Understanding Abnormal Vaginal Discharge: Causes and Insights
Abnormal secretion? Hello, doctor. I have experienced a large amount of discharge over the past two days, and I would like to seek your advice. The first instance was a sudden release of a significant amount, and the second occurred after sexual intercourse the following day. The...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Typically, there is a significant secretion of clear mucus before and after ovulation, and there may also be a large amount of mucus secretion during sexual arousal. The mucus may contain whitish substances, which could be cells shed from the vaginal epithelium; this is a ...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Insights
Understanding Abdominal Pain After Intercourse: A Guide for Women
Abdominal pain during and after intercourse. Gastroesophageal reflux? Hello Doctor: Eight years ago, I had pelvic inflammatory disease and was treated with antibiotics, which resolved the issue. However, since then, I have frequently experienced abdominal pain. I surprisingly imp...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Women experience sexual arousal and orgasm during intercourse, during which the autonomic nervous system and sensory motor nerves are activated. The excitation of the parasympathetic nervous system can lead to gastrointestinal motility and flatulence. If there has been a h...[Read More] Understanding Abdominal Pain After Intercourse: A Guide for Women
Post-Sexual Activity Bleeding: Causes and Concerns for Women
Postcoital bleeding After sexual intercourse, my boyfriend noticed a small amount of blood on the condom, but the color was very light, similar to the end of a menstrual period. However, there was no bleeding from the vagina, and this only occurs during intercourse. This has not ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Postcoital bleeding can primarily occur in two areas. (1) Bleeding from microvascular rupture of the cervix and cervical erosion, which can be caused by cervical infections, cervical ectropion, or precancerous lesions of the cervix, all of which can lead to fragile microva...[Read More] Post-Sexual Activity Bleeding: Causes and Concerns for Women
Understanding Post-Menstrual Bleeding: Causes and Concerns
Bleeding one week after the menstrual period has ended? Hello, Doctor: My menstrual period ended on May 6th, but on May 12th, I noticed brown discharge when I wiped after using the restroom, similar to the first day of my period. The next day, there was nothing, but after 6 or 7 ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding still requires a comprehensive evaluation, including checking for pregnancy-related bleeding, the presence of cervical polyps or vaginal lacerations causing the bleeding, and the possibility of uterine fibroids or ovarian tumors, in order to rule ...[Read More] Understanding Post-Menstrual Bleeding: Causes and Concerns
Understanding Polycystic Ovary Syndrome: Symptoms and Fertility Concerns
Polycystic Ovary Syndrome (PCOS) Doctor, I apologize for asking, but I previously had two children, and since then my menstrual cycle has been irregular. I have been seeing a doctor for menstrual induction, and I also went to a large hospital for examinations. I was diagnosed wit...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Abnormal bleeding from the endometrium should first rule out miscarriage or ectopic pregnancy as the cause. (2) If there is no pregnancy, it is usually due to anovulatory menstrual irregularities. The endometrium undergoes localized shedding daily, resulting in continu...[Read More] Understanding Polycystic Ovary Syndrome: Symptoms and Fertility Concerns
Understanding Irregular Periods: Causes and Treatment Options
Irregular menstrual cycle I haven't had my period for six months. On April 30, I went to a gynecology clinic for a check-up. They performed a urine test and an ultrasound, which showed that I was not pregnant. The doctor prescribed me two different medications to take for th...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The menstrual cycle is initiated by the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus. If this hormone is suppressed and not secreted, it can result in a situation like yours, where menstruation has not occurred for six months. In this case, ther...[Read More] Understanding Irregular Periods: Causes and Treatment Options
Understanding Brown Discharge and Uterine Pain Before Menstruation
Vaginal discharge Hello! I would like to inquire about the issue of experiencing uterine pain a week before my menstrual period. For the past 3-4 months, I have noticed a significant amount of thick, dark brown discharge with streaks of blood during the week leading up to my peri...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Your situation involves the shedding of the endometrium and light bleeding starting one week before your menstrual period officially begins. Generally, if the secretion of progesterone is sufficient to support the endometrium, this phenomenon should not occur. Therefore, t...[Read More] Understanding Brown Discharge and Uterine Pain Before Menstruation
Itchy Clitoris with White Bumps: Infection or STD Concerns?
