Is 4D Ultrasound Necessary During Pregnancy at 20 Weeks?
Pregnancy questions Hello Dr. Lin: I have a question regarding my wife, who is currently around 20 to 21 weeks pregnant. Previously, we had an ultrasound at another hospital, but it was only a 2D scan. We are considering having a 4D ultrasound. Is it necessary to have a 4D ultras...
Dr. Lin Manying reply Obstetrics and Gynecology
If there are limitations in the 2D imaging, unclear images, or any concerns, consideration can be given to performing a 4D ultrasound between 20 to 24 weeks.[Read More] Is 4D Ultrasound Necessary During Pregnancy at 20 Weeks?
Post-Sexual Bleeding and Anal Discomfort: What You Need to Know
Bleeding after sexual intercourse and anal discomfort? Two weeks ago, after having sexual intercourse with my husband, I noticed fresh blood when wiping my genital area, but I did not feel any pain. The next day, it turned into a small amount of brown discharge, and by the follow...
Dr. Lin Manying reply Obstetrics and Gynecology
Please first visit the obstetrics and gynecology outpatient clinic for a cervical smear and ultrasound examination to determine the cause.[Read More] Post-Sexual Bleeding and Anal Discomfort: What You Need to Know
Understanding Vaginal Discomfort: Is It Related to Birth Control?
Is it vaginitis? Hello! I started taking oral contraceptives in April. After my period in May, I forgot to continue taking them, and my boyfriend ejaculated outside. The next day, I took emergency contraception. A few days later, I resumed taking the oral contraceptives. Before m...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, it is recommended that you visit the outpatient clinic for an internal examination to determine the nature of the discharge. Please bring your medication to the clinic and inquire about the correct dosage and administration before deciding whether to discontinue the medica...[Read More] Understanding Vaginal Discomfort: Is It Related to Birth Control?
Using Dailian for Menstrual Regulation: Concerns About Ovulation and Pregnancy
Taking Dailian for menstrual regulation? Hello Doctor: I am 26 years old and have not had my period for over a year. I visited the hospital and was prescribed Diane for menstrual regulation. The doctor mentioned that the menstruation induced by Diane is anovulatory. I am very con...
Dr. Lin Manying reply Obstetrics and Gynecology
If you are a patient with polycystic ovary syndrome (PCOS), you do not need to continue taking ovulation medication during the service of Dailian. Please discuss your desire to conceive with your physician to determine whether you should continue the medication.[Read More] Using Dailian for Menstrual Regulation: Concerns About Ovulation and Pregnancy
Can You Get Pregnant After Unprotected Sex? Understanding Your Cycle
Are you pregnant? If your menstrual cycle ended on June 23 and you had sexual intercourse five days later on June 28, the likelihood of pregnancy depends on several factors, including the timing of ovulation and the effectiveness of the contraceptive measures used. Generally, ovu...
Dr. Lin Manying reply Obstetrics and Gynecology
No contraceptive method is 100% effective, including the calendar method for tracking safe periods and tubal ligation, which has an effectiveness of 60-99%. It is advised not to worry; if there is a delay in menstruation, consider taking a pregnancy test.[Read More] Can You Get Pregnant After Unprotected Sex? Understanding Your Cycle
Could Irregular Periods Indicate Pregnancy? Understanding Symptoms and Signs
Are you pregnant? My girlfriend has a very irregular menstrual cycle. Her last period started on May 5th, and her subsequent periods usually come several days later than the previous one. However, as of today, she still hasn't gotten her period. We had sexual intercourse in ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: If your girlfriend usually has irregular periods, it might be better to wait and see. However, if there are still concerns, it is advisable to take a pregnancy test, as it is more accurate and can provide immediate confirmation. Thank you.[Read More] Could Irregular Periods Indicate Pregnancy? Understanding Symptoms and Signs
Can Stopping Birth Control Pills Disrupt Menstrual Cycle?
Drug-related inquiries? Hello, doctor. I would like to ask a question. Can stopping the use of oral contraceptives cause irregular periods? My girlfriend has been taking them for three months and has temporarily stopped. She is concerned about potential side effects, and it has a...
