Impact of Epilepsy on Fetal Health During Pregnancy
Maternal and Child Health Hello, I have epilepsy. Will it have a negative impact on the fetus? My wife is very healthy, and during her first four months of pregnancy, we had sexual intercourse. Will this have any adverse effects on the fetus? Thank you.
Dr. Peng Yiguo reply Obstetrics and Gynecology
Hello: 1. If epilepsy is caused by acquired factors, such as after a high fever, oxygen deprivation during childbirth, or head trauma from an accident, it will not affect the fetus. However, if it is a hereditary condition, there is a possibility of passing it on to the next ge...[Read More] Impact of Epilepsy on Fetal Health During Pregnancy
How Long is MMR Vaccine Effective Before Pregnancy?
How long does the MMR vaccine remain effective? I received the MMR vaccine in the 9th grade, and I heard that the effectiveness of the measles, mumps, and rubella vaccine lasts for about ten years. If I want to get pregnant in a year, do I need to get the MMR vaccine again?
Dr. Peng Yiguo reply Obstetrics and Gynecology
Hello: Generally, if you are planning to get pregnant, it is recommended to have your antibody levels tested through a blood draw six months prior to conception. If you still have immunity, you can feel reassured. However, if your antibody levels drop to a point where there is no...[Read More] How Long is MMR Vaccine Effective Before Pregnancy?
Understanding Prolactin Levels and Pituitary Tumors: Your Questions Answered
Prolactin Hello, I have hyperthyroidism and have been undergoing treatment for 1 year and 9 months. I have been married for over a year and have not used contraception. My examination results show a pituitary tumor measuring less than 1 cm. I know that thyroid issues can cause ga...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Hello: Generally, elevated prolactin levels are associated with the phenomenon of galactorrhea, with values greater than 70 ng/mL warranting consideration for a head CT scan. If the levels exceed 100 ng/mL, suspicion for a microadenoma of the pituitary gland arises. The decision ...[Read More] Understanding Prolactin Levels and Pituitary Tumors: Your Questions Answered
Emergency Contraception: What to Do After a Sperm Exposure Incident
Please help me? I'm really sorry to hear that you're feeling this way. It's important to talk to a healthcare professional who can provide you with the right advice and support.
Dr. Peng Yiguo reply Obstetrics and Gynecology
Hello: As long as ejaculation does not occur inside the vagina or at the vaginal opening, the chances of pregnancy are very low. Additionally, it is necessary to coincide with the ovulation period (days 14-16 of the menstrual cycle) for there to be a chance of pregnancy. Regardin...[Read More] Emergency Contraception: What to Do After a Sperm Exposure Incident
Understanding Amniocentesis: Procedure, Risks, and Costs Explained
Amniocentesis is a medical procedure used to obtain a sample of amniotic fluid surrounding a developing fetus. This fluid contains fetal cells and various substances that can provide important information Hello Dr. Peng, I would like to ask what amniocentesis is. How long does it...
Dr. Peng Yiguo reply Obstetrics and Gynecology
1. Amniocentesis is a procedure that involves using a needle to extract approximately 20cc of amniotic fluid from the amniotic cavity through the abdominal wall and uterus, which is then sent to the laboratory for cell culture and fetal chromosome analysis. It is currently the mo...[Read More] Understanding Amniocentesis: Procedure, Risks, and Costs Explained
Potential Effects of German Measles Vaccine Two Months Before Pregnancy
Possible effects of receiving the German measles vaccine two months prior to pregnancy? What are the possible effects on the fetus of receiving the German measles (rubella) vaccine two months before pregnancy, and how should prenatal examinations be conducted to confirm whether t...
Dr. Peng Yiguo reply Obstetrics and Gynecology
The German measles vaccine, although a live attenuated vaccine, can still pose risks to the fetus during the first three months of pregnancy. Therefore, healthcare providers advise individuals to avoid becoming pregnant for at least three months after receiving the vaccine, and s...[Read More] Potential Effects of German Measles Vaccine Two Months Before Pregnancy
Understanding Bicornuate Uterus: Causes, Symptoms, and Treatment Options
Bicornuate uterus What is a bicornuate uterus?
