Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Heavy menstrual bleeding? Hello, Doctor: I am 46 years old and had a Mirena IUD inserted about three years ago. I have been experiencing heavy menstrual bleeding, with a cycle of approximately 25 to 28 days, and my periods last around ten days, with lighter flow during the last 2...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health, Executive Yuan, responded: 1. For heavy menstrual bleeding, first identify the cause (diagnosis): a. Uterine tumors (including fibroids and adenomas) can be evaluated through ultrasound and pelvic examin...[Read More] Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Understanding Unexplained Bleeding After Emergency Contraception: What You Need to Know
Unexplained bleeding Q1: After taking the emergency contraceptive pill, the shedding of the endometrium can cause bleeding similar to a menstrual period, which achieves the effect of post-coital contraception. I took the emergency pill on July 8 and experienced bleeding. It was m...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Tsung-Cheng from the Tainan Hospital of the Department of Health replies: Q1: Experiencing bleeding after taking emergency contraception does not completely rule out the possibility of pregnancy. If your period is significantly delayed, it is advisable to take a pregnancy ...[Read More] Understanding Unexplained Bleeding After Emergency Contraception: What You Need to Know
Does Taking Cold Medicine During Ovulation Affect Fetal Development?
Taking cold medicine during ovulation period? Hello Dr. Wu, May I ask you a question? I took cold medicine for 2-3 days during my ovulation period and later found out that I am pregnant. Will taking cold medicine only during the ovulation period affect the fetus? Thank you for ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Director Wu Zongcheng of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, responds to Ms. Xiao Qian: Most medications do not have as significant an impact on pregnancy as one might think. If you are concerned about the effects of med...[Read More] Does Taking Cold Medicine During Ovulation Affect Fetal Development?
Confusion Over Pregnancy Test Results: What You Need to Know
Unsure if pregnant? Hello, doctor. I would like to ask you about my situation. I haven't had my period for three to four weeks and suspected I might be pregnant, so I bought a pregnancy test, which showed that I was pregnant. However, when I went to the hospital for a urine ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health Administration advises to wait patiently for another week! Early pregnancy diagnosis can sometimes present situations similar to yours. 1. A pregnancy test can confirm whether you are pregnant around the time...[Read More] Confusion Over Pregnancy Test Results: What You Need to Know
Understanding Enlarged Ovaries: Causes, Effects, and What to Watch For
Ovary Dear Dr. Wu, A few days ago, I accompanied a female friend to a gynecology clinic because she had been experiencing menstrual bleeding for nearly two weeks without cessation. The hospital scheduled an abdominal ultrasound that day (to ensure accuracy, they asked her to dri...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Tsung-Cheng from the Tainan Hospital of the Department of Health, Executive Yuan, responded that ovarian diseases can be classified into two categories: functional disorders and morphological tumors. 1. Ultrasound examination is a morphological assessment; there is no sp...[Read More] Understanding Enlarged Ovaries: Causes, Effects, and What to Watch For
Understanding Fetal Growth: Why Is My Baby Smaller at 9 Weeks?
excuse me? Hello, doctor. My partner is currently 9 weeks and 4 days pregnant, but the fetus is still the same size as it was at 7 weeks and 4 days (about 1 cm). Additionally, my partner has gained 0.5 kg in the past two weeks. Could you please explain why the fetus, which was ex...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Department of Obstetrics and Gynecology at Tainan Hospital of the Health Department responded that there are two possible reasons for smaller fetal development: 1. Later conception (slower ovulation) 2. Issues with embryonic development. Please visit the...[Read More] Understanding Fetal Growth: Why Is My Baby Smaller at 9 Weeks?
Does a Fever Affect Sperm Quality and Future Pregnancy?
Does a man's fever affect sperm quality? Hello! We are a couple planning to conceive soon, but my husband had a cold with a fever that reached up to 104 degrees Fahrenheit a couple of days ago. Today is the optimal time for conception. I would like to know if conceiving now ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Department of Obstetrics and Gynecology at Tainan Hospital of the Ministry of Health and Welfare responded that if the husband has a fever, his sperm will certainly be affected, leading to reduced fertility. However, as long as medication is taken with c...[Read More] Does a Fever Affect Sperm Quality and Future Pregnancy?
