Understanding Ectopic Pregnancy: Diagnosis, Treatment, and Future Fertility
Diagnosis and Treatment of Ectopic Pregnancy Dear Dr. Lee, I hope this message finds you well. I would like to ask you some questions regarding ectopic pregnancy, and I would greatly appreciate it if you could take the time to respond. Thank you! 1. How is ectopic pregnancy dia...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Ectopic pregnancy occurs when a fertilized egg implants in an abnormal location (such as the fallopian tube, uterine cornua, ovary, or peritoneum). The diagnostic methods involve many medical terminologies, so I will not elaborate on them here. 2. Not necessarily; most ...[Read More] Understanding Ectopic Pregnancy: Diagnosis, Treatment, and Future Fertility
Can Pre-Ejaculate Fluid Cause Pregnancy? Understanding the Risks
Can I get pregnant? Hello, doctor. I would like to ask, when my penis is erect, there is only a sticky transparent fluid and not the white substance associated with ejaculation. Additionally, I only touched my girlfriend's vagina externally. Could this cause her to become pr...
Dr. Li Guanghan reply Obstetrics and Gynecology
Not using condoms correctly throughout intercourse certainly increases the possibility of pregnancy. If you are concerned about pregnancy, you should promptly consult a gynecologist for emergency contraception.[Read More] Can Pre-Ejaculate Fluid Cause Pregnancy? Understanding the Risks
Understanding Ovulation Pills and Trigger Shots: Do They Guarantee Ovulation?
Ovulation pills and ovulation trigger shots? Is it guaranteed that taking ovulation medication will result in ovulation, just at different times? Does administering a trigger shot definitely ensure that the egg will be released? I’m considering assisted reproduction (AP) and real...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. It's not certain; it depends on the ultrasound results. If oral ovulation medications are ineffective, it may be necessary to switch to injectable ovulation triggers. 2. After administering the ovulation trigger, ultrasound monitoring is required to confirm whether...[Read More] Understanding Ovulation Pills and Trigger Shots: Do They Guarantee Ovulation?
Understanding Cone Biopsy Results: What to Do After Abnormal Pap Smears?
Cervical conization Hello Dr. Lee, I had a cone biopsy on February 2nd, and the report showed no residual disease, which was very reassuring at the time. However, during my routine Pap smear on May 1st, an abnormality was detected again, with a grade of 10, up from 9 before the...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Your questions have been answered. If you have any further inquiries, please bring all your smear tests, biopsy results, and HPV examination reports to our obstetrics and gynecology outpatient clinic for consultation. Thank you! Hsinchu Hospital, Department of Obstetrics a...[Read More] Understanding Cone Biopsy Results: What to Do After Abnormal Pap Smears?
Do You Need a Pap Smear If You’ve Never Had Sex?
Pap smear examination Hello: My friend was sexually abused as a child, and as an adult, she has not married and has not engaged in sexual intercourse. Does she need to have a Pap smear?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Cervical cancer is caused by long-term changes following infection with the human papillomavirus (HPV). Anyone who has had sexual intercourse may be at risk of contracting this virus, so it is recommended to undergo a Pap smear examination. Hsinchu City Hospital, Departmen...[Read More] Do You Need a Pap Smear If You’ve Never Had Sex?
Is It Normal Not to Have Periods While Breastfeeding After Giving Birth?
I'm sorry Is it normal that I haven't had my period since giving birth in June of last year while I am still breastfeeding?
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: During the lactation period, it is possible to experience physiological amenorrhea. However, we recommend that you come in for an examination to rule out other potential causes of missed menstruation, such as pregnancy, thyroid disorders, etc. Hsinchu City Hospital, Depart...[Read More] Is It Normal Not to Have Periods While Breastfeeding After Giving Birth?
Navigating Cervical In Situ Carcinoma: Should You Consider Hysterectomy?
