Understanding Abnormal Vaginal Discharge: Causes and Concerns
Female discharge I would like to ask the doctor that I have never had sexual intercourse before, and my vaginal discharge used to be normal—clear with a slight off-white color, without any odor, and there was no itching in the genital area. However, for the past 3 to 4 days, my d...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common type of vaginitis in women is caused by Candida, leading to candidal vaginitis. The discharge is white or light yellow and has a cottage cheese-like consistency, often accompanied by symptoms of vulvar itching. This infection is not exclusively sexually tra...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Concerns
Brown Discharge: Pregnancy or Infection? What You Need to Know
Brown discharge?! Hello, 1. If there are very small amounts of brown discharge for three consecutive days, without itching or odor, it could be related to either early pregnancy or a possible inflammation. It is advisable to consult a healthcare professional for further evaluat...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Brown vaginal discharge usually indicates slight bleeding. This could be caused by a miscarriage due to pregnancy, bleeding resulting from endometrial dysfunction, endometrial hyperplasia, or bleeding from endometrial polyps or cervical polyps. (2) Regardless of whethe...[Read More] Brown Discharge: Pregnancy or Infection? What You Need to Know
Understanding Uterine Inflammation: Should Your Partner Get Tested?
Uterine inflammatory sexual activity During the period when I was unaware of my uterine inflammation, I had sexual intercourse with my boyfriend without using a condom. I experienced bleeding during the intercourse and sought medical attention. The doctor informed me that the inf...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Most cases of acute endometritis are caused by sexually transmitted pathogens from the vagina, primarily Chlamydia and Gonorrhea. Other infections can be caused by Trichomonas, Mycoplasma, and other pathogens. Non-sexually transmitted pathogens such as Staphylococcus a...[Read More] Understanding Uterine Inflammation: Should Your Partner Get Tested?
Understanding IUD-Related Menstrual Changes and Discomfort
Menstrual issues Hello, I have had an intrauterine device (IUD) for over 1 year and 8 months. During this time, I occasionally experience pain during intercourse, and initially, I had some spotting after sex. However, for nearly the past month, I have been experiencing irregular ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The intrauterine device (IUD) has two more serious side effects. One is abnormal uterine bleeding, which includes mid-cycle bleeding, heavy menstrual flow, and postcoital bleeding. The other is infection, which may lead to endometritis, salpingitis, and pelvic inflammatory...[Read More] Understanding IUD-Related Menstrual Changes and Discomfort
Can I Conceive Again After Tubal Ligation Post-Cesarean?
I want to have a third child? I apologize! I would like to ask, my second child was born on January 23, 2015. At that time, I decided to undergo a cesarean section and have a tubal ligation due to fear of pain. Now, I would like to have a third child. If I want to reverse the tub...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The success rate of achieving pregnancy after tubal ligation reversal varies among different reports, ranging from 20% to 80%. It depends on the surgical technique used during the initial ligation and the severity of adhesions at the site of the ligation. Generally, a hyst...[Read More] Can I Conceive Again After Tubal Ligation Post-Cesarean?
