Early Pregnancy: Surgical vs. Medical Options for Termination
If you are newly pregnant? Hello, doctor: If I just found out I'm pregnant and want to terminate the pregnancy, will I need to undergo surgery, or can I just take a pill? Is the cost for this procedure very high?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) RU486 can be used for abortion within the first seven weeks of pregnancy. The entire procedure also requires the addition of a strong uterine contraction medication. (2) For pregnancies between seven to twelve weeks, a surgical abortion is necessary. (3) For pregnancie...[Read More] Early Pregnancy: Surgical vs. Medical Options for Termination
Understanding Abnormal Bleeding: Causes and Concerns for Women
Intermenstrual bleeding Hello, my last menstrual period started on January 17, and the last time I had intercourse was on January 14, during which I used a condom and confirmed that there was no ejaculation inside. However, on February 9, I suddenly experienced a discharge of bro...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Vaginal bleeding should first be evaluated with a pelvic examination to rule out organic causes of bleeding, such as vaginal lacerations, cervical polyps, or cervical erosion. Next, a pregnancy test should be performed to exclude bleeding due to miscarriage or ectopic preg...[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women
Post-Abortion Concerns: When to Take a Pregnancy Test and Expect Your Period
Abortion I had a medical abortion on January 7th, and I experienced some bleeding for about 3 to 4 days. After the bleeding stopped, I had sexual intercourse with my boyfriend. Although we used a condom, it was not used throughout the entire time. Later, I read online that the ch...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) After a miscarriage, a pregnancy test may take 3 to 6 weeks to turn negative. This duration depends on the gestational age prior to the miscarriage; the larger the gestational age, the longer it takes for the pregnancy test to become negative. (2) Generally, menstruati...[Read More] Post-Abortion Concerns: When to Take a Pregnancy Test and Expect Your Period
Could Egg White Discharge After Ovulation Indicate Pregnancy?
Hello, how can I assist you? I would like to ask a question. I have been engaging in intercourse during my ovulation period, and now after ovulation, I have been experiencing egg white-like discharge. I feel moist down there every day, and for one or two days, I have had mild low...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Generally, before and after ovulation, the concentration of female hormones in the blood is higher, which leads to increased secretion of cervical mucus, resembling egg whites, and this is considered a normal phenomenon. During ovulation, there may be microvascular rupture...[Read More] Could Egg White Discharge After Ovulation Indicate Pregnancy?
Understanding Pink Discharge During Menstrual Cycle: Is It Normal?
Pink discharge during menstruation? Hello Doctor, my menstrual cycle is about 27 days and is relatively regular. My period usually lasts for 4 to 5 days. However, in December, on the 5th or 6th day of my period, I noticed a pinkish discharge, which appeared as a mix of blood and ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: In the early stages of menstruation, the flow is heavier, and the blood flows directly from the vagina, appearing bright red. As menstruation progresses, the flow decreases, and blood typically accumulates in the uterine cavity. Once a certain volume is reached, uterine co...[Read More] Understanding Pink Discharge During Menstrual Cycle: Is It Normal?
Am I Pregnant? Understanding Irregular Periods and Pregnancy Signs
Are you pregnant? Hello, I would like to ask about my menstrual cycle, which has always been irregular and easily affected by external stress. I have a cold constitution. In the past few months, the first days of my menstrual period were on 4/7, 5/18, 6/22, 7/25, no period in Aug...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Based on your menstrual dates, your menstrual cycle is relatively regular, although it is on the longer side, occurring approximately every 35 to 45 days. (2) Current pregnancy tests are quite sensitive, and human chorionic gonadotropin (hCG) levels in urine above 25-5...[Read More] Am I Pregnant? Understanding Irregular Periods and Pregnancy Signs
Understanding Pregnancy Risks from External Ejaculation: Your Concerns Addressed
Is the probability of getting pregnant high? Hello, doctor: I would like to ask about my situation. My boyfriend, who is a virgin, has not penetrated me at all; we only engaged in external rubbing, and he ejaculated on my abdomen. I am concerned about whether any semen might have...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The average speed of sperm motility is about 2-3 millimeters per minute, which translates to approximately 20 centimeters per hour. The length of the vagina is about 7 to 12 centimeters. Sperm can survive in the acidic environment of the vagina for up to 4 hours, and with ...[Read More] Understanding Pregnancy Risks from External Ejaculation: Your Concerns Addressed
Understanding Irregular Periods: Could You Be Pregnant?
