Dr. Xu Junrui reply Obstetrics and Gynecology Question

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Understanding Heat Sensation in the Lower Body: A Guide for Seniors

The lower body may experience a sensation of heat? Hello Dr. Hsu, My mother is 76 years old and underwent a prolapse surgery a few years ago. She frequently experiences a burning sensation in the lower pelvic area, near the bladder, particularly at night, which has been very unc...


Dr. Xu Junrui reply Obstetrics and Gynecology
Hello, based on your description, considering your mother's age, the most common cause of vulvar heat and pain is degenerative inflammation. The treatment approach involves the use of topical hormone replacement therapy, which needs to be applied long-term to be effective (a...

[Read More] Understanding Heat Sensation in the Lower Body: A Guide for Seniors


Safe Medications During Pregnancy: A Guide for Expecting Mothers

Medications during pregnancy Hello Doctor, today I visited an ENT clinic due to a runny nose and also mentioned that I've been experiencing persistent hiccups and throat pain due to my pregnancy. The doctor prescribed some medications, but I couldn't find any informatio...


Dr. Xu Junrui reply Obstetrics and Gynecology
The basic pregnancy medication categories are classified as A, B, C, D, and X. Generally, categories A, B, and C are considered safe for use. However, there are many medications in clinical practice that do not have sufficient data for complete classification. I will provide you ...

[Read More] Safe Medications During Pregnancy: A Guide for Expecting Mothers


Understanding Abdominal Pain: Symptoms and Concerns in Women's Health

Abdominal pain? Hello, I would like to ask about my previous irregular menstrual cycle. After visiting a traditional Chinese medicine practitioner, my menstruation returned, with the last period starting on February 18. However, recently I have been feeling a dull ache in my abdo...


Dr. Xu Junrui reply Obstetrics and Gynecology
First, if possible, you should rule out the possibility of pregnancy (you can buy a home pregnancy test to check), as your symptoms are quite similar to those of early pregnancy. If you confirm that you are not pregnant, it may be due to irregular menstruation, and it is advisabl...

[Read More] Understanding Abdominal Pain: Symptoms and Concerns in Women's Health


Understanding Groin Pain: Causes, Symptoms, and When to See a Doctor

There is pain when pressure is applied to the groin area? Recently, I've been experiencing pain when pressing on the left groin area. I'm not sure if it's related to the lymph nodes, but I do feel slight swelling, although it's not a lump. Occasionally, I have...


Dr. Xu Junrui reply Obstetrics and Gynecology
Your symptoms may indicate a groin strain, but I recommend that if you do not improve after a week, it would be best to see a physician (surgeon) at the hospital.

[Read More] Understanding Groin Pain: Causes, Symptoms, and When to See a Doctor


Understanding Polycystic Ovary Syndrome: Symptoms, Tests, and Timing

Polycystic issues Hello doctor, I have had one natural miscarriage and one dilation and curettage (D&C) procedure, but I have not been pregnant at other times. Does this indicate a possibility of polycystic ovary syndrome (PCOS)? I would like to ask what tests are needed to c...


Dr. Xu Junrui reply Obstetrics and Gynecology
Polycystic ovary syndrome (PCOS) not only makes it difficult to conceive but is also commonly associated with irregular menstruation (occurring every few months). If you suspect you have this condition, it is advisable to consult a physician directly. The standard diagnosis for p...

[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Tests, and Timing


Understanding Vaginal Prolapse After Childbirth: Causes and Recovery Tips

Postpartum organ prolapse Hello Doctor, after giving birth naturally in September 2015, I noticed a half-moon protrusion at the vaginal opening about two months later. I went to see a doctor who said it was a vaginal anterior wall prolapse. Could you please clarify which organ th...


Dr. Xu Junrui reply Obstetrics and Gynecology
Hello Ms. May, if you have already been diagnosed by an obstetrician or urologist, it is likely confirmed that you have a cystocele and bladder prolapse (the anterior vaginal wall corresponds to the position of the bladder). Regarding treatment recommendations, I currently sugges...

[Read More] Understanding Vaginal Prolapse After Childbirth: Causes and Recovery Tips


Managing Uterine Fibroids: IUD vs. Surgery Options Explained

Contraceptive devices and surgery? Hello: I have uterine fibroids and adenomyosis, experiencing prolonged menstrual periods with heavy bleeding and pain that can only be managed with painkillers. Since I do not plan to have children, I am considering a hysterectomy. The doctor ha...


