Managing Adenomyosis: Treatment Options and Menstrual Cycle Concerns
Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take it seriously until this year when I started getting vaccinated. After being diagnosed, my menstrual cycle became irregular. I didn't have my period from January to February, had it for h...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: If menstruation occurs, you can stop the medication and observe. If there is abnormal bleeding, you should see a doctor to determine the issue. Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommende...[Read More] Managing Adenomyosis: Treatment Options and Menstrual Cycle Concerns
Why Does Vaginal Discharge Have a Medicinal Odor?
The secretion has a medicinal odor? Thank you for your detailed question. The presence of a medicinal odor in your discharge may be attributed to several factors. After treatment for a vaginal yeast infection, the medications used, whether topical or oral, can sometimes leave res...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Dou Dou: This is not related to cervical incompetence. If it occurs during ovulation, having watery discharge is normal. However, if it is not during ovulation and there is watery discharge, it is advisable to seek medical consultation to rule out the possibility of a tumo...[Read More] Why Does Vaginal Discharge Have a Medicinal Odor?
Managing Adenomyosis: Navigating Symptoms and Treatment Options
Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take it seriously until this year. After getting vaccinated and testing positive for COVID-19, my menstrual cycle became irregular. I didn't have my period from January to February, had it fo...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, An Baobei: Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommended to take estrogen (E) and progesterone (P) during the first week after menstruation, and then take progesterone from day 14 to day 2...[Read More] Managing Adenomyosis: Navigating Symptoms and Treatment Options
Is It Normal for Vaginal Discharge to Have a Medicinal Odor?
The discharge has a medicinal odor? In early June, I received treatment for a vaginal yeast infection, which involved using suppositories for a month and a half. In the last week, since the doctor said I was almost cured, I switched to oral medication due to an allergic reaction ...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Dou Dou: The normal vagina has a healthy flora that maintains a mildly acidic environment. Once this environment is disrupted, it becomes susceptible to fungal or bacterial infections. Typically, after treating a fungal infection, in addition to keeping the external genita...[Read More] Is It Normal for Vaginal Discharge to Have a Medicinal Odor?
Why Am I Still Bleeding After Taking Progesterone?
Bleeding after taking progesterone? Hello Doctor, I previously took medication to regulate my menstrual cycle, but I only took two pills from the last pack. After consulting with my doctor, he said I could start taking that pack again when my next period arrives without significa...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: Adjusting menstrual cycles is done on a monthly basis, and if necessary, adjustments can be made after observing the menstrual situation for three months. Each adjustment should be calculated in intervals of 10-14 days or 21-28 days. Please be patient with the medication o...[Read More] Why Am I Still Bleeding After Taking Progesterone?
Endometriosis vs. Uterine Fibroids: Are They the Same Condition?
Is endometriosis the same as uterine fibroids? Hello, Doctor: I would like to ask if endometriosis and uterine fibroids are the same disease?
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: Endometriosis is a condition where the tissue that normally lines the uterus grows into the myometrium, ovaries, or pelvic cavity, and it is different from uterine fibroids.[Read More] Endometriosis vs. Uterine Fibroids: Are They the Same Condition?
Do Fexofenadine, Pseudoephedrine, and Nasonex Affect Birth Control Efficacy?
Fexofenadine, pseudoephedrine, Nasonex nasal spray, and the effectiveness of oral contraceptives? I received medication from an otolaryngologist for my rhinitis, but I forgot to inform the doctor that I am taking oral contraceptives. I would like to know if the three medications ...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Qing; these three medications do not interact with oral contraceptives and do not affect their efficacy.[Read More] Do Fexofenadine, Pseudoephedrine, and Nasonex Affect Birth Control Efficacy?
Understanding Irregular Menstrual Bleeding: Pregnancy Concerns Explained
Is this menstrual irregularity? On June 29 and June 30, my boyfriend had unprotected intercourse. On July 1, I took the morning-after pill, but on the morning of July 2, my boyfriend had unprotected intercourse again without taking another contraceptive pill. On July 6, I experie...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Tang: 1. Taking emergency contraceptive pills can easily cause irregular menstrual cycles, making it difficult to estimate when menstruation will occur. 2. If you are concerned about pregnancy, consider taking a pregnancy test three weeks after sexual intercourse.[Read More] Understanding Irregular Menstrual Bleeding: Pregnancy Concerns Explained
Post-Cervical Cone Biopsy: Understanding Bleeding and Pain During Intercourse
Post-coital bleeding after cervical conization? Doctor, I was diagnosed with CIN3 after a deep smear test and underwent a cone biopsy on May 23. My recovery period will be complete on July 4, which is six weeks. However, I had unprotected intercourse with my husband on July 1, an...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: After a cervical conization, the wound may scab over and is prone to bleeding again if the scab falls off due to friction. It is recommended to avoid sexual intercourse for 4 to 8 weeks post-surgery. If there is bleeding after sexual activity, a follow-up examination is ad...[Read More] Post-Cervical Cone Biopsy: Understanding Bleeding and Pain During Intercourse
Understanding Light Menstrual Flow: When to Consult Your Doctor
Hypomenorrhea I have experienced a delay in my menstrual cycle for two months, during which I received progesterone injections and took progesterone pills. My period finally arrived on June 23, but it only lasted for three days and was lighter than usual; previously, my periods a...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: 1. If your period is late, you must first rule out the possibility of pregnancy. 2. If you are not pregnant and your period started on June 23 and lasted for 3 days, you can wait to see if your next period is normal. 3. Early pregnancy can also present with vaginal bleedin...[Read More] Understanding Light Menstrual Flow: When to Consult Your Doctor
Should You Continue a Pregnancy After Taking Oral Accutane?
