Understanding Beta-HCG Levels: What They Mean for Early Pregnancy
beta-HCG levels Hello Doctor: The first day of my last menstrual period was on October 24, with an average cycle of 33 days. I had sexual intercourse on November 5 and again on November 20. Since then, my period has not arrived; it was expected on November 23 (according to my cal...
Dr. Lü Lizheng reply Obstetrics and Gynecology
1. The average menstrual cycle is 33 days, with ovulation likely occurring around day 19. The first day of your last menstrual period was October 24, making day 19 approximately November 11, which does not coincide with the time of your sexual intercourse. Therefore, it is diffic...[Read More] Understanding Beta-HCG Levels: What They Mean for Early Pregnancy
Understanding Brown Discharge After Period: Causes and Concerns
Menstrual Issues - Discharge I would like to ask about experiencing a small amount of brown discharge suddenly six days after the menstrual period. There were two instances of unprotected sexual intercourse. What could be the possible reasons for this?
Dr. Lü Lizheng reply Obstetrics and Gynecology
There are many possible reasons for this, including cervical inflammation, irregular menstruation, ovulation bleeding, cervical polyps, uterine tumors, and pregnancy-related bleeding. A thorough examination may be necessary to confirm the cause. Sincerely, Dr. Lu Li-Cheng, Taoyua...[Read More] Understanding Brown Discharge After Period: Causes and Concerns
Recurrent Yeast Infection and Pregnancy Chances: What You Need to Know
Is it a recurrence of a Candida infection and what is the likelihood of pregnancy? Hello, doctor. I would like to ask you about a situation. In early October, I was treated for a Candida infection and recovered. At the end of November, I had sexual intercourse with my boyfriend, ...
Dr. Lü Lizheng reply Obstetrics and Gynecology
1. A fishy odor from the vagina may indicate a bacterial infection; please seek medical evaluation. 2. Experiencing discomfort or a slight burning sensation when tightening the urinary stream may suggest a urinary tract infection; a urinalysis can confirm this. Caution is advise...[Read More] Recurrent Yeast Infection and Pregnancy Chances: What You Need to Know
Understanding Menstrual and Ovulation Timing After Medical Abortion
Consultation on the menstrual cycle and ovulation timing after medical abortion? On October 21, I took the first dose of RU486 at an obstetrics and gynecology clinic, and two days later (October 23), I took the second dose, after which I experienced bleeding. On November 1, I ret...
Dr. Lü Lizheng reply Obstetrics and Gynecology
After a miscarriage, it typically takes about two to three weeks for ovulation to resume. There is a possibility of ovulation on November 18, but it is not high. If you are uncertain about being pregnant, you can take a home pregnancy test. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hos...[Read More] Understanding Menstrual and Ovulation Timing After Medical Abortion
Understanding Cord Blood Sampling for Intrauterine Infection Detection
Umbilical cord blood puncture examination for pregnant women? Hello Doctor: I would like to inquire about the content of cord blood puncture testing. I found information online stating that it can check for intrauterine infections in the fetus. I would like to know which viral in...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Genital herpes rarely causes fetal infection, so there is no need to worry too much. Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Understanding Cord Blood Sampling for Intrauterine Infection Detection
Can Abdominal Ultrasound Diagnose Ovarian Cancer Effectively?
Diagnosis of ovarian cancer? Hello doctor, I previously inquired about discomfort in my left lower abdomen and had an abdominal ultrasound, but the doctor said there were no issues (no pelvic examination). Since ovarian cancer is known as a silent killer, I would like to ask if a...
Dr. Lü Lizheng reply Obstetrics and Gynecology
The abdominal ultrasound for the ovarian tumor can detect any abnormalities. Since the abdominal ultrasound was performed and the doctor said there are no issues, you can rest assured. Dr. Lü Li-Cheng from Taoyuan Hospital.[Read More] Can Abdominal Ultrasound Diagnose Ovarian Cancer Effectively?
Am I Pregnant? Understanding Irregular Periods and Pregnancy Tests
Uncertain if pregnant? Your last menstrual period started on August 31, then on September 26, and again on October 17. You have not had your period since then. The last sexual intercourse was on November 9, and no contraceptive measures were taken. You underwent a transvaginal ul...
