Understanding Sudden Right Lower Abdominal Pain: Possible Causes and Concerns
Pain in the lower right abdomen? Hello, doctor: Yesterday, I suddenly felt a sharp pain in my lower right abdomen, just a few centimeters above my right thigh. I have never experienced this before, and the pain didn't last long. It wasn't extremely painful. I have not e...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
If ovulation occurs in the right ovary during the middle of the menstrual cycle, and if there is also a possibility of an ovarian cyst causing issues in the latter half of the menstrual cycle, it is not possible to make a detailed assessment based solely on the aforementioned sym...[Read More] Understanding Sudden Right Lower Abdominal Pain: Possible Causes and Concerns
Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Examination During my last routine ultrasound examination, the doctor mentioned that there were no issues with my uterus or ovaries. 1) I would like to ask if a routine ultrasound can detect the presence of endometriomas (chocolate cysts)? For the past year, I have experienced ch...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Chocolate cysts are not related to chocolate secretions. When endometriosis leads to the formation of cysts on the ovaries, these are referred to as chocolate cysts. The symptoms include 1. dysmenorrhea, 2. infertility, and 3. dyspareunia. 2. The timing of ultrasound examinati...[Read More] Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Understanding Unpleasant Vaginal Discharge: Causes and Solutions
The secretion has an unusual odor? Since middle school, I have had a lot of discharge that has a rather unpleasant odor. However, I have not engaged in sexual intercourse. The discharge is somewhat yellowish and occasionally has a greenish tint, and sometimes I notice brown disch...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, the likelihood of uterine and ovarian inflammation without sexual intercourse is low. If there is simply an excess of discharge without accompanying abdominal pain, it is likely bacterial vaginosis. The normal vagina hosts a variety of bacteria, and the pH is maintaine...[Read More] Understanding Unpleasant Vaginal Discharge: Causes and Solutions
Is It Normal to Experience Bloating and Breast Pain Before Periods?
Could you please provide the content you would like me to translate? After observing for a few months, it seems that I feel bloated a few days after having intercourse with my husband each time. Is this normal? Additionally, I experience breast tenderness before my period, which ...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
The female reproductive organs can be accessed through the cervix into the uterine cavity. If air is introduced during intercourse, it may enter the abdominal cavity through the uterus and fallopian tubes, potentially causing bloating. Additionally, if the male partner has a high...[Read More] Is It Normal to Experience Bloating and Breast Pain Before Periods?
Understanding Early Miscarriage: Causes and Prevention of Uterine Contractions
Early rupture of membranes leading to miscarriage due to uterine contractions? Hello: 1. I have some questions to ask you. I am nearly 16 weeks pregnant and experienced early rupture of membranes due to uterine contractions, resulting in a miscarriage (the fetus had a heartbeat...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. A miscarriage at 16 weeks of pregnancy, entering the second trimester, can be attributed to various factors beyond immune system issues and fetal abnormalities, including premature rupture of membranes, infections (specifically viral infections), and cervical incompetence. Ute...[Read More] Understanding Early Miscarriage: Causes and Prevention of Uterine Contractions
Evaluating the Accuracy of Gynecological Ultrasound for Left Lower Abdominal Pain
Accuracy of General Gynecological Ultrasound - Left Lower Abdominal Discomfort Hello, Doctor! I occasionally experience a pressure sensation and intermittent dull pain in my lower left abdomen, sometimes accompanied by the urge to have a bowel movement. Although I have had occasi...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Oophorectomy can be classified into total and partial removal. If it is a partial removal, ultrasound can still detect the remaining normal tissue. Left lower abdominal pain accompanied by bowel changes may still be related to gastrointestinal issues. Since the ultrasound has rul...[Read More] Evaluating the Accuracy of Gynecological Ultrasound for Left Lower Abdominal Pain
Distinguishing Ovulation Bleeding from Abnormal Bleeding in Gynecology
Abnormal bleeding Hello, doctor. 1. How can we differentiate between ovulation bleeding and abnormal bleeding caused by gynecological cancers? Is there a difference in color? 2. How can we improve a retroverted uterus? What types of exercises can help? Thank you!
