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Understanding Lower Abdominal Pain: Causes and Treatment Options

Lower abdominal pain? Hello Doctor, I have been experiencing lower abdominal pain since around February or March of this year. At first, I thought it was a gastrointestinal issue, so I delayed seeking help for a long time. Eventually, I went to see a gynecologist and was diagnose...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: There are indeed many causes of lower abdominal pain. In addition to gastrointestinal issues, urinary tract infections are also a possibility. From a gynecological perspective, causes may include ovulation pain, infection-related abdominal pain, endometriosis, or ruptured ...

[Read More] Understanding Lower Abdominal Pain: Causes and Treatment Options


Brown Menstrual Blood: What Does It Mean for Your Health?

The menstrual blood is brown and in small amounts? I'm sorry, doctor. This month, my menstrual flow has been brown and very light, sometimes almost nonexistent, but my period still lasts the same duration (7 days). Could this be an early sign of pregnancy, or is it simply a ...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Emily: 1. A menstrual cycle of 28 days plus or minus 7 days is considered normal, with a volume of less than 80 mL. 2. If you are in the early stages of pregnancy, vaginal bleeding may also occur. If there is a possibility of pregnancy, please take a home pregnancy test or ...

[Read More] Brown Menstrual Blood: What Does It Mean for Your Health?


Managing Bartholin Gland Cyst: When to Seek Further Medical Attention

Bartholin gland cyst with low-grade fever for two consecutive nights? Hello, during my appointment on Wednesday afternoon, the doctor diagnosed me with a Bartholin's gland cyst. The doctor used a needle to aspirate the pus and prescribed medication and ointment. However, aft...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Coco: It is recommended to return for a follow-up appointment to perform a drainage procedure, specifically a fistulotomy, to ensure the abscess is completely drained.

[Read More] Managing Bartholin Gland Cyst: When to Seek Further Medical Attention


Understanding Paternity Testing: Who is the Likely Father?

Paternity testing issues? I would like to ask the doctor, the first day of my last menstrual period was on April 19. I had sexual intercourse with two men in early May. The first man, A, had intercourse on May 1, the day before ovulation, at 4 AM, and there was ejaculation inside...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, yes, the success rate of emergency contraception is relatively low, while the success rate of sterilization for contraception is over 95%.

[Read More] Understanding Paternity Testing: Who is the Likely Father?


Post-Surgery Nutrition: Does Fish Essence Affect Wound Healing?

Nutritional Counseling Hello, does consuming commercially available fish essence after pelvic reconstruction surgery due to prolapse cause adhesion at the surgical site?


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Mrs. Liao: After reconstructive surgery, supplementing with protein nutrition is beneficial for wound healing and enhancing the healing process of the reconstructed area.

[Read More] Post-Surgery Nutrition: Does Fish Essence Affect Wound Healing?


Understanding Pregnancy Testing: Accuracy and Common Concerns

Pregnancy testing issues? Question 1: Is the result of a blood pregnancy test accurate if taken 28 days after the last sexual intercourse? Can it be trusted? My breasts have been engorged for two weeks, and my period still hasn't arrived, but I took emergency contraception o...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, A-Tai: If you are concerned about pregnancy, you should be able to trust the test on day 28. Yes! Taking emergency contraception can cause menstrual irregularities.

[Read More] Understanding Pregnancy Testing: Accuracy and Common Concerns


Understanding Pregnancy Test Results and Pre-Menstrual Symptoms

Pregnancy test probability Hello, doctor. Today marks the 25th day since the last sexual intercourse. I used a commercially available pregnancy test with morning urine, and the result showed a single clear line. I would like to ask the doctor the following questions: 1. Given t...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: 1. Yes. 2. Premenstrual syndrome, approximately 7 days before menstruation. 3. There are many reasons for anger; it is important to confront and communicate effectively.

[Read More] Understanding Pregnancy Test Results and Pre-Menstrual Symptoms


Understanding Pap Smear and Biopsy Results: Mild Chronic Inflammation Explained

Pap smear and biopsy? Hello Dr. Lin: I recently had a Pap smear at the hospital that showed CIN 1. Later, the doctor performed a biopsy, and today I found the following information uploaded in my health record under SNOMED: 83000-A-M43000DX: Uterus, cervix, biopsy----mild chronic...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: The Pap smear is for screening purposes, with the biopsy report being the primary basis for diagnosis. Currently, the diagnosis is chronic cervicitis; however, it is still recommended to follow up with 3 to 6 Pap smears.

[Read More] Understanding Pap Smear and Biopsy Results: Mild Chronic Inflammation Explained


Understanding Menstrual Irregularities and Early Pregnancy Signs

Menstrual issues Hello, doctor. My girlfriend's last menstrual period started on February 17, and the last sexual intercourse was on February 20 (about the third to fourth day after her period started). We used a condom and there was no ejaculation. My girlfriend has irregul...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Mr. Tai: 1. It is possible. 2. Some do. 3. It is acceptable. 4. A menstrual cycle of 28 days plus or minus 7 days is considered normal.

[Read More] Understanding Menstrual Irregularities and Early Pregnancy Signs


Understanding Pregnancy Chances and Early Symptoms: Your Questions Answered

Probability of pregnancy? Hello, doctor. I hope you can quickly help me with my questions. 😢 My girlfriend's period started on February 17 and lasted about 6 days. We had condom-protected intercourse on the first to third days of her period, and there was no ejaculation. I w...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: 1. The test is accurate; if you're concerned, you can take another test in a week. 2. If you're worried, you should take a pregnancy test again. 3. Yes. 4. The chances of pregnancy are low, but pre-ejaculate fluid can contain sperm, so it's important to use ...

