How Long After Hepatitis B Vaccination Can You Safely Conceive?
How long after receiving the hepatitis B vaccine should one wait before trying to conceive? I received my second dose of the Hepatitis B vaccine on December 19th last year. How long after the vaccination will it not affect the health of a fetus during pregnancy? Additionally, cou...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The vaccine used in our hospital is Engerix-B, produced by the Belgian pharmaceutical company SB Biolopicals, at a dosage of 20 mg/dose. (1) Currently, there is insufficient data; it is unknown whether the vaccine affects the fetus during pregnancy, but it can be compared to gene...[Read More] How Long After Hepatitis B Vaccination Can You Safely Conceive?
Concerns About Accutane and Birth Defects: What You Need to Know
Retinoic acid Hello, doctor. Last year, I had acne, and my doctor recommended that I take vitamin A acid. I have already stopped using it, but it seems that this medication carries a risk of teratogenicity. I heard that if the retinoic acid is not completely metabolized in the bo...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
For example, if a married woman is taking contraceptive pills and wishes to conceive, she should stop taking the medication for three months before trying to get pregnant. Vitamin A acid is a fat-soluble vitamin, and the metabolism of most medications does not exceed three months...[Read More] Concerns About Accutane and Birth Defects: What You Need to Know
Understanding Pelvic Pain: Causes, Diagnosis, and Treatment Options
Pelvic pain Since August and September, I have been experiencing aching pain in the pelvic area. I have undergone many tests with no results, and the doctor finally diagnosed me with pelvic congestion syndrome. Additionally, I have developed neuropathy in two nerves, but there ha...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
1. Unexplained lower abdominal pain is challenging to manage, and general practitioners often rely on subjective diagnoses. Although laparoscopic procedures may be performed, they do not always address the underlying issue, leading to persistent pain. 2. The fundamental approac...[Read More] Understanding Pelvic Pain: Causes, Diagnosis, and Treatment Options
Postpartum Hair Loss: Causes, Solutions, and Expert Advice
Postpartum hair loss I gave birth last October, and recently I've been experiencing severe hair loss. I've seen many doctors, but nothing seems to help. What should I do?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Hello, postpartum endocrine disorders can lead to hair loss. The management methods are: (1) addressing the endocrine imbalance by conducting blood tests to check hormone levels and using medication to treat endocrine function; (2) in some women, the ovaries may self-regulate the...[Read More] Postpartum Hair Loss: Causes, Solutions, and Expert Advice
Approved Abortion Pills in Taiwan: Options Beyond RU486 and Costs
Abortion Currently, aside from RU486, are there any other medications approved by the Department of Health for medical abortion? If a physician diagnoses that it can be used, what would the cost be?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) RU486 has been approved by the Department of Health, but hospitals have not yet officially stocked the medication. There is a time gap between the Department's approval and the importation by pharmaceutical companies, which affects when hospitals can sell it. Therefore, ...[Read More] Approved Abortion Pills in Taiwan: Options Beyond RU486 and Costs
Why Is My Period Late? Understanding Irregular Menstrual Cycles
Did not come? My menstrual cycle usually starts around the 8th of the month, with an average cycle length of 30 to 35 days. However, I still haven't gotten my period. I went to the hospital for a check-up, and the doctor said I am not pregnant and advised me to wait another ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Reply: When menstruation is delayed, there are three main possibilities: (1) Pregnancy: If a pregnancy test shows negative results, wait for two weeks to retest, as sometimes menstrual cycles can be irregular and testing too early may yield false negatives. (2) Ovarian dysfunctio...[Read More] Why Is My Period Late? Understanding Irregular Menstrual Cycles
Does Ovulation Medication Increase Chances of Twins? Insights and Alternatives
Ovulation medication Does taking ovulation medication increase the likelihood of having multiples when getting pregnant? Can ultrasound monitoring of ovulation help avoid this, or are there other methods to prevent it? Thank you for your response.
