Is It Safe to Travel Abroad During Pregnancy? Key Considerations
Is it safe to travel abroad during pregnancy? Due to a previous fungal infection, I had difficulty conceiving. On December 6 of this year, I underwent artificial insemination, which fortunately was successful. I am planning to travel to Central America for 20 days during the Luna...
Dr. Xu Junzheng reply Obstetrics and Gynecology
At the end of January, it will be 9-10 weeks, and the 228 holiday will be 14 weeks, both of which are not suitable for travel. Thank you![Read More] Is It Safe to Travel Abroad During Pregnancy? Key Considerations
Understanding Chocolate Cysts: Menstrual Irregularities and Early Menopause Concerns
Issues After Chocolate Cyst Formation Hello Doctor, four years ago I underwent surgery to remove chocolate cysts from both ovaries, but the ovaries were preserved. Two years later, there was a recurrence, and I had to go back to the operating room. A year later, I returned for a ...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Is it possible to have an early menopause? Blood tests can be conducted for this. At the age of 37, unless absolutely necessary, it is not recommended to remove the ovaries. Thank you![Read More] Understanding Chocolate Cysts: Menstrual Irregularities and Early Menopause Concerns
Pregnancy Concerns After X-Ray Exposure: What You Need to Know
Pregnancy of approximately 4 weeks without knowledge, followed by an abdominal X-ray? I had my last menstrual period start on September 15, but the blood was not red; it was a dark brown color and very light in flow. My previous period started on August 26, and both the color and...
Dr. Xu Junzheng reply Obstetrics and Gynecology
According to Mackay Memorial Hospital, it should not affect the child. Thank you![Read More] Pregnancy Concerns After X-Ray Exposure: What You Need to Know
Understanding Elevated CA-125 Levels: Implications and Concerns for Women
CA-125 What are the implications of having a CA-125 level higher than normal? If surgery is not performed, will there be any other pathological changes? What factors can cause CA-125 levels to rise or fall? My CA-125 level is 81, and I have a cyst measuring 5.5 cm. I am currently...
Dr. Xu Junzheng reply Obstetrics and Gynecology
CA-125 is 81... the cyst measures 5.5 cm... it could be an endometrioma, but endometriomas are benign tumors (not malignant tumors). CA-125 can be elevated in many conditions, but based on what you said, I believe most doctors would consider it to be an endometrioma. It would be ...[Read More] Understanding Elevated CA-125 Levels: Implications and Concerns for Women
Impact of Birth Asphyxia on Child's Health and Development
Hypoxia at birth in children? Hello, Doctor: My child was exposed to meconium at birth, which caused oxygen deprivation and resulted in a cyanotic appearance. Fortunately, he was rescued in time. Will this have any long-term effects on his physical functions? Will it affect his c...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The impact on physical function or cognitive ability must be assessed based on actual circumstances; a unilateral decision cannot be made at this time. Thank you![Read More] Impact of Birth Asphyxia on Child's Health and Development
Understanding Uterine Fibroids: Diagnosis, Treatment, and Sexual Health Impact
Uterine fibroids Hello, I am unmarried and have no sexual experience. Recently, a gynecologist informed me that I have uterine fibroids or adenomyosis, and it cannot be confirmed without surgery. There are many of them, with the largest being around 11 cm and 5 cm. I would like t...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. Ultrasound sometimes cannot completely differentiate between fibroids and adenomas; however, fibroids are more common at 11 cm, and surgery may be necessary for a size of 11 cm. 2. Fibroids can be removed, but there is a possibility of recurrence; however, for unmarried indivi...[Read More] Understanding Uterine Fibroids: Diagnosis, Treatment, and Sexual Health Impact
Do You Need to Wait for Menstrual Cessation Before Fibroid Removal?
Myomectomy Is it necessary to wait for the menstrual bleeding to stop before removing a fibroid? How long does the surgery take, and will hospitalization be required?
