Managing Large Fetuses: Risks of Poor Uterine Contraction After Delivery
Fetal macrosomia Dr. Liu, I would like to ask if a fetus is large, exceeding 4000 grams, will a woman who delivers vaginally be more likely to experience poor uterine contraction postpartum? If there is poor uterine contraction, how is it typically managed?
Dr. Liu Yuhong reply Obstetrics and Gynecology
The likelihood of poor uterine contractions after vaginal delivery is higher when the fetus is macrosomic. Once uterine contractions occur, physicians typically administer uterotonics to promote uterine contractions; the most commonly used medication is oxytocin, which is a hormo...[Read More] Managing Large Fetuses: Risks of Poor Uterine Contraction After Delivery
Do I Need SMA Testing After Normal Amniocentesis Results?
Inquire about spinal muscular atrophy? Hello, doctor. I would like to ask a question. I underwent amniocentesis, and after reviewing the report, my obstetrician informed me that the chromosomes are normal. Do I still need to undergo testing for Spinal Muscular Atrophy (SMA)?
Dr. Liu Yuhong reply Obstetrics and Gynecology
Spinal muscular atrophy (SMA) is a selective item in prenatal screening. Amniocentesis, which can be performed or not, does not include genetic testing for spinal muscular atrophy. Normal chromosomal results from amniocentesis are unrelated to whether the fetus has spinal muscula...[Read More] Do I Need SMA Testing After Normal Amniocentesis Results?
Understanding Fetal Head Circumference: What’s Normal at 20 Weeks?
Prenatal check-up questions Doctor, I would like to ask a question. I am currently 20 weeks and 4 days pregnant, but the ultrasound shows that the baby's head circumference is measuring at 22 weeks. I would like to know how much the head circumference can differ from the ges...
Dr. Liu Yuhong reply Obstetrics and Gynecology
Ultrasound measurements of fetal size often have discrepancies. Different examiners, the gestational age at the time of the examination, various ultrasound machines, as well as the fetal position and amniotic fluid volume during the scan, can all contribute to potential errors in...[Read More] Understanding Fetal Head Circumference: What’s Normal at 20 Weeks?
Postpartum Concerns: Impact of Long Intervals Between Pregnancies
Postpartum issues Hello, Doctor. I would like to ask a couple of questions. I had my first child seven years ago. Is it true that having a long gap between pregnancies means that the second child may not be born as quickly? Additionally, since my first child was delivered natural...
Dr. Liu Yuhong reply Obstetrics and Gynecology
1. "Is it true that a longer interval between pregnancies makes the second baby come faster? This saying suggests that with a longer gap between pregnancies, the second baby indeed tends to be born more slowly." 2. "Lochia can last up to about six weeks, and in yo...[Read More] Postpartum Concerns: Impact of Long Intervals Between Pregnancies
Can Early Pregnancy Tests Detect Edwards Syndrome and NTDs?
Can Edward's syndrome be detected in early pregnancy? Dear Doctor: The second trimester quadruple marker test can simultaneously detect neural tube defects and abnormalities of the 18th chromosome (i.e., Edwards syndrome). Does the first trimester screening (nuchal transluce...
Dr. Liu Yuhong reply Obstetrics and Gynecology
"Does the first trimester screening (nuchal translucency + blood test) include the two items mentioned above?" The first trimester screening (nuchal translucency + blood test) can also screen for neural tube defects and abnormalities of the 18th chromosome pair, but it ...[Read More] Can Early Pregnancy Tests Detect Edwards Syndrome and NTDs?
Post-Amniocentesis Care: Rest or Normal Activity?
Amniocentesis issues? I would like to ask, after undergoing amniocentesis, can I resume normal activities after resting in the hospital, or do I need to stay in bed and rest?
Dr. Liu Yuhong reply Obstetrics and Gynecology
"After the amniocentesis is completed, can I resume my normal routine after resting in the hospital?" Following the amniocentesis, it is recommended to rest on the same day and resume normal activities the next day, provided that the examination results are normal and t...[Read More] Post-Amniocentesis Care: Rest or Normal Activity?
Understanding Breast Cysts: Are They Harmful and What to Watch For?
May I ask the doctor? Hello doctor, the breast ultrasound report has come out, and the doctor said it is a benign cyst. They mentioned it was nothing to worry about but didn't elaborate further. I would like to ask why there are cysts? Do they need to be removed? Is it reall...
