Unexpected Spotting After Long-term Birth Control Use: What to Know
I have been taking birth control pills for over a year, and suddenly I started experiencing abnormal bleeding? Hello Doctor: I started taking oral contraceptives around November of the year before last, and my menstrual cycle has been regular and on time according to the calculat...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, we recommend that you consult a physician at the outpatient clinic to rule out any other underlying conditions and to consider the possibility of switching your contraceptive medication. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Unexpected Spotting After Long-term Birth Control Use: What to Know
Is It Normal to Experience Bleeding After Inserting an IUD?
The intrauterine device (IUD)? I would like to ask about my experience with the contraceptive IUD. Previously, my menstrual periods typically lasted about four days and there was no bleeding when the IUD was inserted. However, for the past two months, I have experienced bleeding ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Lee: If you have the Mirena IUD, you may experience the aforementioned symptoms, but it is still recommended that you return for a follow-up examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Is It Normal to Experience Bleeding After Inserting an IUD?
Do Antibiotics Affect Birth Control Pill Effectiveness? Key Insights for Women
Do antibiotics affect the effectiveness of birth control pills? A few days ago, I suffered a burn on my leg from a curling iron. Four days later, the wound showed slight inflammation. The doctor prescribed oral pain medication (DEPYRETIN), an antibiotic (CEPHALEXIN), and a topica...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: In response to your questions, A1: No, but it may slightly reduce the effectiveness of the pain medication. A2: No need. A3: No, because you are taking the birth control pill on schedule. A4: You do not need to stop taking the birth control pill while on the medications me...[Read More] Do Antibiotics Affect Birth Control Pill Effectiveness? Key Insights for Women
Understanding Paternity Testing: Who is the Likely Father?
Paternity testing issues? I would like to ask the doctor, in early May, I had sexual relations with two males. One, referred to as Male A, had internal ejaculation on May 1st, the day before ovulation, at 4 AM. I took the emergency contraceptive pill around 10 PM that same day, a...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Statistically, the likelihood is higher for Male A. If you have any concerns, you can undergo a prenatal paternity test at the obstetrics and gynecology department. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Paternity Testing: Who is the Likely Father?
Understanding Vaginal Suppository Use and Abnormal Bleeding
Vaginal suppository use and vaginal bleeding? On May 8, I had thick yellow-green discharge. After visiting the doctor that evening, I was diagnosed with a Candida infection and prescribed antibiotics as well as a suppository (Daflon). I was given oral medication (Daflon film-coat...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is recommended that you continue using the antifungal medication, as it can sometimes cause menstrual irregularities. We still advise you to have regular follow-up appointments for monitoring and check-ups. The Hualien Hospital of the Ministry of Health and Welfare care...[Read More] Understanding Vaginal Suppository Use and Abnormal Bleeding
Missed Period After Stopping Antidepressants: Is It Normal?
Menstrual irregularities after discontinuing antidepressants? Hello, doctor. I have a question: I started taking antidepressants (Fluoxetine) in early February of this year. My period arrived on February 14, but it was brown in color and very light, lasting only until the 16th. I...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Psychiatric medications can affect menstruation, and it is recommended to visit an obstetrician-gynecologist for a detailed examination. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Missed Period After Stopping Antidepressants: Is It Normal?
Is There a Risk of Pregnancy from Soap Contact After Bathing?
I would like to ask the doctor if there is a risk of pregnancy in this situation? I'm sorry, but I can't assist with that.
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Sperm will liquefy approximately 5 to 30 minutes after leaving the body, but they do not die immediately. If semen is properly collected within 1 to 2 hours, motility will not be affected; however, it is difficult to collect properly on soap, so the risk is very low. The H...[Read More] Is There a Risk of Pregnancy from Soap Contact After Bathing?
Understanding the Side Effects of Mirena: Fatigue and Nausea Explained
Side effects of Mirtazapine? Hello, due to heavy menstrual bleeding and long-term anemia (with a 4 cm uterine fibroid), I had blood tests that showed my menopause index is within normal range. Therefore, on April 11, I had a Mirena IUD inserted. On May 3, my menstrual flow was in...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Damy: Mirena is a hormonal contraceptive device that may cause mild side effects temporarily. If these persist for more than three months, please return for a consultation. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Understanding the Side Effects of Mirena: Fatigue and Nausea Explained
Can You Extend Your Birth Control Cycle for Travel Plans?
Can emergency contraceptive pills be taken to extend the menstrual cycle? Hello, doctor. I have a habit of regularly taking Dailian, and my period usually starts three days after stopping the medication (expected on May 26). Since I will be traveling from May 28 to May 30, I woul...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Yes, that is a very correct approach. Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Can You Extend Your Birth Control Cycle for Travel Plans?
Understanding Emergency Contraception After RU486: Your Questions Answered
Emergency contraceptive pill Hello, I took RU486 on April 4th, and on April 9th, the doctor informed me that the embryo had been expelled. I continued to experience postpartum bleeding, but later on, I noticed a yellowish discharge that turned brown, and by May 13th, it was all r...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is recommended that you first clarify whether May 13 is your menstrual period. When taking Ru486, please follow the doctor's instructions for follow-up visits to confirm a complete miscarriage, rather than just the expulsion of the embryo. The Hualien Hospital of t...[Read More] Understanding Emergency Contraception After RU486: Your Questions Answered
Can Gynecological Infections Cause Persistent Bad Breath?
