Understanding Brown Discharge: Is It Your First Period?
Menstrual blood color I am a middle school student. On the morning of July 31, 2017, when I got up to go to the bathroom, I noticed a brownish substance on my underwear. I'm not sure what it is, and I haven't had my period yet. I'm afraid to ask my family. Doctor, ...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Student Xiao En, It is recommended that you visit the outpatient clinic for an examination to confirm your condition. Based on your description, it is possible that this is the onset of menstruation. The Hualien Hospital of the Ministry of Health and Welfare cares about yo...[Read More] Understanding Brown Discharge: Is It Your First Period?
Understanding Vaginal Wounds: Treatment and Healing Insights
Vaginal laceration Today, I observed a gynecological case with vaginal bleeding due to a wound and a slight bacterial infection. Therefore, I prescribed Sinphar My Comb cream for external use and Nydasin vaginal suppositories. I checked and would like to ask if both of these medi...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Semmy: Regarding the medication you mentioned for vaginal candidiasis, if there are no issues such as diabetes or immunocompromised conditions, wounds in the vaginal mucosa typically heal on their own. The Hualien Hospital of the Ministry of Health and Welfare cares abou...[Read More] Understanding Vaginal Wounds: Treatment and Healing Insights
Understanding Menstrual Changes After Taking Emergency Contraceptive Pills
Menstruation after taking emergency contraception? Hello~ My period usually comes between the 17th and 21st. On June 28th, I had no penetration with my boyfriend, only fondling. He ejaculated on his hand, and I forgot whether his fingers had entered my vagina, so I took emergency...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Miss Yun, Regarding your inquiry, the bleeding from July 7 to 11 is a withdrawal bleed from the emergency contraceptive pill, not a menstrual period. However, if the bleeding on July 7 is close to a normal menstrual flow, it is considered normal for your next period to occ...[Read More] Understanding Menstrual Changes After Taking Emergency Contraceptive Pills
Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Abnormal menstrual bleeding The menstrual period has lasted for a few days, with dark brown discharge and very light flow, without any abdominal pain or other abnormalities. There has been no sexual activity, medication, or surgery involved. This is the second occurrence of this ...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Lin: Regarding the issue you raised, if you are experiencing persistent menstrual irregularities, it is advisable to schedule an appointment at the obstetrics and gynecology clinic for an examination, as both organic and functional issues may be possible. The Hualien Hos...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Concerns
Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Vaginal ulceration with no bacteria found upon examination? Hello, I have been experiencing vaginal pain, bleeding, and ulceration over the past few weeks, which led me to seek medical attention. The hospital conducted tests for herpes and vaginal flora, and the results showed no...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Hsieh: Regarding the issue you raised, it is possible that some autoimmune diseases (such as Behçet's disease) may also cause recurrent mucosal ulcers (including vaginal ulcers), and a pelvic examination is necessary to confirm this. Hualien Hospital, Ministry of He...[Read More] Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Vaginal ulceration with no bacterial findings upon examination? Hello, I have been experiencing vaginal pain, bleeding, and ulceration over the past few weeks, which led me to seek medical attention. The hospital conducted tests for herpes and vaginal flora, and the results showe...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Hsieh: Regarding the issue you raised, it is possible that some autoimmune diseases (such as Behçet's disease) may also cause recurrent mucosal ulcers (including vaginal ulcers), and a pelvic examination is necessary to confirm this. The Hualien Hospital of the Mini...[Read More] Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Vaginal ulceration with no bacteria found upon examination? Hello, I have been experiencing vaginal pain, bleeding, and ulceration over the past few weeks, which led me to seek medical attention. The hospital conducted tests for herpes and vaginal flora, and the results showed no...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Hsieh, Regarding the issue you raised, it is possible that some autoimmune diseases, such as Behçet's disease, may also cause recurrent mucosal ulcers, including those in the vagina. A pelvic examination is necessary to confirm this. The Hualien Hospital of the Mi...[Read More] Understanding Non-Bacterial Causes of Vaginal Inflammation and Pain
