Understanding Severe Menstrual Pain: Causes and Treatment Options
Disturbing menstrual cramps I experience severe menstrual pain that makes it difficult to stand, and my complexion turns pale. Even after being examined by several obstetricians, they are unable to determine the cause of my dysmenorrhea. Initially, acetaminophen was somewhat effe...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The majority of menstrual pain is primary, meaning it is simple menstrual pain with all tests returning normal results, and it is also related to tension, stress, and lack of sleep. Pain relievers can be taken starting the day before menstruation begins (when you feel that...[Read More] Understanding Severe Menstrual Pain: Causes and Treatment Options
Boosting Your Chances of Pregnancy: Key Insights and Tips
Is the probability of getting pregnant high? Hello! My first child is already a year and a half old, and my husband and I really want to have a second child, but we haven't had any luck so far. I would like to ask about my menstrual cycle in February, which started on the 22...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please use basal body temperature or ovulation test strips to identify your ovulation period, and then engage in intercourse, as this increases the chances of success. After intercourse, please lie down with your hips elevated for 20 minutes before getting up; it is normal...[Read More] Boosting Your Chances of Pregnancy: Key Insights and Tips
How Soon Can You Determine Fetal Gender Through Blood Tests?
How soon can the sex of the fetus be determined? Hello Doctor: Can the fetal gender be determined through a blood test within the first 8 weeks of pregnancy? How long does it take to get the results from the blood test for gender? I am currently about 6 weeks pregnant and experie...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Blood tests to determine the sex of the fetus are a common out-of-pocket service offered by many obstetrics and gynecology clinics, and they can indeed be performed as early as eight weeks. However, our hospital does not encourage this practice, as it may lead to the termi...[Read More] How Soon Can You Determine Fetal Gender Through Blood Tests?
Can You Alternate Between Different Birth Control Pills Safely?
Is it safe to switch between different brands of birth control pills? Hello, I would like to ask the doctor if it's possible to alternate between Qlaira and Diane, such as taking Qlaira for one month and then Diane for the next month, or alternating daily (one day Qlaira, on...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Hormonal preparations should be taken at a stable dosage and formulation on schedule. Gynera and Diane have different formulations for progestin and different dosages for estrogen, so it is advisable to choose one for use. Department of Obstetrics and Gynecology, Hsinchu H...[Read More] Can You Alternate Between Different Birth Control Pills Safely?
Cost of Menstrual Induction Injections in Gynecology: What to Expect
Menstrual induction injection Could you please tell me how much a typical injection for inducing menstruation costs in general obstetrics and gynecology?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If there is a theoretical basis (such as menstrual irregularities) for the use of menstrual induction medications, it should be covered by health insurance and not require out-of-pocket expenses. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Cost of Menstrual Induction Injections in Gynecology: What to Expect
Can I Get Pregnant? Understanding Risks After Intimate Contact
Can I get pregnant? I had intimate contact with my boyfriend four days ago in the afternoon. He did not ejaculate inside my vagina, but I was not wearing underwear while sitting on his lap, and he was wearing underwear that already had some semen on it. Is there a possibility tha...
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; withdrawal method is unreliable. If your period is delayed, please visit a gynecology clinic for a pregnancy test. Hsinchu Hospital, Department o...[Read More] Can I Get Pregnant? Understanding Risks After Intimate Contact
Can Progesterone Cause Birth Defects? Concerns for Future Mothers
Does thalidomide cause birth defects? I am currently experiencing abnormal bleeding and went to the hospital for a check-up. The doctor prescribed me progesterone for 10 days, but I am quite anxious because I want to prepare for motherhood. Can I conceive while taking progesteron...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Long-term use of synthetic progesterone without knowledge of pregnancy may cause masculinization in female infants. If your menstrual period is overdue, please visit an obstetrics and gynecology clinic immediately for a pregnancy test. If you are pregnant, stop the medicat...[Read More] Can Progesterone Cause Birth Defects? Concerns for Future Mothers
Is It Safe to Have Sex During Menstrual Cycle Days 5-10?
Is this considered a safe period? Hello, I would like to ask if having intercourse on the 5th, 6th, and 7th days of a woman's menstrual period is considered a safe period. Is it also a safe period on the 8th, 9th, and 10th days? What is the effectiveness percentage of contra...
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 is unreliable. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Is It Safe to Have Sex During Menstrual Cycle Days 5-10?
Understanding Ovulation: Why You Might Not Be Ovulating Despite Normal Cycles
Is ovulation occurring? Hello Doctor: We have been trying for six months to conceive our second child, but there has been no news. My basal body temperature is normal, with a clear biphasic pattern, entering the high-temperature phase around day 16, and my menstrual cycle is abou...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If the basal body temperature suddenly rises by 5 degrees and crosses the red line, ovulation can be confirmed. After that, it is important to monitor if the high-temperature phase lasts more than eleven days, as this indicates good ovarian function. Hsinchu Hospital, Depa...[Read More] Understanding Ovulation: Why You Might Not Be Ovulating Despite Normal Cycles
Understanding Chlamydia Infections: Symptoms and Risks After Childbirth
Mycobacterium leprae?? Chlamydia infection occurs through sexual contact with an infected person. If you are only having sexual relations with your husband, it is important to ensure that he has not been exposed to the infection. After childbirth, the vaginal environment can chan...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The common types of vaginitis include yeast infections, bacterial vaginosis, and trichomoniasis. Chlamydia is just one type of bacteria that can cause bacterial vaginosis. A fishy odor may indicate bacterial vaginosis; however, it is not necessary to culture to identify th...[Read More] Understanding Chlamydia Infections: Symptoms and Risks After Childbirth
Can I Get Pregnant After Surgery for Chocolate Cysts?
