Understanding Rectovaginal Fistulas: Treatment and Pregnancy Concerns
Fistula issues Hello, I would like to ask again: if there is a rectovaginal fistula issue that needs treatment, should I see an obstetrician-gynecologist or a colorectal surgeon? Additionally, is it possible to address this during delivery (natural birth)? If the fistula issue is...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Rectovaginal fistulas involve both the rectum and the vagina, and can be managed by both obstetricians/gynecologists and colorectal surgeons; however, complex cases may require a multidisciplinary approach. Surgery is typically not performed during pregnancy or labor. ...[Read More] Understanding Rectovaginal Fistulas: Treatment and Pregnancy Concerns
Why Does It Feel Like Gas Is Coming from the Vagina?
Farting from the vagina? Hello, I would like to ask why sometimes when I pass gas, it feels like it is coming from my vagina. Does this mean that my vagina and anus are connected? Is this normal? If it is not normal, what are the treatment options? Additionally, I am currently 29...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Typically, larger rectovaginal fistulas can cause feces to pass through the vagina. If only gas is present without feces, it may indicate that the fistula is very small in diameter. Diagnosis can be made by injecting methylene blue dye through the anus and checking if ...[Read More] Why Does It Feel Like Gas Is Coming from the Vagina?
Can You Get Pregnant During Your Period? Understanding the Risks
Will this lead to pregnancy? Having intercourse on the second day of menstruation can result in pregnancy, although the likelihood is generally low. Sperm can survive in the female reproductive tract for up to five days, so if ovulation occurs shortly after menstruation, there is...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your questions, here are the responses: (1) Theoretically, pregnancy should not occur during menstruation. However, it is essential to confirm that it is indeed the menstrual period, as some individuals may experience uterine bleeding during ovulation, which can ...[Read More] Can You Get Pregnant During Your Period? Understanding the Risks
Is It Safe to Use Kairui Medicinal Shampoo During Pregnancy?
Kare Shampoo Hello Dr. Yang, I recently found out that I am pregnant. I am currently using a medicated shampoo called Keri. I would like to ask if it is safe to continue using it. Thank you.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Kele shampoo contains 2% ketoconazole. This medication is classified as Category C by the U.S. Food and Drug Administration (FDA) in terms of pregnancy safety, which means (1) animal studies have shown adverse effects on the fetus, but there are no well-controlled studies ...[Read More] Is It Safe to Use Kairui Medicinal Shampoo During Pregnancy?
Concerns About Early Pregnancy Complications After Miscarriage
Pregnancy-related issues I am 28 years old. After a natural miscarriage at 6 weeks (in mid-September last year), I had one menstrual period (in mid-October last year) and discovered I was pregnant in November. I would like to know if getting pregnant again in such a short time co...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello, regarding your questions, here are the responses: (1) During a single pregnancy, a significant amount of the mother's stored nutrients is utilized. Therefore, it is best to wait at least six months between pregnancies to replenish these nutrients. However, since your ...[Read More] Concerns About Early Pregnancy Complications After Miscarriage
Understanding Uterine Contraction Medications: Side Effects and Next Steps
Uterotonics Hello, I would like to ask: 20 days ago, I went to a certain obstetrics and gynecology clinic and took RU486. After that, the doctor prescribed a uterine contraction medication to be taken after breakfast and dinner for 7 days. I returned for a follow-up after 7 days....
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Generally, after taking RU-486, a stronger uterine contraction agent (Prostaglandin E2) is taken two days later, and abortion typically occurs within 3-4 hours after ingestion. Of course, depending on the gestational age, there may be cases of incomplete abortion or failur...[Read More] Understanding Uterine Contraction Medications: Side Effects and Next Steps
Excessive Vaginal Discharge During Intercourse: Is It Normal or a Sign of Infection?
