Understanding Unexplained Pain: Gynecological Concerns and Early Detection
Unknown pain Hello Dr. Lin: (1) How are vaginal cancer and endometrial cancer examined? Is it the same as doing an ultrasound? (2) Do we have to wait until there are symptoms to discover these diseases? How can we prevent them early? What are the symptoms? (3) For some gyne...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Vaginal cancer is extremely rare, while endometrial cancer typically presents with abnormal bleeding in its early stages. The definitive diagnosis for both is made through biopsy rather than ultrasound. 2. Vaginal cancer can be easily detected through Pap smears, while endom...[Read More] Understanding Unexplained Pain: Gynecological Concerns and Early Detection
Understanding Emergency Contraception: What to Do If Your Partner's Period Is Delayed
Regarding emergency contraception? Doctor: My girlfriend got her period around December 24th last year. After her period ended, we impulsively had intercourse without using contraception. So, we went to the pharmacy and bought emergency contraception in early January. About a wee...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The advantages of emergency contraceptive pills are their convenience and effectiveness. However, a downside is that they can cause irregular menstruation. The menstrual cycle at the beginning of January can be considered a period, and it is normal not to have a period by January...[Read More] Understanding Emergency Contraception: What to Do If Your Partner's Period Is Delayed
Understanding Abnormal Bleeding: Causes, Symptoms, and When to Seek Help
Abnormal bleeding Hello Dr. Lin: My menstrual period started on January 12 and ended on January 19. Today (January 29), I noticed some bleeding (a little bit of light red streaks) when urinating, but there is no pain and not much discharge. I had some itching previously (for abou...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The physician has explained that ovulatory bleeding indicates it is unrelated to inflammation, and since the smear only shows inflammation without cellular abnormalities, there is no need for concern. 2. As long as the bleeding stops naturally within three days, no further eva...[Read More] Understanding Abnormal Bleeding: Causes, Symptoms, and When to Seek Help
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Abnormal bleeding (I just sent a previous email, this one is to provide additional corrections.) Hello Dr. Lin, I apologize for the confusion. I would like to correct the dates of my menstrual period; it was from January 13 to January 18 of this year. Additionally, I would like...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The physician has explained that ovulatory bleeding indicates it is unrelated to inflammation, and since the smear only shows inflammation and not cellular changes, there is no need for concern. 2. As long as the bleeding stops naturally within 3 days, there is no need for a c...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding Pelvic Inflammation: Symptoms and Treatment Insights
Inflammation Hello, doctor. I would like to ask if pelvic inflammatory disease can cause symptoms such as lower back pain. I recently visited a doctor who diagnosed me with inflammation of the uterus and cervix. I have been undergoing treatment for 2 to 3 weeks, but I still exper...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, pelvic inflammatory disease (PID) may present with the following symptoms: 1. Lower abdominal pain, which may sometimes radiate to the upper right abdomen, 2. Increased vaginal discharge, 3. Pressure or discomfort in the lower abdomen near the pubic area, 4. Fever, 5. ...[Read More] Understanding Pelvic Inflammation: Symptoms and Treatment Insights
Understanding Abnormal Bleeding: When to Seek Medical Help
Last time, I inquired about abnormal bleeding? Hello Doctor: After consulting you about the abnormal bleeding issue, my partner has been continuously taking anti-inflammatory medication (as it is inconvenient to seek medical attention while abroad). The bleeding seems to have sli...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. If the anti-inflammatory medication contains properties for urinary tract inflammation, it is normal for urine to appear orange and there is no need for concern. 2. It is recommended to visit the obstetrics and gynecology outpatient clinic for a detailed examination to rule ou...[Read More] Understanding Abnormal Bleeding: When to Seek Medical Help
Does X-Ray Exposure Affect Pregnancy Plans?