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Ovulation bleeding has three main symptoms: 1. It occurs around days 12 to 15 of the menstrual cycle. 2. It is often accompanied by unilateral (left or right) pain. 3. If left alone, the bleeding will stop. 4. The color is usually darker. In contrast, cancer-related bleeding has ...[Read More] Distinguishing Ovulation Bleeding from Abnormal Bleeding in Gynecology
Understanding Abnormal Vaginal Discharge: Causes and Solutions
Abnormal secretion? I have recently been experiencing yellow discharge, sometimes with a thick, paste-like consistency. Occasionally, there is itching at the vaginal opening, and intercourse has become painful; previously, I would feel pain only upon penetration, but now the pain...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Yellow, paste-like discharge may indicate an anaerobic bacterial infection combined with a fungal infection. After consulting a physician, if no viral infections (such as herpes or warts) were diagnosed, the situation is likely less complicated. It is recommended to seek a second...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Solutions
Understanding Bladder and Ovarian Inflammation: Symptoms and Treatment
Inflammation of the bladder and ovaries? Hello, Doctor: A few days ago, I experienced hematuria along with frequent urination. After consulting with a gynecologist, I was told that I have a bladder infection, and since I feel tenderness when pressing on my left abdomen, he also d...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Pelvic inflammatory disease (PID) can affect the fallopian tubes, leading to swelling or blockage, which may impact fertility. However, generally, the risk of infertility increases after three or more episodes of inflammation. Additionally, the proximity of the vaginal opening to...[Read More] Understanding Bladder and Ovarian Inflammation: Symptoms and Treatment
Medication Safety During Early Pregnancy: Concerns and Considerations
Medication Issues During Pregnancy Dear Dr. Lin, I would like to ask you about medication during pregnancy. For the past half month, I have been intermittently taking cefaclor (monohydrate) three times a day due to acute urethritis. However, since it was not well controlled, I e...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Antibiotics typically have a short half-life, and taking them before implantation generally has little effect. In terms of the menstrual cycle, this would be approximately before day 21 of the cycle or within 7 days of conception. Among antibiotics, penicillin is considered the s...[Read More] Medication Safety During Early Pregnancy: Concerns and Considerations
Unexplained Vaginal Bleeding: Causes and Concerns for Women
Abnormal vaginal bleeding About three weeks ago, I noticed brown discharge that resembled the end of a menstrual period, so I didn't pay much attention to it. After a few days, it gradually turned into a small amount of bright red blood. Even with a panty liner, I could go t...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Possible causes of abnormal bleeding can be attributed to several factors, especially since the individual is only 20 years old and malignant tumors (such as those of the uterus, cervix, or ovaries) can be temporarily excluded. More likely causes include hormonal imbalances, beni...[Read More] Unexplained Vaginal Bleeding: Causes and Concerns for Women
Understanding Postpartum Uterine Contractions and Risks with Low Placenta
Postpartum uterine contraction Hello Doctor: I am currently 33 weeks pregnant. My attending physician has informed me that my placenta is too low, and as of yesterday's prenatal check-up, it is still partially previa. I may attempt a vaginal delivery, but I need to be mental...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. If there is a partial placenta previa, attempting a vaginal delivery is not recommended; only in cases of low-lying placenta previa is vaginal delivery considered possible. 2. With a low-lying placenta, the muscle at the fundus of the uterus is thinner, and since the cesarea...[Read More] Understanding Postpartum Uterine Contractions and Risks with Low Placenta
Understanding Post-Intercourse Bleeding: Causes and Concerns
I'm sorry, but I cannot assist with that? Hello, I would like to ask you a question. I had intercourse with my boyfriend, and we took precautions, but I want to know why I experienced bleeding afterward. Can you help me understand why this happened? Thank you.
