Understanding PCOS: Managing Weight and Medication Concerns
Polycystic Ovary Syndrome (PCOS) Hello, doctor. I went to the hospital for an examination yesterday, and I was diagnosed with polycystic ovary syndrome (PCOS). The doctor didn't say much, but when I asked if medication would help, he said it would. I also asked my teacher, w...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The etiology of Polycystic Ovary Syndrome (PCOS) is not well understood, but it may involve disruptions in pituitary hormones, along with abnormalities in the secretion of ovarian hormones, adrenal hormones, and adipose tissue hormones. The three main symptoms of PCOS are ...[Read More] Understanding PCOS: Managing Weight and Medication Concerns
Understanding Mid-Cycle Bleeding: Is It Ovulation or Something Else?
Postmenstrual bleeding Hello Doctor, my menstrual cycle is usually 28 days, but sometimes it can be early or late by about 5 days. Since last year, I have experienced bleeding on days 10 to 14 after my period each month, and occasionally I also have symptoms of lower abdominal pa...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on the timing and symptoms you described, the likelihood of ovulatory bleeding is quite high. However, to confirm this, it is necessary to perform a transvaginal ultrasound during the bleeding to check for ovulation and to rule out other potential causes of the bleed...[Read More] Understanding Mid-Cycle Bleeding: Is It Ovulation or Something Else?
Understanding Vaginal Bleeding After Manual Stimulation: Causes and Concerns
Vaginal bleeding after hand contact? Hello, doctor. At the beginning of February this year, my partner gently inserted their finger into my vagina, and when they pulled it out, their fingers were covered in blood. At that time, I did not feel any stinging or discomfort, and after...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Generally, if there is bleeding from the vagina or hymenal tear, it is usually accompanied by pain. Endometrial bleeding is associated with uterine contractions, leading to a feeling of tightness and bloating in the lower abdomen. The cervix does not have pain receptors, s...[Read More] Understanding Vaginal Bleeding After Manual Stimulation: Causes and Concerns
Understanding Abdominal Pain and Irregular Menstrual Symptoms
Menstruation lasted for 5 days, but there was no pain, only occasional discomfort in the lower abdomen? Hello, my period was due on March 19, and before my period, I usually experience noticeable abdominal pain, lower back pain, and breast tenderness. However, this month in April...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: When experiencing a delayed menstrual period, the first consideration should be whether there is a possibility of pregnancy. If pregnancy is ruled out, the delay is often due to an anovulatory cycle for that month, which can primarily be caused by excessive work or life st...[Read More] Understanding Abdominal Pain and Irregular Menstrual Symptoms
Am I Pregnant? Understanding Delayed Periods and Medication Safety
Is it possible to be pregnant? Hello Doctor: My last menstrual period started on February 27. In March, my husband and I did not use contraception. My menstrual cycles are usually very regular, and I conceived my first child quickly without contraception. This time, we also did n...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Currently, pregnancy test kits have very high sensitivity, typically able to detect pregnancy with a B-HCG concentration of 20 mIU/ml or higher in urine, which means pregnancy can be detected 7-10 days after intercourse. Therefore, if you are certain that you have not ...[Read More] Am I Pregnant? Understanding Delayed Periods and Medication Safety
Understanding Fainting on the First Day of Menstruation: Causes and Solutions
Fainting on the first day of menstruation? Hello Doctor, first of all, thank you for taking the time to read my question. I have been experiencing menstrual pain for a long time, occasionally accompanied by dizziness similar to anemia, and during severe episodes, I feel weakness ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: During menstruation, the endometrial cells secrete prostaglandins, which cause the smooth muscle cells of the uterus to contract in order to expel menstrual blood from the uterine cavity. In patients with primary dysmenorrhea, due to genetic factors, there is an abnormal i...[Read More] Understanding Fainting on the First Day of Menstruation: Causes and Solutions
Understanding Menstrual Issues: What to Do When You Notice Unusual Bleeding