Is there an impact? Hello Doctor: On January 27, I had to take X-rays for an orthopedic consultation, specifically of the lumbar spine in both the frontal and lateral views. I would like to ask if this will have any impact, as I am planning to conceive in the next month. I am con...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
In general, aside from chemotherapy, the use of retinoids for acne, the German measles vaccine, certain immunosuppressive medications for autoimmune diseases, and some toxins must be discontinued for 1-3 months before attempting to conceive. Other medications can be avoided after...[Read More] Does X-Ray Exposure Affect Pregnancy Plans?
Understanding Inflammation in the Uterus and Cervix: Treatment Duration and Concerns
Why does inflammation occur? Hello, doctor. I would like to ask about the treatment duration for inflammation of the uterus and cervix. The doctor mentioned that it is not severe, but I have been using suppositories for 10 days. After that, my menstruation started, and now I have...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The treatment is generally assessed every two weeks. 2. Inflammation of the uterus or cervix can certainly affect fertility. If there is persistent infertility, blood tests for Chlamydia or a hysterosalpingography can be arranged. Additionally, if there is inflammation, ther...[Read More] Understanding Inflammation in the Uterus and Cervix: Treatment Duration and Concerns
How Soon Can You Get Pregnant After an Abortion?
How long after an abortion can one become pregnant? Hello Dr. Lin, I would like to ask you a few questions. Two weeks ago, I underwent a surgical abortion (at five weeks of pregnancy), and I have some post-operative concerns that I hope you can clarify for me: 1. If I want to c...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Theoretically, it takes about three cycles (approximately three months) for ovulatory function to return to normal; however, there have been instances where individuals became pregnant immediately after, with only three weeks between miscarriage and subsequent pregnancy. 2. Th...[Read More] How Soon Can You Get Pregnant After an Abortion?
Understanding Abnormal Bleeding: Symptoms and Concerns for LGBTQ+ Individuals
Abnormal bleeding Hello Doctor: I am a gay man, and a few days ago, after having sex with my partner, I noticed some abnormal bleeding, mild abdominal pain, and frequent urination. Could this be a sign of an infection? Is it possible that the vagina has been injured? I am unsure ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
After getting married, the wife often experiences symptoms of painful urination and frequent urination. This is not due to vaginal injury, but rather an infection. However, if sexual toys were used, there is a possibility of vaginal injury. Additionally, cervicitis and unstable e...[Read More] Understanding Abnormal Bleeding: Symptoms and Concerns for LGBTQ+ Individuals
Can You Get Pregnant After Unprotected Intercourse Hours Later?
Can you!? After ejaculation (without cleaning up) and then having unprotected intercourse a few hours later (6-7 hours) without ejaculation, is there a chance of residual semen in the lower pelvis? In other words, is there a possibility of pregnancy?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Sometimes, even without ejaculation, a small amount of sperm can be released, which still presents a possibility of conception.[Read More] Can You Get Pregnant After Unprotected Intercourse Hours Later?
Medication Safety During Pregnancy: What to Avoid for Your Baby's Health
Medication Issues During Pregnancy Hello Doctor, I would like to ask what medications should be avoided if I suspect that I might be pregnant. Recently, I have been experiencing gastrointestinal discomfort and frequent diarrhea, and I need to take antidiarrheal medications and ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Pregnant women should avoid taking dermatological medications (especially for acne), psychiatric medications (including sleep aids), and neurological drugs. Generally, gastrointestinal medications are not a major concern. As for mydriatics, which are anticholinergic agents, they ...[Read More] Medication Safety During Pregnancy: What to Avoid for Your Baby's Health
Post-Intercourse Bleeding: Causes and When to Seek Medical Advice
Postcoital bleeding Hello doctor, my period started on January 12. On January 18, after I had intercourse with my husband, I experienced some bleeding, which lasted for about a day and was very light. I've never experienced this before. What could be the possible reasons for...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Cervicitis 2. Cervical lesions 3. Endometrial instability 4. Mild rupture of ovarian cyst 5. Hormonal imbalance[Read More] Post-Intercourse Bleeding: Causes and When to Seek Medical Advice