Dr. Xu Junzheng reply Obstetrics and Gynecology
No need to wait for the menstrual bleeding to stop. Hospitalization is required, and the surgery duration varies between 30 to 120 minutes depending on the size and location of the tumor, as well as whether laparoscopic surgery is performed. Thank you![Read More] Do You Need to Wait for Menstrual Cessation Before Fibroid Removal?
Understanding Fertility Challenges After Ovarian Surgery: Key Insights
Want to get pregnant? Hello Doctor: I underwent laparoscopic surgery for a unilateral ovarian teratoma last year (both ovaries are still intact), and it has been over a year since then without any successful pregnancies. What could be the possible reasons for this? What tests sho...
Dr. Xu Junzheng reply Obstetrics and Gynecology
In general, lubricants do not affect fertility. Laparoscopic surgery for ovarian teratomas should also be unrelated to conception. It is recommended to consult a fertility specialist to discuss whether a hysterosalpingography is necessary. Thank you![Read More] Understanding Fertility Challenges After Ovarian Surgery: Key Insights
Understanding Abnormal Bleeding During Intimacy: Causes and Concerns
Abnormal bleeding Hello Doctor, I have had sexual experience before, but I haven't been intimate for over a year. Recently, when my boyfriend was caressing me with his hands, I experienced some unusual bleeding, although the amount was not much—about the size of a panty line...
Dr. Xu Junzheng reply Obstetrics and Gynecology
The likelihood of vaginal wall injury is higher, thank you![Read More] Understanding Abnormal Bleeding During Intimacy: Causes and Concerns
Managing Heavy Menstrual Bleeding and Pain from Uterine Fibroids
The suffering caused by long-term uterine fibroids? I have heavy and painful menstrual periods, which led to the diagnosis of uterine fibroids. Since my last period began in early October, I visited a gynecologist and received an injection to stop menstruation. Without the inject...
Dr. Xu Junzheng reply Obstetrics and Gynecology
You can try medication to control menstrual flow, and surgery can also involve the removal of only the uterine fibroids. Thank you![Read More] Managing Heavy Menstrual Bleeding and Pain from Uterine Fibroids
When to Use a Pregnancy Test: Timing and Considerations
The appropriate timing for using a pregnancy test is typically after a missed menstrual period. For the most accurate results, it is recommended to wait at least one week after the expected date of your period. Some Hello, doctor. I would like to ask you about the various algorit...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Using the calculation of safe and dangerous periods for contraception is very unreliable, primarily because menstruation and ovulation do not necessarily occur two weeks apart. If menstruation is delayed, a pregnancy test can be used. Medication for abortion is recommended for pr...[Read More] When to Use a Pregnancy Test: Timing and Considerations
Choosing the Right Path: Pregnancy Concerns After Weight Gain
How should I choose? Hello Doctor: Since I gave birth, I have been unable to lose weight. My child is now 2 years old, and I would like to have another child, but I am currently overweight and worried that having another baby might affect my fertility. If I were to get pregnant n...
Dr. Xu Junzheng reply Obstetrics and Gynecology
If the starting weight during pregnancy is higher, it is generally sufficient to monitor weight gain during the pregnancy, as this typically does not affect the mother or the fetus. Thank you![Read More] Choosing the Right Path: Pregnancy Concerns After Weight Gain
Is It Safe to Get Pregnant After German Measles Vaccine?
German measles vaccine Hello, Dr. Hsu. I received the German measles vaccine on September 27. I understand that I should not become pregnant for 3 to 6 months. However, I have heard that it is safe to conceive after 3 months. If I want to get pregnant after 3 months, is there a w...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Generally speaking, three months is considered safe, while six months is a more cautious timeframe. However, there is currently no method to verify safety. Thank you![Read More] Is It Safe to Get Pregnant After German Measles Vaccine?
