Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Menstrual odor Hello Dr. Lin, I am unmarried and had a laparoscopic surgery around 1997 due to endometriosis, during which a portion of my left ovary was removed, and uterine fibroids were also excised. I still have adenomyosis that has not been treated, and I have been experie...
Dr. Lin Manying reply Obstetrics and Gynecology
1. The presence of adenomyosis can still lead to dysmenorrhea. Additionally, undergoing surgery for endometriosis does not guarantee a cure, as there is still a possibility of recurrence, necessitating regular follow-up. 2. The menstrual blood volume you described is normal. Ty...[Read More] Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Is It Normal to Experience Menstrual-Like Pain During Early Pregnancy?
Pregnancy I am almost five weeks pregnant, but I am experiencing pain in my lower abdomen similar to menstrual cramps. I have a bicornuate uterus, and I have always had very painful periods. Is it normal to experience cramping like menstrual pain during pregnancy?
Dr. Lin Manying reply Obstetrics and Gynecology
Pregnant women with congenital uterine anomalies (such as a bicornuate uterus) are at a higher risk of miscarriage, stillbirth, or ectopic pregnancy in the early stages. If it is confirmed that the pregnancy is implanted normally within the uterus, some individuals may experience...[Read More] Is It Normal to Experience Menstrual-Like Pain During Early Pregnancy?
Can You Get Pregnant After Early Menstruation? Understanding Symptoms
Is it possible? I would like to ask... if I had intercourse (with ejaculation inside) and then got my period the next day, but it only lasted for three days, is there still a chance of pregnancy? Also, I sometimes have vaginal discharge that is yellow-green and dries up, sticking...
Dr. Lin Manying reply Obstetrics and Gynecology
1. It is still possible, as sperm can survive for about 2 days, and in some cases, up to 2 weeks. 2. Normal vaginal discharge is typically minimal, pale white or clear and mucous in consistency. The symptoms you described may indicate vaginitis, cervicitis, or endometritis, and y...[Read More] Can You Get Pregnant After Early Menstruation? Understanding Symptoms
Understanding Fetal Heartbeat Issues: Causes, Risks, and Future Pregnancies
Child's heart rate Today, I went to listen to my child's heartbeat. The heartbeat was very slow, only 72 beats per minute. I went to another clinic for an examination, and the ultrasound showed that the child's heartbeat had stopped. Why did the child's heartb...
Dr. Lin Manying reply Obstetrics and Gynecology
1. When an embryo stops developing and the heartbeat ceases within the first three months of pregnancy, it is referred to as early embryonic demise. Fifty percent of the causes are attributed to congenital abnormalities in the embryo (such as chromosomal issues), while other less...[Read More] Understanding Fetal Heartbeat Issues: Causes, Risks, and Future Pregnancies
Managing Back Pain During Early Pregnancy: Risks and Remedies
Undergoing back rehabilitation during pregnancy? My girlfriend is in the early stages of pregnancy, about 1 to 2 weeks along. She was stepped on the abdomen by a 4-year-old child, which caused her significant pain at that time. Later, an old back injury flared up, and she visited...
Dr. Lin Manying reply Obstetrics and Gynecology
1. When you mention 1 to 2 weeks, are you referring to the time calculated from the last menstrual period? If so, medications or manipulations prior to 3 weeks of gestation do not affect the embryo. 2. Currently at 2 weeks of pregnancy, experiencing frequent abdominal pain; if th...[Read More] Managing Back Pain During Early Pregnancy: Risks and Remedies
Tips for Successful Pregnancy: Thickening Endometrium for Embryo Implantation
How to successfully conceive, and what methods can help thicken the endometrium to facilitate embryo implantation? Thank you? Hello Dr. Lin, 1. I would like to ask how to successfully conceive. My menstrual cycle is regular, typically 28 days, but I have had cycles of 35 days fo...
Dr. Lin Manying reply Obstetrics and Gynecology
1. A normal menstrual cycle ranges from 21 to 35 days, with an average of 28 days. If the cycle exceeds this range, has heavy flow, or contains blood clots, the more likely causes are undetectable pregnancy or an anovulatory cycle. 2. Insufficient endometrial thickness leading ...[Read More] Tips for Successful Pregnancy: Thickening Endometrium for Embryo Implantation
Impact of Scoliosis on Delivery Methods: Natural Birth vs. C-Section
Does scoliosis affect the mode of delivery? Dear Dr. Lin, I would like to inquire about the impact of scoliosis on delivery methods—specifically, whether there are any restrictions regarding vaginal delivery or cesarean section. I underwent corrective surgery for severe S-shaped...
