Understanding Abnormal Menstrual Bleeding: When to Seek Medical Advice
Is it menstruation or bleeding? On January 21, the menstrual period was normal. However, on February 21 and March 20, the menstrual flow was significantly lighter than usual, lasting only three days, with a bright red and slightly pink color. I saw a doctor on March 6, and a preg...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, it is recommended that you wait to see if the amount and timing of your menstrual flow in April are normal before seeking evaluation from a gynecologist.[Read More] Understanding Abnormal Menstrual Bleeding: When to Seek Medical Advice
Am I Pregnant? Understanding Menstrual Changes After Unprotected Sex
Is this a sign of pregnancy? I started my menstrual period on February 5th, and I had unprotected intercourse with my boyfriend on February 11th. He said he did not ejaculate inside, but he is unsure if there was any leakage. My period arrived normally on February 28th, although ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Generally, if you have your period, it is unlikely that you are pregnant. However, if you are still concerned, I recommend visiting a gynecologist or purchasing a home pregnancy test to check. Thank you.[Read More] Am I Pregnant? Understanding Menstrual Changes After Unprotected Sex
Understanding Irregular Menstrual Bleeding: When to Seek Help
Menorrhagia (excessive menstrual bleeding) Dr. Lin, regarding the previous question about continuous menstruation, after the doctor prescribed medication, I did stop menstruating for about 10 days. However, he advised me to wait until my period comes and then finish before going ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Based on your description of symptoms, the preliminary diagnosis should be dysfunctional uterine bleeding (DUB) caused by hormonal imbalance. However, I still recommend that you have a personal examination by a physician to confirm the underlying cause. If it is DUB, it is...[Read More] Understanding Irregular Menstrual Bleeding: When to Seek Help
Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Menorrhagia (excessive menstrual bleeding) I have been experiencing continuous menstruation for a while now. Recently, I visited a gynecologist, but due to the bleeding, they were unable to perform a Pap smear. The doctor prescribed me hemostatic medication and mentioned that it ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: When dealing with abnormal menstruation, it is essential to first rule out pregnancy (via urine test) and perform an ultrasound examination to determine the cause. After medication, bleeding may not stop immediately; if it is due to hormonal imbalance, the bleeding should ...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Understanding Menopause: Is It Normal for Periods to Return?
Menopause issues Hello, I would like to ask a question. My mother is 47 years old and experienced premature menopause before the age of 40. She went to the hospital for examination at that time, but no cause was found. However, two months ago, my mother discovered that her menstr...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Menopause before the age of 35 is referred to as premature ovarian failure, and the causes may be unknown. Possible factors include genetics, radiation or chemotherapy, surgery, ovarian inflammation, and autoimmune disorders. If natural menstruation has not occurred for ov...[Read More] Understanding Menopause: Is It Normal for Periods to Return?
