Managing PCOS: Can Soy Isoflavones and Evening Primrose Oil Help?
Polycystic Ovary Syndrome (PCOS) Hello Doctor, I have polycystic ovary syndrome (PCOS). The menstrual regulation medication hasn't worked for me; my period only comes when I take medication to induce it. Can I take products like soy isoflavones and evening primrose oil? Or d...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your questions, here are the responses: (1) The etiology of polycystic ovary syndrome (PCOS) is currently not well understood, and it may represent several different conditions with similar symptoms. Therefore, treatment primarily focuses on symptom management. (...[Read More] Managing PCOS: Can Soy Isoflavones and Evening Primrose Oil Help?
Can You Consult a Gynecologist for Breast Enhancement?
Breast augmentation If someone is interested in breast augmentation, is it appropriate to consult a gynecologist?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Currently, there is no comprehensive discussion on breast enhancement, leading to a variety of opinions and methods available, such as dietary therapies, infrared bras, and massage therapies. As long as there are no significant side effects, it may be worth trying. Regardi...[Read More] Can You Consult a Gynecologist for Breast Enhancement?
Understanding Prolonged Menstrual Cycles: Causes and Concerns
The menstrual period lasted for 10 days before it ended? My menstrual cycle is approximately 25-27 days, but about two years ago, my period started to last nearly 10 days before it completely ended (previously it lasted about 6-7 days). The first 3-4 days are normal, but around t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) When menstruation occurs, the endometrium sheds in fragments. After the shedding, the spiral arteries in the affected area begin to bleed. At this time, the muscular layer of the small arteries constricts, platelets form a thrombus, coagulation factors are added to str...[Read More] Understanding Prolonged Menstrual Cycles: Causes and Concerns
Can I Get the HPV Vaccine if I Have Uterine Fibroids?
Uterine fibroids Hello, six months ago, I visited a gynecologist due to irregular menstruation and learned that I have uterine fibroids. In this situation, is it still possible to receive the cervical cancer vaccine?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The cervical cancer vaccines currently available are the quadrivalent Gardasil (targeting human papillomavirus types 6, 11, 16, and 18) and the bivalent Cervarix (targeting human papillomavirus types 16 and 18). Gardasil is recommended for administration to individuals age...[Read More] Can I Get the HPV Vaccine if I Have Uterine Fibroids?
Can Women Self-Check for Infertility? Essential Tests Explained
Regarding infertility? Hello, I would like to ask if a woman can independently go to a hospital to check for infertility? What are the methods of examination? Thank you!
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The evaluation of female infertility involves a series of examinations from the highest organ to the terminal organ: hypothalamus → pituitary gland → ovaries → uterus → cervix. (1) Cervical issues such as inflammation, poor mucus quality, or the presence of sperm antibodie...[Read More] Can Women Self-Check for Infertility? Essential Tests Explained
Understanding Menstrual Changes After Stopping Birth Control Pills
After stopping birth control pills My girlfriend stopped taking birth control pills after about 4 months, and it's been 1 month since she stopped, but her menstrual cycle hasn't come yet. According to my calculations, it's already the 33rd day. I would like to ask:...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The mechanism of action of contraceptive pills is to inhibit the secretion of hypothalamic gonadotropin-releasing hormone through negative feedback, which leads to the cessation of follicular growth. Generally, after discontinuing the medication, normal menstrual cycles ty...[Read More] Understanding Menstrual Changes After Stopping Birth Control Pills
Understanding Post-Sexual Activity Bleeding: When to Seek Medical Advice
Hemorrhage Experiencing a small amount of blood or brown discharge after masturbation could be due to friction and may not necessarily indicate a serious issue, especially if there was no penetration. However, if the bleeding persists, increases in volume, or is accompanied by pa...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your inquiry, here are the responses: (1) This is not postcoital bleeding. (2) There are many causes of vaginal bleeding. First, it is essential to confirm whether it is true genital bleeding or if it is actually coming from the urethra or even the rectum. Next, ...[Read More] Understanding Post-Sexual Activity Bleeding: When to Seek Medical Advice
Understanding Painful Bumps in the Genital Area: Acne or Herpes?