Understanding Placenta Previa: Symptoms and Concerns During Pregnancy
Placenta previa Hello, doctor! I am 5 months pregnant! Since I was 3 months along, I have been experiencing a feeling of bloating and hardness in my upper abdomen. I have sought medical attention, but this issue has not improved! Additionally, I have noticed some bleeding. Thank ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng, the Director of the Department of Obstetrics and Gynecology at Tainan Hospital, responded that if there is bleeding during pregnancy, an ultrasound examination is necessary to accurately diagnose the cause. Placenta previa can be classified into (1) complete pla...[Read More] Understanding Placenta Previa: Symptoms and Concerns During Pregnancy
Understanding the Necessity of Hepatitis B Immunoglobulin for Newborns
Hepatitis B immunoglobulin (HBIG) Hello, I am currently 33 weeks pregnant. My hepatitis B test results show HBsAg positive with a titer less than 25600 and HBeAg negative. The obstetrician mentioned that there is generally no need for immunoglobulin administration, but asked if I...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Tainan Hospital, Department of Obstetrics and Gynecology, Dr. Wu Zongcheng's response: (1) For pregnant women, if HBsAg is positive and HBsAg is negative, there is generally no need to administer immunoglobulin. (2) Immunoglobulin is a serum product derived from animals; it ...[Read More] Understanding the Necessity of Hepatitis B Immunoglobulin for Newborns
Confusion Over Ovarian Cysts: To Operate or Not? A Patient's Dilemma
Cyst Hello Doctor: My mother, born in 1981, is entering menopause. Recently, she underwent examinations at three different hospitals. At the first hospital, the doctor mentioned a 0.6 cm cyst on one ovary and insisted on surgery, followed by blood tests. A few days later, she vis...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health, Executive Yuan, responds: (1) The uterus does not develop cysts; it can only have uterine fibroids and adenomyosis. (2) Generally, when referring to cysts, it pertains to ovarian cysts. According to textbooks,...[Read More] Confusion Over Ovarian Cysts: To Operate or Not? A Patient's Dilemma
Concerns About Fertility After Abortion: Understanding Ovarian Cysts and Fibroids
Want to get pregnant? I discovered I was pregnant for over two months when I was 20 years old, about 14 years ago, and underwent an abortion. Now, at 34 years old and recently married, I plan to conceive. Two months ago, I found out I have a 4x4 cm chocolate cyst on my right ovar...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The Tainan Hospital of the Ministry of Health and Welfare, Dr. Wu Tsung-Cheng from the Department of Obstetrics and Gynecology responds: (1) Having had an abortion does not affect fertility, so there is no need to feel anxious. (2) Endometriomas may impact infertility and require...[Read More] Concerns About Fertility After Abortion: Understanding Ovarian Cysts and Fibroids
Effective Ways to Enhance Breast Size: A Guide for Women
Breast size My chest is very flat. I'm not sure what methods are available to help it grow.
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from Tainan Hospital of the Department of Health responded that breast size varies from person to person, with the primary factors being genetic predisposition and dietary habits. Recommendations include: (1) foods high in female hormones, (2) foods rich in fats,...[Read More] Effective Ways to Enhance Breast Size: A Guide for Women
Which Specialist Should You See First for PCOS and Weight Issues?
Which specialty should I see first? Hello Dr. Wu, I would like to ask for your advice. I have seen other doctors who diagnosed me with polycystic ovary syndrome (PCOS). Some mentioned hormonal imbalance or endocrine disorders. Additionally, I have been gaining weight, and I now ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Tsung-Cheng from Tainan Hospital of the Department of Health responds: The clinical symptoms of polycystic ovary syndrome (PCOS) include amenorrhea (or irregular menstruation), obesity, signs of masculinization, and in severe cases, infertility. Clinical treatment options ...[Read More] Which Specialist Should You See First for PCOS and Weight Issues?