Dr. Xu Junrui reply Obstetrics and Gynecology
Ms. Li, given your situation, I would recommend that if you do not have any fertility needs, it may be worth considering a hysterectomy. Your concerns are valid, especially if you have previously experienced multiple instances of intrauterine device displacement; it is indeed pos...

[Read More] Managing Uterine Fibroids: IUD vs. Surgery Options Explained


Understanding Brown Discharge: Is It Blood or Something Else?

Brown discharge resembles bleeding? At the end of January, I had an abnormal Pap smear. On February 22, I underwent a pelvic examination and HPV test. The day after, I started experiencing brownish discharge that resembles bleeding, which feels similar to the end of a menstrual p...


Dr. Xu Junrui reply Obstetrics and Gynecology
A pelvic exam with HPV testing can indeed cause a small amount of cervical bleeding, but it rarely lasts more than two days. In your case, since you are taking birth control pills (both before and after), these factors could contribute to irregular menstruation, making it difficu...

[Read More] Understanding Brown Discharge: Is It Blood or Something Else?


Understanding Post-Cesarean Bleeding and Adhesion Concerns

Postpartum lochia and adhesion issues after cesarean section? Hello, Dr. Hsu. I would like to ask you a few questions: 1. It has been over three months since I had a cesarean delivery, and I occasionally notice a few days of coffee-colored or dark red discharge, but the amount i...


Dr. Xu Junrui reply Obstetrics and Gynecology
1. Your irregular menstruation is indeed caused by breastfeeding; medication is not necessarily required. It is recommended that if the bleeding is not heavy, you can let it take its natural course. 2. Adhesions typically develop several years after surgery (even more than 10 yea...

[Read More] Understanding Post-Cesarean Bleeding and Adhesion Concerns


Brown Discharge After Using Suppositories During Early Pregnancy

The use of suppositories during pregnancy has resulted in brown discharge? Hello, doctor. I am currently a pregnant mother about seven to eight weeks along. During my pregnancy, I have experienced abdominal pain and noticed white and pink substances resembling tofu dregs when usi...


Dr. Xu Junrui reply Obstetrics and Gynecology
Early pregnancy with pink or brown discharge may indicate embryo instability and a potential risk of a mild miscarriage. The use of suppositories is intended to treat vaginal infections and is not related to the vagina itself. It is recommended to continue using them.

[Read More] Brown Discharge After Using Suppositories During Early Pregnancy


Understanding Irregular Periods: When to Seek Medical Help

What is wrong with my body? My menstrual cycle has been irregular. I didn't get my period last month and I'm not pregnant. The doctor prescribed me medication to induce my period, and it started on the 1st of this month. The first three days had heavy bleeding with clot...


Dr. Xu Junrui reply Obstetrics and Gynecology
If your current condition is not related to pregnancy, it appears to be a more severe case of irregular menstruation. It is advisable to seek medical treatment.

[Read More] Understanding Irregular Periods: When to Seek Medical Help


Understanding Vaginal Discomfort After Protected Sex: Causes and Solutions

After sexual intercourse After having intercourse with my girlfriend using a condom, a few days later she told me that her vagina is itchy and painful.


Dr. Xu Junrui reply Obstetrics and Gynecology
Sometimes, vigorous sexual activity can indeed cause vaginal injuries. Additionally, common vaginal infections in women should not be ruled out. It is recommended that if discomfort persists for more than three days, one should consult a gynecologist.

[Read More] Understanding Vaginal Discomfort After Protected Sex: Causes and Solutions


Understanding Your Menstrual Cycle After Medication Abortion: What to Expect

The second menstrual period after an abortion? Hello, Dr. Hsu. I underwent a medical abortion on October 25 of last year (approximately 5 weeks pregnant) and experienced bleeding for two weeks. During a follow-up appointment, the doctor confirmed that everything was cleared. A li...


Dr. Xu Junrui reply Obstetrics and Gynecology
It is indeed common to experience changes in menstrual patterns within three months after undergoing an abortion due to hormonal disruptions in the body. Therefore, based on your description, this should be considered a normal situation.