Cervical carcinoma in situ Hello Dr. Li, I underwent a cone biopsy on February 2nd, and the report showed no residual disease, which was very reassuring at the time. However, during my routine Pap smear on May 1st, an abnormality was detected again, with a grade of 10, up from 9 ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: You may discuss with your physician whether they agree to perform another cervical conization. After that, you can decide whether to preserve or remove the uterus based on the pathology report. Online responses are for reference only, and you should follow the advice of yo...[Read More] Navigating Cervical In Situ Carcinoma: Should You Consider Hysterectomy?
Understanding Cryotherapy for Cervical Issues: Key Questions Answered
Cryotherapy Hello Doctor: I have been married for sixteen years. Recently, I underwent a Pap smear, and the results showed mild cervical dysplasia and abnormal discharge. I was prescribed Tidact, Naproxen, Aluzaine, and Basorlin for three days, but I felt very uncomfortable after...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Sexual activity, vaginal medications, and vaginitis can all potentially affect Pap smear results. 2. The patient can visit a urologist for examination; generally, if there are no abnormalities, treatment is not necessary. 3. Using condoms can certainly reduce the risk o...[Read More] Understanding Cryotherapy for Cervical Issues: Key Questions Answered
Comparing Contraceptive Methods: Effectiveness of Oral Pills vs. Condoms
Which contraceptive method has a higher effectiveness rate? Hello Doctor, thank you for your response, but it seems you did not fully answer my question. You overlooked the "21-day oral contraceptive pill." If we purely consider the "contraceptive effectiveness,&qu...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Birth control pills have contraindications (such as smoking, etc.) and potential side effects (such as nausea, etc.), so please consult a physician for related issues. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Comparing Contraceptive Methods: Effectiveness of Oral Pills vs. Condoms
Comparing Contraceptive Methods: Effectiveness of Pills, Condoms, and Calendar
Which contraceptive method has a higher efficacy rate? Hello, doctor. I understand that there is no contraceptive method that is 100% effective. However, for women with normal health and a regular menstrual cycle (occurring every 28-30 days), among the following three contracepti...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Proper 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] Comparing Contraceptive Methods: Effectiveness of Pills, Condoms, and Calendar
Can Amniocentesis Test for Down Syndrome and SMA Simultaneously?
Down syndrome and spinal muscular atrophy? The physician asks: To test whether the baby in the womb has Down syndrome, an amniocentesis is performed to collect amniotic fluid for chromosomal analysis. Can the amniotic fluid collected also be used for the analysis of spinal muscul...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: We apologize, but our hospital currently does not offer this testing item. Please inquire with a medical center. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Can Amniocentesis Test for Down Syndrome and SMA Simultaneously?
Can Childhood Sexual Abuse Be Detected Years Later? Expert Insights
My question? Hello, doctor. I often see many news reports about sexual assault in the X News, and the victims are frequently young girls. Many years later, they accuse their perpetrators of sexual assault. My question is, for a young girl aged 5 to 8 who was sexually assaulted, i...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: The physician at the hospital who examines injuries is only assisting in sample collection; the specimens will be handed over to the police for testing. As far as I know, advancements in forensic science are progressing rapidly, and even after many years, it is still possi...[Read More] Can Childhood Sexual Abuse Be Detected Years Later? Expert Insights
Post-Menstrual Breast Swelling: Causes and Concerns Explained
Breast swelling after menstruation? Hello Doctor: My last menstrual period started on February 11, and this one started on March 18, which feels about five days later than usual. Although the feeling of bloating has decreased after my period ended, I still feel a slight bloated s...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: I apologize, but without an examination, it is really impossible to provide an answer to your situation. Please visit an obstetrics and gynecology or breast surgery department as soon as possible. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Post-Menstrual Breast Swelling: Causes and Concerns Explained
Can I Get Vaccinated After Treating HPV? Expert Answers Your Questions
