uterus and fetus can indeed cause more pain. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Does Pelvic Instability Affect Fertility and Pregnancy Outcomes?
How Accurate Are Pregnancy Tests When Your Period Is Irregular?
Is this pregnancy test accurate? Hello Doctor: The instructions say that testing 4 to 7 days before menstruation can yield accurate results, but what if I can't accurately determine the date of my period and I'm worried about being pregnant? I have seasonal periods, whi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A positive result on a pregnancy test indicates an increase in HCG hormone levels in the blood. The reasons for elevated HCG levels are primarily pregnancy or tumors. Please seek medical attention promptly! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] How Accurate Are Pregnancy Tests When Your Period Is Irregular?
Does Drinking Coffee Affect Pregnancy Test Results?
Does drinking coffee affect the results? Hello, doctor. I would like to ask, if my period was supposed to come in the past two days but hasn't, and I am experiencing the same lower abdominal pain and leg soreness as during my usual menstrual cycle, should I patiently wait fo...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your period is overdue, please visit a gynecology clinic for a pregnancy test. Drinking coffee does not affect the results. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Does Drinking Coffee Affect Pregnancy Test Results?
Can You Get Pregnant with Condom Use and Withdrawal Method?
Could you please clarify your question regarding the possibility of pregnancy? If intercourse is performed with a condom and ejaculation occurs outside, is there a chance of pregnancy for the female partner? There seems to be no definitive answer. What is the clear definition of ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Only the correct and consistent use of condoms can prevent sexually transmitted infections and effectively serve as contraception; other methods are unreliable. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can You Get Pregnant with Condom Use and Withdrawal Method?
Understanding Pap Smear Guidelines: Do You Need One Without Sexual Experience?
Pap smear examination (cervical cytology) Hello, I would like to ask: (1) I know that "anyone who has had sexual intercourse should have a Pap smear once a year," but I have heard some doctors say that "a Pap smear is only necessary after having sexual experience f...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The first Pap smear should be performed within three years after the first sexual intercourse; if the results are normal, it should be done annually thereafter. 2. There is almost no risk of cervical cancer without sexual activity. 3. If there is no sexual activity, a P...[Read More] Understanding Pap Smear Guidelines: Do You Need One Without Sexual Experience?
Can You Get Pregnant Immediately After an Abortion?
Is it possible to get pregnant? Hello! I underwent an abortion procedure on March 18. After the procedure, I had intercourse on March 28, and on April 5, I used a pregnancy test and it showed positive. Is this possible? Can one get pregnant immediately after an abortion procedure...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is more likely that the beta-HCG levels from the previous pregnancy have not yet returned to zero. However, you should seek medical attention immediately to rule out the possibility of incomplete miscarriage and gestational trophoblastic disease. Hsinchu City Hospital, ...[Read More] Can You Get Pregnant Immediately After an Abortion?
Understanding Ovulatory Bleeding: Is It Menstruation or Something Else?
Is it ovulatory bleeding? Hello! My menstrual cycle is usually regular, with heavy bleeding for the first 1-2 days and lasting about 3-4 days in total. This time, my period started on March 28 as expected, but the flow was very light and the color was darker, almost black-red. Af...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please seek medical attention immediately for a pregnancy test to rule out pregnancy. A pelvic examination, Pap smear, ultrasound, and even blood tests should be conducted to exclude any organic diseases. Only if all results are normal can it be considered as irregular men...[Read More] Understanding Ovulatory Bleeding: Is It Menstruation or Something Else?