Pustule formation in the genital area? Hello doctor, I have a growth in my genital area that looks like an acne lesion. It is painful, with a dome-shaped surface and a pointed white protrusion in the center. Beneath the skin, there is a hard lump approximately 0.7 cm in size. It ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, this lesion appears to be a small pustule. The skin in the genital area contains numerous hair follicles, sebaceous glands, vestibular mucous glands, apocrine glands, and eccrine glands. If the ducts of these structures become obstructed due to s...[Read More] Understanding Painful Bumps in the Genital Area: Acne or Herpes?
What to Do If You Notice a Soft Mass from Your Vagina?
excuse me? I have a lump of flesh coming out of my vagina, but I don't know what it is. It is soft and different from hemorrhoids. Which department should I see for a consultation?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Older multiparous women may experience uterine prolapse, cystocele, or rectocele, all of which can result in these organs protruding through the vagina. 2. In younger individuals, it is important to consider the possibility of vaginal tumors, uterine fibroids, vulvar tu...[Read More] What to Do If You Notice a Soft Mass from Your Vagina?
How Long Can Sperm Survive in the Uterus? A Guide for Women
I'm sorry, but I need specific content to translate. Please Sperm can survive in the uterus for up to five days under optimal conditions.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your questions, here are the responses: 1. Sperm can survive in the uterine cavity for approximately 10 hours. 2. Sperm can survive in the cervical canal for about 72 hours. 3. Sperm can survive in the vagina (posterior vaginal fornix) for approximately 4 hours. ...[Read More] How Long Can Sperm Survive in the Uterus? A Guide for Women
Understanding Fetal Movement: When to Expect It in Your Pregnancy
Fetal movement is typically felt around 18 weeks of gestation? Hello, Doctor: I am currently 18 weeks pregnant with my third child. I clearly remember feeling fetal movement at 15 weeks during my second pregnancy, but I have not felt any movement yet with this third pregnancy at ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Regarding your question, here are the responses: (1) According to textbooks, first-time mothers may feel fetal movement as early as 18 weeks, while those who have had previous pregnancies may notice it as early as 16 weeks. However, in clinical practice, most pregnant wome...[Read More] Understanding Fetal Movement: When to Expect It in Your Pregnancy
Understanding Painful Lumps Near the Areola: What You Need to Know
I have a round hard lump in my breast? There is a round hard lump in the area of the areola that is painful and swollen, causing discomfort and pain when wearing a bra.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello, regarding your inquiry, here are the responses: (1) There are many causes for breast lumps or hard masses, including: 1. Breast infections or abscesses, which typically occur in breastfeeding women. 2. Benign tumors: such as granulosa cell tumors, fibroadenomas, phyllod...[Read More] Understanding Painful Lumps Near the Areola: What You Need to Know
Understanding Emergency Contraception and Pregnancy Concerns
Contraceptive concerns? 1. Hello, my girlfriend and I had intercourse, and on the same day, she took the emergency contraceptive pill. Since there was only one pack with three pills, she took all three at once, less than an hour apart. Is this effective? I heard that the pills sh...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Emergency contraception primarily works by preventing the implantation of a fertilized egg. Therefore, medications or the insertion of an intrauterine device (IUD) are effective when used within 72 hours after intercourse. Emergency contraceptive pills (ECPs) may cont...[Read More] Understanding Emergency Contraception and Pregnancy Concerns
Should Women or Men Get Sterilized After Delivery? Expert Insights
Which is better, female sterilization or male sterilization? Hello Doctor: I am currently 7 months pregnant and planning for a cesarean section. Should I consider getting a tubal ligation at the same time, or should my husband get a vasectomy instead? I've heard that tubal l...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) In academic literature, there are few reports of side effects associated with female sterilization; however, in clinical practice, there are indeed reactions related to ovarian dysfunction, including premature menopause, menstrual irregularities, and psychological dist...[Read More] Should Women or Men Get Sterilized After Delivery? Expert Insights