Dr. Lin Manying reply Obstetrics and Gynecology
The severity of scoliosis should be assessed to determine if it has led to pelvic deformities or narrowing. Pelvic imaging may be considered, and during full-term labor, if the fetal position is normal and the fetal head has descended, vaginal delivery should be attempted as the ...[Read More] Impact of Scoliosis on Delivery Methods: Natural Birth vs. C-Section
Understanding Natural Birth: Umbilical Cord Issues and Cervical Polyps
I'm sorry, but I need specific content to translate. Please Is a nuchal cord suitable for vaginal delivery? If cervical polyps are detected during pregnancy, can a vaginal delivery still be performed? What is an extraperitoneal cesarean section? What situations during the la...
Dr. Lin Manying reply Obstetrics and Gynecology
1. Nuchal cord is usually detectable via ultrasound; however, if it occurs within two weeks, the fetal activity and growth are typically not significantly affected. Nonetheless, in rare cases where the umbilical cord is short (<35 cm), combined with a nuchal cord, there may be...[Read More] Understanding Natural Birth: Umbilical Cord Issues and Cervical Polyps
Can Withdrawal Method Lead to Pregnancy? Understanding Fertility Risks
Pregnancy I would like to ask if it is possible for a man to ejaculate halfway inside a woman and then withdraw to finish outside. If this is possible, what are the chances of conception? I've heard that the fluid a woman produces can kill sperm; is this true?
Dr. Lin Manying reply Obstetrics and Gynecology
1. Males with self-control may withdraw halfway during ejaculation, but this still carries a significant risk of pregnancy if no contraceptive measures (such as condoms, birth control pills, or intrauterine devices) are used. The monthly pregnancy rate is approximately 3-5%, and ...[Read More] Can Withdrawal Method Lead to Pregnancy? Understanding Fertility Risks
Common Gynecological Concerns: Breast Size, Pain, and Health Checks
Can obstetrics and gynecology address these issues? Hello, I would like to ask you a few questions. Is it normal for breast size to differ between the left and right sides starting from puberty? Additionally, if the areolae are also different in size, could this indicate the pres...
Dr. Lin Manying reply Obstetrics and Gynecology
1. The size of the breasts and the range of the areolas may vary slightly between the left and right sides. 2. Breast pain is related to the menstrual cycle; if there are concerns about tumors, one should consult a breast surgeon or undergo a breast ultrasound examination. 3....[Read More] Common Gynecological Concerns: Breast Size, Pain, and Health Checks
Understanding the Impact of Thin Endometrium on Women's Fertility
Endometrium Hello Doctor: Last month, I visited a clinic due to a missed period and received an injection to induce menstruation. After performing an ultrasound, the doctor informed me that my endometrium is thinner than normal. I would like to ask how the thickness of the endome...
Dr. Lin Manying reply Obstetrics and Gynecology
1. The thickness of the endometrium depends on 1. organic factors (whether the uterine cavity has been injured or inflamed) and 2. hormonal factors. If menstruation is occasionally delayed, it is more common than anovulatory cycles, thus low hormone levels can lead to an excessiv...[Read More] Understanding the Impact of Thin Endometrium on Women's Fertility
Switching Birth Control Pills: Effects on Efficacy and Health Risks
Oral contraceptives Hello Doctor: I would like to ask, if I change the type of oral contraceptive on my own (from Mercilon to Nordiol), will this still reduce the effectiveness of the medication even if I take it on time? Or could it have any adverse effects on my body?
Dr. Lin Manying reply Obstetrics and Gynecology
1. If the switched contraceptive pill is also a biphasic type (meaning each pill has the same dosage), it will not reduce the effectiveness. 2. If the dosage is different due to the switch, it may cause endometrial instability, potentially leading to spotting, or if the new dosag...[Read More] Switching Birth Control Pills: Effects on Efficacy and Health Risks
Determining the First Day of Your Menstrual Cycle: A Guide
How is the start date of menstruation calculated? Doctor, I have been paying special attention to my menstrual situation. I noticed that on the 27th and 28th, there were very faint pink secretions on the toilet paper, which could easily be overlooked. However, starting on the 29t...
Dr. Lin Manying reply Obstetrics and Gynecology
A few days before menstruation, due to hormonal instability during the luteal phase (the high-temperature phase), there may be a few days of spotting (pink discharge). Generally, if the luteal phase is maintained for 10-12 days, this type of spotting is not concerning. The first ...[Read More] Determining the First Day of Your Menstrual Cycle: A Guide
Understanding Sterilization: Pros and Cons for Men and Women
Vasectomy Hello Dr. Lin: I would like to understand the current statistics on the number of male and female sterilizations each year. What are the advantages and disadvantages of sterilization for both men and women? Is male sterilization generally quicker and safer? If one wishe...