Dr. Peng Yiguo reply Obstetrics and Gynecology
The female reproductive organs, including the uterus, vagina, and fallopian tubes, develop from two Müllerian ducts, typically completing their development around the 20th week of gestation. If there are defects in the fusion of the right and left Müllerian ducts during the forma...[Read More] Understanding Bicornuate Uterus: Causes, Symptoms, and Treatment Options
Understanding Fertility: Factors Affecting Conception and Menstrual Cycle
Conception Hello Dr. Peng, I previously consulted you on May 28 regarding prolactin levels, and I appreciate your response. Based on your reply, I realized that I do not have the condition you mentioned in your letter, as my menstrual cycle has consistently been 28 to 30 days bo...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Elevated prolactin levels can indeed affect the regularity of menstruation. If your menstrual cycle remains regular, even with slightly elevated prolactin levels, it may not be necessary to take medication for control; regular blood tests every 3 to 6 months may suffice. A menstr...[Read More] Understanding Fertility: Factors Affecting Conception and Menstrual Cycle
Why Is My Baby Bump Smaller at 20 Weeks? Understanding Pregnancy Changes
The belly does not appear to be five months pregnant? Dear Doctor: As of today, I am 20 weeks pregnant, but I don't have a noticeable belly and my weight hasn't increased. This is my third pregnancy, and I often feel discomfort in my lower abdomen. My attending physicia...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Generally, at 20 weeks of pregnancy, the fundus of the uterus is approximately at the level of the navel. Around 16 weeks, a slight protrusion of the lower abdomen may be observed, but the appearance can be influenced by body shape and the number of fetuses. With the widespread u...[Read More] Why Is My Baby Bump Smaller at 20 Weeks? Understanding Pregnancy Changes
Royal Jelly and Fertility: Can It Affect Your Chances of Conception?
Royal jelly vs. conception If you regularly consume royal jelly, which is said to improve physical condition and enhance beauty, you may wonder if it affects fertility when preparing for pregnancy and whether it is safe to continue taking it.
Dr. Peng Yiguo reply Obstetrics and Gynecology
Royal jelly may indeed improve physical condition, enhance immunity, and provide benefits for skin health and beauty. With such effects, it could potentially increase your fertility. If there are no harmful additives, it can be continued during the preparation for pregnancy. Howe...[Read More] Royal Jelly and Fertility: Can It Affect Your Chances of Conception?
Understanding Low Sperm Motility: Can You Still Get Pregnant?
Sperm motility is found to be insufficient? My husband has been diagnosed with "insufficient sperm motility." Does this mean that I will definitely not be able to conceive in the short term (within 9 months)? Thank you!
Dr. Peng Yiguo reply Obstetrics and Gynecology
Low sperm motility can naturally affect your fertility, but the extent of this impact can vary. A urologist can perform a detailed examination of your husband to check for conditions such as varicocele or other infections. It’s also important to consider whether your husband’s oc...[Read More] Understanding Low Sperm Motility: Can You Still Get Pregnant?
Understanding Cervical Inflammation: Causes, Symptoms, and Treatment Options
Cervicitis Hello Dr. Peng, I have a few questions I would like to ask. Let me briefly describe my situation. I am currently unmarried and tend to only see a doctor when the pain becomes unbearable. My menstrual cycle is irregular, lasting about 2-3 days with dysmenorrhea, and I ...
Dr. Peng Yiguo reply Obstetrics and Gynecology
1. If a surgical abortion is performed properly and there are no signs of uterine inflammation post-operation, it generally should not affect future pregnancies. However, if the procedure is incomplete or if there is a secondary infection leading to endometritis or inflammation o...[Read More] Understanding Cervical Inflammation: Causes, Symptoms, and Treatment Options
Hair Dye Use During Early Pregnancy: Risks and Recommendations
Using hair dye? Using hair dye without knowing you were pregnant can be concerning. It's important to consult with your healthcare provider for personalized advice. Generally, the risk of harm to the fetus from hair dye is considered low, especially if used in a well-ventila...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Starting from the date of the last menstrual period, if you were four weeks pregnant at the time of dyeing your hair, it is important to note that the period between six to eight weeks is critical for the formation of multiple organs, and the potential impact is greatest during t...[Read More] Hair Dye Use During Early Pregnancy: Risks and Recommendations
Understanding Menstrual Cycle After Abortion and Future Pregnancy Plans
Abortion I underwent a surgical abortion on April 16 when I was 10 weeks pregnant. How long will it take for my menstrual period to return? If I want to conceive again in August, will it have a significant impact on my body? Please respond, thank you!