Understanding Colposcopy: Availability and Accuracy in Taichung Hospitals
Colposcope I would like to ask if Taichung Hospital offers colposcopy. I have seen reports that performing a Pap smear in conjunction with colposcopy increases accuracy. Additionally, if there are any discharge, will it affect the interpretation of the results? Thank you.
Dr. Wu Zongcheng reply Obstetrics and Gynecology
1. Taichung Hospital should have colposcopy services; please contact the hospital directly. 2. Pap smears are the most convenient and can be performed on a large scale; if there are suspicious findings, colposcopy and cervical biopsy can be conducted for further evaluation. 3...[Read More] Understanding Colposcopy: Availability and Accuracy in Taichung Hospitals
Post-Hysterectomy Care: Managing Symptoms and Complications
Postoperative care after hysterectomy or cervical conization? Hello, I would like to know about the care needed after a hysterectomy and cervical conization, as well as the potential complications or discomfort that may arise. What areas should I explore for more information on t...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Dr. Wu Zongcheng from the Department of Obstetrics and Gynecology at Tainan Hospital of the Ministry of Health replies: *Post-operative care after a hysterectomy: Within 1 to 2 months after surgery, it is important to return to the hospital for regular check-ups, avoid vigorous e...[Read More] Post-Hysterectomy Care: Managing Symptoms and Complications
When to Attend Lamaze Classes for Childbirth Preparation?
Mother's Classroom When will there be a course on the Lamaze method of childbirth?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The Tainan Hospital of the Department of Health replies that there will be a maternity class on December 20th this month. You are welcome to participate. The time is at 2 PM, and the location is the delivery room on the third floor of the medical building. If you have any questio...[Read More] When to Attend Lamaze Classes for Childbirth Preparation?
Can Artificial Insemination Determine Baby's Gender? Costs and Considerations for Older Mothers
Artificial insemination Can artificial insemination allow for the selection of a male baby? What is the probability of this happening and what are the approximate costs? I am 39 years old, which is considered advanced maternal age; what should I be aware of?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The Director of the Department of Obstetrics and Gynecology at Tainan Hospital, Department of Health, responded: 1. Artificial insemination is divided into two types: sperm washing and sperm separation. Generally, those who wish to control the sex of the baby use sperm separati...[Read More] Can Artificial Insemination Determine Baby's Gender? Costs and Considerations for Older Mothers
Understanding Cervical Cancer: Stages, Treatments, and Survival Rates
Cervical cancer Your questions: Cervical Cancer: 1. How many stages are there for cervical cancer? 2. How is each stage treated? 3. What are the cure rates for each stage? 4. What is the recurrence rate? Response from Dr. Wu Tsung-Cheng, Obstetrics and Gynecology, Tainan Hospital...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
1. The five-year survival rate refers to the percentage of cancer patients who continue to live for five years after completing treatment. Generally, cancer treatment uses the five-year survival rate as a benchmark, and surviving for more than five years is considered a sign of g...[Read More] Understanding Cervical Cancer: Stages, Treatments, and Survival Rates
Understanding RU486 for Abortion: Costs, Hospitalization, and Options
Mifepristone (RU-486) My last menstrual period was on October 13. Can I use RU486 for a medical abortion now? How much does it cost? Will I need to be hospitalized? If you recommend a procedure, which is better: surgery or medication?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
1. The last menstrual period was on October 13th. The use of RU486 for medical abortion is feasible. Of course, RU486 can sometimes fail (with a success rate of over 90%), but it is already a very reliable treatment. 2. Our hospital currently does not have RU486 available, and th...[Read More] Understanding RU486 for Abortion: Costs, Hospitalization, and Options
Understanding Cervical Cancer Stages, Treatments, and Survival Rates
Cervical cancer Cervical Cancer: 1. How many stages are there for cervical cancer? 2. What are the treatment options for each stage? 3. What is the cure rate for each stage? 4. What is the incidence rate?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The Tainan Hospital of the Department of Health replies: 1. Clinically, cervical cancer is divided into four stages. 2. Early-stage cancers include stages Ia, Ib, and IIa, with surgical treatment as the primary method and radiation therapy as an adjunct. For cervical cancer at st...[Read More] Understanding Cervical Cancer Stages, Treatments, and Survival Rates