Understanding Progesterone Use and Its Impact on Ovulation and Fertility
Progesterone Doctor, I started taking progesterone after my period ended (because my progesterone levels were only 10 days in the previous months). Since then, my temperature has remained elevated. My period started on October 17, and there hasn't been a significant change i...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Hello, it seems a bit early to start taking progesterone right after menstruation. For female infertility, the recommended tests generally include monitoring basal body temperature. Hysterosalpingography is covered by health insurance, but it may cause some discomfort. Thank you!...[Read More] Understanding Progesterone Use and Its Impact on Ovulation and Fertility
Understanding Uterine Cysts: Causes, Treatment, and Recurrence Risks
Inquiry about uterine hydrosalpinx (forwarded from the Director's mailbox) What causes uterine hydrosalpinx, and is there medication for it? Can I have a follow-up examination a few days after my menstrual period? Will it recur in the future? Thank you!
Dr. Xu Junzheng reply Obstetrics and Gynecology
Uterine growths are generally fibroids, also known as uterine leiomyomas, while cysts are typically derived from the ovaries. It is usually recommended to perform examinations right after menstruation ends, and medication treatment is rarely used. Thank you.[Read More] Understanding Uterine Cysts: Causes, Treatment, and Recurrence Risks
Understanding Blood Tests for Irregular Menstrual Cycles and PCOS Diagnosis
Blood draw? I haven't had my period for three months, and it has been irregular before (not coming). I had an ultrasound during my check-up, but the doctor didn't say much. Recently, I sought medical help to induce menstruation, but the doctor said I need to have blood ...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. Generally, the hormones secreted by the ovaries and pituitary gland are related to menstruation. 2. Polycystic ovary syndrome can be diagnosed through the aforementioned tests, clinical presentation, and ultrasound. Thank you.[Read More] Understanding Blood Tests for Irregular Menstrual Cycles and PCOS Diagnosis
Understanding Artificial Insemination Amidst Cervical Fungal Infections
Artificial insemination Background Facts: The wife has been suffering from chronic fungal infections and inflammation of the cervix since 2001, with symptoms fluctuating over time. Last year, a severe erosion was discovered during an examination. Although there was some improveme...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. If a hysterosalpingography has been performed, artificial insemination may be considered. 2. Generally speaking, there is no direct relationship between the two. 3. Cryotherapy is not recommended. 4. The risk of miscarriage is very low, and it usually does not cause fetal dise...[Read More] Understanding Artificial Insemination Amidst Cervical Fungal Infections
Do You Need Supplements While Using Birth Control Patches?
When using a contraceptive patch, is there anything that needs to be supplemented? Hello, Dr. Hsu: I am currently using a contraceptive patch for birth control. Recently, while shopping at the pharmacy, the pharmacist informed me that individuals using contraceptive medications s...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. There seems to be no literature supporting this claim. 2. There is also no such statement, thank you![Read More] Do You Need Supplements While Using Birth Control Patches?
Understanding Female Sterilization: Costs, Procedures, and Recovery Time
Regarding sterilization? Hello Dr. Hsu, I would like to inquire about the costs and methods of female sterilization. Is hospitalization required, and what is the typical recovery period? When would be the most appropriate time to undergo this procedure? Thank you for your respo...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Regarding female sterilization: Costs vary by hospital, ranging from several thousand to tens of thousands. Treatment methods include traditional open surgery and laparoscopic surgery. Generally, hospitalization is not required, and there are no specific restrictions on when to p...[Read More] Understanding Female Sterilization: Costs, Procedures, and Recovery Time
Emergency Contraception: Your Questions Answered
Questions about emergency contraception? My menstrual cycle started on October 6th, and I had sexual intercourse with my boyfriend on October 18th, using the withdrawal method. Afterward, I became increasingly concerned about the safety of this method. It was already October 23rd...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. Emergency contraceptive pills cannot guarantee absolute prevention of pregnancy, so there is still a possibility of becoming pregnant. 2. It is theoretically possible, but it should be discussed with a gynecologist during a consultation. 3. The menstrual cycle may not necessar...[Read More] Emergency Contraception: Your Questions Answered