Managing Uterine Fibroids: Non-Surgical Options and Treatment Insights
Uterine fibroids Dear Dr. Lin, I have three fibroids in my uterus, each approximately 2 to 3 centimeters in size. I am currently managing them with medication (progesterone, taken for two months), but over the past month, I have experienced a significant increase in menstrual bl...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: Fibroids are common benign tumors of the uterus. Although 40% are asymptomatic, those who do experience symptoms often report heavy menstrual bleeding with clots, abdominal pain, a feeling of heaviness, and pressure. However, before confirming surgery or treatment, it is e...[Read More] Managing Uterine Fibroids: Non-Surgical Options and Treatment Insights
Understanding Small Cysts in the Uterus During Early Pregnancy
Endometrial cysts? Hello, I am six weeks pregnant. A few days ago, I went to the hospital for an ultrasound, and the doctor said there is a small cyst in my uterus. They advised me to be cautious and to come back for a follow-up examination in a few days. I would like to ask if t...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: It is rare to find small cysts within the uterus; more commonly, there are endometrial polyps or submucosal fibroids. However, during pregnancy, it is often a functional ovarian cyst (corpus luteum cyst), which typically shrinks or disappears by 14 weeks. I'm not sure...[Read More] Understanding Small Cysts in the Uterus During Early Pregnancy
Contraception Options for Middle-Aged Mothers: Expert Advice
Contraception Dear Dr. Lin, I have a few questions to ask: 1. I am a mother of several children, with my youngest just turning one year old, and I am already in middle age. I previously took birth control pills, but a nurse at the health center advised me that it may not be go...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: There are relative and absolute contraindications for contraceptive pills. Relative contraindications include being over 35 years old, heavy smokers, a history of venous thromboembolism, obesity, and liver dysfunction, among others. Considering your age, the insertion of a...[Read More] Contraception Options for Middle-Aged Mothers: Expert Advice
Understanding Arm Implant Contraception: Effectiveness, Coverage, and Suitability
Contraception..? Hello Dr. Lin: I have heard about a contraceptive method where a device is implanted in a woman's arm that regularly releases a contraceptive hormone. Once implanted, it can provide protection against pregnancy for about five years. I would like to ask if th...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1. This type of contraceptive is a "Nexplanon" implant, which contains the same active ingredients as conventional contraceptive pills. This method of contraception is currently not widespread, as clinical trials over five years have indicated potential risks suc...[Read More] Understanding Arm Implant Contraception: Effectiveness, Coverage, and Suitability
How Long After Intercourse Can You Confirm No Pregnancy?
excuse me? Hello Dr. Lin: How long after having intercourse can one be certain that they are not pregnant?
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: After fertilization, the embryo remains in the fallopian tube for 5 to 7 days before implanting in the uterine cavity. After implantation, the levels of human chorionic gonadotropin (hCG) in the blood gradually increase. This is the hormone typically detected in pregnancy ...[Read More] How Long After Intercourse Can You Confirm No Pregnancy?
Understanding the Long-Term Effects of Abortion on Women's Health
Abortion Hello doctor, I had a medically induced abortion at the age of 17. The doctor mentioned that there was gauze in the vagina that needed to be removed, but I don't think I took it out. I am now 23 years old. What could be the implications of this? Over the past year, ...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: A vaginal gauze is typically not left in place for more than a week without being noticed, as it would cause foul odor and purulent discharge, which can be identified through a simple pelvic examination. There are many causes of dysmenorrhea, which can be classified into p...[Read More] Understanding the Long-Term Effects of Abortion on Women's Health
Understanding Breast Pain: Symptoms, Diagnosis, and Treatment Options
Chest pain? Hello Dr. Lin, I have a few questions I would like to ask... Recently, I have been experiencing a feeling of fullness and pain in my chest, and sometimes it hurts even before my menstrual cycle starts, especially near the armpit area. When I touch it, I feel like ther...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello: 1. It is best to consult a breast surgeon. Generally, a physical examination is still necessary, and the physician will use their experience along with non-invasive tests (such as breast ultrasound and mammography) to determine the nature of the condition. 2. All procedure...[Read More] Understanding Breast Pain: Symptoms, Diagnosis, and Treatment Options
Post-Hysterectomy Care: Managing Pain and Recovery Tips
Postoperative care after a total hysterectomy? Hello Doctor: I underwent a total hysterectomy on November 26, 2003, due to large uterine fibroids causing significant pressure and exacerbating my pre-existing lumbar spondylolisthesis, resulting in unbearable lower back pain. I ret...
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, after a total hysterectomy, it is generally recommended to gradually resume daily activities over a period of 2 to 4 weeks. Therefore, if your lower back pain persists, you should consider the following: 1. Worsening of pre-existing lumbar spine conditions (please consult ...[Read More] Post-Hysterectomy Care: Managing Pain and Recovery Tips
Can Abnormal Vaginal Discharge Affect Fertility?
Abnormal discharge I have abnormal vaginal discharge. Could this lead to infertility?
