Dr. Wei Fumao reply Obstetrics and Gynecology Question

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Understanding Hydrosalpinx: Impact on Fertility and Treatment Options

Hydrosalpinx Dr. Wei: Recently, I went to the hospital for an examination, and the doctor said that I have hydrosalpinx in my left fallopian tube, which affects fertility. I need to undergo a hysterosalpingography and in vitro fertilization (IVF) to conceive. Is there no other me...


Dr. Wei Fumao reply Obstetrics and Gynecology
Is there pus in the fluid accumulation? Generally, it is technically difficult to aspirate fluid from a hydrosalpinx, and even if aspirated, it does not guarantee that the fallopian tube will become patent. In vitro fertilization (IVF) can address infertility issues caused by blo...

[Read More] Understanding Hydrosalpinx: Impact on Fertility and Treatment Options


Understanding Lower Abdominal Pain: Causes and Care for Women

Lower abdominal pain Lower abdominal pain located near the pelvic floor and center close to the pubic bone, sometimes accompanied by pain during sexual intercourse. Three months ago, I was diagnosed with uterine and pelvic inflammation and have been using suppositories, but some ...


Dr. Wei Fumao reply Obstetrics and Gynecology
If pelvic inflammatory disease is not completely cured the first time, the chances of recurrence are very high. It is recommended to avoid excessive fatigue and not to wash inside the vagina.

[Read More] Understanding Lower Abdominal Pain: Causes and Care for Women


Understanding Breast Pain Before Menstruation: Causes and Relief

Chest pain I experience swelling and pain in my breasts starting one to two weeks before my menstrual cycle, sometimes even earlier. Is this normal? The pain can last for a long time. Is it due to underdeveloped breast tissue, or could it be another condition? If this is normal, ...


Dr. Wei Fumao reply Obstetrics and Gynecology
This is an endocrine issue. Premenstrual breast tenderness is generally considered normal; however, please consult a breast specialist to check for any fibrous lesions. As for treatment options, there are various methods available, and it is advisable to have the breast specialis...

[Read More] Understanding Breast Pain Before Menstruation: Causes and Relief


Can You Get Pregnant After Bleeding? Understanding Fertility Risks

Emergency~~ If I had bleeding from August 23 to September 3, I would like to ask if ejaculation inside during that time could result in pregnancy? Thank you.


Dr. Wei Fumao reply Obstetrics and Gynecology
Having sexual intercourse during a normal menstrual period should not result in pregnancy.

[Read More] Can You Get Pregnant After Bleeding? Understanding Fertility Risks


Understanding Leukocyte Therapy for Infertility and Pregnancy Risks

Leukocyte therapy and infertility? Hello, doctor. My wife has a history of miscarriage and is currently about 4-5 weeks pregnant. However, she is experiencing intermittent abdominal pain. In addition to taking medications to support the pregnancy, the clinic's physician sugg...


Dr. Wei Fumao reply Obstetrics and Gynecology
Please consult a medical center, such as National Taiwan University Hospital, Veterans General Hospital, Mackay Memorial Hospital, Chang Gung Memorial Hospital, Kaohsiung Medical University Hospital, or National Cheng Kung University Hospital.

[Read More] Understanding Leukocyte Therapy for Infertility and Pregnancy Risks


Understanding Inverted Nipples: Causes, Effects, and Treatment Options

Breast I would like to ask about my breast, as one of my nipples is slightly inverted. Since I am a female, I want to know what implications this might have, how to improve it, and whether surgery is necessary. Which specialty should I consult?


Dr. Wei Fumao reply Obstetrics and Gynecology
Please proceed to the surgical consultation. Wei Fu-Mao, August 25.

[Read More] Understanding Inverted Nipples: Causes, Effects, and Treatment Options


Medication Safety During Pregnancy: Can You Use Trancolon, Lederscon, and Erispan?

Medication issues Is it safe to use these three medications during pregnancy? Since I haven't been using contraception, I wanted to ask first. Thank you. 1. TRANCOLON 7.5MG 2. LEDERSCON 3. ERISPAN 0.25MG


Dr. Wei Fumao reply Obstetrics and Gynecology
Many medications have not undergone testing, so their teratogenic effects are unknown. Generally, the use of medications after three months of pregnancy is less likely to have an impact, but it also depends on the duration of use and the type of medication.