The clitoris is slightly itchy and has small white bumps? A few days ago, I noticed itching in my genital area, and after showering, I found a few white, pus-like bumps around the clitoris. They are not painful. Is this an infection or a sexually transmitted disease, and what imp...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The small white granular substance in the genital area that is not painful is most likely an epidermoid cyst. Its contents are keratin, which is caused by the proliferation of skin keratinocytes. The second possibility is a sebaceous cyst, formed by the accumulation of seb...[Read More] Itchy Clitoris with White Bumps: Infection or STD Concerns?
Understanding Postpartum Menstruation: What’s Normal After C-Section?
Postpartum menstruation Hello, Doctor: I had a cesarean section in June 2015 and am currently breastfeeding. My first postpartum menstrual period returned in March of this year, but I haven't had another period since then. During this time, I have experienced some contractio...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Although prolactin levels increase during breastfeeding, which inhibits follicular growth, the fact that you have had a menstrual period indicates that ovulation may have resumed. Since it has been over two months without a period, it would be advisable to take a pregnancy...[Read More] Understanding Postpartum Menstruation: What’s Normal After C-Section?
Understanding Painful Intercourse: Causes and When to Seek Help
Severe pain during intercourse? Hello, I would like to ask something. Recently, I have been having intercourse with my boyfriend, but it is very painful, with a sharp stinging sensation, and there is slight bleeding. Even when I shower or clean my vagina, it hurts a lot. Urinatio...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, there is epidermal damage in the vulvar area, which may involve laceration and bleeding, or it could be a sign of herpes causing pain. It is advisable to seek medical treatment as soon as possible. Thank you for your message![Read More] Understanding Painful Intercourse: Causes and When to Seek Help
Understanding Breast Tenderness After Menstruation: Is It Normal?
Breast engorgement after menstruation? Hello Doctor, I have irregular menstrual cycles, so I have been taking progesterone and birth control pills to regulate my periods. I started taking the birth control pills on the first day of my menstrual cycle. The flow was not heavy in be...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Birth control pills contain estrogen and progestin, which can cause breast tenderness as a side effect. (2) You can start taking the first pack of birth control pills from the first day of your menstrual period up to the fifth day. Each brand of birth control pill has ...[Read More] Understanding Breast Tenderness After Menstruation: Is It Normal?
Understanding Irregular Menstruation: Causes and Solutions
Severe menstrual irregularities? Hello doctor. I have had my first menstrual period for a year now, but it is still very irregular. In the first half of the year, my periods came, but each time they were increasingly delayed. In the second half of the year, I experienced a patter...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The menstrual cycle is typically regulated by the hypothalamus in the brain, and the hypothalamic neurons related to the ovulatory axis usually mature around the age of 18. Before this maturation, irregular ovulation and menstrual irregularities are common. If there is ano...[Read More] Understanding Irregular Menstruation: Causes and Solutions
Understanding and Treating Itchy Labia: When to See a Gynecologist
Labial itching Hello, I've been experiencing intense itching inside my labia for the past couple of days, and it even itches when I go to the bathroom. I noticed small blisters (similar to herpes) on the sides of my labia, and there are a few on both sides. Is there a way to...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Typically, infections within the vagina, whether caused by Candida, Trichomonas, or bacterial vaginosis, can lead to discharge that irritates the labia, potentially causing redness, swelling, or a granular skin reaction, along with itching. Herpes virus infections can pres...[Read More] Understanding and Treating Itchy Labia: When to See a Gynecologist
Post-Intercourse Bleeding: Understanding Causes and Seeking Solutions
Postcoital bleeding Hello, I would like to ask a few questions. First, let me briefly summarize my medical history. On December 26, I underwent a suction curettage (abortion) and experienced bleeding for 10 days, followed by brown discharge. After taking medication to promote ute...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) A pelvic examination can reveal the source of the bleeding. (2) Generally, it is difficult to visually assess precancerous lesions of the cervix, and a Pap smear is necessary for diagnosis. Typically, precancerous lesions of the cervix rarely present with bleeding symp...[Read More] Post-Intercourse Bleeding: Understanding Causes and Seeking Solutions
Understanding Black Growth on the Clitoris: Causes and Remedies
There is a black growth on the clitoral head? Doctor, I have a small black spot in the middle of my clitoris that looks like a scab and hurts when I touch it. Can I just apply some medication or wear more breathable clothing to resolve this? Thank you!
