Understanding Late Periods: Causes and Symptoms Explained
Delayed menstruation? On December 7th, I had unprotected intercourse but there was no ejaculation inside. As of today, December 21st, my period has not arrived, but I am experiencing breast tenderness. Could this be a delayed period?
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. Currently, pregnancy tests are very convenient, so it is advisable to take one first. If the test is negative, then other causes should be considere...[Read More] Understanding Late Periods: Causes and Symptoms Explained
Understanding Painful Skin Lesions and Discharge in the Genital Area
Genital issues There are sores near the genital area that are painful, with the presence of blister-like lesions and shallow yellow discharge. What could be the cause?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Genital herpes is usually caused by the type 2 herpes simplex virus. In the case of a primary infection, there may be swelling of the inguinal lymph nodes and systemic symptoms such as fever and fatigue. Subsequent infections typically present only with localized symptoms ...[Read More] Understanding Painful Skin Lesions and Discharge in the Genital Area
Understanding Pregnancy Fears: Signs, Symptoms, and Testing Accuracy
Fear of pregnancy? My period started on October 31 and ended on November 5. I had intercourse twice on November 13, with an hour in between. During the first time, we did not use a condom, and there was contact with pre-ejaculate fluid. My fingers were inserted into the vagina, a...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Current pregnancy tests are very sensitive and can detect pregnancy approximately ten days after conception. However, there are no absolute guarantees, so it is advisable to take another test to confirm. If you are not pregnant, treatment to induce menstruation can be cons...[Read More] Understanding Pregnancy Fears: Signs, Symptoms, and Testing Accuracy
Understanding Pregnancy Tests: Faint Lines and Menstrual Pain Concerns
One line is dark and the other is light on the pregnancy test? I missed my period in September (it was supposed to come on September 30), and then I bought a pregnancy test in mid-October which showed one dark line and one faint line (it was hard to tell without looking closely)....
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Based on your description, it appears to be an early pregnancy loss, or miscarriage. It is important to determine whether the miscarriage has been complete or if further evaluation is needed. A doctor may perform an ultrasound and check the levels of human chorionic gonado...[Read More] Understanding Pregnancy Tests: Faint Lines and Menstrual Pain Concerns
How Soon Can You Take a Pregnancy Test After Emergency Contraceptive?
How long after taking emergency contraception can I take a pregnancy test? Hello Doctor: My last menstrual period started on November 15. I had sexual intercourse (with ejaculation) on November 30 at 6:00 PM, but I took a single dose of emergency contraception at 6:30 PM. The nex...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) The success rate of emergency contraceptive pills is approximately 92-99% when taken within 12 hours. Different reports may vary, but the success rate is quite high. (2) It is usually sufficient to take a pregnancy test after a missed period. Thank you for your message...[Read More] How Soon Can You Take a Pregnancy Test After Emergency Contraceptive?
Do You Still Need a Pregnancy Test After Missed Period?
Do I still need to take a pregnancy test? If a doctor observes that menstruation occurs approximately every 30 days for three cycles after sexual intercourse, lasting about seven to eight days, but the period in December is delayed and has not yet arrived, can pregnancy be comple...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If there has been no sexual intercourse since the last menstrual period, pregnancy should not be possible. Typically, a delayed period is due to anovulation, and treatment with progestin (such as progesterone) can help induce menstruation. Thank you for your message![Read More] Do You Still Need a Pregnancy Test After Missed Period?
Understanding Post-Coital Contraception: Menstrual Changes and Pregnancy Concerns
Emergency contraception I got my period on November 10, and it ended on November 16. I took the emergency contraceptive pill on November 23, within one hour of unprotected intercourse (I also washed my vagina before taking the pill). My period started again on December 4, but the...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The most common side effect of emergency contraceptive pills is abnormal uterine bleeding. In your case, the bleeding on December 4th should be considered abnormal uterine bleeding rather than a menstrual period. After ruling out pregnancy, you should undergo treatment to ...[Read More] Understanding Post-Coital Contraception: Menstrual Changes and Pregnancy Concerns
Is There a Chance of Pregnancy? Understanding Your Symptoms and Options
Is there a possibility of pregnancy? Hello, my last menstrual period started on November 15 and ended on November 20, resulting in a cycle of 29 days. The previous two cycles were 27 and 30 days, with a duration of 6 days each. I had sexual intercourse with my boyfriend on Novemb...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Based on your description, November 28 could likely be the ovulation day. During ovulation, the follicle ruptures and releases an egg, which can cause blood vessels to break and lead to bleeding. This blood can flow into the abdominal cavity, irritating the peritoneum ...[Read More] Is There a Chance of Pregnancy? Understanding Your Symptoms and Options
Understanding Post-Miscarriage Uterine Pain: Is It Normal?
It is common to experience pain in the uterus after a miscarriage? Hello, I recently had a miscarriage and went for a check-up at the obstetrics and gynecology department on November 21. The doctor said that my uterus is now normal, but I am still experiencing some mild stabbing ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) First, it is necessary to rule out the possibility of an ectopic pregnancy. If an embryo sac was observed in the uterus prior to the miscarriage, this can be excluded. If the embryo sac was not seen on ultrasound throughout the process, it is advisable to perform two b...[Read More] Understanding Post-Miscarriage Uterine Pain: Is It Normal?
