Understanding Emergency Contraceptive Pills: Symptoms and Concerns
Emergency contraceptive pill If you took emergency contraception three hours after unprotected intercourse and then experienced abdominal pain, cold sweats, and bleeding about five hours later, it is possible that these symptoms are related to the medication rather than a sign of...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common side effect of emergency contraceptive pills is nausea, followed by lower abdominal pain, headache, dizziness, and vomiting. Additionally, symptoms such as breast tenderness and vaginal bleeding may occur. Therefore, your symptoms are likely caused by the e...[Read More] Understanding Emergency Contraceptive Pills: Symptoms and Concerns
Understanding Irregular Menstrual Cycles: When to See a Doctor
Severe disruption of the menstrual cycle? My period used to come around the 2nd of each month and was quite regular, but this time it started on March 9, which is a week late. Today, March 22, my period has returned, and the blood is quite bright red with a significant amount. Sh...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: When menstruation is delayed and there is subsequent abnormal bleeding, it is important to first rule out the possibility of a miscarriage due to pregnancy. If there is no pregnancy, the most likely cause is anovulatory menstruation resulting from a lack of ovulation in th...[Read More] Understanding Irregular Menstrual Cycles: When to See a Doctor
Understanding Bumps Between Clitoris and Labia: Causes and Concerns
Vaginal issues The presence of small, grainy bumps in the area between the clitoris and the labia can be attributed to several factors. These may include normal anatomical variations, such as sebaceous glands or Fordyce spots, which are harmless and common. However, it could also...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Condylomata acuminata (genital warts) are easily infected around the clitoral area and have a bumpy texture. Additionally, inflammation of the sebaceous glands, sebaceous gland obstruction, or cysts, as well as epidermoid cysts, can also present as small, bump-like formati...[Read More] Understanding Bumps Between Clitoris and Labia: Causes and Concerns
Post-Abortion Concerns: Bleeding, Recovery, and Next Period
I would like to inquire about post-miscarriage care? Hello, doctor: I underwent an abortion procedure on the afternoon of March 12, and I haven't experienced any bleeding afterward. Is this normal? I have researched whether I should drink herbal soup to help expel lochia, bu...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Typically, after an abortion procedure, any remaining decidua will be expelled. Therefore, it is normal to experience a small amount of bleeding for about a week post-surgery. If there is no bleeding at all, it may be due to the pregnancy being too early, resulting in ...[Read More] Post-Abortion Concerns: Bleeding, Recovery, and Next Period
Managing Fungal Infections: Effective Treatments for Women's Health Issues
Mold issues The antifungal cream should be applied to the itchy areas as well as the surrounding skin. Since you mentioned that there are small, grain-like lesions around the clitoris that your doctor identified as a fungal infection, it's important to follow the treatment r...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The ointment should be applied to the red, swollen, and itchy areas. (2) Typically, a white Candida infection in the genital area originates from the vagina, and when the discharge flows out, it can infect the vulva or cause an eczema-like reaction in the vulva. Theref...[Read More] Managing Fungal Infections: Effective Treatments for Women's Health Issues
Understanding Menstrual Cramps and Dizziness: Causes and Solutions
Feeling very dizzy during the first menstrual period? During the first day of menstruation, I usually don't experience dizziness or abdominal pain. However, after drinking hot water and resting for a while, the pain subsides. What could be the issue, especially since I haven...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: During menstruation, the uterus secretes prostaglandins, primarily prostaglandin F2α. Its function is to cause contractions of the uterine smooth muscle, facilitating the expulsion of menstrual blood. If there is an excessive secretion of prostaglandins, it can lead to ute...[Read More] Understanding Menstrual Cramps and Dizziness: Causes and Solutions
Understanding White Bumps on Labia: Are They Warts or Something Else?