Dr. Lü Lizheng reply Obstetrics and Gynecology
The last sexual intercourse was on November 9th. It is possible that there is no pregnancy, or it may be too early to detect. It is recommended to wait a few days and test again. Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Am I Pregnant? Understanding Irregular Periods and Pregnancy Tests
Understanding Irregular Periods and Conception Timing During Pregnancy
Pregnancy-related issues Hello Doctor, my menstrual cycle is often irregular. I had my period on March 4, did not have it in April, had it again on May 3, then on May 30, and then it didn't come until July 9. Each time it lasts about 6 to 7 days. I am currently 19 weeks preg...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Typically, physicians estimate the gestational age based on the size of the embryo measured by ultrasound, and then infer the conception date from the gestational age. Generally, the estimated conception date derived from ultrasound measurements has an error margin of within one ...[Read More] Understanding Irregular Periods and Conception Timing During Pregnancy
Understanding Post-Abortion Symptoms and Concerns: A Guide for Women
Abortion Hello, doctor. Due to the gestational sac growth stopping at 6 weeks, I took medication for a medical abortion on October 15 at about 9 weeks. The next day, I experienced some tissue expulsion. On October 18, during a follow-up visit, it was confirmed that the gestationa...
Dr. Lü Lizheng reply Obstetrics and Gynecology
The home pregnancy test still shows two lines, indicating that there is still a small amount of embryonic tissue present. Whether surgical curettage is necessary or if medication can suffice should be discussed further during a follow-up appointment with your physician. Sincerely...[Read More] Understanding Post-Abortion Symptoms and Concerns: A Guide for Women
Understanding Prostaglandin Effects After Abortion Medication: What to Expect
Prostaglandin Hello, Doctor: I visited the doctor on November 9 (Wednesday) and took the abortion pill. This morning, November 11 (Friday), I took three doses of prostaglandin. However, I read online that it usually takes effect within 2-3 hours. I called the clinic to inquire, a...
Dr. Lü Lizheng reply Obstetrics and Gynecology
The response usually takes effect within 2 hours. If there is no reaction after that time, it may not be effective. Please discuss this further with your physician. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Understanding Prostaglandin Effects After Abortion Medication: What to Expect
Understanding Agenesis of the Corpus Callosum: Legal and Medical Insights
Fetal agenesis of the corpus callosum? Hello Dr. Lu, I am a 35-year-old first-time pregnant woman currently residing in Seoul, South Korea. The condition of the fetus has been good, and during the 20-week high-level ultrasound, no abnormalities were detected. However, during the ...
Dr. Lü Lizheng reply Obstetrics and Gynecology
You can have a family member in Taiwan discuss directly with the outpatient physician on your behalf.[Read More] Understanding Agenesis of the Corpus Callosum: Legal and Medical Insights
Understanding Brown Discharge: Causes and When to Seek Help
Having experienced brownish blood flow for a month? Since my menstrual period ended last month, I have been experiencing intermittent brownish discharge for a total of one month. A few days ago, I visited a gynecologist who performed an ultrasound and found that I have a 5 cm ute...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Based on your description, the cystic mass may be caused by irregular menstruation, and treatment with menstrual regulation medications can be considered. Of course, it is also important to consider the possibilities of cervical cancer, pregnancy, and polyps, although these are l...[Read More] Understanding Brown Discharge: Causes and When to Seek Help
Understanding Ovulatory Bleeding vs. Irregular Menstruation in Teens
Ovulatory bleeding or irregular menstruation? Hello, my daughter, who is in the first year of junior high, had her first menstrual period in early June last year. For the past few months, her menstrual cycles have been normal. However, about 20 days after her last period, she exp...
Dr. Lü Lizheng reply Obstetrics and Gynecology
If the menstrual cycle remains regular, it indicates that the ovaries are functioning properly. Conversely, if there is a loss of regularity, it may be considered as irregular menstruation. Ovulatory bleeding typically lasts only one or two days and is less likely to extend to se...[Read More] Understanding Ovulatory Bleeding vs. Irregular Menstruation in Teens
Understanding Left Lower Abdominal Pain: Causes and Insights
Lower abdominal tenderness on palpation? Hello doctor, recently I've been feeling discomfort in the lower left abdomen near the navel. I noticed that pressing near the left groin area causes a slight aching sensation. The discomfort in the lower left abdomen is vague and not...
