Understanding Irregular Menstrual Flow: When Less is More
Menstrual irregularities If the menstrual flow is very light every month, and sometimes even absent, but medical examinations show no issues, it can be concerning. However, it's important to remember that menstrual patterns can vary widely among individuals. If you feel that...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Generally, if the menstrual flow is light but the cycle is regular, there is usually no significant issue. However, if the flow is so light that it is almost nonexistent, it is advisable to consult a physician for a thorough examination. Thank you.[Read More] Understanding Irregular Menstrual Flow: When Less is More
Understanding Itchy Nipples: Causes, Concerns, and Cancer Risks
Itching of the nipples? I often experience intense itching in my nipples, and there is slight peeling when I scratch them. After giving birth to my first child, I sometimes express some milk. I once sought medical attention due to a missed period, and the doctor diagnosed me with...
Dr. Xu Junzheng reply Obstetrics and Gynecology
It is recommended to first go to the hospital for a blood test to check if prolactin levels are elevated (covered by health insurance). If they are indeed elevated, medication to suppress prolactin should be started (also covered by health insurance). If prolactin levels remain p...[Read More] Understanding Itchy Nipples: Causes, Concerns, and Cancer Risks
Understanding Pelvic Inflammatory Disease from Vaginal Infections
Pelvic inflammatory disease caused by vaginitis? Hello Doctor: In July of this year, I experienced severe itching in the vulva and pain upon touch. I didn't see a doctor immediately; it was only on the third day that I went for a consultation. At that time, the doctor told m...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The specific type of pathogen infection can only be determined after an experienced physician conducts an internal examination. Genital warts are caused by a viral infection, and they are typically transmitted through sexual contact. Thank you.[Read More] Understanding Pelvic Inflammatory Disease from Vaginal Infections
Understanding Menstrual Cycle: Short Cycles and Delaying Your Period
Menstrual cycle 1. A menstrual cycle of approximately 23-25 days is considered on the shorter side but can still be within the normal range for some individuals. If you wish to lengthen your cycle, it is advisable to consult with a healthcare provider who can offer guidance on po...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The normal menstrual cycle is approximately 28-30 days. If it is shorter but occurs regularly within 21 days, no treatment is necessary. If you wish to delay your next scheduled period, you can request medication from your doctor within 3 days. Thank you.[Read More] Understanding Menstrual Cycle: Short Cycles and Delaying Your Period
Can You Get Pregnant with Endometriosis and Adhesions?
Endometriosis combined with adhesions and irregular menstrual cycles may affect the chances of conception? Having endometriosis, along with adhesions and irregular menstrual cycles, can affect the chances of becoming pregnant. However, it is still possible to conceive. Treatment ...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Endometriosis itself can easily lead to pelvic adhesions; however, if the fallopian tubes are still patent, there is still a significant chance of pregnancy, as issues with irregular menstrual cycles are generally easier to address. The duration of treatment depends on the severi...[Read More] Can You Get Pregnant with Endometriosis and Adhesions?
Understanding Unidentified Breast Tumors: A Guide for Patients
Unexplained breast mass My sister, who is unmarried and 39 years old, has been suffering from chronic (approximately 15 years) neuroasthenia and depression. Four months ago, during a check-up, she was found to have some fibrocystic changes in her right breast. However, during a f...
Dr. Xu Junzheng reply Obstetrics and Gynecology
It is advisable to consult another doctor for an examination before deciding whether to proceed with surgery, as making a diagnosis based solely on the description is quite challenging. The timing of the surgery can be adjusted accordingly. Thank you.[Read More] Understanding Unidentified Breast Tumors: A Guide for Patients
Understanding Uterine Fibroids: Symptoms, Treatment Options, and Risks
Uterine fibroids I am 41 years old and have three children, the youngest being three and a half years old. In early November of this year, I underwent a Pap smear and was found to have a uterine fibroid measuring approximately 7-8 cm (it was not detected in last year's exami...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Fibroids are 99.9% benign, so surgery is not necessarily required when there are no symptoms. If surgery is being considered and the decision is made not to pursue further fertility, a hysterectomy may be considered to prevent recurrence. Currently, laparoscopic surgery is the pr...[Read More] Understanding Uterine Fibroids: Symptoms, Treatment Options, and Risks
Understanding Nipple Polyps During Early Pregnancy: What You Need to Know
About the nipple? I would like to ask the doctor, I have a small polyp on my right nipple, about 0.1 cm in size. It is not painful. I am currently 4-5 weeks pregnant, but I have actually been pregnant for about 2-3 weeks and terminated the pregnancy two days ago. What is this con...
