Understanding Cervical Cancer Risks: CIN-2 and Cone Biopsy Insights
Cervical cancer Hello Doctor: I had a Pap smear in September this year, and the result was abnormal, indicating dysplasia that cannot exclude HSIL. I subsequently underwent a biopsy, which showed focal CIN-2 in the uterus and cervix. Microscopically, the sections reveal a picture...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. The pathology reports from cervical conization surgeries mostly align with the pathology reports from colposcopic cervical biopsies, with a small portion being more severe and a very small percentage being less severe. 2. Your current cervical biopsy report indicates CI...[Read More] Understanding Cervical Cancer Risks: CIN-2 and Cone Biopsy Insights
Latest HPV Vaccine: Can Those with Previous Infections Get Vaccinated?
The latest second wave of HPV vaccines? Doctor, I applied Ledezma before undergoing electrocautery, but it recurred again (a total of two times). After that, I went to Veterans General Hospital for electrocautery, but it has recurred again... May I ask, for the latest second wave...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Our Department of Health has currently approved only one type of cervical cancer (HPV) vaccine at the Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Latest HPV Vaccine: Can Those with Previous Infections Get Vaccinated?
Cone Biopsy and Pregnancy: What You Need to Know for a Safe Journey
Conical excision Hello Doctor: Last year, an abnormality was found during a Pap smear, and the doctor recommended a cone biopsy for further treatment. Subsequent follow-up examinations were normal. I am now 10 weeks pregnant, and the doctor has advised that I need a cervical cerc...
Dr. Li Guanghan reply Obstetrics and Gynecology
I suggest you consult your attending physician about the benefits this surgery may bring and the potential risks involved. If the benefits clearly outweigh the risks, you should be better able to make a decision. May God bless you at Hsinchu Hospital, Department of Obstetrics and...[Read More] Cone Biopsy and Pregnancy: What You Need to Know for a Safe Journey
Managing Recurring Warts: Treatment Options and Concerns for Women's Health
Cauliflower vs. LEEP (Loop Electrosurgical Excision Procedure) / Cryotherapy / Electrocautery Treatment / Cervical Vaccine / Pap Smear Hello, regarding the issue of recurrent warts (very stubborn), I feel very itchy after applying Aldara at night, and the next day it feels prickl...
Dr. Li Guanghan reply Obstetrics and Gynecology
1. It is reasonable to have localized sensations when using Ledaeme. 2. Treatments for warts include cryotherapy, electrosurgery, or topical ointments. 3. If you have warts on the vulva, a Pap smear can be performed at any time. 4. Vaccines cannot treat existing conditions;...[Read More] Managing Recurring Warts: Treatment Options and Concerns for Women's Health
Does a Cold Affect Basal Body Temperature During Ovulation?
Does a cold cause an increase in basal body temperature? Hello Dr. Lee, I would like to ask a question: After my menstrual period started on July 29, I followed the doctor's instructions and took ovulation medication for six days. On August 17, my ovulation temperature was ...
Dr. Li Guanghan reply Obstetrics and Gynecology
1. It is certainly possible to have a fever with a cold. 2. Your period started on August 29, and on August 30, the pregnancy test showed only one line. You can take another pregnancy test now to confirm if it is negative. If you are still uncertain, you can go to the hospital ...[Read More] Does a Cold Affect Basal Body Temperature During Ovulation?
Understanding Ectopic Pregnancy and Its Impact on Fertility Options
Bilateral salpingectomy due to ectopic pregnancy? In July 2006, I underwent a laparoscopic surgery in Taitung to remove my left fallopian tube due to an ectopic pregnancy. However, in June of this year, I experienced another ectopic pregnancy and had to undergo an open surgery at...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! If both fallopian tubes have been removed, you should consider in vitro fertilization (IVF) if you wish to become pregnant. May God bless you![Read More] Understanding Ectopic Pregnancy and Its Impact on Fertility Options
Post-Surgery Concerns: Managing Wound Healing and Menstrual Hygiene
Recently, I had a burn on my cauliflower (the area around the groin) that hasn't healed yet, but my menstrual period has started? Hello, I had surgery to cauterize a cauliflower lesion on July 31, and my wound has not fully healed yet. Sometimes it still oozes pus and blood....