[Read More] Medication Safety During Pregnancy: Can You Use Trancolon, Lederscon, and Erispan?


Missed Periods and Unusual Discharge: Could Pregnancy Be Possible?

I had my menstrual cycle twice in April and May, but surprisingly, it didn't come at all in June? Your question: The menstrual cycle in April was on 4/7 and 4/23, and in May it was on 5/5 and 5/21. The flow during these four periods has been very light. Since April, I'v...


Dr. Wei Fumao reply Obstetrics and Gynecology
Please proceed to the obstetrics and gynecology outpatient clinic for diagnosis and treatment.

[Read More] Missed Periods and Unusual Discharge: Could Pregnancy Be Possible?


Effects of Mydriatics on Egg Health and Pregnancy: What You Need to Know

Mydriatic agent I am currently preparing for artificial insemination. Since the second day of my menstrual cycle, I have been taking ovulation medication and receiving Merional injections every two days. Today is the eighth day (and I have not yet implanted the sperm). I would li...


Dr. Wei Fumao reply Obstetrics and Gynecology
Generally, the likelihood of a medication affecting the fetus is higher between implantation and the first three months of pregnancy. In your case, there should be no issues. Since the mydriatic agent is only local, absorption should be minimal. As for the long-term effects of th...

[Read More] Effects of Mydriatics on Egg Health and Pregnancy: What You Need to Know


Is Hysterosalpingography Necessary for Fertility Issues?

Is it necessary to do it? Hello, I gave birth to my first child in 2003, and since last year, I have not used contraception but have not become pregnant. I visited a gynecologist, and the doctor arranged for a hysterosalpingography (HSG). I have a few questions: (1) The HSG requi...


Dr. Wei Fumao reply Obstetrics and Gynecology
(1) It is difficult to determine if there is an allergy. (3) If there is a blockage, it can be checked; if both sides are blocked, conception may be difficult, but if only one side is blocked, one can wait. (4) Laparoscopy can be used to observe the condition of the pelvic cavity...

[Read More] Is Hysterosalpingography Necessary for Fertility Issues?


Can Women Get Pregnant Right After Their Period Ends?

Doctor, may I ask you something? Hello, Doctor! I have a question for you. Is it possible for a woman to become pregnant right after her menstrual period ends? Thank you very much! ^^ 2006/06/11


Dr. Wei Fumao reply Obstetrics and Gynecology
If the menstrual cycle is 21 to 22 days long, having intercourse on the eighth day (counting from the first day of menstruation) could result in pregnancy. If the cycle is 28 days, having sexual intercourse starting on the twelfth day could lead to conception.

[Read More] Can Women Get Pregnant Right After Their Period Ends?


How Often Does Your Period Come Back After Ignoring It?

Reply to Dr. Wei: How often does it occur when you ignore it? Thank you, Dr. Wei, for your quick response. You asked me: How long does it take for it to come when I don't pay attention to it? Before having a baby, I had a period of six months without it, and it only returned...


Dr. Wei Fumao reply Obstetrics and Gynecology
If breastfeeding is not initiated after delivery, menstruation typically returns around two months postpartum. If you do not address this and menstruation does not occur after two months, you may need to consider menstrual induction. Given your situation, it seems likely that you...

[Read More] How Often Does Your Period Come Back After Ignoring It?


Improving Ovarian Function: Solutions for Irregular Menstrual Cycles

How can ovarian function be improved? I often experience delayed menstrual cycles. I have been regulating my cycle for over a year, taking medication starting on the fifth day of my period for five days. However, I still need to take medication to induce my period for it to come....


Dr. Wei Fumao reply Obstetrics and Gynecology
A normal menstrual cycle is considered to be one that does not exceed 45 days. Some individuals may ovulate later, resulting in a delayed period. I would like to ask, when you do not pay attention to it, how often does your period come?

[Read More] Improving Ovarian Function: Solutions for Irregular Menstrual Cycles


Understanding Abnormal Vaginal Discharge: Causes and Concerns

Secretions Hello: 1. Is it normal for discharge to have a sour smell? There have been one or two instances where it had a foul sour odor. 2. I previously noticed an increase in yellow-green discharge a few times. The doctor examined me and said everything looked fine, but the...