Understanding Large Blood Clots During Menstruation: When to Seek Help
Large menstrual blood clots? Previously, my menstrual cycle was normal, and this time the flow is also considered normal, with a bright red color. However, there are many blood clots, and unlike before when they were small, these clots are larger. I would like to ask the doctor i...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The presence of large blood clots typically indicates a significant amount of bleeding occurring suddenly. After the endometrium sheds, the spiral arteries become exposed, allowing blood to flow into the uterine cavity. The hemostatic mechanisms of the uterus begin wit...[Read More] Understanding Large Blood Clots During Menstruation: When to Seek Help
Understanding Brown Discharge: Causes and Concerns in Women's Health
The discharge has consistently been brown? Hello Doctor, I would like to ask you some questions. During the last week of July, I experienced brown discharge, and sometimes it was red, which continued until August 1 when it finally normalized. However, from August 12 onwards, I ha...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Based on the description, the intermittent bleeding from the uterus for 3-4 weeks, along with the presence of an ovarian cyst, suggests that there was no ovulation during the last menstrual cycle, leading to menstrual irregularities. This phenomenon is quite common and...[Read More] Understanding Brown Discharge: Causes and Concerns in Women's Health
Understanding Abnormal Vaginal Discharge: When to Seek Help
Secretion issues? Since the first year of high school, I have felt that my genital area is unusual; the external genitalia seems larger and longer than before. By the second year, my endocrine system was also not functioning properly, partly due to poor hygiene habits. Instead of...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal discharge is likely caused by an infection. Typically, a speculum examination is required to assess the vagina. If there has been no sexual intercourse, a small cotton swab can be inserted through the hymenal opening to collect discharge for saline wet mou...[Read More] Understanding Abnormal Vaginal Discharge: When to Seek Help
Understanding Brown Discharge Before Menstruation: What It Means
Brown discharge before menstruation? If I had bright red blood on August 24th, but had a little bit of brown blood a couple of days prior, does that mean my first day of menstruation is August 24th?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The first day of menstruation is determined by the day with the heaviest flow; the days prior can only be referred to as premenstrual spotting. Thank you for your message![Read More] Understanding Brown Discharge Before Menstruation: What It Means
Do You Need Extra Contraception After Missing a Pill?
If you have a break of 7 days from taking the oral contraceptive pill and engage in unprotected intercourse, there is a risk of pregnancy? Hello, doctor. I have been taking the Alesse contraceptive pill regularly for about six months, usually at 11 PM. However, I forgot to take i...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The mechanism of action of emergency contraceptive pills is not fully understood. The negative feedback effect of hormones suppresses the secretion of ovulation-stimulating hormones, preventing follicular development. Additionally, contraceptive pills cause the endomet...[Read More] Do You Need Extra Contraception After Missing a Pill?
Light Bleeding After Intercourse: Causes and Concerns for Women
Light bleeding after sexual intercourse? Two Saturdays ago (August 13), after being intimate with my boyfriend, I noticed some bleeding when I wiped with toilet paper after using the restroom. It looked more like the beginning or end of a menstrual period, with clear discharge ac...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: After intercourse, the first consideration for bleeding is cervical microvascular rupture. Most cases are caused by cervical inflammation and erosion, while other conditions such as cervical ectropion, cervical precancerous lesions, and cervical polyps can also lead to pos...[Read More] Light Bleeding After Intercourse: Causes and Concerns for Women
Is It Normal to Experience Increased Bleeding During Period After Starting Birth Control?
Increased bleeding during sexual intercourse towards the end of the menstrual period? Doctor, I would like to ask about my situation. I started using regular birth control pills on the first day of my period, and now it has been eight days since my period began. I am experiencing...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) During sexual intercourse, uterine contractions may occur, and if there is already blood accumulation in the uterine cavity, it will be expelled. This is why you may experience increased bleeding during intercourse. (2) Prolonged menstrual periods may be due to poor ut...[Read More] Is It Normal to Experience Increased Bleeding During Period After Starting Birth Control?
Abnormal Bleeding After Miscarriage: When to Seek Medical Attention?
Abnormal bleeding after a miscarriage? I had a natural miscarriage at the beginning of last month. I saw a doctor who performed an internal examination and confirmed that everything was cleared out. The doctor prescribed hemostatic medication and menstrual regulation medication, ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: After a miscarriage, the first consideration for bleeding is the possibility of retained fetal tissue or membranes that have not been completely expelled. Secondly, abnormal ovulation following the miscarriage can lead to abnormal uterine bleeding. The most severe conditio...[Read More] Abnormal Bleeding After Miscarriage: When to Seek Medical Attention?