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! 1. Please follow the instructions provided by your surgeon regarding wound care after surgery. 2. My personal recommendation is: do not use pads when you are not menstruating, and you may soak the wound. During menstruation, it is advisable not to soak the wound. If you ar...[Read More] Post-Surgery Concerns: Managing Wound Healing and Menstrual Hygiene
Post-Myomectomy Bowel Issues: Understanding Symptoms and Next Steps
Postoperative care after uterine fibroid surgery? Hello Dr. Lee, I have uterine fibroids located lower down, which are compressing my intestines. Every day when I go to the bathroom, my stools are always thin and I have a feeling of incomplete evacuation. After undergoing surgery...
Dr. Li Guanghan reply Obstetrics and Gynecology
Without an examination, it is truly impossible to provide an answer, and we are also unaware of the specifics of your surgery. We recommend that you consult with your primary surgeon, who can advise you on which tests should be conducted. Thank you! Hsinchu City Hospital, Departm...[Read More] Post-Myomectomy Bowel Issues: Understanding Symptoms and Next Steps
Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
A small lump in the groin area? Hello Dr. Li, I would like to ask a few questions. Recently, I discovered a hard lump in my groin area that is not visible on the surface. It doesn't hurt when I lightly touch it, but I can feel the hardness with slight pressure, and it is som...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! If you have a hard lump in the groin area, the first step is to rule out the possibility of "lymphadenopathy." Please seek medical evaluation for examination.[Read More] Understanding Groin Lumps: Causes, Symptoms, and When to Seek Help
Understanding Pregnancy Risks After Unprotected Sex During Menstrual Cycle
Is it possible to get pregnant if ejaculation occurs on the 5th day after menstruation? Hello, Doctor: (Please take a moment to help clarify my concerns, thank you) My menstrual cycles started on April 27, May 26, June 27, and July 25. My period on July 25 (which usually lasts fo...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! 1. During menstruation, the cervix is at its most vulnerable and has the lowest resistance, making sexual intercourse inadvisable. Although the chances of conception are low at this time, it is not impossible. If you are concerned about pregnancy, you should seek consult...[Read More] Understanding Pregnancy Risks After Unprotected Sex During Menstrual Cycle
Understanding Clitoral Pain: Causes and Solutions for Women
Clitoral pain? Hello Doctor: I have been troubled for the past few months because I prefer to be on top during sexual intercourse. After one particularly vigorous session, I experienced a tearing pain in my clitoris (including pain when bending over that seems to pull on the clit...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Please get plenty of rest and try warm water sitz baths, which can be beneficial for rehabilitation of pelvic muscles and ligament injuries. Additionally, you should seek medical attention, as the doctor will prescribe appropriate medications based on your condition. Hsinc...[Read More] Understanding Clitoral Pain: Causes and Solutions for Women
Understanding Adhesions and Fibroids: Symptoms and Complications
Inquiry 1. Uterine fibroid laparotomy is said to cause adhesions; what are the symptoms? 2. If there are 15 fibroids, most of which are about the size of a ping pong ball, will the adhesions be more severe? 3. I have had chronic constipation for 24 years; if adhesions occur, wi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! Postoperative adhesions are a type of condition, and it is not guaranteed that you will develop adhesions after undergoing surgery to remove multiple fibroids. To prevent adhesions, it is recommended that you maintain a long-term diet rich in fruits and vegetables, drink p...[Read More] Understanding Adhesions and Fibroids: Symptoms and Complications
Post-Hysterectomy Complications: Understanding Leg Pain and Mobility Issues
Post-hysterectomy complications? Hello Dr. Lee, my mother-in-law recently underwent a hysterectomy and oophorectomy due to cervical cancer. The surgery went very well, and her recovery has been quite good. However, for some unknown reason, one week after the surgery, she started ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! The correlation of this symptom with gynecological surgery is low, but if it has become severe enough to prevent walking, you should immediately return to your physician for consultation. The attending physician will definitely take further action. Thank you![Read More] Post-Hysterectomy Complications: Understanding Leg Pain and Mobility Issues
Effective Treatment Options for Genital Warts: A Comprehensive Guide
Treatment methods for cauliflower (cauliflower ear)? I would like to ask about the treatment options for warts. I know there are two methods: electrosurgery and topical medications. I would like to know what a caustic agent is used for. Some people have suggested using a caustic ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! There are generally two methods: electrosurgery and topical ointments. Electrosurgery provides immediate results but is more painful, and the wound takes longer to heal; topical ointments take a longer time but are gentler. It is advisable to consult with a healthcare prov...[Read More] Effective Treatment Options for Genital Warts: A Comprehensive Guide
Effective Treatments for Cauliflower Warts: Aldara vs. Other Creams
What is the best treatment method for cauliflower (cauliflower ear)? What is the best method to treat warts to minimize recurrence? Could you please explain the following two ointments: Warticon and Aldara? Thank you!