Dr. Xu Junzheng reply Obstetrics and Gynecology
This is likely a temporary condition. It is recommended to wait 4-6 weeks, and if it does not resolve or continues to enlarge, please consult a physician. Thank you.[Read More] Understanding Nipple Polyps During Early Pregnancy: What You Need to Know
Managing Genital Warts: Concerns and Treatment Options
Regarding the issue of genital warts? Dear Dr. Hsu, I would like to ask what to do if I have genital warts. I have been dealing with this since mid-August and it remains unresolved. I am afraid of injections, so I am hesitant to undergo cauterization. Can this condition cause di...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Genital warts generally have limited effectiveness with medication treatment. If there are symptoms such as difficulty urinating and foul odor, it may indicate that the condition is quite severe or that there are other complications. Electrosurgery is not frightening at all; it i...[Read More] Managing Genital Warts: Concerns and Treatment Options
Comprehensive Guide to Ovarian Cysts: Symptoms, Diagnosis, and Treatment
Ovarian cysts are fluid-filled sacs that develop on the ovaries. They are common and can occur during the menstrual cycle. Most ovarian cysts are benign and asymptomatic, but some may cause symptoms or complications. Types of ovarian cysts include: 1. ** Hello Doctor! My sister...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The treatment for an ovarian cyst in a 17-year-old female should prioritize benign considerations. This means that the initial approach is to observe whether the cyst shrinks or continues to grow. However, if there is severe abdominal pain, it may indicate torsion or rupture of t...[Read More] Comprehensive Guide to Ovarian Cysts: Symptoms, Diagnosis, and Treatment
Understanding Endometriosis: Treatment, Fertility, and Dietary Considerations
Endometriosis Hello Dr. Hsu, A close friend of mine from high school experienced severe abdominal pain during her menstrual period in her freshman year of college, which was accompanied by a high fever. She was urgently taken to the hospital, and after a consultation with a gyne...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The reason that surgery is not immediately considered for general endometriosis is due to the high recurrence rate of up to 40%. Long-term use of contraceptives after surgery does not mean that menstruation will cease for life. With current reproductive technologies, it does not ...[Read More] Understanding Endometriosis: Treatment, Fertility, and Dietary Considerations
Understanding Ovulation Timing After Taking Clomid: A Guide for Women
Ovulation period? Hello, Dr. Hsu: I recently visited Shengfeng for a gynecological consultation because I want to avoid pregnancy. You mentioned that it might be due to not tracking my ovulation period and prescribed me medication to take starting from the fifth day of my menstru...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The ovulation period can generally be estimated by measuring basal body temperature. If measuring basal body temperature is not possible or convenient, the fifteenth day of the menstrual cycle is typically used as a reference.[Read More] Understanding Ovulation Timing After Taking Clomid: A Guide for Women
Understanding Breast Tenderness Before Menstruation: Timing and Relief
Chest tightness and pain can be very uncomfortable? Dear Dr. Hsu, I often experience breast tenderness and swelling before my menstrual period. Could you please tell me around which day this symptom typically appears and when it usually subsides?
Dr. Xu Junzheng reply Obstetrics and Gynecology
The phenomenon of breast tenderness typically occurs about three days before menstruation; however, it is important to note that it can sometimes appear just after ovulation. Therefore, it should not be used as a basis for determining when menstruation will occur or for calculati...[Read More] Understanding Breast Tenderness Before Menstruation: Timing and Relief
Understanding Pain During Intimacy: Causes and Solutions
Pain during sexual intercourse? Hello Dr. Hsu, I have a small question. When I am intimate with my girlfriend, even though she is already quite wet, she often says it hurts. I am not sure what to do, and she is not a first-time sexual partner. Could this be related to her physi...
Dr. Xu Junzheng reply Obstetrics and Gynecology
If there is abnormal pain during sexual intercourse every time, it may indicate an issue with certain reproductive organs. It is advisable to consult a gynecologist if the condition does not improve.[Read More] Understanding Pain During Intimacy: Causes and Solutions
Understanding Abnormal Vaginal Bleeding: Causes and Concerns for Young Mothers
Abnormal vaginal bleeding? Hello Doctor: I am 21 years old and have a 3-year-old son. My menstrual cycle started on September 8 and I stopped needing panty liners after about 10 days. However, after having sexual intercourse with my husband, I experienced bleeding, which was brig...
Dr. Xu Junzheng reply Obstetrics and Gynecology
There are many reasons for bleeding after sexual intercourse, with cervical issues being the most common. Common causes include cervical polyps, cervical erosion, or malignant tumors. It is advisable to consult a gynecologist for a pelvic examination to determine the cause (bleed...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns for Young Mothers
Understanding Corpus Luteum Cysts: Impact on Fertility and Treatment Options
Luteal cyst Last month, I experienced severe abdominal pain outside of my menstrual period. I went to the hospital for an ultrasound, and the doctor diagnosed me with a corpus luteum cyst. This month, during a follow-up examination, there was no improvement, and the doctor sugges...
Dr. Xu Junzheng reply Obstetrics and Gynecology
A corpus luteum cyst is formed in the ovary after ovulation when the corpus luteum becomes enlarged. Generally, corpus luteum cysts do not require immediate surgical intervention; in fact, most will resolve on their own within three months and do not affect fertility. However, it...[Read More] Understanding Corpus Luteum Cysts: Impact on Fertility and Treatment Options
Understanding Chocolate Cysts: Surgery, Recurrence, and Follow-Up Care
Chocolate cyst Hello Dr. Hsu: In July, I underwent laparoscopic surgery for a 10 cm tumor, but one of the incisions has developed into granulation tissue. Should I consider another surgery to remove it? Is this condition recurrent, and should I undergo regular examinations? The t...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Granulation tissue is usually not very large in volume and typically does not cause pain, so surgical removal is generally not necessary. As for the likelihood of recurrence, it depends on the pathological classification of the tumor. For example, if it is a chocolate cyst, which...[Read More] Understanding Chocolate Cysts: Surgery, Recurrence, and Follow-Up Care