Do You Need Extra Birth Control in the First Week of Pill Use?
During the first week of taking oral contraceptives, is it necessary to use additional contraceptive methods? 1. During the first week of taking the birth control pill for the first time, is it necessary to use an additional form of contraception? 2. Is the birth control pill sta...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. As long as you start taking oral contraceptives from the 5th day of your menstrual period (regardless of whether there is bleeding), you do not need to use additional contraceptive methods, as ovarian function has already been suppressed. 2. The most common practice is to take...[Read More] Do You Need Extra Birth Control in the First Week of Pill Use?
Understanding Birth Control Pills: Menstruation, Ovulation, and Blood Donation
Questions related to contraceptive pills? Hello Doctor: I am currently taking the contraceptive pill, Family Planning No. 1. After completing the 21 pills, during the 7-day break when I should have my menstrual period, does having a menstrual period indicate that ovulation has oc...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The primary functions of contraceptive pills are twofold: 1. They suppress the secretion of ovulatory hormones from the brain, preventing ovulation. 2. They disrupt the maturity of the endometrium, making it impossible for a fertilized egg to implant (this is also the function of...[Read More] Understanding Birth Control Pills: Menstruation, Ovulation, and Blood Donation
Understanding Itching in the Vulvar Area: Causes and Prevention Tips
Genital itching? Hello, I would like to ask why I have no vaginal discharge but I experience itching in the folds of the labia majora and the hairy areas. Sometimes, when I take over-the-counter herbal pills, I also feel itchy. Can you explain why this happens? Yesterday, I appli...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Genital itching sometimes requires a physician's examination for thorough treatment. Based solely on symptom description, it is likely vulvar inflammation, with possible causes including folliculitis, pubic lice, or contact dermatitis due to diabetes or urinary incontinence....[Read More] Understanding Itching in the Vulvar Area: Causes and Prevention Tips
Understanding Basal Body Temperature and Ovulation: Key Insights for Women
Basal Body Temperature & Ovulation Day After being married for over a year, my menstrual cycle is 28-30 days. Recently, I started tracking my basal body temperature. Since the end of my menstrual cycle, the temperature has remained low, and even on day 16, it is still at 36.3...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, measuring basal body temperature is the simplest way to determine ovulation days, and the high temperature phase typically lasts for at least 10 days. Based on the aforementioned information and your age, it is likely that ovulation is not occurring. The method for mea...[Read More] Understanding Basal Body Temperature and Ovulation: Key Insights for Women
Understanding Cervical Cancer Symptoms: Is Bleeding After Sex Normal?
Is bleeding from the lower body a symptom of cervical cancer? Cervical cancer symptoms can include abnormal vaginal bleeding, such as bleeding after sexual intercourse, bleeding between periods, or bleeding after menopause. It is important to note that experiencing light bleeding...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Some patients with cervical cancer may not exhibit any symptoms in the early stages and must rely on Pap smear tests for screening. 2. In fact, the symptoms of cervical cancer generally include: post-coital bleeding, abnormal bleeding (such as persistent bleeding), and increas...[Read More] Understanding Cervical Cancer Symptoms: Is Bleeding After Sex Normal?
Effects of X-Ray Exposure Near Ovaries: Myths and Facts
If an X-ray is taken near the ovaries, it may expose the ovarian tissue to radiation. While the amount of radiation from a standard X-ray is generally low and considered safe, repeated exposure or higher doses can potentially have adverse effects on reproductive health. It is imp...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
It is a well-recognized fact that exposure to X-rays in the early stages of pregnancy can cause fetal malformations if the pelvic area is irradiated. However, if only the ovaries are exposed to standard X-ray radiation and not the fertilized egg, it should not pose significant ri...[Read More] Effects of X-Ray Exposure Near Ovaries: Myths and Facts
Grateful for Expert Care: A Daughter's Thanks for Uterine Surgery
Thank you! Dr. Lin: Thank you! I appreciate your thorough explanation of the issues related to the hysterectomy. Your careful approach to my mother's surgery has made her cervical cancer no longer a nightmare for her. She has also recovered very well after the hysterectomy. ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Hello, Lixue's daughter: It is the physician's duty to heal patients. Thank you for your affirmation.[Read More] Grateful for Expert Care: A Daughter's Thanks for Uterine Surgery
Postpartum Back Pain: Is It Related to Anesthesia?