Dr. Wei Fumao reply Obstetrics and Gynecology
Generally, yellow-green color is considered abnormal. A sour smell is acceptable, but a fishy odor is also abnormal. Other colors, such as white, or small granular or fine particulate textures that cause itching, may indicate a fungal infection. It is recommended to rinse the are...

[Read More] Understanding Abnormal Vaginal Discharge: Causes and Concerns


Managing Menopause: Addressing Back Pain and Bone Health Concerns

Menopause Questions Hello Dr. Wei, my mother is 52 years old and has already gone through menopause, currently in the menopausal stage. Aside from hot flashes, she generally does not have significant discomfort. However, in the past few weeks, she has frequently mentioned feeling...


Dr. Wei Fumao reply Obstetrics and Gynecology
If hormone replacement therapy cannot be administered within five years after menopause, there may be a potential loss of one-third of bone mass. If there is weakness in the lower back or back pain, it is advisable to consult an orthopedic specialist for diagnosis. Menopausal sym...

[Read More] Managing Menopause: Addressing Back Pain and Bone Health Concerns


Essential Preconception Checkups for Couples: Timing and Costs Explained

Preconception check-ups? Hello, if I plan to get pregnant by the end of this year, should my husband and I undergo preconception check-ups together? If so, what is the best timing for these tests? What is the approximate cost, and what tests are typically included? Thank you for ...


Dr. Wei Fumao reply Obstetrics and Gynecology
Please have a blood test first, which can check for syphilis serology, hepatitis B antibodies and antigens, HIV, and screening for thalassemia. It is recommended to go to a larger hospital and inform the obstetrician-gynecologist. It is best for both partners to get tested.

[Read More] Essential Preconception Checkups for Couples: Timing and Costs Explained


Understanding Surgical Treatment Options for Menstrual Irregularities

Surgical Treatment Issues for Menstrual Irregularities Hello Doctor, for the past year and a half, my menstrual cycle has been very irregular while I have been in a foreign country. Previously, my periods would occasionally be disrupted due to exams or stress, but they would retu...


Dr. Wei Fumao reply Obstetrics and Gynecology
Hysteroscopy is not considered surgery. The medication Lutenyl is not found in the Taiwanese pharmacopoeia, so I am unsure of its composition. In cases like yours, I would typically use medication for management, and performing a hysteroscopy is primarily to rule out any lesions ...

[Read More] Understanding Surgical Treatment Options for Menstrual Irregularities


Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns

Is this normal? I would like to consult a physician: My menstrual cycle is consistently about 30 days, but my period lasts around 10 days (which seems long). We are planning to conceive, and after having intercourse with my husband a week after my period, I experienced bleeding. ...


Dr. Wei Fumao reply Obstetrics and Gynecology
Post-coital bleeding can have several possible causes: 1. Bleeding from the male partner. 2. Frictional injury to the vagina or cervix. 3. Ovulation occurring at the time, which may lead to intrauterine bleeding that is expelled due to uterine contractions during intercourse. Ple...

[Read More] Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns


Understanding Prenatal and Preconception Nutrition: Key Insights

What is prenatal nutrition and preconception nutrition? Prenatal nutrition refers to the nutritional needs and dietary practices during pregnancy, while preconception nutrition pertains to the nutritional status and dietary habits before conception occurs. Irregular menstrual cyc...


Dr. Wei Fumao reply Obstetrics and Gynecology
Certain vitamins are believed to aid in fetal development after conception, while there is not much information regarding preconception nutrition. If you have irregular menstrual cycles, please consult a gynecologist for diagnosis.

[Read More] Understanding Prenatal and Preconception Nutrition: Key Insights


What to Do About Irregular Menstruation After Miscarriages?

What should be done if the menstrual cycle is normal? Since I have experienced several abnormal miscarriages due to trauma, I did not see a doctor or take special rest after each miscarriage. After that, my menstrual cycle has been irregular for nearly six months. Recently, my pe...


Dr. Wei Fumao reply Obstetrics and Gynecology
If menstruation does not occur, it is recommended to consult a gynecologist to diagnose whether it is due to irregularities caused by a miscarriage. It is further advised to seek evaluation from a gynecologist at a larger hospital.

[Read More] What to Do About Irregular Menstruation After Miscarriages?


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