Dr. Lin Manying reply Obstetrics and Gynecology
1. Approximately 3-5%. 2. The advantages of male sterilization include being quick, safe, and cost-effective (compared to female sterilization). 3. The reversal rate for male sterilization is higher than that for female sterilization.[Read More] Understanding Sterilization: Pros and Cons for Men and Women
Concerns After First Sexual Experience: Understanding Emergency Contraception
I'm really troubled..? Hello, I am a 17-year-old girl. I had intercourse for the first time with my boyfriend on February 24, 2003. I thought I had taken precautions (using a condom), but unfortunately, the condom was of poor quality and broke during intercourse! Even worse,...
Dr. Lin Manying reply Obstetrics and Gynecology
1. The side effects of high-dose progesterone (emergency contraceptive pills) vary from person to person, and the efficacy of the medication is not related to the severity of side effects. 2. To calculate the safe period, one must first know the menstrual cycle for the previous...[Read More] Concerns After First Sexual Experience: Understanding Emergency Contraception
Can Viagra Help Women with Infertility? Safety and Efficacy Explored
Can Viagra be used in women with infertility? I am undergoing treatment for infertility at an obstetrics and gynecology clinic. The doctor recommended that I take Viagra 100mg once daily for 10 days before undergoing artificial insemination. Is there any information available reg...
Dr. Lin Manying reply Obstetrics and Gynecology
Viagra can cause vasodilation and engorgement, which facilitates penile erection. Current literature reports that it can also induce hyperemia in the endometrium (luteal phase), aiding in implantation, and may be used as an adjunct medication in assisted reproductive technology.[Read More] Can Viagra Help Women with Infertility? Safety and Efficacy Explored
Does Taking Emergency Contraceptive Pills Delay Menstrual Periods?
Will taking emergency contraception delay the menstrual period? Consulting a doctor: I have been teasing my girlfriend during her menstrual period for 2-3 days, and we had sexual intercourse but did not fully ejaculate. She took the morning-after pill, but she usually has a regul...
Dr. Lin Manying reply Obstetrics and Gynecology
The principle of emergency contraceptive pills is based on high doses of hormones (progestin or estrogen), which interfere with the endometrium, making it difficult for the embryo to implant. Common side effects of taking emergency contraceptive pills include 1. gastrointestinal ...[Read More] Does Taking Emergency Contraceptive Pills Delay Menstrual Periods?
Understanding Left Lower Abdominal Hardness and Discolored Discharge
There is a hard mass in the lower left abdomen? Hello Dr. Lin, I am 37 years old and unmarried. I usually experience vaginal discharge, but in the past two weeks, the discharge has changed to a brownish color. I feel a hard lump in my lower left abdomen, and sometimes when I lie ...
Dr. Lin Manying reply Obstetrics and Gynecology
1. Brown vaginal discharge is likely a small amount of bleeding mixed with leukorrhea, which may indicate a condition affecting the lower reproductive tract (cervix, vagina). 2. For lesions of the upper reproductive tract (endometrium), it is recommended to visit a gynecologist...[Read More] Understanding Left Lower Abdominal Hardness and Discolored Discharge
Understanding Vaginal Odor and Discomfort: Common Causes and Solutions
Unpleasant odor..? I would like to ask... my vagina always has a strong odor, and I often experience itching. What could be the cause? When I have intercourse with my boyfriend, he also notices my scent on him... my underwear often has a yellowish stain... what is happening?
Dr. Lin Manying reply Obstetrics and Gynecology
Normal vaginal discharge varies slightly throughout the menstrual cycle, typically appearing light white, translucent, and slightly acidic. If the discharge does not fit these characteristics and is accompanied by itching, burning, or discomfort during intercourse, it is advisabl...[Read More] Understanding Vaginal Odor and Discomfort: Common Causes and Solutions
Can I Still Conceive After Pituitary Surgery and Hormonal Imbalance?
Can they conceive? Nine years ago, I underwent surgery for a pituitary gland enlargement. I had not had my menstrual period for three years prior to the surgery, and I still have not had it since the operation. Currently, my levels of estrogen, thyroid hormone, and other hormones...
Dr. Lin Manying reply Obstetrics and Gynecology
The pituitary gland has many important areas that secrete hormones in the human body, among which LH, FSH, TSH, and Prolactin are related to ovarian function. If both LH and FSH levels are low, ovulatory function may be affected. Therefore, it is necessary to visit an outpatient ...[Read More] Can I Still Conceive After Pituitary Surgery and Hormonal Imbalance?