Dr. Liu Yuhong reply Obstetrics and Gynecology
Only the original examining or consulting physician can understand your actual condition. It is recommended to consult the original examining or consulting physician, as other doctors cannot accurately assess your situation through online Q&A.[Read More] Understanding Breast Cysts: Are They Harmful and What to Watch For?
Is Mid-Pregnancy Quad Screen Necessary After First Trimester Testing?
The Four Indicators of Middle Tang Dynasty Hello, doctor: If the initial screening for the nuchal translucency (NT) test is normal, is it still necessary to perform the second-trimester quadruple marker screening? Would doing both tests increase the risk of false positives? Thank...
Dr. Liu Yuhong reply Obstetrics and Gynecology
In the early Tang (nuchal translucency) and mid-Tang four marker tests, both have similar efficacy in detecting Down syndrome, identifying approximately 80% of Down syndrome babies, but there is a 5% false positive rate. "If both tests are performed, does it increase the fal...[Read More] Is Mid-Pregnancy Quad Screen Necessary After First Trimester Testing?
Can Chest X-rays Detect Breast Diseases? A Doctor's Insight
May I ask the doctor? Hello doctor, can a chest X-ray detect breast diseases?
Dr. Liu Yuhong reply Obstetrics and Gynecology
Chest X-rays cannot detect breast diseases.[Read More] Can Chest X-rays Detect Breast Diseases? A Doctor's Insight
Understanding Uterine Contraction Medications: Purpose and Menstrual Regulation
I'm sorry, but I cannot assist with that? I previously asked the doctor the following questions, but on the fourth day of my period, it was very light, and the doctor said that my menstrual flow was not completely expelled, which caused a hormonal imbalance. Why do I need to...
Dr. Liu Yuhong reply Obstetrics and Gynecology
"Why do we still need to take uterine contraction medication to reduce menstruation?" This question can only be answered by the prescribing physician, as doctors typically prescribe medication based on the overall condition of the patient during the consultation.[Read More] Understanding Uterine Contraction Medications: Purpose and Menstrual Regulation
Impact of Borymycin on Early Pregnancy: What You Need to Know
What is the effect of Borymycin on fetal embryos? Hello Dr. Liu, My girlfriend took Borymycin to treat acne before she became pregnant, and unexpectedly, our baby has arrived during this time; she is currently about three weeks pregnant. However, she continued to take Borymycin ...
Dr. Liu Yuhong reply Obstetrics and Gynecology
To explain: In normal circumstances, there is still a 3% chance of congenital malformations occurring during pregnancy, even without the use of medications. The U.S. Food and Drug Administration (FDA) classifies drugs based on their effects on the fetus into categories A, B, C, D...[Read More] Impact of Borymycin on Early Pregnancy: What You Need to Know
Is Betaderm Safe for Pregnant Women with Genital Bacterial Infections?
About genital bacterial infections? I would like to ask, since I am currently pregnant... During my last trip, I seemed to have a bacterial infection in my genital area, so I went to the pharmacy and bought a cream called Betaderm. The ingredients are: Neomycin sulfate 5 mg (equi...
Dr. Liu Yuhong reply Obstetrics and Gynecology
It is not recommended to use Betaderm, a general-purpose ointment, as it may worsen the most common vulvar yeast infections in pregnant women. It is advisable to consult a physician for evaluation before prescribing any ointment for use.[Read More] Is Betaderm Safe for Pregnant Women with Genital Bacterial Infections?
When to See a Gynecologist: Timing Your Appointment During Menstruation
請提供具體的內容或問題，我將為您 Last time I asked about the following: Doctor, do you recommend seeing a physician during my menstrual period or after it? Or is it okay to do both? My menstrual cycle used to be 28-30 days, but for the past two months, July and August, it has changed to 36-40 da...
Dr. Liu Yuhong reply Obstetrics and Gynecology
It is recommended that when you notice abnormal discharge or abnormal menstrual clots, you should avoid washing the external genitalia and vagina. Instead, visit a gynecologist so that the physician can directly assess these "abnormal discharges" and "abnormal mens...[Read More] When to See a Gynecologist: Timing Your Appointment During Menstruation
Understanding Uterine Contraction Medications for Irregular Menstrual Cycles
Menstrual medications Originally, my menstrual cycle was 28-30 days, but in July and August, it changed to 36-40 days. I also experienced thick, mucus-like blood clots. This month, I had a lot of clots, and by the fourth day, my period was almost gone. I went to see a doctor, and...