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) In a normal woman, one egg is released from the ovaries during each menstrual cycle. The use of ovulation medications can lead to multiple ovulations (increased number of eggs), which raises the likelihood of multiple births. (2) Ultrasound cannot visualize eggs (sperm, eggs,...[Read More] Does Ovulation Medication Increase Chances of Twins? Insights and Alternatives
Am I Pregnant? Understanding Pregnancy Tests and Their Accuracy
Do you have it? I had sexual intercourse 5-6 days after my period and experienced some dark discharge, and I'm unsure if there was any semen left inside. Now, my period is over a week late, and I recently bought two types of single-use pregnancy test kits, which both showed ...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) The accuracy of commercially available pregnancy tests is generally high. If you still have doubts, please consult a gynecologist for further examination. (2) Generally speaking, pregnancy occurs from sexual intercourse during the ovulation period, which is approximately 12 t...[Read More] Am I Pregnant? Understanding Pregnancy Tests and Their Accuracy
Understanding a Bump on the Labia: Causes and Concerns
May I ask the doctor? Hello, doctor. I have a question I would like to ask you: I have a bump on my labia majora that looks like a pimple. It has been slightly itchy occasionally, but I haven't felt anything unusual otherwise. This condition has lasted for over a week, and t...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Response: The presence of pimple-like bumps on the labia can generally be categorized into the following types: (1) Inflammation and blockage of hair follicles or sebaceous glands, similar to acne; (2) Bacterial infections causing irritation of the vulva due to discharge; (3) Lip...[Read More] Understanding a Bump on the Labia: Causes and Concerns
First Sexual Experience: Concerns About Pregnancy and Precautions
First sexual intercourse Hello, I would like to ask the following questions: During the New Year holiday, my girlfriend and I had our first sexual experience. Before this trip, she was on her menstrual period and usually takes medication to delay her menstruation, but it seems sh...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) Based on your description, engaging in sexual intercourse before the onset of menstruation is unlikely to result in pregnancy. Please be sure to practice contraception in the future. (2) It is normal for men to release a clear fluid during sexual arousal, which is pre-ejacula...[Read More] First Sexual Experience: Concerns About Pregnancy and Precautions
Understanding Vaginal Trichomoniasis: Symptoms, Diagnosis, and Treatment
Vaginal trichomoniasis infection Hello Dr. Wu: I would like to ask what vaginal trichomoniasis is. How can I determine if I have been infected? If it is confirmed that I have trichomoniasis, what treatment should I undergo? Should I refrain from sexual intercourse? I apologize fo...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The causes of vaginitis can be categorized into (1) bacterial infections, (2) fungal infections, and (3) trichomoniasis (which is a type of protozoan infection). Symptoms of trichomoniasis include vaginal itching, increased discharge, and discomfort in the vaginal and vulvar area...[Read More] Understanding Vaginal Trichomoniasis: Symptoms, Diagnosis, and Treatment
Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Menstrual irregularities This month, when my period was about to start, I noticed a little bit of light blood (not like my usual menstrual flow). I thought I would wait a few days to see if my period would actually come, but it has been a week and I am still experiencing a little...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Irregular menstruation (spotting) can be considered from three aspects: (1) Uterine and ovarian pathologies: such as uterine fibroids, polyps, endometrial hyperplasia, or ovarian tumors. (2) Functional causes: Hormonal imbalances in the ovaries can disrupt the menstrual cycle. Lu...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Understanding Egg Donation: Effects on Menstrual Cycle and Future Fertility
Regarding egg donation? Hello Doctor, I would like to ask the following questions: 1. For egg donors, will their menstrual cycle change after donating eggs? 2. Could this cause any issues with their future fertility? 3. Will menopause occur earlier, or are they more likely to exp...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The term "egg donation" is a beautiful and artistic phrase; however, this is not the case in reality. There are legal issues, ethical concerns, and medical problems involved. Medically, the process of retrieving eggs requires penetrating the abdominal wall (or vagina) a...[Read More] Understanding Egg Donation: Effects on Menstrual Cycle and Future Fertility
Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
MC's questions? Hello, I would like to ask the doctor about my girlfriend's menstrual cycle. Previously, her periods came every two months and the flow was light, but this time it came in less than two months with very little flow, and the color is dark and brownish. Sh...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
The menstrual cycle varies from person to person and can change with age. Young girls, particularly those in high school, often experience irregularities due to immature ovarian function. How old is your girlfriend? After the age of 20, a girl's ovarian function gradually ma...[Read More] Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Understanding Hymen Repair Surgery: Costs, Risks, and Related Concerns
Hymenoplasty 1. How much does hymenoplasty cost? 2. Will there be any complications after the surgery? Will my husband be able to tell? Additionally, I have another troubling issue that I'm unsure which specialty to consult. I have dark hair measuring 2-2.5 cm on my areola....