Should I keep the pregnancy after taking oral isotretinoin? Hello, doctor. Today, on June 18, I found out that I am 2 weeks pregnant (my last menstrual period was on May 2). However, I had been taking oral isotretinoin for two months, which I stopped at the end of April. Since or...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: Oral isotretinoin has teratogenic effects, and it is generally recommended to stop the medication three months before attempting to conceive. A high-level ultrasound is typically advised between 20 to 24 weeks of gestation. As of June 18, the gestational age should be arou...[Read More] Should You Continue a Pregnancy After Taking Oral Accutane?
Understanding Frequent Urination and Uterine Infections After Menstruation
Frequent urination and uterine infection? Hello Doctor: I would like to ask, I experience frequent urination and abdominal bloating almost every month after my menstrual period ends. I also have discharge. I need to see a doctor almost every month. It's either a bladder infe...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: During menstruation or shortly after it ends, there is a higher risk of cervical infections or pelvic inflammatory disease. It is recommended to rest more and drink plenty of plain water to avoid cystitis. Additionally, this is not related to the ovulation period; however,...[Read More] Understanding Frequent Urination and Uterine Infections After Menstruation
Managing Menopause: Effective Hormone Therapy Solutions for Relief
Hormone therapy Hello Doctor: I am 59 years old and have been menopausal for 5 years. My menopause symptoms have been quite severe. Five years ago, I visited a gynecologist who prescribed me hormone therapy with Shun Ning Na (1 mg/2.5 mg). After taking one pill at night, I woke u...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: The discomfort during menopause typically lasts an average of 4 to 6 years, but it can vary from person to person. It is recommended to take medication regularly for at least 3 to 6 months; if symptoms improve, you may consider discontinuing the medication. If supplementin...[Read More] Managing Menopause: Effective Hormone Therapy Solutions for Relief
Understanding Unwanted Hair Growth: Causes and Solutions for Women
Increased hair growth in the genital area and other regions? Last August and September, I noticed that the hair on my areolas had become longer and thicker. By October, I observed a significant increase in hair on my calves, armpits, and pubic area (the hair became coarser and th...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: It is recommended to continue follow-up with the original obstetrics and gynecology department and the endocrinology department for metabolic disorders, along with necessary examinations and appropriate treatment.[Read More] Understanding Unwanted Hair Growth: Causes and Solutions for Women
Managing Menopausal Hot Flashes: Do You Need Estrogen?
Menopausal hot flashes I experience hot flashes during the day, occurring every 30 minutes to 1 hour, accompanied by excessive sweating. I often feel palpitations, chest tightness, shortness of breath, weakness, and fatigue. I have undergone an electrocardiogram, and my heart is ...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: The symptoms appear to be indicative of menopause syndrome. It is recommended to conduct a blood test to check female hormones, and if necessary, to take estrogen.[Read More] Managing Menopausal Hot Flashes: Do You Need Estrogen?
Understanding the Impact of Male Hormones on Acne in Women
Androgens can lead to acne? Hello, doctor. I have been experiencing acne for a long time. In the past, I took oral isotretinoin until I reached the maximum dosage, and my doctor said I could stop the medication. However, about a year ago, due to stress, I started breaking out aga...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Ms. Li: Female androgens are secreted in small amounts by the ovaries, while most are derived from the conversion of precursors in the bloodstream, so it is not related to the timing of blood draw.[Read More] Understanding the Impact of Male Hormones on Acne in Women
Understanding Brown Discharge Between Periods: Causes and Concerns
Discharge during non-menstrual periods? Hello Doctor, I had my menstrual period from May 29 to June 4. Around June 12, I noticed brown discharge, which was not much—just a little each time I used the restroom, and it would stop after one or two wipes. This has been ongoing for ov...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Xiaoran: During the ovulation period, hormonal changes can cause light uterine bleeding. If you notice brown discharge, it is likely a small amount of uterine bleeding. Observing this phenomenon during ovulation is considered normal.[Read More] Understanding Brown Discharge Between Periods: Causes and Concerns
Understanding the Impact of Male Hormones on Acne in Women
Androgens can lead to acne? Hello, doctor. I have been experiencing persistent acne. In the past, I took oral isotretinoin until I reached the maximum dosage, and my doctor said I could stop the medication. However, about a year ago, due to stress, I started breaking out again, a...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Ms. Li: Androgens in females are secreted in only small amounts by the ovaries, with the majority being converted from precursors in the bloodstream, so it is not related to the timing of blood draw.[Read More] Understanding the Impact of Male Hormones on Acne in Women
Understanding Copper IUD: Is Prolonged Bleeding and Pain Normal?
Intrauterine device (IUD) - Copper T? Hello, Doctor. After having a copper intrauterine device (IUD) inserted, I have been experiencing continuous bleeding for about two weeks. A few days ago, I returned for a follow-up and received medication to help with the bleeding, but after...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: After the insertion of an intrauterine device (IUD), occasional infections or bleeding may occur. If symptoms improve after treatment, there is no cause for concern. However, if bleeding or infection persists, it may be necessary to remove the IUD. If there is no improveme...[Read More] Understanding Copper IUD: Is Prolonged Bleeding and Pain Normal?
Understanding Uterine Cramps and Pain: Causes and Treatment Options
Uterine cramping and distension? Recently, I have been experiencing intermittent cramping and bloating in my uterus outside of my menstrual period, usually lasting about 30 seconds to 1 minute, but it occurs repeatedly. Additionally, I feel pain when using a squat toilet or bendi...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: Dysmenorrhea and heavy menstrual bleeding may be caused by fibroids or adenomyosis. If there is persistent pain or excessive menstrual flow, it is recommended to consult a gynecologist for examination.[Read More] Understanding Uterine Cramps and Pain: Causes and Treatment Options