Dr. Liu Yuhong reply Obstetrics and Gynecology
"...What is the purpose of taking uterine contraction medication?.." To reduce menstrual bleeding..." Why is it necessary to regulate menstruation??" To make the menstrual cycle regular and the timing predictable.[Read More] Understanding Uterine Contraction Medications for Irregular Menstrual Cycles
Is It Normal to Have Thick Blood Clots During Menstruation?
Is this a normal phenomenon? Recently, my menstrual period has been accompanied by numerous thick, mucus-like blood clots, some of which even appear whitish. Should I be concerned?
Dr. Liu Yuhong reply Obstetrics and Gynecology
The contents of menstruation, if they include not only blood or blood clots but also other materials such as mucus or small tissue fragments, may commonly be due to conditions like vaginitis, cervical or endometrial polyps, or miscarriage, among others. However, a personal examin...[Read More] Is It Normal to Have Thick Blood Clots During Menstruation?
Understanding Irregular Periods: Causes and Impacts on Fertility
Menstrual issues I have been experiencing delayed menstrual periods lately. My period started on June 23rd, but in July it came on the 29th, which is a delay of seven days. Normally, my period should have started on August 29th, but today is September 2nd and it still hasn't...
Dr. Liu Yuhong reply Obstetrics and Gynecology
"...Is there a problem with having a delayed menstrual cycle? Will it affect my ability to conceive?..." To determine if it will affect conception, it is essential to check for ovulation. Methods to assess ovulation include: 1. Daily tracking of basal body temperature 2...[Read More] Understanding Irregular Periods: Causes and Impacts on Fertility
Can I Have Sex During HPV Treatment? Risks and Precautions Explained
Cauliflower problem Hello Doctor, I was diagnosed with genital warts (HPV DNA test showed virus types HPV 51/74/90) in early August and had them removed through electrocautery. I am currently taking antiviral medication "Yimau." I would like to ask if it is safe to enga...
Dr. Liu Yuhong reply Obstetrics and Gynecology
Some medical findings: 1. Within six months after treatment, 40-70% of patients may experience a recurrence of warts, so follow-up is necessary for 3 to 6 months post-treatment. 2. The primary mode of transmission for HPV is sexual intercourse, but other routes are also possible,...[Read More] Can I Have Sex During HPV Treatment? Risks and Precautions Explained
Understanding Chronic Abdominal and Back Pain: Is It Gynecological?
Obstetrics and Gynecology Questions Abdominal pain accompanied by bilateral lower back pain, a feeling of pressure, and tight discomfort for over a year, with multiple visits to various gynecological clinics for pelvic exams and ultrasounds showing no issues—does this indicate th...
Dr. Liu Yuhong reply Obstetrics and Gynecology
1. Your condition still requires an in-person examination by a physician to determine whether it is a gynecological issue. 2. The absence of abnormalities in tests does not equate to the absence of disease. For example, there is a type of lower abdominal pain known as chronic pe...[Read More] Understanding Chronic Abdominal and Back Pain: Is It Gynecological?
Is a 12-Week Fetus with a Large Head Normal on Ultrasound?
Ultrasound of a 12-week-old fetus? Doctor, may I ask? A 12-week-old baby appears to have a large head on the ultrasound. Is this considered normal?
Dr. Liu Yuhong reply Obstetrics and Gynecology
At 12 weeks of pregnancy, the baby looks approximately like this: http://pregnancyweeks.net/?q=node/9. The ultrasound image of a 12-week-old baby appears like this: http://www.parents.com/pregnancy/stages/fetal-development/first-trimester-images-of-your-developing-baby/#page=15. ...[Read More] Is a 12-Week Fetus with a Large Head Normal on Ultrasound?
Can I Get Pregnant After Hormonal Treatment for Ovarian Dysfunction?
Is it easy to get pregnant? Hello doctor, I had an examination on August 21, and the doctor said that I have poor ovarian function. They administered a fertility injection and prescribed medication, stating that I have a hormonal imbalance. Will it be easier for me to conceive on...
Dr. Liu Yuhong reply Obstetrics and Gynecology
Women have a higher chance of conception during ovulation. To determine the ovulation period, commonly used clinical methods include: 1. Daily recording of basal body temperature, 2. Continuous ultrasound measurement of ovarian follicle size, 3. Performing a urine luteinizing hor...[Read More] Can I Get Pregnant After Hormonal Treatment for Ovarian Dysfunction?