Menstrual products..? On September 29, my menstrual period started, and my cycle is usually about 30 days and quite regular. On October 7, I had a very light period, so I didn't use a condom for internal ejaculation. However, after ejaculation, I still had a few days of dark...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding must first rule out bleeding caused by pregnancy, which can usually be excluded with a pregnancy test. Next, it is important to check for vaginal wall lacerations, cervical lesions, or bleeding caused by polyps or tumors. If it is confirmed to be ...[Read More] Understanding Irregular Periods: Could You Be Pregnant?
Understanding Abdominal Pain Before Menstruation: Causes and Concerns
The uterus may experience pain even before menstruation begins? On October 9th, I had intercourse with my boyfriend the day after my period ended. Since last week on the 23rd, I've experienced abdominal pain whenever I walk a bit faster, but I'm certain it's not th...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, you are likely in the luteal phase. Severe lower abdominal pain after intercourse can be attributed to two main causes: one is a ruptured corpus luteum hematoma leading to intra-abdominal bleeding. The other cause is an infection resulting in acu...[Read More] Understanding Abdominal Pain Before Menstruation: Causes and Concerns
Could I Be Pregnant? Understanding Delayed Periods and Contraception
Are you pregnant? Hello Dr. Yang: I had sexual intercourse with my boyfriend two weeks ago (with a condom). My period is usually due between the 23rd and 27th of this month, but it hasn't arrived. Now that it's the end of the month and approaching the beginning of next ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) If your period is late, you should promptly take a urine pregnancy test to determine if you are pregnant. (2) If you are not pregnant, you can take medication to induce your period. Thank you for your message![Read More] Could I Be Pregnant? Understanding Delayed Periods and Contraception
Understanding Menstrual Delays After Unprotected Intercourse: What to Do Next
Menstrual issues Hello Doctor: I would like to seek your help regarding the anxiety my girlfriend and I are experiencing. We had sexual intercourse on the 3rd of this month. Due to impulsiveness, we did not use a condom. The intercourse lasted about five minutes, and I did not ej...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) You had sexual intercourse on July 3rd, and it has not yet been a week, so it may be too early to test for pregnancy. It is recommended to wait another week before taking a pregnancy test. Your girlfriend's menstrual cycle this month is irregular, which may indica...[Read More] Understanding Menstrual Delays After Unprotected Intercourse: What to Do Next
Why Is My Period Late? Understanding Possible Causes and Concerns
Why hasn't my period come? I haven't gotten my period on the third day, but I've been staying up late and usually sleep around six or seven in the morning. I also tend to worry about various things. Should I be concerned about being pregnant? I haven't had sex...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) A complete menstrual cycle includes the follicular phase, ovulation phase, luteal phase, and menstrual phase. Typically, conception occurs during the ovulation phase. The duration from ovulation to the menstrual phase is approximately 14 days. Therefore, if pregnancy i...[Read More] Why Is My Period Late? Understanding Possible Causes and Concerns
Understanding Abnormal Vaginal Bleeding: Causes and Solutions
Abnormal vaginal bleeding? I would like to ask about recent abnormal bleeding, which is not related to stress, and I am unsure of the cause. I previously had a Pap smear that showed no issues. Recently, I have been trying to lose weight and have developed a habit of jogging. Coul...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: When experiencing abnormal vaginal bleeding, the first step is to rule out bleeding caused by pregnancy. Next, a pelvic examination and ultrasound should be performed to check for any organic causes of bleeding, such as cervical polyps or lacerations. Most cases of abnorma...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Solutions
Missed Period and Dizziness: Understanding Possible Causes
Menstruation has not occurred accompanied by dizziness? I am unsure if this is due to approaching menopause or another issue. I have been experiencing continuous hair loss while washing and combing my hair. Last month, my menstrual period was irregular, and this month it is delay...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Menopause refers to the period from a few years before to a few years after the cessation of menstruation, during which ovarian function declines and hormonal secretion becomes irregular, leading to various physical discomforts. Initially, menstrual cycles may become s...[Read More] Missed Period and Dizziness: Understanding Possible Causes
Understanding Irregular Menstruation: Is Your Bleeding Real or Not?