Is Late Menstruation a Sign of Pregnancy? Understanding Symptoms and Stress Factors
Delayed menstruation? Your girlfriend's last menstrual period was on June 23, and you had unprotected intercourse on July 3, with ejaculation outside. Her expected period for July would be July 25, and it is now nearly five days late. Although she has been under significant ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, sir: Regarding your question, the best way to know for sure is to take a pregnancy test. Withdrawal method still carries a risk of pregnancy. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Is Late Menstruation a Sign of Pregnancy? Understanding Symptoms and Stress Factors
Missed Period After Stopping Birth Control: PCOS Concerns Explained
Menstruation does not occur after stopping oral contraceptives? Hello doctor, I have polycystic ovary syndrome (PCOS). I initially started taking Diane because I had a low menstrual flow, but my periods were regular. I have been on Diane for over a year, with a couple of months o...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. Zhi: It is possible to experience a temporary absence of menstruation after discontinuing birth control pills taken for a period of time in cases of polycystic ovary syndrome (PCOS). This does not indicate a clinical basis for the continued use of birth control pills fo...[Read More] Missed Period After Stopping Birth Control: PCOS Concerns Explained
Missed Period After Stopping Birth Control: PCOS Concerns Explained
Menstruation has not occurred after stopping oral contraceptives? Hello Doctor, I have polycystic ovary syndrome (PCOS). I initially started taking Diane (Diane-35) because I had a low menstrual flow but regular cycles. I have been on Diane for over a year, with a couple of month...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. Zhi: If you have been taking birth control pills for a period of time due to polycystic ovary syndrome, it is possible to experience a temporary absence of menstruation after stopping the medication. This does not indicate a clinical basis for the continued use of birth...[Read More] Missed Period After Stopping Birth Control: PCOS Concerns Explained
Understanding Prolactinoma: When Will Menstruation Return After Treatment?
Hyperprolactinemia Hello Doctor: In May and June of this year, I had a blood test at a large hospital, and my prolactin level was over 200. An MRI revealed a prolactinoma in the pituitary gland measuring less than 1 cm. The doctor recommended starting cabergoline (Dostinex) to lo...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Ms. Kuo, regarding the issue you raised, it is recommended that the prolactin levels be reduced to below the normal range, which is an average of 8 ng/ml for adult women, in order for menstruation to resume. The Hualien Hospital of the Ministry of Health and Welfare cares ab...[Read More] Understanding Prolactinoma: When Will Menstruation Return After Treatment?
Understanding Emergency Contraceptive Pills and Menstrual Delays
Emergency contraceptive pill Last Sunday, I had intercourse with my boyfriend. I took emergency contraception afterward, but my last menstrual period was on June 17, and I was supposed to get my period on July 17. However, I had intercourse again on June 16 and took the emergency...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Miss Gao: Regarding the issue you raised, the first step is to conduct a urine test to check for pregnancy. The effectiveness of emergency contraception is approximately 95%, but it is not 100%. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Understanding Emergency Contraceptive Pills and Menstrual Delays
Understanding Painful Urination: Causes and When to Seek Help
Burning sensation during urination? Hello Doctor, the issue started yesterday. I drank quite a bit of water because it was very hot outside. Afterward, I felt a strong urge to urinate, and when I went to the bathroom, I was suddenly startled by a sharp pain. It wasn't extrem...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. Liao: Based on your description, it is possible that you have urethritis or vulvitis, and you should visit an outpatient clinic for examination. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Painful Urination: Causes and When to Seek Help
Understanding Ovarian Cysts, PCOS, and the Role of Soy Isoflavones
