Post-Surgery Abdominal Distension: Causes and Concerns After Hysterectomy
Bloating in the abdomen..? Hello Doctor: I underwent a hysterectomy due to uterine fibroids in mid-November, but I have been experiencing the following issues since then: Before the surgery, my abdomen was flat (I am naturally slim with no belly), but since the operation, my abdo...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
There are two possible conditions: 1. A hematoma in the abdominal wall, which is commonly caused by the rupture of blood vessels in the muscle layer, leading to the formation of a hematoma between the fascia and the muscle. Since it is isolated from the external environment, it u...[Read More] Post-Surgery Abdominal Distension: Causes and Concerns After Hysterectomy
Understanding Polycystic Ovary Syndrome: Symptoms, Concerns, and Vaccination Queries
Polycystic Ovary Syndrome (PCOS) Hello Dr. Lin, Q1: I had an abdominal ultrasound at an obstetrics and gynecology clinic on December 15, 2006. The doctor informed me that I have a higher number of follicles on my right side, and the diagnosis seems to be polycystic ovary syndrom...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The factors contributing to polycystic ovary syndrome (PCOS) include being overweight, elevated levels of male hormones, and individual constitution, which can affect ovulation and lead to irregular menstruation or infertility issues. It is advisable not to go too long without...[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Concerns, and Vaccination Queries
Understanding Blood-Streaked Discharge: When to Seek Medical Advice
There are blood streaks in the discharge? Hello, doctor. I apologize for bothering you again. A few days ago, I asked you a question regarding my symptoms. My menstrual period started on November 2nd. From November 15th to November 17th, I experienced brown discharge. On November...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
After treatment for an ectopic pregnancy, if there is abnormal bleeding, it may be due to hormonal instability or retained decidual tissue within the uterine cavity. It is recommended to visit an outpatient clinic for a blood test or to continue taking medication for 21 days to r...[Read More] Understanding Blood-Streaked Discharge: When to Seek Medical Advice
Understanding Irregular Menstrual Cycles After Ectopic Pregnancy
Menstrual cycle Hello, Dr. Lin. I would like to ask if after an abnormal pregnancy (ectopic pregnancy) and undergoing a dilation and curettage (D&C) and methotrexate injection, menstrual cycles tend to become irregular. I have not experienced ovulatory bleeding before, but I ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, it takes about three months for menstruation and ovulation to normalize after childbirth or miscarriage. If there are no significant issues, it may not require attention. However, if you wish to regulate your menstrual cycle, you can visit an obstetrics and gynecology ...[Read More] Understanding Irregular Menstrual Cycles After Ectopic Pregnancy
Understanding Heavy Menstrual Flow: When to Seek Medical Advice
Heavy menstrual bleeding? Hello, doctor. I would like to continue discussing the issue I mentioned on November 2nd. I noted that I experienced bleeding again on November 2nd. After observing for a few days, the first four days had a significant amount of bleeding, including blood...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterus. In fact, during this time, the endometrium may also undergo changes associated with pregnancy, known as decidualization. If the physician is only confirming the presence of an ectopic pregnancy, ...[Read More] Understanding Heavy Menstrual Flow: When to Seek Medical Advice
Understanding the Causes of Ectopic Pregnancy: Key Factors and Tests
Causes of Ectopic Pregnancy Thank you, doctor, for answering my questions on November 2nd. I would like to ask again. After getting married, I have been using contraception, but in the second month of not using it, I experienced an ectopic pregnancy. Could this be due to blocked ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
If the fallopian tubes are blocked, pregnancy cannot occur. Ectopic pregnancies occur 80% of the time in the fallopian tubes, followed by the ovaries, the uterine cornua (the junction of the fallopian tubes and uterus), the cervix, and the abdominal cavity. Essentially, the fallo...[Read More] Understanding the Causes of Ectopic Pregnancy: Key Factors and Tests
When Will Menstruation Return After Medication for Ectopic Pregnancy?