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) The cost of hymenoplasty varies and is approximately between 20,000 to 30,000 TWD, depending on the physician's fee structure and the extent of hymen damage. After the procedure, there are no visible scars, and it is undetectable. (2) If there is excessive body hair, it ...[Read More] Understanding Hymen Repair Surgery: Costs, Risks, and Related Concerns
Can You Get Pregnant If You Have Your Period?
Can I get pregnant? If you have had sexual intercourse and then get your period, does that mean you definitely won't be pregnant? However, if your menstrual cycle is irregular, it may end, but then you experience bleeding again after a week or two. What could be the reason f...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
(1) Pregnancy is only possible during ovulation; intercourse outside of this period does not lead to pregnancy. (2) It can be difficult to determine whether abnormal bleeding constitutes a menstrual period. The best method for diagnosis is a pregnancy test. (3) If spotting occurs...[Read More] Can You Get Pregnant If You Have Your Period?
Breastfeeding with Hepatitis B: Risks and Considerations for Newborns
Neonatal Hepatitis B Infection Hello Dr. Wu: I am a carrier of hepatitis B, with a positive e-antigen, and I am currently 37 weeks pregnant. I really hope to breastfeed, but I would like to know how feasible this is. If the newborn contracts hepatitis B, what would be the potenti...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Response: (1) Pregnant women who are carriers of hepatitis B with a positive HBsAg can breastfeed; however, if they are positive for HBeAg, the risk of vertical transmission to the infant is high, and breastfeeding is generally not recommended. (2) Newborns infected with hepatiti...[Read More] Breastfeeding with Hepatitis B: Risks and Considerations for Newborns
Understanding Menstrual Delays: When to Worry About Your Cycle
Menstruation I am married and have a baby. My menstrual cycle usually only delays by about 5 days, but this month it was delayed by 10 days. Is there something wrong with my body?
Dr. Wu Zongcheng reply Obstetrics and Gynecology
It is not necessary to be overly concerned about an occasional irregular menstrual cycle, as most women's ovarian function tends to self-regulate. However, if irregularities occur frequently, it is advisable to undergo an ultrasound and hormone blood tests to determine the u...[Read More] Understanding Menstrual Delays: When to Worry About Your Cycle
Understanding Sterilization: Key Questions for Women and Men
Prenatal care Hello, doctor. I would like to ask a few questions. 1. I want to undergo a vasectomy. Which department should I visit? Can the procedure be done on the same day? 2. Will it have any impact on sexual activity? 3. After turning 60, will there be any side effects r...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
Response: (1) Male sterilization: Please visit the urology outpatient clinic; typically, you will schedule the surgery during the outpatient visit, and hospitalization is not necessary. (3) After the procedure, it is important to use contraception for the first 15-20 sexual encou...[Read More] Understanding Sterilization: Key Questions for Women and Men
Understanding Post-Intercourse Pain in Women: Causes and Insights
Postoperative pain My wife and I just got married a little over a month ago, and recently she often tells me that she feels abdominal pain the day after we have intercourse, and that her uterus feels heavy, especially when she has a bowel movement. Could you please explain why th...
Dr. Wu Zongcheng reply Obstetrics and Gynecology
"Postcoital pain" can be categorized into three main types: (1) Diseases of the female reproductive organs, such as tumors or inflammation, which require examination and treatment by a gynecologist. (2) Inadequate preparation prior to intercourse, including insufficient...[Read More] Understanding Post-Intercourse Pain in Women: Causes and Insights