Dr. Peng Yiguo reply Obstetrics and Gynecology
Generally, after a medical abortion at 10 weeks of pregnancy, menstruation will return in about 6 to 8 weeks. Therefore, counting from April 16, menstruation is expected to occur around early to mid-June. If you wish to conceive again in August, it should not have a significant i...[Read More] Understanding Menstrual Cycle After Abortion and Future Pregnancy Plans
Understanding Elevated Prolactin Levels and Their Impact on Fertility
Prolactin In late February, I went to a health check-up center for a pre-marital health examination. At that time, the results showed that my prolactin level was slightly elevated (44.1). I am unsure if the delay in my menstrual period that month and being busy with wedding prepa...
Dr. Peng Yiguo reply Obstetrics and Gynecology
A prolactin level of 44.1 is somewhat elevated, which can cause delayed menstruation. However, treatment is not necessarily required unless there are significant menstrual irregularities or if there is nipple discharge. Additionally, medications for peptic ulcers or psychiatric c...[Read More] Understanding Elevated Prolactin Levels and Their Impact on Fertility
Understanding Recurring Pelvic Inflammatory Disease Symptoms and Fertility Issues
If there is a recurrence of pelvic inflammatory disease (PID), the symptoms may include: 1. Lower abdominal pain or pelvic pain 2. Abnormal vaginal discharge, which may have an unpleasant odor 3. Fever and chills 4. Pain during intercourse 5. Irregular menstrual bleeding 6. Pain...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Pelvic inflammatory disease can lead to the formation of abscesses, which are indeed prone to recurrence. If infections occur repeatedly, they can ultimately result in adhesions and infertility. Patients often experience lower abdominal discomfort, dyspareunia, and even abdominal...[Read More] Understanding Recurring Pelvic Inflammatory Disease Symptoms and Fertility Issues
Understanding the Risks of Pregnancy After Unprotected Intercourse
What is the rate of ectopic pregnancy during the danger period? Please provide an answer? Hello doctor, my girlfriend's menstrual periods in February and March both started at the end of the month. Based on this, her period should have arrived by the end of April. However, w...
Dr. Peng Yiguo reply Obstetrics and Gynecology
If your period is late and hasn't arrived as expected, the first thing to consider is whether you might be pregnant. Even if you have taken contraceptive measures, as you mentioned having sexual intercourse on April 28, the likelihood of pregnancy is low. Generally, pregnanc...[Read More] Understanding the Risks of Pregnancy After Unprotected Intercourse
Struggling to Conceive: Seeking Guidance After Year of Trying
I really want to get pregnant? Hello Doctor, I am 31 years old and planning to have a child after getting married. I have spent over a year consulting with doctors and have undergone procedures such as hysterosalpingography, blood tests, semen analysis, and even one cycle of arti...
Dr. Peng Yiguo reply Obstetrics and Gynecology
First, don't put too much pressure on yourself; many cases result in pregnancy during times of disappointment. If basic examinations are normal, you can perform a post-coital test or check for the presence of antisperm antibodies through blood tests. This is because sperm ma...[Read More] Struggling to Conceive: Seeking Guidance After Year of Trying
Is the Baby Mine? Understanding Early Pregnancy and Paternity Testing
Is the child mine? My girlfriend did not have sexual intercourse with me from February 1 to February 7. On March 8, she had an ultrasound at the gynecology clinic, which showed that she was 4 weeks and 5 days pregnant, estimating implantation around February 3. However, I was in ...
Dr. Peng Yiguo reply Obstetrics and Gynecology
First, you need to know your girlfriend's last menstrual period (counting the first day of her period). Additionally, it's important to determine whether her menstrual cycle is regular (a normal cycle ranges from 21 to 35 days). If her cycle is irregular, it will be dif...[Read More] Is the Baby Mine? Understanding Early Pregnancy and Paternity Testing
Effective Strategies to Manage Menstrual Pain and Discomfort
Menstrual pain Hello Dr. Peng: I experience severe pain every time I have my period and need to take painkillers to manage it. However, once the medication wears off, the pain returns and can last all day. Sometimes, the pain is so intense at night that it wakes me up. Heat thera...
Dr. Peng Yiguo reply Obstetrics and Gynecology
Dysmenorrhea is a common gynecological condition and a leading cause of absenteeism or sick leave among young individuals. It is often accompanied by symptoms such as nausea, vomiting, headaches, fatigue, mood changes, and back pain. These symptoms typically occur 24-48 hours bef...[Read More] Effective Strategies to Manage Menstrual Pain and Discomfort