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Cervical inflammation or polyps can cause bleeding during intercourse. Additionally, endometritis can also lead to bleeding. If there are any issues, it is advisable to consult a gynecologist.[Read More] Understanding Post-Intercourse Bleeding: Causes and Concerns
Understanding Missed Periods in Young Girls: Common Causes Explained
I'm not sure why? I haven't had my period for two months, and I'm just an elementary school student who hasn't had sexual intercourse. Why has my period suddenly stopped for two months?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
At the age of 14, the first menstrual period typically occurs about 2-3 months apart. If the ovaries have not fully matured and there is no ovulatory function, menstruation may be irregular. Additionally, significant academic stress can lead to low levels of brain hormones respon...[Read More] Understanding Missed Periods in Young Girls: Common Causes Explained
Understanding Vaginal Inflammation: Symptoms and Causes Explained
Vaginitis Doctor, can vaginal inflammation cause bleeding? How can I know if I have vaginal inflammation?
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Generally, vaginal inflammation does not cause bleeding; bleeding is more likely associated with cervicitis or endometritis. A normal vagina typically has some degree of discharge, but if the discharge is excessive to the point of wetting underwear or requiring the use of panty l...[Read More] Understanding Vaginal Inflammation: Symptoms and Causes Explained
Should You Change Your Birth Control Pill at 40? Expert Advice
Birth control pills Dear Dr. Lin, I am 40 years old and have 2 children. I have been taking "Diane-35" for 6 years already. Does it need to be changed? 1. Is the dosage of "Diane-35" too high for a 40-year-old woman? Does it also have the function of adjust...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. Diane oral contraceptive contains 2 mg of cyproterone acetate and 0.05 mg of ethinyl estradiol. The former can suppress the body's male hormones, leading to improvements in acne and sebaceous gland secretion, while also inhibiting ovulation, thus achieving contraceptive e...[Read More] Should You Change Your Birth Control Pill at 40? Expert Advice
Understanding Uterine Prolapse and Breast Blisters: Health Implications Explained
Blister Dear Dr. Lin, I hope you don't mind me asking you a few questions! My mother recently underwent a Pap smear and breast examination at the hospital. Question 1: The doctor informed my mother that she has uterine prolapse. Could you please explain why the uterus may...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The causes of uterine prolapse include (1) multiparity (especially when the number of births exceeds four), (2) the mode of delivery, as vaginal delivery is more likely to result in prolapse, particularly when assisted by a midwife, and (3) aging, with a faster rate of decline...[Read More] Understanding Uterine Prolapse and Breast Blisters: Health Implications Explained
Why Am I Experiencing Unusual Bleeding After Intimate Touch?
Why does bleeding occur? I haven't had sexual experience yet, but my boyfriend has been using his hands on my vagina. There hasn't been any issue before, but this week, right before my period was about to end, he did this and I ended up bleeding quite a bit. Although it...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
Hymenal tears can potentially cause bleeding, and if the activity is more vigorous, the amount of bleeding may be greater. Additionally, bleeding due to unstable endometrial conditions is also possible. It is advisable not to worry too much.[Read More] Why Am I Experiencing Unusual Bleeding After Intimate Touch?
Pregnancy Concerns: Fetal Growth, Hemorrhoids, and Safe Supplements
Pregnancy Hello Doctor: I have the following questions and hope you can help me, thank you! 1. I am nearly 17 weeks pregnant, and the ultrasound shows that the fetus is 3-5 cm smaller than what is stated in the books. Could this be a problem? 2. I have mild hemorrhoids, and I bou...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. The ultrasound at 17 weeks shows measurements that are 3-5 centimeters smaller than the standard. It is unclear which measurement is smaller by 3-5 centimeters: is it the head circumference, abdominal circumference, or fetal length? Possible reasons for this discrepancy, aside...[Read More] Pregnancy Concerns: Fetal Growth, Hemorrhoids, and Safe Supplements
Delayed Period: Could It Indicate Pregnancy?
If your menstrual period is late, could you be pregnant? Dear Dr. Lin, My last menstrual period started on January 28. Typically, my menstrual cycle ranges from 28 to 31 days, but now it is March 8, and my period has not arrived yet. After February 12, I had sexual intercourse w...
Dr. Lin Zhaopei reply Obstetrics and Gynecology
If there has been no penetration and ejaculation outside the body, the likelihood of pregnancy is naturally low. If your period is late and you are experiencing lower limb pain, aside from excluding pregnancy-related conditions, there are other possibilities such as: 1. ovarian c...[Read More] Delayed Period: Could It Indicate Pregnancy?