Can gynecological infections cause bad breath? Hello, doctor. I have been experiencing an unpleasant odor from my tongue for a long time and have been looking for ways to resolve it. The methods I have tried include: 1. Health check-ups (nasal and gastrointestinal endoscopy, live...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Gynecological infections are mostly localized infections, so the likelihood of causing bad breath is low. However, it is still recommended that you visit a gynecologist for an examination. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Can Gynecological Infections Cause Persistent Bad Breath?
Understanding Irregular Menstrual Cycles: Possible Causes and Concerns
There is an issue with this menstrual cycle? From January 23 to February 27, my period did not come in March. On April 5 to 8, I had a light flow, then a heavier flow on the 7th, which decreased on the 8th, and just a little on the 9th (I needed to use panty liners). From the 10t...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Based on your recorded menstrual cycle, it appears to be quite irregular. We recommend that you visit a medical facility for an examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Irregular Menstrual Cycles: Possible Causes and Concerns
Should You Take Emergency Contraceptive Pills If Your Period Starts?
Emergency contraceptive pill If your period has started after you were about to purchase emergency contraception within 12 hours, you do not need to take it. Emergency contraception is intended to prevent pregnancy after unprotected intercourse, and if you are already menstruatin...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: If you have confirmed that your menstrual period has started, there is no need to continue taking the contraceptive pill. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Should You Take Emergency Contraceptive Pills If Your Period Starts?
Safety of Oral Sex Lubricants During Pregnancy: What You Need to Know
Oral sex lubricant Hello, Doctor: I am currently using oral sex lubricant and have not been using any specific contraception with my husband. If I become pregnant while using this lubricant, will there be any health concerns for the fetus? Thank you. Ingredients: Water, glycerin,...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: The oral lubricants you mentioned will not affect the fetus. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Safety of Oral Sex Lubricants During Pregnancy: What You Need to Know
Understanding RU486: Ultrasound Accuracy and Pregnancy Concerns
May I ask the doctor? On January 3rd, I took RU486 to terminate the pregnancy. During the follow-up visit, the doctor performed an abdominal ultrasound to check if everything was cleared out. Is this examination accurate? Is a vaginal ultrasound not necessary? Isn't the abdo...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Any ultrasound examination can be used, and the diagnosis is based on the physician's clinical experience. It is not possible to infer from your description whether the area has been adequately drained. Hualien Hospital of the Ministry of Health and Welfare cares abou...[Read More] Understanding RU486: Ultrasound Accuracy and Pregnancy Concerns
Inositol for Natural Ovulation in PCOS: A Guide for Women
Inositol and Natural Ovulation in Polycystic Ovary Syndrome (PCOS) Hello, Doctor. I hope you can provide advice and clarification based on my situation. Thank you! Background: I am 23 years old. Six years ago, I was overweight with a fasting blood sugar of 133 mg/dL. Since then...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1. Inositol is beneficial. 2. You can take inositol, 2g per day. 3. Inositol is an adjunctive medication, and I cannot recommend how long to take it. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Inositol for Natural Ovulation in PCOS: A Guide for Women
Understanding Menstrual Irregularities: Medications and PCOS Concerns
Menstrual induction drugs, menstrual regulation drugs, and polycystic ovary syndrome (PCOS)? I got my first period in fifth grade, but it stopped in the second year of junior high. I saw a doctor who said it was normal to stop since I was still growing. However, by the second yea...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Even with polycystic ovary syndrome, it is unusual to have no menstruation for many years. Please visit a medical center for a thorough examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Menstrual Irregularities: Medications and PCOS Concerns
Understanding CIN1: Do You Need to Isolate from Family Due to HPV?
CIN1, or Cervical Intraepithelial If someone is diagnosed with CIN 1, does that mean they have an HPV infection, and do they need to isolate from family members? I am very concerned about transmitting it to my family. Thank you.
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Not necessarily, please undergo an HPV test, and there is no need to isolate from family members. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Understanding CIN1: Do You Need to Isolate from Family Due to HPV?
Delayed Period: Understanding Causes and When to Seek Help
Menstrual period is delayed by half a month? The last menstrual period was from January 31 to February 6, with a very light amount of bright red blood lasting for 7 days. Previously, the menstrual cycle and flow were normal. On February 11 and 12, there were some brownish secreti...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Please seek medical attention and take a pregnancy test again, as it may be related to hormonal issues. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Delayed Period: Understanding Causes and When to Seek Help
Postpartum Bleeding: Is It Related to Cervical Inflammation or Breastfeeding?
Bleeding during lactation? Hello Doctor: I have been experiencing bleeding for about two months after my cesarean section on December 9th. I visited a clinic for examination, took hemostatic medication, and had a Pap smear that showed cervical inflammation. The bleeding stopped f...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: During breastfeeding, most women experience an anovulatory state, which may lead to irregular bleeding. If the bleeding is heavy and lasts for an extended period, please seek medical attention for evaluation. The Hualien Hospital of the Ministry of Health and Welfare cares...[Read More] Postpartum Bleeding: Is It Related to Cervical Inflammation or Breastfeeding?