excuse me? Hello, Doctor! I saw a notice at the clinic about getting vaccinated! Since I have already had warts, I would like to get vaccinated after the electrosurgery. Is it still effective? I found information online stating that a Pap smear should be done first, and only if t...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If you are asking about the cervical cancer vaccine, it should be effective, but it does not guarantee that you will never get genital warts again, nor does it guarantee that you will never develop cervical cancer. If you have had sexual intercourse, you should still ha...[Read More] Can I Get Vaccinated After Treating HPV? Expert Answers Your Questions
Understanding Post-Radical Hysterectomy Complications: Ureteral Stricture
Radical hysterectomy? Thank you, doctor, for addressing my previous inquiry regarding the inability to urinate independently after total abdominal hysterectomy. However, I did not receive an answer regarding the postoperative development of bilateral ureteral strictures, which ne...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is quite common for cervical cancer patients to experience ureteral obstruction or hydronephrosis, which is caused by the disease rather than the surgery. Placing a double-J stent can prevent renal failure, but it needs to be replaced regularly. A significant number of ...[Read More] Understanding Post-Radical Hysterectomy Complications: Ureteral Stricture
Understanding Post-Hysterectomy Complications: Urinary Issues Explained
Total Abdominal Hysterectomy Hello, doctor. I have stage 1A cervical adenocarcinoma and underwent a total abdominal hysterectomy. It has been one year and eight months, and I am still unable to urinate independently. During this time, I have relied on self-catheterization. After ...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Radical hysterectomy is a surgical procedure used to treat cervical cancer and is life-saving. The extent of the resection needs to be sufficiently large and thorough, which means that patients have a significant chance of experiencing postoperative urinary or bowel dysfun...[Read More] Understanding Post-Hysterectomy Complications: Urinary Issues Explained
Understanding Emergency Contraception: Is Post-Pill Bleeding Your Period?
I would like to ask the doctor...? I had unprotected sexual intercourse and took the emergency contraceptive pill (Postinor) afterward. I took it on time, and seven days later, I experienced bleeding that lasted for four days, with a significant amount of bright red blood. Is thi...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is possible to experience withdrawal bleeding within a week after taking emergency contraception; this is a side effect of the medication and does not guarantee that contraception was successful. If your next period is delayed, you should take a pregnancy test. Hsinchu ...[Read More] Understanding Emergency Contraception: Is Post-Pill Bleeding Your Period?
Could You Be Pregnant? Understanding Irregular Periods and Symptoms
I'm not sure what topic to choose? After the menstrual period on March 218, I had sexual intercourse. My period arrived on March 327, and sometimes there is little blood, while other times there is a lot. My periods used to last about 7 days, but this time it lasted only abo...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: In early pregnancy, if there is light bleeding, it may be mistaken for a decrease in menstrual flow. It is recommended that you come in for an examination. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Could You Be Pregnant? Understanding Irregular Periods and Symptoms
Understanding Hard Lumps After Weaning: Causes and Solutions
Lumps caused by weaning? Hello Doctor: After giving birth, I initially breastfed or pumped breast milk 6 to 8 times a day for about 40 days. Then I gradually reduced to 3 to 4 times for 2 days, 2 times for 2 days, and 1 time for 1 day before stopping breastfeeding or pumping alto...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is recommended that you apply ice packs frequently, avoid massaging the breasts, and refrain from stimulating the nipples. If the swelling persists after your menstrual period, you should consult a breast specialist. Hsinchu Hospital, Department of Obstetrics and Gyneco...[Read More] Understanding Hard Lumps After Weaning: Causes and Solutions
Emergency Contraception: Do You Need a Second Dose After Taking Birth Control?
excuse me? Dear Doctor, I would like to ask a question. This morning, I took a contraceptive pill that is meant to be taken 12 hours later, and that evening I had sexual intercourse (it lasted only about 3 to 5 seconds initially, as I was afraid and immediately put on a condom)...
Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: It is recommended to take emergency contraceptive pills, but online information is for reference only. If you have any conditions that may make it unsuitable for you to take contraceptive pills, please come in for an evaluation by a physician. Hsinchu City Hospital, Depart...[Read More] Emergency Contraception: Do You Need a Second Dose After Taking Birth Control?