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Regarding intermenstrual bleeding? Hello, doctor. Recently, I noticed blood-tinged vaginal discharge, so I went for a gynecological examination. However, since I have no sexual experience, there was no internal examination. The doctor diagnosed me with a Candida infection, but I ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Candidiasis is not related to abnormal bleeding. If bleeding occurs a week after menstruation, it is usually ovulatory bleeding, characterized by: 1. scant brownish discharge, 2. sometimes accompanied by abdominal pain, 3. it will resolve on its own without medication. Oral medic...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
What is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Hello Dr. Lin: I apologize for bothering you again... (1) I would like to ask, what is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Some people say that ovarian cysts ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. A simple cyst generally refers to a fluid-filled sac larger than 3 centimeters, and it is usually solitary. In contrast, polycystic ovaries contain multiple small follicles (typically more than 7), with each follicle rarely exceeding 1.2 centimeters in size. 2. The tumor mar...[Read More] Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
Understanding and Managing Vulvar Itching: Tips for Relief and Care
Vulvar itching Hello, doctor. I would like to ask you: I experience intermittent itching in the vulvar area, for example, during winter and after menstruation. May I ask 1. What should I pay attention to in terms of healthcare? 2. When the itching is severe, besides seeking medic...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Winter itching is related to drier skin, and applying a mild lotion can help. As for itching after menstruation, it may be caused by an allergic reaction to pads or an incorrect size. Additionally, a heavier menstrual flow can also contribute to increased itching. The best way to...[Read More] Understanding and Managing Vulvar Itching: Tips for Relief and Care
Understanding Pap Smears and HPV: Key Questions Answered for Women's Health
Pap Smear & HPV Hello Dr. Lin: I apologize for bothering you again... (1) Yesterday I asked you about the Pap smear report indicating inflammation and a negative HPV result. You mentioned: (If you want to get vaccinated, you can do another test, at least 3 months apart.) When...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Since the Pap smear showed inflammation, both the HPV test and Pap smear should be repeated in three months. 2. If the HPV result is negative, the likelihood is low. 3. If the bladder is significantly distended, the accuracy remains the same. 4. The pelvic cavity refers ...[Read More] Understanding Pap Smears and HPV: Key Questions Answered for Women's Health
Understanding Pap Smear and HPV Test Results: Your Questions Answered
Pap smear & HPV testing Hello Dr. Lin: I received the results of my Pap smear and HPV test conducted on December 15. The HPV result is negative, while the Pap smear indicates a grade of (2) with inflammation. I would like to know if the inflammation indicated in the Pap smear...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. A Pap smear showing inflammation will not affect the results of the HPV test. 2. If you want to receive the vaccine, you can have another test done at least 3 months prior. 3. There is no need to change clinics. 4. The new thin-layer Pap smear costs approximately 1500 NTD out-...[Read More] Understanding Pap Smear and HPV Test Results: Your Questions Answered
Post-Hysterectomy Abdominal Distension: Causes and Treatment Options
What should be the subsequent treatment? Hello Doctor: Last time I asked you about the issue of abdominal bloating after a hysterectomy, and you provided a detailed answer. Thank you! Regarding your response, there are two possibilities: 1. There may be a hematoma in the abdomina...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The resolution of a hematoma varies depending on the situation, averaging between 3 to 6 weeks. If there are any concerns, one should see a doctor immediately. A binder is one option. 2. Intestinal adhesions can be diagnosed based on symptoms and abdominal X-rays. If symptom...[Read More] Post-Hysterectomy Abdominal Distension: Causes and Treatment Options
Understanding Polycystic Ovary Syndrome: Key Questions and Insights
Polycystic Ovary Syndrome (PCOS) Hello Dr. Lin: Thank you for your previous response... I have a few more questions I would like to ask you: (1) I had a Pap smear and HPV test during my gynecological appointment on December 15, 2006, and I will receive the results in two weeks. I...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. There is a window period between HPV infection and the onset of disease, averaging about 2 to 6 months. Therefore, it is recommended to receive the vaccine after six months and to undergo another HPV screening. 2. In fact, there are over 120 types of HPV, but the main ones a...[Read More] Understanding Polycystic Ovary Syndrome: Key Questions and Insights