Irregular menstruation and medication usage? Recently, I experienced a delay in my menstrual period. Due to emotional factors and an upcoming exam, my period, which was supposed to start on October 3, did not arrive. Therefore, on October 11, I took "Lemiprim" for two d...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Normal menstruation is caused by the decline in progesterone levels, leading to the shedding of the secretory phase endometrium. Emotional stress can suppress the secretion of luteinizing hormone (LH), preventing the release of mature follicles. As a result, the corpus lut...[Read More] Understanding Irregular Menstruation: Is Your Bleeding Real or Not?
Understanding Painful Labial Bumps: Causes and Concerns
Labial swelling with pain? I have a red, hard bump about 0.5 cm on the inner side of my labia, which appeared before my menstrual period. It doesn't move and is painful when walking or touching it. There is no bleeding, odor, or other symptoms, but it just appeared recently ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Generally, small red, swollen, and painful nodules are usually caused by pyogenic bacteria, particularly Staphylococcus or Escherichia coli infections of the minor mucous glands in the labia minora. Treatment may include oral antibiotics and topical antibiotic ointments. I...[Read More] Understanding Painful Labial Bumps: Causes and Concerns
Understanding Birth Control Pills: Effectiveness and Safety Concerns
Contraceptive pill issues? Hello, doctor. This is my first time taking birth control pills. I started taking them continuously for two weeks within five days after my period began, but I haven't finished the first pack yet. My boyfriend is coming back soon, and I want to kno...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Birth control pills contain female hormones and progestins, which inhibit the secretion of gonadotropin-releasing hormone from the hypothalamus through a negative feedback mechanism. This, in turn, suppresses the secretion of gonadotropins from the pituitary gland, the...[Read More] Understanding Birth Control Pills: Effectiveness and Safety Concerns
Is It Safe to Attend a Concert During Pregnancy?
Pregnancy Concert Hello, Doctor: I have two questions that have been bothering my wife for a long time. 1. My wife's due date is December 21, 2013. If I take her to a concert where the sound is too low, will it affect the baby? 2. My wife experiences bloating in her abdo...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Fetal hearing begins to develop at four months and responds to external sounds by 25 weeks. However, due to the amniotic fluid, the decibel level of external sounds reaching the fetus is usually not very high. At her current gestational age, it should not have any impa...[Read More] Is It Safe to Attend a Concert During Pregnancy?
Understanding Post-Menstrual Bleeding After Manual Stimulation
Bleeding at the end of menstruation? I would like to ask about a situation that occurred a few days ago. I helped my girlfriend with manual stimulation, and she mentioned that her menstrual period was almost over, just the last couple of days with a little bit of flow. During the...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The female reproductive tract is typically elastic and not easily torn. However, if it is stretched beyond its limits, tearing and bleeding can occur. Therefore, it is important to check for any hymenal tears or vaginal lacerations. Additionally, if there are conditions su...[Read More] Understanding Post-Menstrual Bleeding After Manual Stimulation
Can You Get Pregnant After Having Sex Three Days Into Your Period?
Having intercourse three days after menstruation can potentially lead to pregnancy, depending on the timing of ovulation. Sperm can survive in the female reproductive tract for several days, and if ovulation occurs shortly after menstruation, there Having intercourse three days a...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your questions, here are the responses: (1) Generally, conception occurs around the time of ovulation. (2) Typically, on the 2nd or 3rd day of menstruation, the levels of female hormones and progesterone in the blood decrease to a certain extent, prompting the pi...[Read More] Can You Get Pregnant After Having Sex Three Days Into Your Period?