When does menstruation return after medication treatment for ectopic pregnancy? Hello, Doctor. I discovered I had a chronic ectopic pregnancy in early September and underwent examinations and follow-ups. I received two injections of Methotrexate on October 2 and October 9. From e...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Theoretically, once the B-hCG level drops to 25, menstrual cycle functionality begins to resume. However, the initial menstrual periods may not have ovulatory function, which means 1. the dates may not be very accurate, and 2. it may not be possible to conceive again immediately....[Read More] When Will Menstruation Return After Medication for Ectopic Pregnancy?
Understanding Non-Menstrual Abdominal Pain: Causes and Pregnancy Concerns
Non-cyclical abdominal pain Hello Dr. Lin, I am 37 years old, and my daughter is 5. Recently, I have been experiencing lower abdominal pain outside of my menstrual period, similar to menstrual cramps. I am unsure of the cause. I still wish to conceive for a second child, but I h...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. In addition to inflammation, endometriosis may also be a possibility. Its symptoms include dysmenorrhea (which can occur even outside of menstruation when severe), infertility, and dyspareunia. Of course, inflammation is also one of the causes. 2. Three consecutive spontaneo...[Read More] Understanding Non-Menstrual Abdominal Pain: Causes and Pregnancy Concerns
Understanding Vaginal Discomfort and Discharge: Common Concerns in Women’s Health
Vaginal discharge I would like to ask: 1. I have been with my boyfriend for three years, but we only have intercourse once a month. Almost every time we do, I experience pain at the vaginal opening when he tries to penetrate, but the pain subsides after a while. Is this a normal ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. This is likely normal and may be due to insufficient lubrication. 2. If the vaginal discharge is due to infectious vaginitis or candidiasis, it is not highly contagious; however, if it is due to gonorrhea or trichomoniasis, it can be transmitted. 3. The incubation period for g...[Read More] Understanding Vaginal Discomfort and Discharge: Common Concerns in Women’s Health
Understanding Uterine Endometrial Instability: Causes and Management Tips
Endometrial instability Hello: What problems can unstable endometrium cause? How can it be stabilized?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Hormonal imbalances and fluctuations can lead to instability of the endometrium. 2. Endometritis can also cause this instability. 3. Intense sexual activity may contribute to endometrial instability. 4. Management strategies should be tailored to the underlying causes; in fact...[Read More] Understanding Uterine Endometrial Instability: Causes and Management Tips
How to Differentiate Between Normal and Abnormal Vaginal Bleeding?
How to differentiate? I have a question I would like to ask. My husband and I have been engaging in sexual intercourse for over a year, and he always uses a condom. Therefore, there have been very few instances of inflammation in the genital or vaginal area. However, recently, I ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
There are three possible causes of bleeding: 1. Endometrial instability leading to bleeding, 2. Uterine inflammation or erosion, 3. Vaginal laceration or abrasion. It is recommended to visit a gynecological clinic for examination.[Read More] How to Differentiate Between Normal and Abnormal Vaginal Bleeding?
Understanding Persistent Green Discharge: Causes and Solutions for Women's Health
Green discharge Hello Doctor: I have been experiencing "green discharge" for over a year, and I also have itching in the vulvar area. I have seen a gynecologist, and the doctor has diagnosed me with "fungal infection," but it keeps recurring and seems like it ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Green discharge is most likely associated with a trichomonas vaginalis infection combined with anaerobic bacterial infection. If the infection persists or is accompanied by other viral infections, it may cause pain even with light touch. It is recommended to consult another obste...[Read More] Understanding Persistent Green Discharge: Causes and Solutions for Women's Health
Understanding Cervical Ectopic Pregnancy: Diagnosis, Management, and Risks
Cervical ectopic pregnancy 1. How is a cervical ectopic pregnancy diagnosed? 2. What are the management options for early-stage cervical ectopic pregnancy? 3. If a patient has a pregnancy of about one to one and a half months with ongoing abnormal bleeding and a low-lying emb...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Cervical ectopic pregnancy is primarily diagnosed through ultrasound, pelvic examination, and blood tests. 2. Chemotherapy can be administered. 3. If there is bleeding or abdominal pain during pregnancy, the gestational sac may be positioned lower, leading to a threatened ...[Read More] Understanding Cervical Ectopic Pregnancy: Diagnosis, Management, and Risks
Understanding Abdominal Pain in Women: Causes and Concerns
