Can Uterine Fibroids Affect Blood Pressure? Understanding the Connection
The impact of uterine fibroids on blood pressure? Hello, I was diagnosed with a 10 cm uterine fibroid two years ago and have been regularly monitoring it since then. During my last check-up last year, the fibroid measured 10 x 12 cm, and there was mild hydronephrosis on the left ...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello BTP: Generally, if fibroids grow rapidly or cause compressive symptoms, such as pressure on the bladder or ureters leading to hydronephrosis, surgical treatment is recommended. Additionally, fibroids themselves do not affect blood pressure.[Read More] Can Uterine Fibroids Affect Blood Pressure? Understanding the Connection
Can Birth Control Pills Be Safe with Prolactinoma Treatment?
Prolactin-lowering tablets and contraceptive pills? Hello, I have a 0.7 cm prolactinoma in my pituitary gland and usually take medication to lower prolactin levels twice a week. Recently, I am considering taking birth control pills for contraception. I would like to know if my co...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Sha: Medications that lower prolactin levels can help restore normal ovulation and fertility in women. Therefore, it is recommended that during the use of prolactin-lowering medications or after discontinuation, effective contraception should be used if pregnancy is not de...[Read More] Can Birth Control Pills Be Safe with Prolactinoma Treatment?
Understanding Perineal Nerve Canal Syndrome: Symptoms and Treatment Options
Perineal nerve canal syndrome Hello, doctor. I often experience a sensation of being touched in the perineal nerve area, particularly around the clitoris, which is definitely not a response related to sexual arousal (but feels like a physiological reaction), causing significant d...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Qingqing: It is confirmed that you have perineal nerve syndrome, which is relatively rare. This condition is primarily caused by compression of the perineal nerve, leading to symptoms such as numbness and pain. You may consider conservative treatment options or improving yo...[Read More] Understanding Perineal Nerve Canal Syndrome: Symptoms and Treatment Options
Understanding Vaginal Prolapse: Causes, Symptoms, and Treatment Options
There is a piece of flesh protruding from the vaginal opening? Currently, it has been six months since my second childbirth. I engaged in sexual activity about two months postpartum. Around four months after giving birth, I noticed some tissue in the vagina, initially thinking it...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello RuRui: Before childbirth, pelvic relaxation can easily lead to uterine prolapse, as well as bladder, rectal, and vaginal prolapse. Additionally, cervical polyps or uterine fibroids may also cause the appearance of a mass at the vaginal opening. It is recommended to seek med...[Read More] Understanding Vaginal Prolapse: Causes, Symptoms, and Treatment Options
Understanding Vaginal Prolapse: Causes, Symptoms, and Treatment Options
There is a piece of tissue protruding from the vaginal opening? Currently, it has been six months since my second childbirth. I resumed sexual activity about two months postpartum. Approximately four months after giving birth, I noticed a lump in the vaginal area, initially think...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello RuRui: Before childbirth, pelvic relaxation can easily lead to uterine prolapse, as well as bladder, rectal, and vaginal prolapse. Additionally, cervical polyps or uterine fibroids may also cause the appearance of a mass at the vaginal opening. It is advisable to seek medic...[Read More] Understanding Vaginal Prolapse: Causes, Symptoms, and Treatment Options
Frequent Urination and Missed Period: Could You Be Pregnant?
Delayed menstruation and frequent urination? On December 10, my period started, and I have not had my period by January 8. I have had sexual intercourse within this month, and I am experiencing increased urinary frequency, which persists from morning until bedtime, causing diffic...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Hsiao-Chun: 1. After sexual intercourse, take a pregnancy test again between 14 to 28 days later. If the result is negative and you still have concerns, test again the following week. 2. The issue of frequent urination may indicate a urinary tract infection; please visit a...[Read More] Frequent Urination and Missed Period: Could You Be Pregnant?
Is It Safe to Get Pregnant Again with Postpartum Urinary Incontinence?
Is it suitable to get pregnant again after experiencing postpartum pelvic floor muscle relaxation and urinary incontinence? Hello, doctor. I am currently seven months postpartum, and my urinary incontinence has not improved since the late stages of my pregnancy. I have been doing...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello ABC: The processes of pregnancy and childbirth can increase the likelihood of pelvic floor relaxation and urinary incontinence. It is recommended to perform surgery for urinary incontinence after delivery. Additionally, pelvic floor relaxation does not cause miscarriage or ...[Read More] Is It Safe to Get Pregnant Again with Postpartum Urinary Incontinence?