Dr. Lin Manying reply Obstetrics and Gynecology
Hello, abnormal vaginal discharge is often due to benign inflammatory issues or can be a result of normal hormonal changes during the menstrual cycle. However, there are some less common concerns, such as chronic cervicitis, cervical erosion, cervical cancer, or inflammation caus...[Read More] Can Abnormal Vaginal Discharge Affect Fertility?
Do Asymmetrical Labia Affect My Sex Life? Expert Insights
Please provide the content you would like me to translate? Hello Doctor: I have noticed that one side of my labia minora is larger than the other, which is causing me some distress. Will this affect my sexual life?
Dr. Lin Manying reply Obstetrics and Gynecology
Most women's labia minora are unlikely to be the same size (similar to breasts). If the labia minora are excessively large and cause difficulties during intercourse, sitting, lying down, or maintaining hygiene, labiaplasty may be considered, but a consultation for evaluation...[Read More] Do Asymmetrical Labia Affect My Sex Life? Expert Insights
Can You Get Pregnant If He Only Wears a Condom Partway?
Will this lead to pregnancy? Hello, I would like to ask if my boyfriend only puts on a condom halfway through our intercourse, and then takes a break to sleep before continuing, also putting on the condom halfway again. If we have intercourse without showering in between, is ther...
Dr. Lin Manying reply Obstetrics and Gynecology
To ensure complete protection with condoms, they must be used "throughout the entire process," meaning they should be put on the male genitalia before penetration. After ejaculation, the condom should be removed immediately without lingering, as this method provides an ...[Read More] Can You Get Pregnant If He Only Wears a Condom Partway?
Understanding Painful Bumps: When to See a Gynecologist
Strange lump? Hello, Doctor: I have an awkward question. I'm not sure which specialty to see, so... I have a large bump between my labia and anus that is painful and seems to be growing. A few days ago it seemed okay, but today I noticed a small point protruding at the front...
Dr. Lin Manying reply Obstetrics and Gynecology
The area you described is likely the perineum. The more common issues are 1. folliculitis 2. subcutaneous tissue infection (cellulitis) 3. perineal fistula 4. anal abscess. Please consult a gynecologist for an examination.[Read More] Understanding Painful Bumps: When to See a Gynecologist
Tips to Increase Your Chances of Having a Baby Boy
Boy or girl? How can I increase the chances of having a boy?
Dr. Lin Manying reply Obstetrics and Gynecology
If conception occurs naturally, the ratio of male to female fetuses should be approximately 50-53% to 50%, with a slightly higher chance of male fetuses. However, the claims circulating about the influence of vaginal pH levels on conception rates around the time of ovulation are ...[Read More] Tips to Increase Your Chances of Having a Baby Boy
Understanding Pelvic Pain: Is It Ovarian or Gastrointestinal Issues?
Mild pain in both sides of the abdomen? Hello Dr. Lin: I have never seen a gynecologist because I am unmarried. Recently, I have experienced some pain on both sides of my abdomen (in the pelvic area). I am unsure if it is an issue with my intestines or my ovaries, as I have not s...
Dr. Lin Manying reply Obstetrics and Gynecology
Pelvic pain and muscle pain can be associated with 1. the iliopsoas muscle, and 2. organs (including the reproductive system, urinary system, digestive system, and vascular lymphatic system). Please document the timing of pelvic pain episodes (such as before meals, after meals, a...[Read More] Understanding Pelvic Pain: Is It Ovarian or Gastrointestinal Issues?
Understanding Irregular Periods: Causes and Necessary Tests for Young Girls
Irregular menstrual periods? I started my period when I was 12 years old, but the issue is that it lasts for 4 to 5 days, then stops for a few days, and then comes back again within the same month. I am now 14 years old, and this has caused a lot of discomfort and inconvenience o...
Dr. Lin Manying reply Obstetrics and Gynecology
In the three years since the onset of menarche, due to the incomplete maturation of the central regulation of sex hormones, it is common to experience anovulatory menstrual cycles. If the menstrual intervals range from 21 to 90 days (i.e., between 3 weeks to 3 months) and the dur...[Read More] Understanding Irregular Periods: Causes and Necessary Tests for Young Girls