Can I get pregnant? Hello, I had surgery to remove an endometrioma in July, and the doctor mentioned that there was significant adhesions. After treatment, I was informed that I could have a 70% chance of conceiving. However, it has been four months since the treatment, and I hav...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. It is indeed the best time to conceive after surgery to remove endometriosis. If you have not become pregnant within a year post-surgery, please consult a gynecologist for further evaluation. 2. If your period is due and has not arrived, please visit a gynecology clinic...[Read More] Can I Get Pregnant After Surgery for Chocolate Cysts?
Can Pap Smear Detect Chlamydia Infection and HPV Risks?
Can a Pap smear detect it? Hello Doctor, I would like to ask if a Chlamydia infection can be detected through a Pap smear if one is unaware of the infection. Or is it necessary to specifically perform a Chlamydia test to know? If the Pap smear results are normal, is it still ne...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Mycoplasma requires special culture and cannot be detected through a smear test. 2. Smear tests should be conducted annually; if all results are normal, HPV testing may not be necessary. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can Pap Smear Detect Chlamydia Infection and HPV Risks?
Does Inhaling Pesticides During Pregnancy Affect Fetal Development?
Does inhaling insecticides affect the fetus? I am currently nine weeks pregnant, almost ten weeks. A few days ago, there were a lot of mosquitoes and ants in my house, so I sprayed a large amount of insecticide. I accidentally inhaled a couple of big breaths and even choked on it...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The effects of chemical substances on pregnancy must be understood in terms of a. the generic name b. the route of exposure c. the dosage d. the gestational week, and then search medical databases; however, there may not be precedents or relevant experiments available f...[Read More] Does Inhaling Pesticides During Pregnancy Affect Fetal Development?
Can I Take Emergency Contraceptive Pills After Heart Surgery?
What can I do? I had surgery as a child for a heart defect. Can I take emergency contraceptive pills? What side effects might there be? I just finished my period yesterday, but there is still a little bit left. I had intercourse with my boyfriend, and he ejaculated inside me. Is ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Hormonal preparations are not recommended for individuals with cardiovascular diseases or embolic diseases. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can I Take Emergency Contraceptive Pills After Heart Surgery?
Understanding Menstrual Irregularities and Fungal Infections in Women
Amenorrhea Hello Doctor: My menstrual period has only occurred once since December of last year, and it hasn't come since! I have not had sexual intercourse, but I have engaged in masturbation. During the Lunar New Year, I visited a gynecologist due to vaginal itching, and t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Vaginal infections can potentially affect the regularity of menstruation. 2. When the immune system is weakened (such as due to lack of sleep or stress), it is easier to develop candidiasis. Recommendations: a. Keep nails short and maintain hygiene during masturbation. ...[Read More] Understanding Menstrual Irregularities and Fungal Infections in Women
Radiation Exposure and Pregnancy: What You Need to Know
Radiation vs. Pregnancy Hello, doctor: I recently underwent a bone density test, and it only occurred to me afterward that I might be pregnant. If I am indeed pregnant, is the baby okay? Can I keep the baby? P.S. The person I spoke with was likely a researcher rather than a licen...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Generally speaking, X-ray examinations before eight weeks of pregnancy and after twenty-five weeks have minimal impact, and radiation doses above 10 rad are more likely to affect pregnancy. You may inquire about the radiation dose for a single bone density scan from that m...[Read More] Radiation Exposure and Pregnancy: What You Need to Know
Understanding Urethral Bleeding: Causes and When to Seek Help
Urethral bleeding Yesterday, during sexual intercourse with my boyfriend, I accidentally inserted his genitalia into my urethra. There were no abnormalities at that time, but this morning when I woke up and urinated, I experienced significant pain and noticed blood in my urine. H...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Based on the situation you described, you should immediately visit an obstetrics and gynecology clinic. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Urethral Bleeding: Causes and When to Seek Help
Understanding Delayed Periods and Breast Discomfort: Possible Pregnancy Signs
I'm sorry, but I cannot assist with that? Hello doctor, my girlfriend's period has been delayed for a long time. We had intercourse in early February, and her last period was on January 15, with the one before that on December 17. Now it's March 1, and she still ha...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If your period is due and has not arrived, please go to a gynecology clinic immediately for a pregnancy test. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Delayed Periods and Breast Discomfort: Possible Pregnancy Signs
Understanding Tamoxifen Side Effects: Should You Consider Endometrial Biopsy?
Side effects of Tamoxifen? Doctor: Hello! I am a stage 0 breast cancer patient and started taking Tamoxifen last October. Before starting the medication, I had an ultrasound of the cervix, and the endometrial thickness was 0.5 cm. After starting the medication, my first menstrual...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: If you were postmenopausal before taking Tamoxifen, then an endometrial thickness of 6mm with bleeding should be evaluated with a dilation and curettage (D&C). If you were premenopausal before starting the medication, you may consult your physician to determine if the ...[Read More] Understanding Tamoxifen Side Effects: Should You Consider Endometrial Biopsy?
Understanding Vulvar Itching: Symptoms and Self-Care Options
Genital itching Please help me with a diagnosis: Two days after sexual intercourse, I took the emergency contraceptive pill, maybe a day later. The inner side of my labia majora is itchy and slightly painful, and there are small, bumpy protrusions that look like lychee skin. What...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Based on your description, a correct diagnosis cannot be made. Please visit the obstetrics and gynecology department. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Vulvar Itching: Symptoms and Self-Care Options