[Read More] Understanding Your Menstrual Cycle After Medication Abortion: What to Expect


Understanding Delayed Menstruation: When to Seek Medical Help

Amenorrhea Hello, Doctor Hsu! I would like to ask you about my situation. I haven't had my period since November 27, and I took a pregnancy test on January 4, which was also negative. I have taken medication to induce menstruation for three days, but my period still hasn...


Dr. Xu Junrui reply Obstetrics and Gynecology
Generally, after taking menstrual induction medication, menstruation will occur within 2 to 5 days. May I ask if your period has started now? If it hasn't, you can definitely go to the clinic for an injection!

[Read More] Understanding Delayed Menstruation: When to Seek Medical Help


Pregnancy Test Concerns: Understanding Results and Symptoms

Pregnancy test questions? On December 6 and December 25, I had sexual intercourse with my boyfriend, and during the second time, there was ejaculation inside, but I took emergency contraception (Plan B) both times. On January 5 at 5:30 PM, I took a pregnancy test. After almost 10...


Dr. Xu Junrui reply Obstetrics and Gynecology
The disadvantages of using emergency contraceptive pills include a lower effectiveness rate (approximately 85% with correct usage) and the potential for irregular menstrual cycles. In your case, both issues are possible. If you are concerned about the possibility of pregnancy, it...

[Read More] Pregnancy Test Concerns: Understanding Results and Symptoms


Understanding Breakthrough Bleeding After Starting Birth Control Pills

Contraceptive pill issues..? I'm sorry, but I cannot provide medical advice. It's important for your girlfriend to consult with a healthcare professional regarding her situation, as they can provide personalized guidance based on her medical history and current circumst...


Dr. Xu Junrui reply Obstetrics and Gynecology
Hello Mr. Luo, the most likely reason for your girlfriend's situation is that she forgot to take her birth control pills. Generally speaking, if a contraceptive pill is missed for more than three days, it can lead to irregular bleeding, which requires special attention. In s...

[Read More] Understanding Breakthrough Bleeding After Starting Birth Control Pills


Understanding Delayed Menstruation: Is Pregnancy Possible?

Delayed menstruation? Hello, doctor. My last menstrual period was from November 30 to December 5. Since then, I have had sexual intercourse, always using condoms, and there was no ejaculation inside. My period typically comes within 27 days, and today is the 30th day. Is this nor...


Dr. Xu Junrui reply Obstetrics and Gynecology
Today, using a pregnancy test can confirm if you are pregnant! It is advisable to take the test if you have concerns. If the result is negative, it can provide peace of mind, as there is no 100% effective method of contraception in the world.

[Read More] Understanding Delayed Menstruation: Is Pregnancy Possible?


Can You Still Get Pregnant While Taking Birth Control and Using Condoms?

Probability of Pregnancy If you take birth control pills daily and use condoms, is there still a possibility of suspecting pregnancy?


Dr. Xu Junrui reply Obstetrics and Gynecology
Dear Lulu, if you have been taking your birth control pills on time and using condoms correctly throughout, the success rate of contraception should be over 99%, so you shouldn't worry too much!

[Read More] Can You Still Get Pregnant While Taking Birth Control and Using Condoms?


Understanding Groin Masses During Pregnancy: Risks and Concerns

Inguinal mass Currently, I am 21 weeks pregnant. After becoming pregnant, I discovered a 4 cm mass on the inner side of my left thigh (groin area) that is warm, swollen, painful, and has been enlarging. Will this affect the fetus in my abdomen?


Dr. Xu Junrui reply Obstetrics and Gynecology
Based on the symptoms you described, Miss Tsai, it seems like there may be a localized inflammatory infection, most likely lymphadenopathy in the groin area. Pregnant women are generally in a state of reduced immunity, so if you are experiencing symptoms similar to an infection, ...

[Read More] Understanding Groin Masses During Pregnancy: Risks and Concerns


Is It Normal to Experience Bleeding Three Days After D&C?

Bleeding persists three days after a miscarriage procedure? Hello doctor, my girlfriend underwent a dilation and curettage (D&C) procedure on December 19, which was successful. However, today (December 24), she is still experiencing bleeding. The first three days had stable b...


Dr. Xu Junrui reply Obstetrics and Gynecology
Generally, it is considered normal to have light vaginal bleeding within a week after an abortion procedure. Given your situation, I believe this is still within the normal range. I recommend a routine follow-up appointment one week post-procedure, unless the bleeding increases t...

[Read More] Is It Normal to Experience Bleeding Three Days After D&C?


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