Understanding Abnormal Bleeding and Abdominal Discomfort After Intercourse
Uterine prolapse My period ended on the 27th of last month, but after having intercourse yesterday, I used a panty liner and noticed some blood. I thought my period had returned, but by the evening, there was no blood. However, I feel bloated. What could this situation be?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Postcoital bleeding may be due to microvascular rupture of the cervix or localized shedding of the endometrium. Typically, cervical bleeding is less likely to be accompanied by abdominal distension, while endometrial bleeding may cause uterine contractions, leading to lowe...[Read More] Understanding Abnormal Bleeding and Abdominal Discomfort After Intercourse
Is It Normal to Experience Side Abdominal Pain Before Menstruation?
Menstruation Is it normal to experience cramping on both sides of the lower abdomen about a week before menstruation?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Premenstrual syndrome (PMS) typically begins one week before menstruation and resolves once menstruation starts. It recurs with each cycle. Symptoms include both psychological and physiological aspects. Psychological symptoms mainly consist of mood swings, irritability...[Read More] Is It Normal to Experience Side Abdominal Pain Before Menstruation?
Understanding Ovulation Pain: Duration, Symptoms, and Variability
Ovulation pain Two days ago, on November 23rd, my girlfriend told me that she experienced cramping pain on both sides of her lower abdomen for about an hour. Her menstrual period this month was from November 2nd to November 8th, and her cycle typically ranges from 28 to 32 days. ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The menstrual period started on November 2, and November 23 is the 22nd day of the menstrual cycle. Generally, ovulation occurs approximately 12-16 days before the first day of the menstrual period. At the moment of ovulation, the follicle ruptures, and the egg, along with...[Read More] Understanding Ovulation Pain: Duration, Symptoms, and Variability
Understanding Irregular Periods: Causes and Solutions for Young Women
Irregular menstruation The 21-year-old female has been experiencing two menstrual cycles per month for the past three to four years. She has been taking medication prescribed by her doctor, which allows her to have normal cycles for three to four months at a time. However, the do...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, it may be a case of ovulatory bleeding. You could track your basal body temperature over time to see at which phase of your menstrual cycle the bleeding occurs, whether you have a regular menstrual cycle, or if you are experiencing anovulatory cy...[Read More] Understanding Irregular Periods: Causes and Solutions for Young Women
Understanding Unusual Bleeding After Tampon Use: Causes and Concerns
Bleeding after using tampons? Hello, Doctor. My period was almost over (on the 4th day), but I continued to bleed after using a tampon, and the flow was heavier than usual. I noticed that when the tampon was not removed, there was a lot of bleeding, which made me feel like the bl...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If there is a foreign object in the vagina, the bacteria residing in the vagina can easily proliferate, leading to an increase in yellow or white discharge, along with an unpleasant odor. It is recommended to change tampons frequently and to minimize the number of days the...[Read More] Understanding Unusual Bleeding After Tampon Use: Causes and Concerns
Heavy Bleeding After Using Tampons: What You Need to Know
Bleeding after using a tampon? Hello, I used a tampon for my swimming class (I didn't have class last time because it coincided with the National Day holiday). It took me several attempts to successfully insert it, but after I managed to do so, I started bleeding more (it&#x...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your questions, here are the responses: (1) Excessive menstrual bleeding requires investigation into the underlying causes. Conditions such as miscarriage, menstrual disorders, uterine fibroids, uterine atony, coagulation factor deficiencies, and thrombocytopenia...[Read More] Heavy Bleeding After Using Tampons: What You Need to Know
Understanding Infertility: Symptoms and Concerns for Women
I think I might have infertility! I have been in a relationship with my boyfriend for three years, and we have had numerous sexual encounters, often with ejaculation inside, but I have not become pregnant. I experience vaginal discharge; sometimes I have it, and sometimes I don&#...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Infertility is defined as the inability to conceive after one year of regular sexual intercourse (approximately 2-3 times per week). (2) Infertility is a syndrome. There are many diseases or causes that can lead to infertility. Therefore, the symptoms of infertility ca...[Read More] Understanding Infertility: Symptoms and Concerns for Women
Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Menorrhagia This month, my menstrual cycle has been very irregular. It was supposed to start on the 13th but didn't begin until the 26th. I initially thought I had ovulation bleeding, but it only lasted briefly and then stopped. Since then, I've experienced intermittent...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Abnormal vaginal bleeding requires a pregnancy test to rule out miscarriage or ectopic pregnancy as potential causes of bleeding. (2) Next, a pelvic examination should be performed to check for any vaginal or cervical lacerations or lesions that may be bleeding. An ult...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Understanding Pregnancy Discomfort: Causes of Heartburn and Abdominal Pain
Pregnancy issues Dr. Yang: Since this is the mother's second pregnancy, she has been experiencing some gastric burning over the past few days. What could be the cause of this? Last night, she also had some mild abdominal discomfort. What might be the reason for that? She is ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Pregnant women have higher levels of female hormones and progesterone, which leads to increased gastric acid secretion and relaxation of the lower esophageal sphincter. This often results in symptoms of heartburn and acid reflux (also known as gastroesophageal reflux)....[Read More] Understanding Pregnancy Discomfort: Causes of Heartburn and Abdominal Pain
Will Menstruation Still Occur After Hymen Rupture?
Will menstruation still occur after the hymen is broken? If the hymen has been ruptured, will menstruation still occur? It has been almost two weeks late. I have purchased a pregnancy test, and the results show no pregnancy. Why hasn't my period come yet? I have noticed some...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your inquiry, here are the responses: (1) Amenorrhea can be classified into primary amenorrhea and secondary amenorrhea. Primary amenorrhea refers to the absence of menstruation from the onset of puberty, while secondary amenorrhea occurs when a person has previo...[Read More] Will Menstruation Still Occur After Hymen Rupture?
Am I About to Give Birth? Understanding Pregnancy Signs at 33 Weeks
Am I about to give birth? Hello, I am currently 33 weeks pregnant with my second child. Sometimes when I walk, I experience a sharp, stabbing pain in my lower body, but it goes away after a while. Does this mean that I am going to give birth soon? Should I consider taking materni...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Normal signs of labor include: 1. A small amount of mucus-tinged blood from the vagina. 2. Regular contractions of the uterus (abdominal distension, hardness, pain). A sharp pain in the lower abdomen is not a sign of labor. You may visit an obstetrician for a cervical exam...[Read More] Am I About to Give Birth? Understanding Pregnancy Signs at 33 Weeks
Understanding Delayed Periods: What to Do When Your Girlfriend's Menstruation is Late
My girlfriend hasn't gotten her period yet? I would like to ask! My girlfriend's period started on January 28, so I calculated that it should be around February 25, but it hasn't come yet. However, on February 27, she experienced breast tenderness, which went away ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your question, here is the response: (1) The initiation of the menstrual cycle begins with the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus, which stimulates the pituitary gland to release follicle-stimulating hormone (FSH). FSH then s...[Read More] Understanding Delayed Periods: What to Do When Your Girlfriend's Menstruation is Late
Can You Get Pregnant from Dry Humping? Understanding the Risks
Will this lead to pregnancy? If a man and a woman are rubbing their genitals together while wearing underwear, it is unlikely to result in pregnancy. However, there is a possibility that pre-ejaculate fluid, which is a clear, sticky fluid produced by the male during arousal, coul...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your question, here is the response: (1) After general stimulation of the penis, there is initially some secretion of mucus from the mucous glands. When arousal reaches climax, a clear pre-ejaculate fluid is released involuntarily, which is composed of fluid from...[Read More] Can You Get Pregnant from Dry Humping? Understanding the Risks
Managing Diarrhea and Abdominal Pain During Pregnancy: What to Know
Diarrhea and abdominal swelling in pregnant women? Hello, I am 28 weeks pregnant. Yesterday, I had diarrhea all day, going to the bathroom eight or nine times. I went to the hospital in the evening, and the doctor said it would be fine once I expelled everything. The fetus is als...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The symptoms of acute gastroenteritis include vomiting, diarrhea, and abdominal cramping. Generally, if one ingests bacterial exotoxins, most will recover after expelling the toxins through vomiting or diarrhea. However, if pathogenic bacteria affecting the gastrointestina...[Read More] Managing Diarrhea and Abdominal Pain During Pregnancy: What to Know
Understanding Abortion Procedures and Future Fertility Concerns
Abortion complications I accidentally became pregnant, and we are not ready to have a child. I went for an abortion. On January 31, the doctor first gave me a pill that I didn't know what it was, and then prescribed me three doses of Misoprostol, instructing me to take all t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The oral abortion medication RU-486 combined with misoprostol is generally required for pregnancies less than 7 weeks gestation (calculated from the first day of the last menstrual period). It is also necessary to confirm an intrauterine pregnancy. The most common complica...[Read More] Understanding Abortion Procedures and Future Fertility Concerns
Understanding Normal Vaginal Discharge: Color and Consistency Explained
Vaginal discharge issues? I have a question... I researched the color of normal vaginal discharge and the discharge before menstruation, and I found that some people say normal discharge is white and thick, while others say it is clear and colorless but also thick, which is a bit...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Normal vaginal secretions consist of mucus and shed epithelial cells. The mucus is colorless, transparent, and slightly viscous, typically increasing in volume around the time of ovulation. The shed epithelial cells appear as white, powdery particles, and when mixed togeth...[Read More] Understanding Normal Vaginal Discharge: Color and Consistency Explained
Impact of Anesthesia and Medications on Early Pregnancy: What to Know
Use of anesthetics in early pregnancy? Hello Dr. Yang: My wife had to undergo surgery for a hernia and was given general anesthesia during the procedure. However, we were unaware that she was already three weeks pregnant at that time. After her discharge, she noticed that her men...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The first three months of pregnancy are a critical stage for fetal development, during which most organs differentiate and form. Therefore, any substances or factors that may cause teratogenic effects should be avoided. Medications used in general anesthesia, including cen...[Read More] Impact of Anesthesia and Medications on Early Pregnancy: What to Know
Understanding Emergency Care Protocols in Obstetrics: A Patient's Concerns
Medical issues Dr. Yang: Hello! I would like to ask the following questions: Can a nurse perform a vaginal examination on a patient without a doctor's order? When a pregnant woman experiences bleeding, is it necessary for a doctor to perform a vaginal examination? If a pregn...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, this pregnant woman's condition appears to be preterm labor. The vaginal bleeding is likely the show during labor. Typically, if antepartum hemorrhage is ruled out and the woman is in labor, the labor and delivery nurse (midwife) will perfor...[Read More] Understanding Emergency Care Protocols in Obstetrics: A Patient's Concerns
Does Pressing the Bladder Affect Pregnancy and Fetal Health?
Urination and Pregnancy in Relation to the Bladder I would like to ask, every time I go to the bathroom, I need to press on the bladder area with both hands in order to urinate. Will this affect my chances of getting pregnant or have any impact on the fetus? Thank you.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The bladder is located in front of the cervix and can extend to the front of the uterus when full. Pressing on the bladder does not affect the fetus and will not cause any abnormal pregnancy conditions. If there are any abnormal pregnancy issues, they are likely pre-existi...[Read More] Does Pressing the Bladder Affect Pregnancy and Fetal Health?
Understanding Abnormal Discharge and Bleeding After First Sexual Experience
Abnormal secretion? I would like to ask if it is normal to experience bleeding immediately after the first sexual intercourse, and although the bleeding stops afterward without any pain, there is a feeling of heaviness or pressure. However, after a few days, there are blood-strea...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: During first intercourse, due to the narrowness of the hymen and vaginal walls, there is a tendency for lacerations to occur. Most individuals only experience a rupture of the hymen, which typically involves minor capillary bleeding that stops quickly and heals within one ...[Read More] Understanding Abnormal Discharge and Bleeding After First Sexual Experience