Dr. Lin Manying reply Obstetrics and Gynecology
Emergency contraceptive pills can indeed cause menstrual irregularities and are not recommended as a long-term contraceptive method, as they may lead to infertility. If your period is already late, it is advisable to take a pregnancy test, as the effectiveness of contraceptive pi...[Read More] Can Stopping Birth Control Pills Disrupt Menstrual Cycle?
Managing Pregnancy Discomfort: Tips for Back Pain and Fetal Development
Pregnancy status Hello Dr. Lin, 1. I have some questions to ask. My wife is currently in her second trimester of pregnancy and is experiencing lower back pain. What preventive measures can she take, especially since she spends most of her time sitting at a desk? 2. My wife&#x...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is recommended that your wife should stand less and consider using a maternity support belt or back cushion. Additionally, ensure she is getting enough calcium. The fetal facial features can typically be assessed around 20 weeks, so please consult with the obstetrician ...[Read More] Managing Pregnancy Discomfort: Tips for Back Pain and Fetal Development
Understanding Folliculitis: Causes, Symptoms, and When to Seek Help
Inquiry about folliculitis? Hello, doctor: A few days ago, I stayed up late and took a short nap. When I woke up, I noticed a large, pimple-like bump near my groin area that hurts when I walk. After researching online, I think it might be folliculitis. Can lack of sleep cause thi...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is recommended that you visit a gynecologist to confirm whether it is folliculitis. If there is no improvement within 2-3 days, it is advisable to seek treatment from a gynecologist.[Read More] Understanding Folliculitis: Causes, Symptoms, and When to Seek Help
Managing Lower Back Pain During Pregnancy: Tips for Relief and Prevention
Lower back pain in pregnant women? Doctor: I would like to ask about my wife, who is currently around 21 to 22 weeks pregnant. This morning, she experienced lower back pain, and I'm wondering if it might be due to standing for too long (she is still working). What are some w...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is recommended that your wife should stand less. She can use a maternity support belt or a lumbar pillow and ensure she is getting enough calcium.[Read More] Managing Lower Back Pain During Pregnancy: Tips for Relief and Prevention
Understanding High-Risk HPV: Infection Risks and Monitoring Guidelines
High-risk HPV 1. A value of 34 indicates a potential risk, but currently, there are no lesions present. Is there a risk of infection? 2. For high-risk cases, how long should Pap smear follow-up be conducted? How can we confirm safety in the absence of lesions? 3. How can we dif...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, regarding your inquiry, I am unable to respond based on your description. Could you please clarify your question for a more accurate answer?[Read More] Understanding High-Risk HPV: Infection Risks and Monitoring Guidelines
Understanding Vaginal Discharge: Causes and Treatment Options
Vaginal discharge Doctor, I have recently started experiencing itching at the vaginal opening, along with a watery white discharge and a thick yellowish cheesy substance. There is not much odor, but the amount of discharge is significant, causing my underwear to feel damp around ...
Dr. Lin Manying reply Obstetrics and Gynecology
Please perform a Pap smear and pelvic examination. Based on the symptoms described, consider a vaginal candidiasis infection. If this infection is confirmed, it is recommended to combine vaginal suppositories or oral medication with the application of a topical cream.[Read More] Understanding Vaginal Discharge: Causes and Treatment Options
Understanding Prolonged Bleeding While Taking Diane: What to Do Next?
[Supplementary Note] Continuous bleeding while taking Diane? According to the doctor's instructions, I started taking the medication on the fifth day after my menstrual period began, so I am still within the treatment period. After the tenth day of my menstrual cycle, I stop...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, it is recommended that you wait one week after stopping the medication to see if the bleeding stops or becomes very minimal before starting the next treatment cycle. Alternatively, you may contact your original physician for further guidance.[Read More] Understanding Prolonged Bleeding While Taking Diane: What to Do Next?