Postpartum lower back pain? Hello Dr. Lin: I have an aunt who, four to five years ago, experienced pregnancy and underwent a spinal anesthesia. Since then, she has been experiencing persistent lower back pain on both sides of her spine. She has been undergoing rehabilitation for ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, spinal anesthesia (also known as regional anesthesia) is commonly used in procedures such as appendectomy, orthopedic surgeries, and cesarean sections. However, it is often reported that patients experience lower back discomfort after cesarean delivery. In fact, during...[Read More] Postpartum Back Pain: Is It Related to Anesthesia?
Understanding Fertility Treatments Beyond Psychological Factors
If you want to conceive and have ruled out psychological issues, the treatment procedures may include: 1. **Fertility Assessment**: This involves a thorough evaluation of both partners, including blood tests, hormone level checks, and imaging studies like ultrasounds or hystero...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Infertility is defined as the inability to conceive after one year of regular sexual intercourse, affecting approximately 1 in 6 women of reproductive age. However, the likelihood of infertility increases with age, reaching about 3 in 4 women by the age of 40. Initial evaluations...[Read More] Understanding Fertility Treatments Beyond Psychological Factors
Safe and Effective Vaginal Lubricants for Comfort and Protection
Lubricants for sexual intercourse Dear Dr. Lin, I previously used warming lubricants and found them painful and uncomfortable. However, using petroleum jelly is not ideal for condoms as it may cause them to break. I would like to know if there are any lubricants specifically de...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
There are various types of lubricants available on the market. If there is a history of infection, it may be advisable to use surgical lubricants, which have better antibacterial properties. Our hospital offers a type of Surgilube, which is suitable for vaginal use. It is availab...[Read More] Safe and Effective Vaginal Lubricants for Comfort and Protection
Are Smokers at Risk? The Dangers of Birth Control Pills for Women
Women who smoke are not suitable candidates for taking contraceptive pills? Is it true that smoking women are not suitable for taking contraceptive pills? Why?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The main active ingredients in contraceptive pills are female hormones and progestins, both of which belong to the steroid (lipid-soluble) hormone category. A small amount of female hormones (such as those used in hormone replacement therapy for menopausal women) can lower blood ...[Read More] Are Smokers at Risk? The Dangers of Birth Control Pills for Women
Understanding Birth Control Pills: Timing and Effectiveness Explained
Questions about contraceptive pills? Hello Dr. Lin: "Due to the prevalence of low-dose contraceptive pills, the initiation of contraceptive pill use has been advanced from the fifth day of menstruation to the first day of menstruation. After finishing each pack (21 pills), o...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The primary mechanisms of action of contraceptive pills are based on their hormonal components: (1) they inhibit ovarian ovulation, and (2) they reduce the maturity of the endometrium, making it unsuitable for implantation. During menstruation, the body's hormone levels reac...[Read More] Understanding Birth Control Pills: Timing and Effectiveness Explained
Understanding Cryotherapy for Cervical Erosion and Vaginal Health Issues
Cryotherapy I have been suffering from excessive vaginal discharge. The doctor diagnosed me with vaginitis, but the medication hasn't helped. I also frequently experience urethritis. Last week, I noticed a very slight amount of blood in my vaginal discharge. After a pelvic e...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
In general, cervical erosion or eversion is closely related to childbirth, as it can result from difficult deliveries, surgeries, or tears. Excessive discharge often causes significant distress for women, and the use of vaginal suppositories typically only addresses the symptoms ...[Read More] Understanding Cryotherapy for Cervical Erosion and Vaginal Health Issues
Understanding Abnormal Menstrual Bleeding and Miscarriage Symptoms
Abnormal menstruation or miscarriage? Hello Dr. Lin: After having intercourse with my husband, I noticed some blood, which wasn't a lot but continued until the third day, so I went to see a doctor. The doctor said it looked more like a menstrual period. After that, my menstr...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Generally speaking, if there is bleeding after intercourse, it is often caused by issues related to the cervix (such as inflammation or polyps). However, if the outpatient physician believes it is menstrual bleeding, it should not be directly related to intercourse with the pa...[Read More] Understanding Abnormal Menstrual Bleeding and Miscarriage Symptoms
Understanding Birth Control Pills for Irregular Menstrual Cycles
Issues related to contraceptive pills? Dear Dr. Lin, My menstrual cycle typically ranges from 33 to 49 days, averaging about 37 days over the course of a year. Is this considered normal? I experience menstrual cramps occasionally, and I currently do not plan to conceive (I have ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Irregular menstrual cycles can be regulated by taking contraceptive pills (if taken consistently). Additionally, the progestin component can help reduce dysmenorrhea. However, contraceptive pills may sometimes cause side effects such as nausea, abdominal pain, and vomiting, which...[Read More] Understanding Birth Control Pills for Irregular Menstrual Cycles
Understanding Preterm Labor: Should You Get Extra Ultrasounds During Pregnancy?