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! There are generally two treatment methods for warts: electrosurgery and topical ointments. After examining you, the physician will provide appropriate recommendations based on factors such as the location and number of lesions. Wart treatments like Condylox and Aldara are ...[Read More] Effective Treatments for Cauliflower Warts: Aldara vs. Other Creams
Understanding White Discharge from Nipples: Causes and Concerns
Breast issues Hello, doctor! I often notice white substances on my nipples. When I squeeze them, a white substance comes out, similar to whiteheads on the nipples. Could you please tell me why this happens? Is there any pathological change in my nipples?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! Please inquire with the breast surgery department. Thank you![Read More] Understanding White Discharge from Nipples: Causes and Concerns
Understanding Genital Warts: Treatment, Prevention, and Care Tips
I have developed warts? A little over a week ago, I noticed a small growth in my genital area, and then my period started, so I didn't see a doctor. However, one or two more growths appeared. Today, after my period ended, I went to see a gynecologist. He said I might have ge...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello! Genital warts are primarily sexually transmitted, but there is also a possibility of transmission through shared toilets or towels, although the risk is lower. Genital warts can be treated with electrosurgery or topical ointments; the former is more painful but provides im...[Read More] Understanding Genital Warts: Treatment, Prevention, and Care Tips
Understanding Menstrual Irregularities: Causes, Treatments, and Concerns
Menstrual irregularities Hello, doctor... After a menstrual adjustment, my periods have been irregular for the past six years. I now need to take medication (PROVERA) to induce menstruation. I take it once every three months, and after each course (2-3 days of normal flow, about ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: A. There are many causes of irregular menstruation. It is recommended that you come in for an examination, where we will perform an ultrasound and blood tests; if you have had sexual intercourse, we will also conduct a pelvic exam and Pap smear. B. Accumulation of menstrua...[Read More] Understanding Menstrual Irregularities: Causes, Treatments, and Concerns
Understanding Emergency Contraception: Risks and Pregnancy Concerns
Issues related to emergency contraception? I had sexual intercourse on June 11 and took emergency contraception on June 12. I experienced slight bleeding on June 19, which stopped by June 21. However, I had another ejaculation inside on June 22. My menstrual cycle is usually regu...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The contraceptive effectiveness of emergency contraceptive pills is not 100%. If your next menstrual period is delayed or if it arrives but is very light, you should take a pregnancy test. Department of Obstetrics and Gynecology, Hsinchu Hospital.[Read More] Understanding Emergency Contraception: Risks and Pregnancy Concerns
Understanding Emergency Contraceptive Pills: Side Effects and Alternatives
Emergency contraceptive pill Hello, could you please tell me if there are any side effects of taking emergency contraceptive pills? My boyfriend and I only meet on weekends, so we engage in sexual activity then. I would like to know what other contraceptive methods might be bette...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. There may be nausea, vomiting, and vaginal bleeding. 2. It is primarily recommended to avoid premarital sexual intercourse. If it must occur, it is advised to use condoms correctly throughout the entire act, as they not only prevent pregnancy but also help prevent sexua...[Read More] Understanding Emergency Contraceptive Pills: Side Effects and Alternatives