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If the scab is formed due to infection, inflammation, or a laceration, you can apply antibiotic ointment for treatment. However, if it is something like melanoma, it needs to be excised for pathological examination. Thank you for your message![Read More] Understanding Black Growth on the Clitoris: Causes and Remedies
Understanding Post-Intercourse Bleeding: Causes and What to Do
Intercourse-related bleeding Hello, I have not fully recovered from a bacterial infection, and my period is about a week late. During intercourse, I experienced a small amount of bright red bleeding, which stopped by the evening. Initially, my partner thought it was my period, so...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: 1. Post-coital bleeding may have several possible causes: (1) Excessive force may cause tearing of the hymen or vaginal wall. (2) Cervical erosion or rupture of fragile microvessels can lead to bleeding. Causes may include infections or abnormal cervical cells. ...[Read More] Understanding Post-Intercourse Bleeding: Causes and What to Do
Understanding Delayed Menstruation: Common Causes and Concerns
Delayed menstruation? Doctor, I would like to ask why I had a very light period for two days on February 27-28 last month, and I still haven't gotten my period this month. Is there something wrong with my body?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If your period is late, the first step is to take a pregnancy test to check for pregnancy. Other causes of delayed or absent menstruation include obesity, excessive stress, hyperthyroidism or hypothyroidism, elevated prolactin levels, elevated androgens, certain medication...[Read More] Understanding Delayed Menstruation: Common Causes and Concerns
What Causes Discharge During Intercourse? Understanding the Issue
During intimate activities, why are there always flakes? During previous sexual encounters, there were no such issues, but now there are flakes present during the process. What could this be?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Squamous epithelial cells in the vagina and epidermal cells on the penile skin are shed daily as part of normal metabolism, so it is normal to find white vaginal epithelial cells in the vagina. Additionally, if there is an infection in the vagina, there may sometimes be so...[Read More] What Causes Discharge During Intercourse? Understanding the Issue
Understanding Cervical Erosion Treatment: Concerns About Suppository Use
Cervical erosion treatment using suppositories? Due to bleeding, the doctor prescribed a suppository to be used every two days during the internal examination. I used panty liners while using the suppository because I was concerned about excessive discharge similar to what occurs...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Some suppositories can solidify on the surface of the cervix and vagina, forming a protective film, which reduces discharge. Later, this protective film may shed, resulting in white residual medication in the vagina. Thank you for your message![Read More] Understanding Cervical Erosion Treatment: Concerns About Suppository Use
Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects
Prolonged menstrual period? I would like to ask if it is normal to have only a small amount of dark-colored blood during the first week of my menstrual period? However, in the second week, the flow becomes normal (so the total duration is almost two weeks). My second question is ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) When there is abnormal vaginal bleeding, the first step is to check if the bleeding is caused by pregnancy. Next, it is important to investigate whether there are any lesions causing the bleeding, such as endometrial hyperplasia, cervical polyps, or uterine fibroids. I...[Read More] Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects