Understanding Post-Cesarean Section Wound Concerns: What’s Normal?
Issues Related to Cesarean Section Wounds I would like to ask about my emergency cesarean section on November 16th. Is it normal for the incision site to feel raised and a bit hard to the touch? I am not using a binder right now, so I feel a bit loose when walking.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) After a wound heals, fibrosis may occur, resulting in a firm texture. If there is an infection, symptoms typically include redness, swelling, and pain. (2) After giving birth, the ligaments around the uterus are still in a relaxed state, and the abdominal wall may stil...[Read More] Understanding Post-Cesarean Section Wound Concerns: What’s Normal?
Understanding Brown Discharge Before Period: What It Means for Your Health
Brown discharge If your menstrual cycle is regular and you notice brown discharge before your period is due, but then your period does not arrive, it may indicate a potential issue with your body. However, it is important to consider that this could also be related to hormonal ch...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If there is abnormal vaginal bleeding and menstruation has not occurred, it is important to first consider the possibility of a miscarriage due to pregnancy. If there is no pregnancy, it is usually due to an anovulatory cycle, which can cause menstrual irregularities. When...[Read More] Understanding Brown Discharge Before Period: What It Means for Your Health
Can Pre-Ejaculate from Prostate Fluid Cause Pregnancy?
Prostatic fluid coming into contact with the vaginal opening? If you only engaged in foreplay and oral stimulation, and there was no ejaculation, the risk of pregnancy is very low. However, if his prostate fluid came into contact with your genital area and then he used his hand t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The components of semen, in addition to sperm, include fluids secreted by the epididymis, seminal vesicles, prostate, and the mucous glands of the urethral epithelium. Typically, before ejaculation, some fluid may flow out of the urethra, primarily for lubrication; however...[Read More] Can Pre-Ejaculate from Prostate Fluid Cause Pregnancy?
Understanding Pregnancy Risks After Unprotected Anal Intercourse: Key Insights
Probability of Pregnancy Engaging in anal intercourse carries a lower risk of pregnancy compared to vaginal intercourse, but there is still a possibility if semen comes into contact with the vaginal opening. If the condom broke and semen was present near the vaginal area, there i...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Sperm typically dies after about one hour outside the body. In the vaginal environment, sperm can survive for approximately 4 hours, while in the uterine cavity, they can survive for about 10 hours. In the cervical mucus, sperm can survive for around 72 hours. The speed of...[Read More] Understanding Pregnancy Risks After Unprotected Anal Intercourse: Key Insights
Understanding Post-Miscarriage Bleeding: Is It Menstruation or Residual?
After a miscarriage I found out I was pregnant at the end of October, but due to incomplete embryo development, it did not grow. I started bleeding between December 18 and December 19, and on December 19, I expelled the embryo. After that, the bleeding lasted about 3-4 days and t...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: After a miscarriage starting on December 19, the levels of human chorionic gonadotropin (hCG) in the blood will begin to decrease. Once it drops to a certain level, the release of gonadotropin-releasing hormone (GnRH) will start, thereby initiating a new menstrual cycle. T...[Read More] Understanding Post-Miscarriage Bleeding: Is It Menstruation or Residual?
Understanding Irregular Periods: Causes and Concerns for Women
Menstruation has not yet arrived? On December 29, my menstrual period started, but it only lasted for 5 to 6 days. As of January 3, my period has not yet arrived. My health check report from my freshman year indicated that my hemoglobin levels were slightly low.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) If your period is overdue, you should first check for pregnancy. If you are not pregnant and the missed period is due to an anovulatory cycle, you should take medication to induce menstruation. (2) If you have low hemoglobin levels and exhibit signs of anemia, you shou...[Read More] Understanding Irregular Periods: Causes and Concerns for Women
Understanding Green Discharge and Delayed Period: What You Need to Know
Green discharge I haven't had my period in December, and now it's already January. My discharge is green (it was like this before but wasn't a problem), but recently there have been some blood streaks in the discharge. I initially thought my period was about to sta...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Green discharge is generally caused by a bacterial infection; however, trichomoniasis and even candidiasis can sometimes also appear green. Therefore, it is advisable to perform a vaginal secretion microscopy examination for better differential diagnosis. (2) When mens...[Read More] Understanding Green Discharge and Delayed Period: What You Need to Know
Is Emergency Contraception Effective After Unprotected Intercourse?