Obstetrics and Gynecology What is [premenstrual syndrome]? I regularly have prenatal check-ups at National Taiwan University Hospital, but I only had an ultrasound when I was five months pregnant. I heard that large hospitals typically perform ultrasounds twice during pregnancy (...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Preeclampsia commonly occurs in the second or third trimester of pregnancy and is a condition closely related to gestation, with potential causes linked to the immune system. For the mother, symptoms may vary in severity and can include elevated blood pressure, edema, headaches, ...[Read More] Understanding Preterm Labor: Should You Get Extra Ultrasounds During Pregnancy?
Impact of Screen Time on Fetal Health and Breastfeeding with Hepatitis B
Obstetrics and Gynecology I am a homemaker and currently 26 weeks pregnant. I spend about six hours a day watching television at home. Will this affect the health of my fetus? Additionally, is it normal for my vision to become worse (more blurry) during this time? Lastly, I am a ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. At 26 weeks of pregnancy, the fetal limbs and organs have entered the developmental stage. It is best to minimize exposure to radiation, and using a screen filter may be beneficial. 2. If there is blurred vision, it is important to pay special attention to symptoms such as h...[Read More] Impact of Screen Time on Fetal Health and Breastfeeding with Hepatitis B
Post-Cesarean Bloating: Causes and Relief Strategies for New Moms
Bloating It has been over a year since I gave birth to my second child via cesarean section, and I often experience abdominal bloating. Is this due to the cesarean delivery? How can I alleviate the symptoms?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Common complications of cesarean delivery include significant bleeding, abdominal wall hematoma, wound infection, bladder injury, adhesions, and anesthesia-related injuries. Adhesions often lead to symptoms such as abdominal pain, bloating, and constipation. For long-term bloatin...[Read More] Post-Cesarean Bloating: Causes and Relief Strategies for New Moms
Could I Be Pregnant? Understanding Your Cycle and Next Steps
Can I get pregnant? My last menstrual period started on November 4th. On the 29th, I experienced a contraceptive failure (the condom broke), and I am concerned about the possibility of unintended pregnancy. My menstrual cycle typically ranges from 27 to 31 days, usually around 27...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
If the menstrual cycle is approximately 27-31 days, ovulation may occur around days 13-17 of the cycle. Calculating from November 29 (the 26th day of the menstrual cycle), the so-called fertile window has already passed. However, it is important to note that the success rate of c...[Read More] Could I Be Pregnant? Understanding Your Cycle and Next Steps
Understanding Urethritis: Symptoms, Treatment, and Self-Care Tips
Regarding urethritis..? Hello, doctor. I have been experiencing redness, swelling, and skin breakdown in the vulvar area, along with painful urination, so I consulted a physician. The doctor informed me that I have urethritis, but I do not have frequent urination or difficulty ur...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The symptoms of urethritis do not include redness, swelling, or skin breakdown of the vulva. Pain during urination is likely caused by a wound at the urethral opening. If topical medication has been applied for more than three days without improvement, it may be necessary to seek...[Read More] Understanding Urethritis: Symptoms, Treatment, and Self-Care Tips