Menstrual issues It has been five days since my last menstrual cycle. I had intercourse with a condom, but the next day, while wiping after using the restroom, I noticed a lot of blood. However, there was no blood on my sanitary pad. Is this blood residual in my body, or could th...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Bleeding after intercourse on the sixth day of menstruation may be due to the expulsion of blood remaining in the uterine cavity being stimulated. However, it is also important to consider the possibility of cervical erosion or cervical lesions causing microvascular ruptur...[Read More] Understanding Menstrual Issues: What to Do When You Notice Unusual Bleeding
Managing Severe Itching During Pregnancy: Safe Medication Options
At 16 weeks of pregnancy, there is a significant outbreak of skin itching! I have been suffering from skin itching after pregnancy, which has severely affected my sleep and work. My obstetrician prescribed Xyzal (Levocetirizine) 5 mg once daily, but it has not improved the severe...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Xyzal is a second-generation antihistamine that is an H1 selective antihistamine. It is classified as a Category B medication for pregnant women, making it relatively safe. Buclizine, on the other hand, is a first-generation non-selective antihistamine and is classified as...[Read More] Managing Severe Itching During Pregnancy: Safe Medication Options
Understanding Delayed Menstruation: Causes and Concerns for Women
Delayed menstruation? I last visited on December 1st, and I'm not sure if what I'm experiencing today is my period. When I went to the bathroom at noon, I noticed a very faint pink spot on the toilet paper. I've been having abdominal pain since the week before last...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If you are experiencing symptoms such as delayed menstruation, lower abdominal bloating and pain, and dizziness, it is advisable to take a pregnancy test first to determine if pregnancy is the cause. If the test is negative, you may consider inducing menstruation to see if...[Read More] Understanding Delayed Menstruation: Causes and Concerns for Women
Pregnancy Concerns: Working in Newly Renovated Spaces
Just found out I'm pregnant and starting a new indoor job after renovations? Hello Doctor, I just found out that I am pregnant, but due to work requirements, I need to work in a residential space that is nearing the end of renovation for about a week, approximately eight hou...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: In indoor spaces that are being renovated or in new homes, the air may contain toxic and teratogenic substances, primarily formaldehyde, benzene, xylene, total volatile organic compounds (TVOCs), and ammonia. Particularly, formaldehyde can cause significant harm to the hum...[Read More] Pregnancy Concerns: Working in Newly Renovated Spaces
Understanding Uterine Dysfunction: Duration of Medication and Side Effects
Uterine atony Hello Doctor, I experienced brown discharge for three days after my period ended on December 13th. I visited a gynecologist, and the doctor mentioned it was due to poor uterine contractions. I was prescribed a medication to promote uterine contractions, taking 2 pil...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding should first rule out miscarriage due to pregnancy. Next, check for uterine polyps, cervical polyps, or other vaginal wall lacerations that may be causing the bleeding. An ultrasound should be performed to assess for endometrial hyperplasia. If th...[Read More] Understanding Uterine Dysfunction: Duration of Medication and Side Effects
Is Abdominal Drooping Normal Before Menstruation?
Abdominal issues? Hello doctor, may I ask if experiencing a feeling of heaviness in the lower abdomen (sometimes on the left side and sometimes on the right side) before menstruation is a normal phenomenon?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: A feeling of heaviness or pressure typically indicates that something is stimulating the pelvis, such as uterine fibroids or ovarian tumors. Experiencing this sensation before menstruation may be due to a larger corpus luteum hemorrhage or retrograde menstruation before th...[Read More] Is Abdominal Drooping Normal Before Menstruation?
Understanding Post-Menstrual Bleeding After Intercourse: Causes and Concerns
Bleeding after sexual intercourse on the first day following menstruation? I would like to ask about a situation I experienced. Two months ago, I had a follicle on the left side of my uterus that later resolved. This month, I experienced abdominal pain again and went for a check-...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common cause of postcoital bleeding is microvascular rupture due to cervical erosion. The causes of cervical erosion may include ectropion, infection, or even precancerous lesions. Another potential cause is bleeding due to unstable shedding of the endometrium. Ba...[Read More] Understanding Post-Menstrual Bleeding After Intercourse: Causes and Concerns
Understanding Brown Discharge During Ovulation: Is It Normal?