Female pain Hello Dr. Lin: This is a common issue that many women may experience. My wife has been experiencing abdominal pain frequently over the past few months. When I asked her about the location, she indicated it was in the area of the uterus. However, her menstrual period h...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
There are many causes of pain; in addition to inflammation, it could also be due to tumors, endometriosis, or adhesions. A history of procedures such as abortion or the use of an intrauterine device can also increase the likelihood of pain. However, this situation is not simply d...[Read More] Understanding Abdominal Pain in Women: Causes and Concerns
Understanding Brown to Yellow Discharge: Causes and Concerns in Women's Health
Brown to yellow discharge I often have colored vaginal discharge. In the past, when I consulted a doctor, they mentioned it could be ovulatory bleeding, which can appear as brown, black, or red discharge, lasting more than three days and sometimes up to a week. This has been happ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. In the absence of sexual intercourse, infections are mostly caused by fungi or anaerobic bacteria, leading to infectious vaginitis. 2. Fungal infections typically present as white, cottage cheese-like discharge, while anaerobic bacterial infections often appear yellow. If oral...[Read More] Understanding Brown to Yellow Discharge: Causes and Concerns in Women's Health
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Vaginal bleeding? Hello, I have noticed vaginal bleeding with brown discharge over the past two days. My menstrual periods are as follows: 12/21-30, 2/20-28, 3/28-4/4, 5/20-27, and 7/6-17, and they are often significantly delayed, so I don't think this is my menstrual period...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Based on the dates, the menstrual cycle may not be very regular. If ovulation does not occur, it can lead to irregular periods. Additionally, if hormone levels accumulate over time, it may result in prolonged bleeding. It is still recommended to follow up in an outpatient setting...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Post-Menstrual Bleeding: Is It Normal and When to Seek Help?
Bleeding after menstruation? Hello Dr. Lin, 1. My menstrual cycle has always been regular, but I have experienced a few instances of light bleeding (brownish, just a little, but lasting for several days) a few days after my period ends. Sometimes this occurs after intense exerci...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. If there is no contraceptive device in place, it is possible that the endometrium is unstable. If this condition persists for a long time, an ultrasound or endometrial biopsy can be performed in an outpatient setting. 2. Post-coital bleeding may indicate not only endometrial i...[Read More] Post-Menstrual Bleeding: Is It Normal and When to Seek Help?
Could You Be Pregnant? Understanding Brown Discharge and Symptoms
Are you pregnant? I have had an IUD for almost two months. My last menstrual period started on June 20. After that, on July 10, I noticed some brown discharge and thought my period was starting again, but it was very light and only lasted a day. Recently, for the past day or two,...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
You can directly purchase a pregnancy test at a pharmacy or visit an obstetrics and gynecology clinic to confirm whether you are pregnant. Some individuals may experience bleeding or brown discharge after the insertion of an intrauterine device (IUD); it is recommended to follow ...[Read More] Could You Be Pregnant? Understanding Brown Discharge and Symptoms
Understanding Fetal Head Circumference: Implications for Pregnancy and Delivery
Fetal head circumference exceeds the actual gestational age? Hello, I am currently 29 weeks pregnant. During my prenatal check-up on June 30, the doctor informed me that the fetal head circumference is three weeks larger than the actual gestational age. I am wondering if this has...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The fetal head circumference is generally a better indicator of the actual gestational age, while the abdominal circumference reflects fetal weight. If a head circumference is found to be three weeks larger at 29 weeks of gestation, it is likely unrelated to the gestational age. ...[Read More] Understanding Fetal Head Circumference: Implications for Pregnancy and Delivery
Understanding Hormone Levels After Hysterectomy: What You Need to Know
Hormone reference values? Hello Doctor, I underwent a hysterectomy for uterine fibroids in January of this year. Recently, my attending physician conducted a hormone test, and my result was 422 (the doctor mentioned that the standard is 50). In comparison, my peers of the same ag...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
General hormone testing typically measures follicle-stimulating hormone (FSH) and dehydroepiandrosterone sulfate (DHEA-S). The normal reference range for FSH is up to 40, while DHEA-S usually ranges from 10 to 400. A blood value of 422 should still be considered normal. If DHEA-S...[Read More] Understanding Hormone Levels After Hysterectomy: What You Need to Know