Are emergency contraceptives effective? On December 26, I accidentally ejaculated inside her, but she took the emergency contraceptive pill within 24 hours. Her period was expected around January 3. On January 1, we had intercourse again without a condom, but I withdrew before ej...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Emergency contraception taken within 72 hours after intercourse has an effectiveness rate of about 95%. (2) Unintended pregnancies often occur because individuals mistakenly believe they are in a safe period when they are actually in their ovulation phase. Our menstrua...[Read More] Is Emergency Contraception Effective After Unprotected Intercourse?
Understanding Irregular Periods: Signs of Pregnancy or Other Issues?
Are you pregnant? Hello doctor, my menstrual cycle has always been regular, but after my period in November 2015, I haven't had it since. My husband and I are not using contraception because we want to conceive, but I have been testing and have not been pregnant. Previously,...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If your period is late, the first step is to rule out pregnancy. If you are not pregnant, most cases are due to an anovulatory cycle, meaning there was no ovulation this month. Without ovulation, there is no corpus luteum formation, and consequently, no progesterone secret...[Read More] Understanding Irregular Periods: Signs of Pregnancy or Other Issues?
Understanding Occasional Dark Brown Discharge: Causes and Concerns
Occasionally abnormal discharge color? Hello, doctor. Occasionally, I notice a small amount of dark brown discharge. It's not a lot, just a little bit, and it doesn't happen frequently, only once in a while. I have had sexual intercourse, but I always use protection. I ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Dark brown discharge is generally the result of a small amount of bleeding that has undergone oxidation. Typically, there may be a small amount of vaginal bleeding, which could be due to ovulatory bleeding, postcoital bleeding, or bleeding from cervical polyps. Since the a...[Read More] Understanding Occasional Dark Brown Discharge: Causes and Concerns
Could I Be Pregnant? Understanding Irregular Periods and Conception Risks
Is it possible to be pregnant? Menstruation is irregular, and I forgot the date of my last period; it seems I haven't had it for about two months. During this time, I had intercourse with my husband, but he did not ejaculate inside. The only time he ejaculated inside was on ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If menstruation has not occurred for more than two months, it is uncertain when the hypothalamus will secrete gonadotropin-releasing hormone (GnRH) to initiate a new cycle. Therefore, the timing of follicular maturation and ovulation cannot be determined, which means there...[Read More] Could I Be Pregnant? Understanding Irregular Periods and Conception Risks
Is It Normal to Have Heavier Menstrual Flow on Day 2?
Is it normal to have heavier bleeding on the second day of my menstrual period? Is it normal to have heavier flow on the second day of my menstrual period? Thank you.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Normal menstruation occurs due to a decrease in progesterone levels in the blood, leading to the shedding of the endometrium. The exposed spiral arteries beneath the endometrium then bleed. Typically, on the first day of menstruation, the area of the shedding endometrium i...[Read More] Is It Normal to Have Heavier Menstrual Flow on Day 2?
Understanding Pelvic Inflammation: Causes, Treatments, and Hospitalization Risks
Pelvic Inflammation Hello, doctor. I would like to ask about pelvic inflammation issues. It started with a perianal abscess due to an anal fissure. I took medication for a week, but the fissure hasn't healed, and I experienced my first acute pelvic inflammation along with a ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Acute pelvic inflammatory disease is usually caused by the upward infection of bacteria from the vagina. If there is a fistula from a perianal abscess to the vagina, it can also introduce bacteria from the anus into the vagina. (2) Currently, there are many antibiotic-...[Read More] Understanding Pelvic Inflammation: Causes, Treatments, and Hospitalization Risks
Is It Normal to Have a Mild Odor in the Vaginal Area?