Understanding Changes in Vaginal Discharge with Boric Acid Suppositories
Bacillus subtilis vaginal tablets Using Boric Acid vaginal suppositories, I used to expel a lot of discharge and would have to use my fingers to dig out a lot of white debris, sometimes in clumps. However, recently it has turned into a residue that gets stuck inside the vagina an...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: There is no need to remove any vaginal suppository if it cannot be expelled. If you experience a burning discomfort inside the vagina, please return for an examination.[Read More] Understanding Changes in Vaginal Discharge with Boric Acid Suppositories
Understanding Brown Discharge Before and After Your Period: Causes and Concerns
Brown discharge before and after menstruation? Hello, doctor. What could be the reason for having brown discharge before and after my menstrual period? When my period is about to start, I'm not sure if I should count that as the first day. After using the restroom, I notice ...
Dr. Lin Manying reply Obstetrics and Gynecology
If the menstrual cycle is regular (approximately 21-35 days) and the menstrual bleeding period includes brown discharge lasting less than 7 days, this is considered a normal menstrual cycle. However, it is still recommended to have a pelvic ultrasound once a year, and if there is...[Read More] Understanding Brown Discharge Before and After Your Period: Causes and Concerns
Persistent Bleeding After Taking Dailian: What You Need to Know
Prolonged bleeding after taking Diane (Diane-35) contraceptive pills? Previously, an ultrasound pelvic examination revealed the presence of a uterine fibroid located in the middle of the uterus. The doctor prescribed Diane (Diane-35), instructing me to start taking it on the firs...
Dr. Lin Manying reply Obstetrics and Gynecology
Could you clarify whether you started taking Diane after your menstrual period ended and then experienced bleeding again after one day? It is advisable to visit a clinic for an examination and consultation to determine your treatment situation.[Read More] Persistent Bleeding After Taking Dailian: What You Need to Know
Can Pregnant Women Safely Take Prenatal Vitamins?
Pregnancy status Hello, I have a few questions for the doctor: 1. Since my wife is currently in her second trimester of pregnancy, I would like her to take prenatal multivitamins. She has never taken them before; is it safe for her to take them?
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, it is safe to take multivitamins during the second trimester of pregnancy, and you can also ask your doctor during your prenatal check-up. Thank you.[Read More] Can Pregnant Women Safely Take Prenatal Vitamins?
Understanding Cervical Cancer Symptoms: When to Seek Medical Help
Cervical cancer Hello doctor, I recently had my first Pap smear and I'm still waiting for the results. However, I've noticed that my urine output has decreased significantly. Previously, I was experiencing frequent urination, about 250 ml each time, and I was drinking a...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, the symptoms you described are more consistent with a urinary tract infection. It is recommended to visit a urologist for an initial urine test and to drink 1000 cc of water. However, this is insufficient; an adult woman should drink about 2500 cc of water daily to meet he...[Read More] Understanding Cervical Cancer Symptoms: When to Seek Medical Help
Understanding Irregular Periods: Causes and Concerns for Women Over 40
Menstrual period is delayed? Hello, Doctor: I am 40 years old and have two children, both delivered naturally. My last menstrual period was on February 21, and my period should have arrived by now but has not. I went to the hospital for a urine test and an ultrasound, which confi...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1) If menstruation is delayed and pregnancy tests and ultrasound show no abnormalities, it is recommended to induce menstruation and then investigate the cause of the delay. Some medications to regulate menstruation can be given to establish the next normal menstrual cycle...[Read More] Understanding Irregular Periods: Causes and Concerns for Women Over 40
Understanding Menstrual Irregularities: Pregnancy or Stress?
I would like to inquire about the situation regarding menstruation? The last menstrual period was from February 17 to February 24, with a cycle typically occurring every 30-some days. Sexual intercourse took place on March 12 and March 19, both with condom use and withdrawal befo...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, since it has not been long since you engaged in sexual intercourse, it is unlikely that you would experience pregnancy symptoms so quickly. If you are concerned, it is advisable to visit an obstetrics and gynecology clinic for a more accurate diagnosis by a physician.[Read More] Understanding Menstrual Irregularities: Pregnancy or Stress?