[Read More] Understanding Pregnancy Chances and Early Symptoms: Your Questions Answered


Understanding Condom Use and Pregnancy Risks: Your Questions Answered

Condom issues? Hello, doctor. I had protected intercourse with my girlfriend on February 20, during the third day of her menstrual period. Initially, the condom was put on inside out, but we flipped it over and rinsed it with water before intercourse, which lasted about 3 minutes...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Taigon: 1. It is possible, but the probability is very low. 2. It will be accurate. 3. There is no rupture. 4. I don't know; the probability is low.

[Read More] Understanding Condom Use and Pregnancy Risks: Your Questions Answered


Understanding Menstrual Changes: Possible Causes and Pregnancy Concerns

Menstrual issues? My last menstrual period was from February 15 to February 20, but this time the flow is lighter than before. On March 5, after using the restroom, I noticed some brown discharge, and in the morning of March 5, after wiping, there was some bright red blood. What ...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Wenzi: 1. Please take a pregnancy test to check if you are pregnant. 2. If you are not pregnant, it could be due to ovulation or pelvic inflammatory disease; please consult a doctor.

[Read More] Understanding Menstrual Changes: Possible Causes and Pregnancy Concerns


Understanding Abdominal Distension and Urgency in Women

Bloating in the lower abdomen? After 9 PM, I haven't had any water, but when I lie down to sleep at night, I feel a pressure in my lower abdomen and a strong urge to urinate. However, either I can't urinate at all or I only pass a small amount. Even after urinating, I s...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, it is possible that you have a urinary tract infection; you should see a doctor.

[Read More] Understanding Abdominal Distension and Urgency in Women


Can Hormonal Birth Control Help with Adenomyosis and Ovarian Cysts?

Can hormonal contraceptives be used to improve conditions like adenomyosis and ovarian cysts? Hello Doctor, currently my symptoms include: palpitations, rapid heartbeat, chest tightness, anxiety, chills, insomnia, tinnitus, gastroenteritis, and night sweats waking me up with feve...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Xiao-Qin: For menopausal symptoms, it is recommended to supplement with female hormones, progesterone, or soy isoflavones, and contraceptive pills are not advised. For adenomyosis or ovarian cysts, symptomatic treatment and regular ultrasound monitoring are suggested.

[Read More] Can Hormonal Birth Control Help with Adenomyosis and Ovarian Cysts?


Understanding the Risks of Unprotected Sex and Emergency Contraception

I would like to confirm the likelihood of the following situation being true? Due to personal reasons, I was unable to accompany my partner to the doctor and only provided a significant amount of money for their use. The following information is based on what I learned from other...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Mr. Yu: The medical situation indicates early pregnancy, with the possibility of incomplete miscarriage. However, it is not possible to confirm the timing of the pregnancy. The timeline does not align, as sexual intercourse occurred on January 11 and the miscarriage on Janu...

[Read More] Understanding the Risks of Unprotected Sex and Emergency Contraception


Managing Menopause: Comparing Plant-Based Estrogen to Prescription Treatments

Estrogen therapy during menopause? I experienced significant menopausal symptoms at the age of 53, but in the past year, hot flashes, skin itching, and palpitations have greatly affected my life, especially the hot flashes at night, which disrupt my sleep quality. The itching als...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Zhenzhen: Both options are acceptable, but soy isoflavones are considered a self-paid health supplement. Using Vinina for 4 to 6 years is generally acceptable, but regular follow-up with mammography and gynecological check-ups is necessary.

[Read More] Managing Menopause: Comparing Plant-Based Estrogen to Prescription Treatments


Understanding Condom Issues: Safety, Breakage, and Pregnancy Risks

Condom issues Hello, doctor. I would like to ask for your help regarding a situation with my girlfriend. We had sexual intercourse using a condom, and after we finished, I checked three condoms by filling them with water. There were no leaks, and shaking them did not cause any le...


Dr. Lin Xinwang reply Obstetrics and Gynecology
1. Yes. 2. Yes. 3. Yes, if you are concerned, please take a pregnancy test 21 days after sexual intercourse.

[Read More] Understanding Condom Issues: Safety, Breakage, and Pregnancy Risks


Does Taking Birth Control Pills Delay Periods and Prevent Pregnancy?

If you took the contraceptive pill but did not experience a delay in your menstrual period, will it still be effective for contraception? My original menstrual period was due on February 20, but I wanted to delay it, so I started taking medication on February 8. After 7-8 days, I...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: 1. You should first take a pregnancy test to see if you are pregnant. 2. Menstrual delay medication cannot be used as a contraceptive.

[Read More] Does Taking Birth Control Pills Delay Periods and Prevent Pregnancy?


Understanding Pregnancy Chances and Medication-Induced Abortion Concerns

Pregnancy probability?? And questions regarding medical abortion (Little Tianwen) Thank you 🙏 Hello Doctor, thank you for taking the time to read my message. My recent menstrual period was from January 26 to January 30, lasting five days. On February 6, during ovulation, I had an...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Xiao Tian: 1. You should first take a pregnancy test to see if you are pregnant. 2. "Induction of labor" must be done with the consent of your partner.

[Read More] Understanding Pregnancy Chances and Medication-Induced Abortion Concerns


Does Taking Emergency Contraceptive Pills Disrupt Your Menstrual Cycle?

Can taking emergency contraception cause irregular menstruation? Doctor, I usually have my period at the beginning of the month, but after having intercourse on December 19 and taking emergency contraception, I got my period on December 25. Then, I had my period again on January ...


Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: The bleeding on February 5th may be ovulatory bleeding. If it lasts only 2 to 3 days and is accompanied by clear, mucus-like discharge, it is likely related to ovulation.

[Read More] Does Taking Emergency Contraceptive Pills Disrupt Your Menstrual Cycle?


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