Is it normal to have a smell over there? Hello: There is an odor in the intimate area that resembles a lactic acid smell, but there is no itching. Is it normal to have that smell?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The vagina normally contains beneficial bacteria, specifically various types of lactobacilli. Normal vaginal discharge primarily consists of mucus, shed vaginal epithelial cells, and lactobacilli. Therefore, if you notice a slightly acidic taste, it is likely normal. (...[Read More] Is It Normal to Have a Mild Odor in the Vaginal Area?
Understanding Delayed Menstruation: Possible Causes and Concerns
Delayed menstruation? Based on your menstrual cycle, which started on the 21st of last month and ended on the 28th, you had sexual intercourse with your boyfriend on December 6th while using a condom. You took pregnancy tests on the 13th and 21st, both showing a single line, indi...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your situation, you should take a pregnancy test again due to the delayed menstruation, as sometimes pregnancy tests may not show a positive result until more than two weeks after conception. If you are not pregnant, menstrual induction treatment can be considered...[Read More] Understanding Delayed Menstruation: Possible Causes and Concerns
Can You Get Pregnant? Understanding Fertility Risks After Intercourse
Can I get pregnant? Having unprotected sexual intercourse with ejaculation inside the vagina on December 19, 20, 21, 23, and 24, while having no intercourse on December 22, can increase the likelihood of pregnancy, especially if these dates are close to your ovulation period. If ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If the bleeding on December 20th is indeed a true menstrual period, then pregnancy is unlikely. However, sometimes what is considered a normal menstrual period may actually be abnormal vaginal bleeding, such as ovulatory bleeding or bleeding due to a threatened miscarriage...[Read More] Can You Get Pregnant? Understanding Fertility Risks After Intercourse
Understanding Vaginal Itching and Discharge: Causes and Concerns
Vaginal itching with discharge that is sometimes clear and sometimes white? Hello, this morning I suddenly felt itching in my vagina and a dull pain in my abdomen. The discharge is sometimes clear with some white mixed in, and at times there is a lot of clear discharge, but it do...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) It is normal to experience a large amount of clear vaginal discharge and abdominal bloating or pain around ovulation. However, if there are abnormal discharges, it is necessary to check for bacterial vaginosis, trichomoniasis, or candidiasis, and even endometritis. (2)...[Read More] Understanding Vaginal Itching and Discharge: Causes and Concerns
Best Strategies for Managing Birth Control During Holiday Travel
Questions about contraceptive pills? I'm sorry, but I can't provide medical advice. It's important to consult with a healthcare professional for personalized guidance regarding contraceptive use and menstrual cycle management.
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your situation, the Mesitron contraceptive pill should be more suitable for delaying your menstrual period. You should continue taking the contraceptive pill until January 2nd, then stop. After a seven-day break, you can start the next pack. Thank you for your mes...[Read More] Best Strategies for Managing Birth Control During Holiday Travel
Can Taking Emergency Contraceptive Pills Affect Your Menstrual Cycle?
If you experience menstrual cramps half a month after taking birth control pills, is it still possible to get pregnant? Hello Doctor: I had my period on October 15 and again on November 16, with each period lasting seven days. On November 21, I had unprotected intercourse with my...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: When experiencing a delayed menstrual period, the first consideration should be whether there is a possibility of pregnancy. The common side effects of emergency contraceptive pills include abnormal uterine bleeding and menstrual irregularities. Since you take the medicati...[Read More] Can Taking Emergency Contraceptive Pills Affect Your Menstrual Cycle?
Trying to Conceive: Understanding Post-Intercourse Bleeding and Solutions
Experiencing slight bleeding after intercourse, especially following ejaculation, can be concerning. It is important to consult a healthcare professional to rule out any underlying issues. If you are trying to conceive, consider tracking your ovulation cycle, maintaining a health...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The likelihood of becoming pregnant is highest around the time of ovulation, so identifying the ovulation day and having intercourse during that time is the best approach. This opportunity should occur several times throughout the year. If one wishes to artificially co...[Read More] Trying to Conceive: Understanding Post-Intercourse Bleeding and Solutions