Managing High Prolactin and Schizophrenia: Can Soy and Flaxseed Help?
Hyperprolactinemia and schizophrenia? Hello doctor, I was diagnosed with schizophrenia at the age of 30. I have been taking four tablets of Seroquel every day since then. A few months ago, during a follow-up appointment, I had my prolactin levels tested, and the doctor said they ...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Yea: 1. If your period is missed, you should first take a pregnancy test to rule out the possibility of pregnancy. 2. Some psychiatric medications can cause elevated prolactin levels; you might consider adjusting your medication. 3. Menstruation should be controlled to occ...[Read More] Managing High Prolactin and Schizophrenia: Can Soy and Flaxseed Help?
Can Pre-Ejaculate Fluid Lead to Pregnancy? Understanding the Risks
Prostatic fluid and pregnancy? On November 7th, around 2 to 3 PM, my boyfriend had already released pre-ejaculate fluid. After touching his own genitals, he inserted his finger into my vagina. Additionally, while I was not wearing underwear and he was, we engaged in mutual rubbin...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, if there is a concern about pregnancy, it is recommended to take a pregnancy test or see a doctor at least 14 days after the incident for more reliable results.[Read More] Can Pre-Ejaculate Fluid Lead to Pregnancy? Understanding the Risks
Understanding Breast Tenderness in Early Pregnancy: Is It Normal?
Breast tenderness in early pregnancy? Hello, I am currently pregnant with my second child. Since I have been over two months pregnant, I have been experiencing breast tenderness and pain, which feels similar to engorgement when pressed. I did not experience this during my first p...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello: In early pregnancy, due to hormonal changes, the breasts may experience swelling and tenderness, and the areolas may darken in color. These are all normal phenomena.[Read More] Understanding Breast Tenderness in Early Pregnancy: Is It Normal?
Understanding Uterine Fibroids: Common Concerns and Treatment Options
Tumor issues? I have some questions regarding my uterine fibroids: 1. I previously underwent surgery for multiple large uterine fibroids through traditional laparotomy. I had been experiencing frequent urination due to a history of bladder infections, and it seems to have worsene...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello, Xiao Yu: 1. Frequent urination is not normal and may be caused by inflammation, bladder dysfunction, or other issues. 2. You can consult a specialist in women's urology. 3. It is normal.[Read More] Understanding Uterine Fibroids: Common Concerns and Treatment Options
Understanding Ovulation Bleeding: Is It Normal and When to See a Doctor?
Ovulation bleeding Hello Doctor, I would like to ask about my menstrual cycle this month, which was from November 15 to November 21. After my period ended, on November 28, I noticed a lump of brown discharge around noon, but it stopped afterward. Is this a normal occurrence? Shou...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Alice: If the menstrual cycle is 28 days, ovulation occurs on November 28. It is normal to experience slight spotting or brown discharge for 2-3 days during the ovulation period.[Read More] Understanding Ovulation Bleeding: Is It Normal and When to See a Doctor?
Understanding Male Hormonal Imbalance: Symptoms Similar to PMS
Symptoms similar to premenstrual syndrome (PMS) I am a male with endocrine disorders, and my estrogen levels are usually as high as 210, while my androgen levels are below 20. During episodes of symptoms, my estrogen levels can exceed 600, at which point I experience severe disco...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello Mr. Liao: An imbalance in estrogen levels, whether too high or too low, or experiencing significant fluctuations, can lead to physical discomfort. This type of endocrine disruption is similar to the bodily discomfort caused by hormonal changes during premenstrual syndrome (...[Read More] Understanding Male Hormonal Imbalance: Symptoms Similar to PMS
Miscalculating Birth Control Timing: Risks and Next Steps
Incorrect medication timing? 1. Hello doctor, I have been taking the oral contraceptive pill for the third month, but I miscalculated the timing and took a new pack on the ninth day after the break (October 28) without taking any missed doses. However, I had unprotected intercour...
Dr. Lin Xinwang reply Obstetrics and Gynecology
Hello W: 1. Approximately 20% 2. Must take within 72 hours after the incident 3. Pregnancy test should be done 14 days after intercourse, so test on November 14.[Read More] Miscalculating Birth Control Timing: Risks and Next Steps