Dr. Lü Lizheng reply Obstetrics and Gynecology
There are many causes of lower abdominal pain that need to be differentiated. Possible causes can be categorized into four types: gynecological issues, gastrointestinal problems, urinary issues, and ligament or nerve problems. If gynecological issues are suspected, further evalua...[Read More] Understanding Left Lower Abdominal Pain: Causes and Insights
Understanding Pregnancy Discharge: What to Expect and When to Worry
Pregnancy discharge I am currently about 2 months pregnant. Recently, when I go to the bathroom and wipe, the discharge on the toilet paper is whitish with a slight yellow tint and odorless, but there are some small brownish, fuzzy particles mixed in. There isn't much of it,...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Based on your description, it is likely a vaginal yeast (Candida) infection. Candida infections are quite common in pregnant women and are not dangerous, so please rest assured. A physical examination can confirm this. Dr. Lu Li-Cheng from Taoyuan Hospital.[Read More] Understanding Pregnancy Discharge: What to Expect and When to Worry
Determining Your Conception Date: A Guide for Women
What is the date of conception? Hello, doctor. My last menstrual period started on April 8, and my cycle lengths for the past six months were 25, 25, 25, 25, 25, and 30 days. I had unprotected intercourse with ejaculation outside on April 16, April 17, April 22, April 23, and Apr...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Based on the ultrasound and menstrual cycle estimation, conception may have occurred on April 16 or April 17. You can also discuss this with the attending physician, Dr. Lu Li-Cheng at Taoyuan Hospital.[Read More] Determining Your Conception Date: A Guide for Women
Pregnant but No Ultrasound Confirmation: Understanding Your Symptoms
Menstruation has been absent for a long time, and pregnancy has been confirmed, but no fetal heartbeat can be detected? Hello, doctor. I would like to ask about my last menstrual period, which was on 10/5/08. Since then, I have confirmed my pregnancy at two clinics, but the ultra...
Dr. Lü Lizheng reply Obstetrics and Gynecology
If the ultrasound does not show anything, it may indicate an ectopic pregnancy, or the embryo may still be too small (indicating a later conception), or the embryo may be degenerating. Typically, physicians will assess the changes in HCG levels to determine which of these three s...[Read More] Pregnant but No Ultrasound Confirmation: Understanding Your Symptoms
Understanding Ovarian Pain: Is Your Back Pain a Warning Sign?
Could you please provide information regarding the pain sensation caused by ovarian issues that leads to lower back pain? Hello Dr. Lu, I would like to ask you about my condition. I have polycystic ovary syndrome and haven't had my period for several months. A few days ago, ...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Polycystic ovary syndrome (PCOS) is characterized by the presence of some unreleased follicles within the ovaries, which may cause the ovaries to be slightly larger than normal. However, this enlargement is not significant enough to cause lower back pain, nor does it lead to ovar...[Read More] Understanding Ovarian Pain: Is Your Back Pain a Warning Sign?
How Soon Can You Ovulate After a Miscarriage?
How long after a miscarriage does ovulation occur? Hello Doctor, I am 5 weeks pregnant. On September 22, I took the first dose of RU486, and on September 24, I took medication to induce uterine contractions. On October 1, I went to the hospital for a check-up, and the doctor said...
Dr. Lü Lizheng reply Obstetrics and Gynecology
Typically, one should wait until the miscarriage is complete before ovulating again, which usually takes about two weeks. It is estimated that the miscarriage will be fully complete by early October, and ovulation may occur two weeks later, around October 20th or later, making it...[Read More] How Soon Can You Ovulate After a Miscarriage?
Understanding Hysterectomy: Options for Uterine Adenomyosis and Anemia
Hysterectomy Hello Doctor, I would like to ask: I am 43 years old, have two children, and do not wish to become pregnant again. I have adenomyosis with a size of about 8 cm, experiencing severe dysmenorrhea, and passing many blood clots. My hemoglobin level is 8; does this indica...
Dr. Lü Lizheng reply Obstetrics and Gynecology
The hemoglobin level of 8 is considered severe anemia. If you prefer to avoid surgery, there is a device similar to an intrauterine contraceptive device called Mirena, which you can find more information about online. Its size, shape, and method of insertion are similar to that o...[Read More] Understanding Hysterectomy: Options for Uterine Adenomyosis and Anemia