Brown discharge during ovulation period? Hello Doctor: My menstrual period started on December 6, and I had brown discharge on December 15 (my cycle is 28 days). I have seen a doctor and had an ultrasound, and everything seemed fine. The doctor mentioned that it could be due to s...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: During the ovulatory phase, the follicle ruptures, the egg is released, and the corpus luteum forms. In this process, estrogen levels decrease, leading to a loss of estrogen support for the endometrium, which may cause slight shedding and result in ovulatory bleeding. As f...[Read More] Understanding Brown Discharge During Ovulation: Is It Normal?
Understanding Causes of Prolonged Menstrual Bleeding: Insights and Concerns
Irregular menstruation or prolonged menstrual bleeding? I experienced urethritis two months ago, and my cervical smear also showed inflammation. After taking the doctor's medication for a week, I got my period on November 25, but it hasn't stopped since then, with conti...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, abnormal uterine bleeding has been occurring since November 25. This is typically due to the failure of the follicle from the previous menstrual cycle to rupture and release the egg, resulting in an increasingly enlarged follicle, which can lead ...[Read More] Understanding Causes of Prolonged Menstrual Bleeding: Insights and Concerns
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Vaginal discharge with bleeding symptoms? In recent years, I have experienced symptoms of abnormal vaginal bleeding with discharge. After researching online, I found similarities between ovulation bleeding and cervical cancer symptoms, as both can present with abnormal vaginal bl...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Based on what you described, the likelihood of ovulatory bleeding is quite high. Other causes of abnormal vaginal bleeding, such as cervical polyps, endometrial polyps, endometrial hyperplasia, and cervical pre-cancerous lesions, can be evaluated through a pelvic exami...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding Irregular Menstruation: Hormone Testing and Diagnosis Insights
Irregular menstruation Hello, Doctor: I have a few questions to ask you. 1. My menstrual cycle is very irregular, and I would like to have a blood test to check my hormone levels (such as FSH and LH). Should I wait for my period to start before getting the blood drawn for more ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Patients who undergo testing for FSH and LH are typically those with abnormal menstrual cycles. Since their cycles are irregular, the specific day of the menstrual cycle is not a concern. (2) Generally, in cases of abnormal menstrual cycles, about 20% can be attributed...[Read More] Understanding Irregular Menstruation: Hormone Testing and Diagnosis Insights
Is There Still a Chance of Pregnancy After Abnormal Bleeding?
Is there still a possibility of pregnancy? Hello doctor, I have been preparing for pregnancy recently. My last menstrual period was on November 14, and my cycles have been quite regular. On December 5 and 6, I noticed some light spotting, which only appeared when I wiped. On Dece...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) If December 10 is a normal menstrual period, then pregnancy is not possible. (2) If December 10 is abnormal uterine bleeding, it could potentially be bleeding from a miscarriage due to pregnancy; a pregnancy test can be done for diagnosis. If December 10 is irregular b...[Read More] Is There Still a Chance of Pregnancy After Abnormal Bleeding?
Understanding Abnormal Vaginal Discharge: Causes and Concerns
Secretions issues? Hello, doctor. I finished my period at the end of last month, and a few days later, I started experiencing discharge, which has been brown in color. This has continued for over a week now, and it is always accompanied by mucus. Today, when I went to the bathroo...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Brown discharge with blood-tinged mucus are symptoms of vaginal bleeding, which may indicate bleeding from cervical polyps or the endometrium. It is important to rule out pregnancy-related bleeding before conducting a detailed examination. If it is due to menstrual irr...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Concerns
Light Bleeding After Sex at 18 Weeks Pregnant: What to Know
Light bleeding after sexual intercourse at 18 weeks of pregnancy? Hello Doctor: 1. My wife is 18 weeks pregnant. After having intercourse today, she went to the bathroom and noticed a little blood on the toilet paper after wiping her vagina. It only appeared a couple of times a...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) During pregnancy, the cervix becomes everted, and the columnar epithelium is more fragile, making the underlying microvessels prone to bleeding. Typically, cervical bleeding does not affect the fetus. However, if intercourse is too forceful, it may cause membrane ruptu...[Read More] Light Bleeding After Sex at 18 Weeks Pregnant: What to Know