White granules During my shower, I noticed some white spots on my labia that looked like pimples. When I squeezed them, they came out easily. There are more on the left side, while the right side has almost none. Could this be genital warts?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, it is not a wart. It may be a keratin cyst (also known as an epidermoid cyst), which is a cyst formed by epidermal cells migrating into the dermis, containing white keratin. It could also be a sebaceous cyst, which is formed by the blockage of se...[Read More] Understanding White Bumps on Labia: Are They Warts or Something Else?
Understanding Smooth Bumps at the Labia: What You Need to Know
There is a lump at the junction of the labia majora and the labia minora? There are smooth-surfaced bumps at the junction of the labia majora and labia minora, and there are also bumps at the corners of the mouth. Lastly, there was sexual intercourse one week ago.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, it is a simple herpes virus infection. Among the few antiviral medications available, antiviral drugs for herpes virus were the first to be developed. Typically, topical ointments are sufficient for treatment. Thank you for your message![Read More] Understanding Smooth Bumps at the Labia: What You Need to Know
Missed Periods in Teens: Understanding Irregular Menstruation and Pregnancy Risks
Missed menstruation? Is it normal for a girl to have her period once or twice during puberty and then not have it for two to three months? Is there a chance of pregnancy in this situation?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Women typically experience abnormal ovulation during puberty and menopause. The most common issue is that after the follicles mature, the pituitary gland does not secrete luteinizing hormone, resulting in anovulation. This can lead to delayed menstruation, and after so...[Read More] Missed Periods in Teens: Understanding Irregular Menstruation and Pregnancy Risks
Excessive Discharge and Light Spotting: What to Know Before Your Period
Increased discharge with a small amount of blood after a few days? A few days ago, I had an increase in discharge, which was clumpy and very yellow. Now the discharge is still abundant, but it is no longer clumpy; it remains yellow and watery. Subsequently, I started noticing a s...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The yellowish clumpy discharge followed by watery discharge makes it difficult to determine the type of infection. Vaginal secretions can be collected for bacterial culture, Gram stain smear, KOH smear, and saline smear for differential diagnosis. Thank you for your messag...[Read More] Excessive Discharge and Light Spotting: What to Know Before Your Period
Understanding Delayed Menstruation After Recent Childbirth
Menstruation is delayed? At the beginning of December, I had my period in mid-month, but I haven't had it since then in January and February. I have taken pregnancy tests about 4 to 5 times, and they all came back negative, showing only one clear line. I just gave birth on O...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common reason for the absence of menstruation after childbirth is elevated prolactin levels. If breastfeeding, menstruation may not return for 1 to 2 years. Additionally, the demands of caring for a newborn, disrupted sleep patterns, or postpartum depression can a...[Read More] Understanding Delayed Menstruation After Recent Childbirth
Understanding Post-Sexual Bleeding: Causes and Considerations
Bleeding after sexual intercourse? It is not uncommon for some women to experience light spotting or bleeding after sexual intercourse, especially if they have not engaged in sexual activity for a while. This can be due to several reasons, including: 1. **Vaginal Dryness**: Lack...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: After intercourse, bleeding should be considered for the following reasons: (1) Whether there is a tear in the hymen or vagina. (2) Inflammation of the cervix or cervical ectropion can lead to cervical erosion, which is prone to bleeding upon contact. Of course, precancero...[Read More] Understanding Post-Sexual Bleeding: Causes and Considerations
Understanding Itching and Discomfort: When to Seek Gynecological Help
Worry, itching? I had sexual intercourse in the past... it was over two years ago. I used to have white, chunky discharge, but now I don't have that. Recently, I've been experiencing itching... (in the summer, there is an unusual odor, and there were periods of time wit...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The presence of white, chunky discharge accompanied by itching is most likely indicative of a Candida infection. This type of fungus is not solely transmitted through sexual contact; a significant number of cases arise from environmental sources as well. It typically infec...[Read More] Understanding Itching and Discomfort: When to Seek Gynecological Help
Understanding Vaginal Inflammation: Causes and Recovery Time