Excessive vaginal discharge during sexual intercourse? I'm not a doctor, but I can provide some information based on your questions. 1. It is not typical for vaginal discharge during sexual activity to be thick, white, and have a strong odor. Normal vaginal discharge is usu...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your inquiry, here is the response: During normal sexual activity, the cervical mucus from the vagina is secreted in large amounts and is colorless and transparent. However, vaginal epithelial cells shed daily and mix with the mucus, resulting in a white, mucous ...[Read More] Excessive Vaginal Discharge During Intercourse: Is It Normal or a Sign of Infection?
Understanding Abnormal Bleeding: Causes and Solutions for Women
Abnormal bleeding The last menstrual cycle started on December 22. On January 8, I experienced some bleeding and visited a gynecologist. I was prescribed medication, and after taking it, the bleeding eased up and stopped. However, on January 17, I suddenly had bleeding again. I t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding must first rule out bleeding caused by pregnancy-related issues such as miscarriage, ectopic pregnancy, or molar pregnancy. Next, it is essential to exclude substantive lesions of the reproductive organs, such as ovarian tumors, uterine fibroids, ...[Read More] Understanding Abnormal Bleeding: Causes and Solutions for Women
Understanding Insulin Resistance: Key Questions for Your Gynecologist
May I ask the doctor? Since I got my first period (in the fourth or fifth grade), it has been very irregular, often with long gaps in between. During this time, I intermittently visited a traditional Chinese medicine practitioner and took herbal decoctions and powders. This summe...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your question, the response is as follows: (1) The etiology of polycystic ovary syndrome (PCOS) is unknown. It is characterized by an abnormal frequency of gonadotropin-releasing hormone (GnRH) secretion from the hypothalamus, leading to increased secretion of lu...[Read More] Understanding Insulin Resistance: Key Questions for Your Gynecologist
Understanding Tubal Obstruction: Treatment Options for Infertility
Infertility (Fallopian Tube Obstruction) Doctor: I have something I would like to ask you. My right fallopian tube is blocked, and the left side has some swelling and partial blockage. What treatment options do you recommend, or what should I do?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Most cases of fallopian tube obstruction are caused by infections that lead to adhesions within the lumen. If the adhesions are not severe, some have used a method to clear the fallopian tubes by using a saline solution infused with antibiotics, enzymes, and adrenal h...[Read More] Understanding Tubal Obstruction: Treatment Options for Infertility
Understanding Risks of X-Ray Exposure During Early Pregnancy
Early pregnancy Hello Dr. Yang: My last menstrual period was on December 21, 2009. During this time, I experienced discomfort in my kidneys and had an X-ray on January 5, 2010, which revealed hydronephrosis. Subsequently, on January 22, 2010, I underwent a non-ionic contrast agen...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) During the first three months of pregnancy, especially shortly after fertilization, embryonic cells undergo rapid division and are particularly sensitive to radiation. This can lead to mild issues such as developmental disorders in brain cells, including visual impairm...[Read More] Understanding Risks of X-Ray Exposure During Early Pregnancy
Why Is My Period Late After Unprotected Sex? Understanding Your Cycle
Menstruation On December 31, I had intercourse with my boyfriend without using a condom and without ejaculation inside, but my period hasn't arrived yet. My last period started on December 3 and ended on December 9. Today is January 6, and I bought a pregnancy test that show...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: There are many reasons for a delayed menstrual period. However, the two most common causes are pregnancy and anovulation in the current menstrual cycle. At the end of the follicular phase, the pituitary gland is stimulated by the hypothalamus to secrete a large amount of l...[Read More] Why Is My Period Late After Unprotected Sex? Understanding Your Cycle
Understanding Vaginal Itching and Growth: When to Seek Medical Advice
Genital itching In the past couple of months, I've been experiencing itching in the genital area, especially after showering. I first noticed something growing on the left labia (which I assume is internal); it doesn't look like a pimple, but rather like a fleshy growth...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, the fleshy protrusion on the labia could potentially be a tumor or caused by a viral infection (such as warts). Regardless of the cause, it is important to seek medical evaluation promptly, and a biopsy may be necessary for pathological examinati...[Read More] Understanding Vaginal Itching and Growth: When to Seek Medical Advice
Understanding Abnormal Bleeding After Menstruation: Causes and Guidance
Abnormal bleeding On Sunday, the day after my period ended, my boyfriend and I had intercourse with a condom, and since Tuesday, I've been experiencing abnormal bleeding (mostly a reddish watery discharge). It is now Thursday, and it is still occurring. What could be the cau...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The sites of post-coital bleeding are primarily the hymen, vagina, cervix, and endometrium. (1) Hymen: A hymenal opening that is too small or vigorous sexual activity can cause laceration and bleeding even in non-virgins. (2) Vagina: Similar to the hymen, vigorous sexual a...[Read More] Understanding Abnormal Bleeding After Menstruation: Causes and Guidance
Concerns About X-Ray Exposure During Early Pregnancy
X-ray Dear Doctor, I am about a month pregnant, but I didn't know I was pregnant until two weeks ago. I had a health check-up and underwent an X-ray, and I am worried about its potential effects on the fetus. I would like to ask for your advice. Thank you.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Radiation can cause embryonic death, fetal malformations, and an increased risk of childhood cancer (especially leukemia) later on. Additionally, it may lead to poor brain development. (1) The period from conception to fetal formation (i.e., the first three months of pregn...[Read More] Concerns About X-Ray Exposure During Early Pregnancy
Essential Gynecological Questions for Spinal Injury Patients
Consult a physician? First point: I am a spinal cord injury patient. Sometimes my menstrual cycle is regular, and sometimes it is not, but I have it every month. Do I need to see a gynecologist? Second point: Is there a method to test my future fertility? Third point: My chil...
Dr. Yang Wangjun reply Obstetrics and Gynecology
1. The menstrual cycle primarily involves the hypothalamus → pituitary gland (which secretes follicle-stimulating hormone and luteinizing hormone) → ovaries (which secrete female hormones and progesterone) → endometrium (which forms the menstrual lining). This axis is primarily c...[Read More] Essential Gynecological Questions for Spinal Injury Patients
Understanding Amniocentesis Timing in Pregnancy: Key Insights
Amniocentesis You mentioned that a high-level ultrasound is recommended between 20 to 24 weeks of pregnancy. Is amniocentesis also performed before 20 weeks?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The purpose of amniocentesis is to extract amniotic fluid for testing. The amniotic fluid contains fetal exfoliated epithelial cells, fibroblasts, etc., which need to be cultured for 2-3 weeks before analysis. The primary test performed is chromosomal analysis, and in ...[Read More] Understanding Amniocentesis Timing in Pregnancy: Key Insights
Optimal Timing for High-Level Ultrasound During Pregnancy: Key Considerations
Ultrasound Hello: For example, when is it recommended to perform a high-level ultrasound during pregnancy? Also, can tight-fitting maternity clothing affect the ultrasound scan?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. High-level ultrasound is best performed between 20 to 24 weeks of gestation. At this time, the ratio of the fetus to amniotic fluid is optimal, making it easier to visualize fine details. 2. During the ultrasound, it is important not to perform the scan through clothing...[Read More] Optimal Timing for High-Level Ultrasound During Pregnancy: Key Considerations
Understanding Fatigue During Pregnancy: Causes and Solutions
Pregnancy Is fatigue common during pregnancy?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Most pregnant women experience fatigue during the first trimester, especially with their first pregnancy. This is due to increased progesterone, bodily changes, and symptoms such as nausea, vomiting, heartburn, and frequent urination, which can lead to significant stress, ...[Read More] Understanding Fatigue During Pregnancy: Causes and Solutions
Understanding the Different Types of Prenatal Education Methods
Prenatal education Prenatal education can be categorized into several types.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Some believe that from the moment of implantation, which occurs 5 to 7 days after fertilization, the embryo is closely connected to the mother. It can sense all changes in the mother, including emotions, diet, exercise, and thoughts. This has led to the development of vari...[Read More] Understanding the Different Types of Prenatal Education Methods