Could I Be Pregnant? Understanding Risks After Intimate Contact
What is the probability? Hello doctor, I would like to ask about my irregular menstruation. On January 1st, my boyfriend wanted to have intercourse, but I refused. However, we still engaged in some rubbing near the vagina, and he couldn't hold back and ended up ejaculating o...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Generally speaking, the likelihood of conception is very low if sperm is only present outside the vaginal opening. (2) A delayed menstrual period does not necessarily indicate pregnancy; it cannot be used as the sole criterion for判断. Currently, pregnancy tests are very...[Read More] Could I Be Pregnant? Understanding Risks After Intimate Contact
Unrecognized Miscarriage: Understanding Symptoms and Future Impacts
Unrecognized miscarriage Doctor Yang, last month I passed a blood clot that was as large as my palm. Could this be related to the placenta since I haven't taken a pregnancy test and I'm unsure if I'm pregnant? Is it possible that I had a miscarriage without knowing...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) In all pregnancies, approximately 15-40% end in natural miscarriage. Among all natural miscarriages, about 8% are considered missed miscarriages, which typically occur around the time when the expected menstrual period would have arrived. (2) In early miscarriages, the...[Read More] Unrecognized Miscarriage: Understanding Symptoms and Future Impacts
Managing Vaginal Itching During Pregnancy: Causes and Solutions
Itching of the vulva during pregnancy? Hello, Doctor. I am currently 17 weeks pregnant. I have been experiencing itching in the vulvar area since about 10 weeks into my pregnancy. When I visited the doctor at 12 weeks, I mentioned this issue, and the doctor examined me and said t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Pregnant women have a higher content of glycogen in their vaginal epithelial cells, creating an environment conducive to the growth of Candida albicans. Therefore, more than half of pregnant women will experience candidal vaginitis at some point during their pregnancy, cha...[Read More] Managing Vaginal Itching During Pregnancy: Causes and Solutions
Can Pregnant Women Use Pain Relief Patches Safely?
Can pregnant women use topical patches? Hello doctor: Can pregnant women use medicated patches? People say that pregnant women should not take medication indiscriminately. Is it okay to use a patch if I sprained my hand?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Local medications such as vaginal suppositories and transdermal patches may have higher local concentrations, but some of the medication can still enter systemic circulation and affect the fetus. 2. Therefore, the use of analgesic patches and ointments should be determi...[Read More] Can Pregnant Women Use Pain Relief Patches Safely?
Understanding Clear Nipple Discharge: When to Seek Medical Advice
Nipple discharge Recently, I have been experiencing clear, droplet-like discharge from my nipples. This symptom also appears when I press on my nipples. Is this abnormal? What kind of examination should I undergo?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Generally speaking, if nipple discharge is multifocal, bilateral, and clear, white, or yellow, it is usually benign. However, if it is unifocal, unilateral, and bloody, it is more likely to be malignant. 2. In your case, the discharge is clear and transparent, which cou...[Read More] Understanding Clear Nipple Discharge: When to Seek Medical Advice
Is Massage Safe for Pregnant Women? Expert Insights on Prenatal Care
Can pregnant women receive massages? Hello Doctor: When I go for a hair wash, they often provide shoulder and neck massages. Is it safe for pregnant women to receive massages? I am currently 20 weeks pregnant.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. According to the older generation, shoulder and neck massages are prohibited during pregnancy. 2. Our view is that vigorous shoulder and neck massages may trigger uterine contractions, so they should be avoided as much as possible. Thank you for your message![Read More] Is Massage Safe for Pregnant Women? Expert Insights on Prenatal Care