Polycystic Ovary Syndrome (PCOS) + benign cysts + the use of soy isoflavones? Hello, I recently underwent a health check-up and have the following questions: 1. The examination revealed a 0.8 cm benign cyst in my right breast. Will benign cysts disappear on their own? 2. I wa...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. Sin: 1. Please continue to have regular follow-ups for your breast cysts. 2. Taking soy isoflavones is unlikely to improve acne, but it will not cause polycystic ovary syndrome (PCOS). PCOS is characterized by obesity, hirsutism, and infertility, but not everyone exh...[Read More] Understanding Ovarian Cysts, PCOS, and the Role of Soy Isoflavones
Could I Be Pregnant? Understanding Risks and Emergency Contraception
Can I get pregnant? My girlfriend's menstrual cycle is irregular. The first day of her last period was on May 6. We had sexual intercourse on the last day of her period without a condom, and later on June 9, we had another sexual encounter where the condom slipped off. Out o...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, sir: Based on your inquiry date, you can directly take a pregnancy test to determine if you are pregnant. If the result is negative, you may retest in 3-7 days. If both tests are negative and your menstruation is still delayed, it is advisable to seek a definitive diagnosi...[Read More] Could I Be Pregnant? Understanding Risks and Emergency Contraception
Can Menstrual Delay Pills Help? Safety and Timing Explained
I would like to take medication for menstrual regulation? Hello, doctor. I would like to ask if my menstrual period started on June 9, it is expected to be around July 7 to 9, but my cycle is very irregular. I am concerned because I will be going swimming on July 11 and I am afra...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. X: 1. A safer approach is to take menstrual delay medication 3-7 days before your next period. You may consult at the outpatient clinic for medication advice. 2. Occasional use of menstrual delay medication is harmless to the body. Hualien Hospital, Ministry of Health a...[Read More] Can Menstrual Delay Pills Help? Safety and Timing Explained
Can Soy Isoflavones Help with Menopause Symptoms After Cyst Diagnosis?
Menopausal Confusion Hello Doctor: Last year, I discovered a lump in my breast and went to Tri-Service General Hospital for examination. I was diagnosed with a breast cyst, and the doctor advised that I should continue to monitor it. Recently, I have been experiencing symptoms of...
Dr. Lin Manying reply Obstetrics and Gynecology
Ms. Su Zhen: Hello, given your age, if you have suspected menopausal symptoms, it is recommended to have a blood test to determine whether supplementation is necessary. The Hualien Hospital of the Ministry of Health and Welfare cares about you.[Read More] Can Soy Isoflavones Help with Menopause Symptoms After Cyst Diagnosis?
Is Ozone Therapy a Viable Treatment for Vaginitis?
Can ozone therapy be used to treat vaginitis? I was diagnosed with vaginitis last July and August, and I am still undergoing treatment. Recently, someone mentioned ozone therapy to me, but I don't have much information about it. I would like to know if ozone therapy is a leg...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Vaginitis can recur and is related to the vaginal environment. It is recommended to adjust lifestyle habits and diet. As for ozone therapy, there is no consensus, and it is not recommended. The Hualien Hospital of the Ministry of Health and Welfare cares about you.[Read More] Is Ozone Therapy a Viable Treatment for Vaginitis?
Understanding Vaginal Infections and Inflammation: A Patient's Journey
Fungal issues and inflammatory problems? I had a fungal infection around November or December last year (the doctor didn't specify what it was). I was prescribed medication, took it twice, and felt better, so I didn't go back for a follow-up. However, since then, I'...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1. An increase in abnormal vaginal discharge is commonly explained by physicians as "excessive leukorrhea," which is often caused by vaginitis or cervicitis. 2. If there are recurrent episodes of vaginitis, in addition to completing a full course of treatment, it...[Read More] Understanding Vaginal Infections and Inflammation: A Patient's Journey
Is Vaginal Bleeding After Taking Cold Medicine a Side Effect?
Experiencing bleeding after taking cold medication? I went to see a doctor due to a gastroenteritis infection. After taking the medication at home, I experienced vaginal bleeding after finishing the medication. At first, I didn't find it strange, but later I noticed that ble...
Dr. Lin Manying reply Obstetrics and Gynecology
Dear Miss Yi Yi: Regarding the issue you raised, 1. It is important to know the ingredients of the medication you are taking, as some cold medications may cause irregular menstruation. 2. It is also possible that you have been experiencing menstrual irregularities recently, coinc...[Read More] Is Vaginal Bleeding After Taking Cold Medicine a Side Effect?