The area below is consistently white? I have noticed that the vaginal opening has been white for the past few days. I visited a doctor who diagnosed me with vaginitis and prescribed suppositories and ointment, but there has been no improvement, and it has become even whiter. I am...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) If there is a layer of discharge covering the vaginal opening, it can be collected for microscopic examination to check for the presence of Candida or other bacterial infections. (2) If the white area is leukoplakia, it may indicate insufficient secretion of melanocyte...[Read More] Understanding Vaginal Inflammation: Causes and Recovery Time
Understanding Delayed Menstruation: Causes and Concerns for Women
Delayed menstruation? My period has usually been quite regular, arriving around the 19th of each month. However, in December it was late, only starting on the 26th. During the week of January 20th, I felt like my period was about to come; after using the restroom, I noticed some ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If pregnancy is excluded, the main reason for a delayed menstrual period is the absence of ovulation during the menstrual cycle. Factors such as changes in the environment, stress, and emotional fluctuations can lead to anovulation, and treatment with menstrual induction m...[Read More] Understanding Delayed Menstruation: Causes and Concerns for Women
Understanding Dark Spotting: Causes and Concerns in Women's Health
Menstruation is very light and dark in color? Menstruation has only come a little and then stopped, with a color slightly darker than normal red. I had a vaginal inflammation about two weeks ago, but it resolved after taking medication. The bleeding is so minimal that I don'...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding should first rule out miscarriage due to pregnancy. Next, a pelvic examination should be performed to check for other causes, such as cervical polyps, endometrial polyps, or endometrial hyperplasia. Based on your description, the most likely cause...[Read More] Understanding Dark Spotting: Causes and Concerns in Women's Health
Understanding Itchy Genitals: Causes and Remedies for Women
Genital itching Last month, I experienced irregular menstruation, with only a little bleeding, so I used panty liners for a while. This month, my period started, and I've been using panty liners and sanitary pads for some time. Recently, I've noticed some itching in my ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Prolonged use of panty liners can lead to skin allergic reactions. Additionally, it can increase the risk of vaginal infections, so it is important to check for possible candidiasis or trichomoniasis, and then treat accordingly. Typically, gynecological topical medications...[Read More] Understanding Itchy Genitals: Causes and Remedies for Women
Managing Persistent Fungal Infections in Gynecology: A Patient's Guide
Mold issues There is a fungal infection beside the vagina. I have already seen a doctor and taken medication, but there has been no improvement. I have atopic dermatitis, which is quite severe. Should I continue using the doctor's ointment, or what should I do? Will the smal...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If a fungal infection is confirmed, the cause is usually within the vagina, and it is best to use vaginal suppositories for local treatment. This will also help improve the inflammatory and allergic reactions of the vulva caused by fungal secretions. If the topical ointmen...[Read More] Managing Persistent Fungal Infections in Gynecology: A Patient's Guide
Understanding Prolonged Menstrual Bleeding After Contraceptive Use
Menorrhagia After having intercourse with my girlfriend, I discovered that the condom had broken. I took an emergency contraceptive pill immediately afterward. About a week later, we had intercourse again, and afterward, I noticed a small amount of blood on the sheets. Since that...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common side effect of emergency contraceptive pills is abnormal shedding of the endometrium, commonly referred to as menstrual irregularities. The endometrium becomes desynchronized, leading to daily shedding of mature endometrial tissue, resulting in daily bleedi...[Read More] Understanding Prolonged Menstrual Bleeding After Contraceptive Use
Sudden Appearance of Red Blood in Discharge: What It Means
The secretion suddenly has bright red streaks of blood? Hello, I finished my menstrual period a week ago, but suddenly I have noticed some discharge, which is very light. However, after two days, it suddenly turned into bright red streaks of blood. Could this indicate a problem w...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: In terms of timing, the most likely cause is ovulatory bleeding; however, other causes of abnormal vaginal bleeding should still be ruled out, such as bleeding due to miscarriage, cervical polyps, and endometrial hyperplasia. Thank you for your message![Read More] Sudden Appearance of Red Blood in Discharge: What It Means