Understanding Abnormal Discharge: PMS or Infection Concerns?
Discharge and Menstruation Hello Doctor, I have been experiencing a lot of discharge lately, which is thick, creamy yellow, and has some light brown color. Could this be due to premenstrual syndrome since my period is approaching, or is it possible that there is some kind of infe...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Due to your issues of delayed menstruation and excessive discharge, it is advisable to consult a gynecologist for further evaluation. Thank you![Read More] Understanding Abnormal Discharge: PMS or Infection Concerns?
Improving Sexual Desire: Tips for Women Facing Pain and Concerns
Sexual I don't like foreplay, and intercourse is painful. I would like to know what methods can increase my libido. My husband keeps complaining that at just 24 years old, I have a lack of sexual interest. What should I do? Also, could it be because I have a retroverted uter...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. The expulsion of sperm is not directly related to a retroverted uterus. 2. Indeed, some believe that a retroverted uterus may make conception more difficult. Thank you![Read More] Improving Sexual Desire: Tips for Women Facing Pain and Concerns
Understanding Endometrial Health: Should You Consider a Biopsy?
May I ask you again? Dear Dr. Hsu, I received your reply today... Thank you very much! I apologize for bothering you again, but I have one more question. Last weekend, I was quite anxious and went to another hospital (as you suggested, to seek a second opinion). This time, the d...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Endometrial thickening is generally more clinically significant when an endometrial biopsy is performed in postmenopausal women. In premenopausal women, especially those under 40, it is more controversial. If the endometrial hyperplasia is simple hyperplasia, progestin therapy ca...[Read More] Understanding Endometrial Health: Should You Consider a Biopsy?
How Long to Stop Taking Norplant Before Safe Pregnancy?
Norethisterone & Planning for Pregnancy Hello, I occasionally take Norplant. I plan to get pregnant next year. How long should I stop taking the medication before it is safe to conceive? Thank you!
Dr. Xu Junzheng reply Obstetrics and Gynecology
Generally, it takes about 3 to 6 months. Thank you.[Read More] How Long to Stop Taking Norplant Before Safe Pregnancy?
Is It Normal to Have Brown Discharge After Menstruation?
Menstrual secretion Hello: It is normal to have regular menstrual bleeding for about five days each month, followed by a small amount of dark brown discharge for about four to five days. Is this a normal phenomenon? Thank you.
Dr. Xu Junzheng reply Obstetrics and Gynecology
If the menstrual period lasts close to 10 days, it is considered prolonged. However, if the menstrual cycle is regular each month and there is no anemia, treatment may not be necessary. If it causes significant disruption to daily life, treatment options such as contraceptive pil...[Read More] Is It Normal to Have Brown Discharge After Menstruation?
Choosing the Right Department for Sperm Separation: A Guide
Sperm separation technique If you want to undergo sperm separation for the purpose of selecting male embryos, you should consult a reproductive endocrinologist or a fertility specialist. In northern Taiwan, you can check with major hospitals that have reproductive medicine depart...
Dr. Xu Junzheng reply Obstetrics and Gynecology
You should consult a gynecologist, as they are available in most regional hospitals and infertility clinics. Thank you![Read More] Choosing the Right Department for Sperm Separation: A Guide
Understanding Chocolate Cysts: Impact on Fertility and Treatment Options
Chocolate cyst Hello, Doctor Hsu. Last time I inquired about the chocolate cyst issue, which is 4.5 cm on the right side and 2 cm on the left side (doctors usually say this is normal?). Since I cannot undergo a pelvic examination, the doctor has not provided me with the next step...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. The main consideration against surgery is the relatively high recurrence rate of chocolate cysts. 2. It is suggested to think in reverse; it seems more appropriate to consider surgery only when pregnancy is unsuccessful and no other causes can be identified. Thank you![Read More] Understanding Chocolate Cysts: Impact on Fertility and Treatment Options
Understanding Nipple Concerns: When to See a Doctor and Color Changes
Nipple My nipples are larger than average... sometimes they itch... is it necessary to see a doctor for this condition? If so, which specialist should I consult? Also, how can I change the color of my nipples and areolas from dark to pink?
Dr. Xu Junzheng reply Obstetrics and Gynecology
Generally, no treatment is necessary. For concerns regarding color, you may consult a plastic surgeon. Thank you.[Read More] Understanding Nipple Concerns: When to See a Doctor and Color Changes
Understanding Endometriosis: Key Questions and Concerns Addressed
Endometriosis! Hello Dr. Hsu, I have been undergoing blood tests for the CA-125 tumor marker for three consecutive years, with values ranging from 49 to 72. In 2003, my test result was #72. When I asked the doctor about it, he couldn't find a reason. A year passed, and this...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. It is difficult to diagnose via ultrasound if there are no lesions formed in the ovaries or uterus. 2. CA-125 can be elevated in many conditions, but your situation does resemble endometriosis, and a level of 71 is not considered too high. 3. Some believe that medication may n...[Read More] Understanding Endometriosis: Key Questions and Concerns Addressed
Understanding Ovarian Atrophy: Causes, Symptoms, and Treatment Options
Ovarian atrophy Hello Dr. Hsu, I am currently 30 years old, married, and have three children (the second pregnancy was a set of twins). During my second pregnancy, due to my smaller stature, my abdomen was quite large, which caused pressure on my ovaries. After giving birth to my...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Ovarian atrophy may be a colloquial term for premature ovarian failure, but a definitive diagnosis of premature ovarian failure requires a blood test. The likelihood of ovarian failure at the age of 30 is not impossible, but it is relatively low. Thank you for using "Taiwan ...[Read More] Understanding Ovarian Atrophy: Causes, Symptoms, and Treatment Options
Understanding Small Growths Near the Vaginal Opening: When to Seek Medical Advice
Developing small growths? I have a small, hard bump at the vaginal opening that resembles a grain of millet. It doesn't hurt. What could it be? Should I see a doctor?
Dr. Xu Junzheng reply Obstetrics and Gynecology
It may be a wart or a viral infection. It is recommended to consult a gynecologist for confirmation before determining if treatment is necessary. Thank you![Read More] Understanding Small Growths Near the Vaginal Opening: When to Seek Medical Advice
Understanding Chocolate Cysts: Symptoms, Risks, and Management Options
Chocolate cyst After my menstrual period on September 3, I was diagnosed with a chocolate cyst on my right ovary measuring 6.6 cm. The doctor recommended monitoring for one menstrual cycle. After my period on September 29, the cyst measured approximately 4.5 cm, and the doctor st...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. There should not be a significant difference. 2. Ovarian cysts can sometimes cause the above symptoms. 3. The likelihood of becoming malignant is very low. 4. It may be caused by premenstrual syndrome. 5. Generally, there is no major concern, but if you are worried, you can wa...[Read More] Understanding Chocolate Cysts: Symptoms, Risks, and Management Options
Understanding Cervical Inflammation: Symptoms, Treatments, and Care for CIN1
Suspected cervical inflammation? Hello, Doctor Hsu. I recently received a Pap smear report indicating CIN1 and underwent a colposcopy with biopsy at the hospital. Following the procedure, I experienced a significant amount of watery discharge, and subsequently, I noticed yellow p...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Hello, Xiao Rou: If the biopsy also shows CIN I, you only need to have another Pap smear in three months. A large amount of watery discharge is a normal reaction after the biopsy, but yellow purulent discharge may indicate an infection, and you should seek medical treatment at th...[Read More] Understanding Cervical Inflammation: Symptoms, Treatments, and Care for CIN1
When to Take a Pregnancy Test After Irregular Cycles and Symptoms?