Understanding Breast Pain: Causes and Concerns for Women
Chest issues Hello, doctor. Tonight, I suddenly experienced sharp pain in my left chest. It went away after a while but then returned, although it didn't last long and I usually don't have this issue. I had a similar pain once before, just before my period, but this tim...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: When experiencing left chest pain, it is important to first determine whether the pain originates from the thoracic organs, including the heart, pericardium, pleura, or esophagus (such as gastroesophageal reflux), or from the chest wall, which may involve the chest muscles...[Read More] Understanding Breast Pain: Causes and Concerns for Women
Clear Watery Discharge After Menstruation: Normal or Infection?
The discharge is clear and watery? The day after my menstrual period ended, I had sexual intercourse, and the following day I started to notice a clear, watery discharge. Is this an infection or a normal phenomenon after menstruation?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The cervix and vagina have many mucous glands that secrete clear mucus in response to sexual stimulation. Additionally, around ovulation, due to increased estrogen levels, there is also a significant secretion of clear mucus. Based on your description, it should be normal ...[Read More] Clear Watery Discharge After Menstruation: Normal or Infection?
Understanding White Bumps on Nipples: Causes and Concerns
Pimple on the nipple? Hello, doctor. For the past couple of days, my nipple has been slightly painful, but I haven't had it examined. Today, I noticed a white bump on my nipple, and when I squeezed it, it discharged a substance that looked like the color of a pimple and had ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The white, pimple-like lesions on the nipple, accompanied by pain, bleeding, and discharge, may be caused by inflammation and suppuration of the nipple's sebaceous glands. If the blood is coming from the milk ducts or if there is persistent bleeding, a thorough breast...[Read More] Understanding White Bumps on Nipples: Causes and Concerns
Understanding Inverted Nipples: When to Seek Medical Advice
Nipple inversion I have done some research and found a similar issue. I apologize, but my girlfriend has inverted nipples, although it only happens occasionally. Should she see a doctor for this?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Most people's nipples are protruding, but a small number may have inverted nipples due to congenital underdevelopment of the mammary ducts or acquired infections, leading to insufficient connective tissue at the base of the nipple. This condition usually only affects ...[Read More] Understanding Inverted Nipples: When to Seek Medical Advice
Concerns After RU486: Understanding Symptoms and Pregnancy Risks
Will I win again? Hello, I would like to ask about my girlfriend. She started bleeding after taking RU486 on June 5, and the bleeding continued until June 14, but there was ongoing bleeding from June 20 to 24. She had a follow-up appointment, and the doctor prescribed Ergolate ta...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Typically, after a miscarriage, the concentration of beta-human chorionic gonadotropin (β-hCG) in the blood gradually decreases. Generally, after a miscarriage at 6 weeks of pregnancy, a pregnancy test will turn negative about three weeks later. However, if there are retai...[Read More] Concerns After RU486: Understanding Symptoms and Pregnancy Risks
Continuous Bleeding After Abortion: Causes and What to Expect
Continuous bleeding after abortion? Hello Doctor: I took RU486 on May 24th and started taking contraction medications on May 26th. At that time, I discovered that I was two weeks pregnant. On the day I took the contraction medication, I experienced increased bleeding, and I also ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Continuous bleeding after taking abortion medication primarily leads to anemia. Typically, this situation can be managed in an outpatient setting through dilation and curettage (D&C) to remove any retained decidual tissue, which can help stop the bleeding. Addition...[Read More] Continuous Bleeding After Abortion: Causes and What to Expect
Understanding Pregnancy: Can Ovulation Tests Indicate Conception?
Are you pregnant? Hello Doctor: My period started on May 28, and I had ovulation tests from June 9, during which I was trying to conceive with a day of effort followed by a day of rest. Yesterday, I read online that ovulation tests can also detect pregnancy, so I tried one and go...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Ovulation test strips measure LH (luteinizing hormone), while pregnancy tests detect b-HCG (beta-human chorionic gonadotropin). The biochemical molecules tested are different. To confirm pregnancy, a pregnancy test should be used. Thank you for your message![Read More] Understanding Pregnancy: Can Ovulation Tests Indicate Conception?