Understanding Pregnancy Risks and Emergency Contraception Options
Please provide the specific content related to pregnancy that you would like me to translate into English? On April 4th, I had sexual intercourse with my girlfriend, but there was no ejaculation, and we stopped afterward. What is the likelihood of pregnancy in this case? Is it ne...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Only the correct and consistent use of condoms can effectively prevent sexually transmitted infections and provide reliable contraception; other methods are not dependable. Emergency contraceptive pills should be taken within 72 hours and are safer when prescribed by an ob...[Read More] Understanding Pregnancy Risks and Emergency Contraception Options
Understanding Abnormal Pap Smear Results and Unusual Discharge in Women
Regarding Pap smear examination issues? The usual discharge is a dark yellow color, and while it remains clean and does not have a strong odor, there is a strong fishy smell after intercourse with my husband. Previously, I had a Pap smear at the hospital that showed mild abnormal...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If vaginal discharge has a fishy odor, it may indicate bacterial vaginosis, which should be treated with broad-spectrum antibiotics. A Pap smear should be performed after recovery for accurate results. 2. May I ask what the report of your cervical biopsy indicates? &quo...[Read More] Understanding Abnormal Pap Smear Results and Unusual Discharge in Women
Understanding the Causes of Enlarged Labia Minora: A Guide for Women
Enlarged labia minora The labia minora may appear elongated for several reasons, including hormonal changes, weight fluctuations, or natural anatomical variations. It's also possible for changes to occur due to factors such as aging or increased blood flow during certain tim...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: As young girls mature and their ovarian function develops, the levels of female hormones in their bodies gradually increase, leading to natural changes in the appearance of their reproductive organs. We welcome you to our clinic for a check-up. Hsinchu Hospital, Department...[Read More] Understanding the Causes of Enlarged Labia Minora: A Guide for Women
Understanding Menstrual Changes After Childbirth: Headaches and Clots
Menstrual period Hello, after giving birth in October 2001, I have experienced headaches and breast tenderness every month during my menstrual period. Additionally, I pass large blood clots during my period, sometimes as big as a fist. I never experienced this before having child...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Generally, after a natural delivery, menstrual cramps tend to be less painful and menstrual flow may decrease. However, if you experience increased menstrual pain and heavier bleeding after a cesarean section, it could be due to adenomyosis. Please come to the Department o...[Read More] Understanding Menstrual Changes After Childbirth: Headaches and Clots
Can You Have a Natural Birth with Symphysis Pubis Dysfunction?
Can a pubic symphysis separation allow for vaginal delivery? After my last delivery (natural birth), I was unable to get out of bed and walk for nearly a month. For this pregnancy, I currently cannot sit or stand for long periods, and I experience abnormal pain around my pelvis w...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please consult an orthopedic specialist for an examination to determine if there is any pelvic injury. If the orthopedic physician believes that hospitalization is necessary, they will arrange for you to be admitted to the orthopedic department under the National Health In...[Read More] Can You Have a Natural Birth with Symphysis Pubis Dysfunction?
Understanding Medication Abortion Risks at 49 Days: What You Need to Know
Induced abortion ~ urgent I would like to ask about medical abortion at 49 days. Is it dangerous to use medication for abortion at this stage? Is surgery necessary? Thank you for your response.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Every life is precious and should not be harmed. You should consider whether it is possible to continue with prenatal care and take responsibility for nurturing this life, rather than only thinking about how to terminate the pregnancy. Hsinchu City Hospital, Department of ...[Read More] Understanding Medication Abortion Risks at 49 Days: What You Need to Know
Light Bleeding Three Days After Menstruation: Causes and Concerns
Light bleeding three days after the end of menstruation? My menstrual cycle has always been very regular, but this time, three days after my period ended, I experienced light bleeding and symptoms similar to those during my period, such as breast tenderness, abdominal pain, and t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The most likely diagnosis is irregular menstruation. Factors such as stress, anxiety, and lack of sleep can contribute to this condition. However, it is important to first visit a gynecologist to rule out any ovarian, uterine, cervical, or vaginal abnormalities that could ...[Read More] Light Bleeding Three Days After Menstruation: Causes and Concerns
Understanding Asymmetrical Labia: Hormonal Influences and Health Concerns
Enlarged labia majora? I am a 22-year-old girl with no sexual experience and I have never masturbated. I have had acne on my face since I was 14 years old, and it has never improved significantly. The hair on my limbs is thick and quite long. I have noticed that my left labium ma...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Acne and excessive body hair are manifestations of ovarian dysfunction and excessive secretion of androgens. 2. Foreign bodies in the labia need to be examined before providing an answer. 3. Please promptly visit a gynecology clinic, such as the Department of Obstetrics...[Read More] Understanding Asymmetrical Labia: Hormonal Influences and Health Concerns
Understanding Your Fertility: Identifying the Danger Zone After Ovulation Pills
Danger period Hello, I visited the doctor today, and the doctor prescribed me ovulation pills, Provera tablets, to take one in the morning and one in the evening. If I start taking them on Tuesday, what would be the approximate days of my fertile window? Thank you.
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Provera is a progestin, not an ovulation medication. 2. Using the safe period for contraception is unreliable. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Your Fertility: Identifying the Danger Zone After Ovulation Pills