When should you go to the hospital for a pregnancy test? 1. You had sexual intercourse on September 23, 24, and 25. When is the best time to visit the hospital for a pregnancy test? My menstrual cycle is very irregular; in the past three years, it has ranged from as short as 15 d...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Hello May: After the examination at the hospital from October 3rd to 8th, you will be able to test for pregnancy. Thank you! Wishing you all the best.[Read More] When to Take a Pregnancy Test After Irregular Cycles and Symptoms?
Understanding Irregular Periods: Pain, Pregnancy Concerns, and Hormonal Changes
I'm sorry, but I cannot provide a response to that? Dear Doctor: My last menstrual period started on August 28 and lasted until around September 4 or 5, lasting about seven to eight days. Today is October 3, and I am about five days late compared to my last period on August ...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Hello, Xiaowanzi: Being too nervous or being pregnant could both be possibilities. It is recommended to consult a gynecologist for an examination. Thank you! Wishing you all the best.[Read More] Understanding Irregular Periods: Pain, Pregnancy Concerns, and Hormonal Changes
Understanding Painful Bumps: When to See a Gynecologist
Question I have a one-centimeter-sized lump on the left side between my genitals and anus. It hurts a little when pressed. I'm not sure what it is. Which specialty should I consult?
Dr. Xu Junzheng reply Obstetrics and Gynecology
Based on the location, it may be caused by an infection, and you should consult a gynecologist for diagnosis and treatment. Thank you![Read More] Understanding Painful Bumps: When to See a Gynecologist
Understanding Abnormal Menstruation: Causes and When to Seek Help
Menstrual irregularities Hello Doctor: I am 45 years old, weigh 73 kg, and recently have been experiencing menstrual periods with blood clots and heavy flow (approximately lasting around 13 days), occurring about every two months. I do not have abdominal pain, and I have previous...
Dr. Xu Junzheng reply Obstetrics and Gynecology
1. A normal menstrual period typically lasts between 3 to 7 days. 2. If the duration is excessive, it is advisable to consult a gynecologist for evaluation. 3. If the results of the Pap smear and ultrasound are normal, it may be related to endometrial thickness or hormonal status...[Read More] Understanding Abnormal Menstruation: Causes and When to Seek Help
Can Fibroadenomas Disappear After Breastfeeding? Expert Insights
Can a fibroepithelial tumor disappear? Hello, Dr. Hsu: I was diagnosed with a fibroadenoma in 2002. I gave birth to my baby in June of this year, and I am currently breastfeeding. Will the fibroadenoma disappear due to breastfeeding? Is it appropriate to have a breast (fibroadeno...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Fibroadenomas typically do not disappear due to breastfeeding, but they may not necessarily require a breast biopsy or surgery. Thank you![Read More] Can Fibroadenomas Disappear After Breastfeeding? Expert Insights
Understanding Ovarian Cysts: From Menstrual Pain to Diagnosis
Chocolate cyst Since high school, I have frequently experienced menstrual pain. After consulting a doctor and undergoing an ultrasound, I was diagnosed with primary dysmenorrhea, and the doctor prescribed painkillers. However, recently the pain has become increasingly severe, occ...
Dr. Xu Junzheng reply Obstetrics and Gynecology
Based on your description, it is indeed possible that it is a chocolate cyst. I recommend that you undergo an ultrasound examination after your next menstrual period. Additionally, you may consider a blood test to check the CA-125 level for reference. Thank you.[Read More] Understanding Ovarian Cysts: From Menstrual Pain to Diagnosis
Is Female Sterilization Complicated? Myths and Facts Explained
Sterilization Is it complicated for women to undergo sterilization, Dr. Hsu? I've heard that female sterilization can lead to irregular menstruation and weight gain. Is that true? Will hospitalization be required after the procedure? What is the cost?
Dr. Xu Junzheng reply Obstetrics and Gynecology
There are no relevant medical studies reporting that women experience irregular menstruation or weight gain after undergoing tubal ligation. The procedure does not require hospitalization, and the cost is approximately 6,000 NT dollars. Thank you.[Read More] Is Female Sterilization Complicated? Myths and Facts Explained