Delayed Menstrual Cycle: Understanding Irregularities and Causes
Menstrual period is delayed by two months? Hello, doctor: I am currently working and studying in Japan. I arrived on September 17th, and my menstrual period came at the end of September. However, I did not have my period in October and November (I have not had sexual intercourse)...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) For a menstrual cycle to proceed smoothly, it relies on the release of gonadotropin-releasing hormone from the hypothalamus and the secretion of follicle-stimulating hormone and luteinizing hormone from the pituitary gland. If any one or all of these hormones are suppr...[Read More] Delayed Menstrual Cycle: Understanding Irregularities and Causes
Understanding Irregular Bleeding After Taking Emergency Contraceptive Pills
Postoperative medication I apologize, but I need to ask about my menstrual cycle. My period has always been regular, arriving on the 15th of each month. I took emergency contraception on October 26, and I experienced bleeding similar to a normal period starting on October 29, las...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Typically, about 16-20% of individuals may experience abnormal uterine bleeding as a side effect within one month after taking emergency contraceptive pills. However, in the case of abnormal uterine bleeding, it is important to follow the standard operating procedure (SOP)...[Read More] Understanding Irregular Bleeding After Taking Emergency Contraceptive Pills
Understanding Early Pregnancy Complications: Why Can't We See the Embryo?
Unable to visualize the embryo? I had my normal menstruation on September 14, and in October, it came early on October 12, a week ahead of schedule. Then in November, I experienced bleeding on November 3, and later I tested positive for pregnancy with two lines. However, when I w...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Typically, when serum human chorionic gonadotropin (hCG) levels exceed 2900 mIU/ml, a transvaginal ultrasound can visualize the gestational sac. When levels exceed 6000 mIU/ml, an abdominal ultrasound can detect the gestational sac. Furthermore, before 10 weeks of pregnanc...[Read More] Understanding Early Pregnancy Complications: Why Can't We See the Embryo?
How to Confirm You're Not Pregnant After Condom Failure?
Do not want to become pregnant? My period started on October 30th, and during intercourse on November 7th, the condom broke, and ejaculation occurred inside. My boyfriend bought emergency contraception afterward. How can I confirm that I am not pregnant?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: The menstrual cycle is calculated from the first day of menstruation. In a typical 28-day cycle, ovulation occurs around day 14. Based on your description, November 7 would be around the ovulation period, which increases the likelihood of conception. The success rate of em...[Read More] How to Confirm You're Not Pregnant After Condom Failure?
Understanding Abnormal Vaginal Discharge: Causes and Treatments
Secretions issues? Hello, doctor: I have a yellow-green discharge that is thick like mucus and has an unpleasant odor. Sometimes it causes itching. I would like to inquire about the possible causes and how to treat it. PS. I have no sexual experience. Is a pelvic exam necessary?
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: General mucous yellow-green discharge is characteristic of cervicitis. 80% of cases are caused by Chlamydia infection. In cases of abstinence, a pelvic exam is usually not performed, but a small cotton swab can be inserted into the vagina or a sample can be taken from the ...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Treatments
Understanding Menstrual Changes and Symptoms: When to Consider Pregnancy Testing
Changes in physical condition In early July and early August, I had sexual intercourse using condoms. In September, I took medication to delay my period because I went on a trip. My period arrived in early August and early September (about 3 to 4 days late), and it came in early ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Before menstruation, it is common to experience a feeling of bloating in the lower abdomen due to uterine contractions. If the contractions are more intense, pain may occur. Additionally, retrograde menstruation can also cause discomfort and pain in the lower abdomen. ...[Read More] Understanding Menstrual Changes and Symptoms: When to Consider Pregnancy Testing
Understanding Brown Discharge and Abdominal Pain After Intimacy
MC may arrive early and there may be intermittent discharge of dark brown blood? Hello, I apologize for the interruption. I would like to ask about something. About six days ago, I had intercourse with my boyfriend, but in the past few days, I've been experiencing abdominal ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abdominal pain and vaginal bleeding after intercourse can be attributed to two main causes. The first is a ruptured corpus luteum, which can lead to internal bleeding in the abdominal cavity and cause pain. Following the rupture, insufficient progesterone secretion may res...[Read More] Understanding Brown Discharge and Abdominal Pain After Intimacy
Understanding Itchy Labia: Causes and Remedies for Relief
Itching of the labia majora? Hello, Doctor. I experience intense itching of the labia before and after my menstrual period, sometimes to the point of sharp pain. When I examine the area, I notice that both sides are red. My gynecologist prescribed an antifungal cream, but the itc...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Before and after menstruation, the vaginal environment tends to become more alkaline, which is conducive to the proliferation of Candida albicans. The usual cause is within the vagina, so antifungal medications should be used for treatment. For the vulva, antifungal an...[Read More] Understanding Itchy Labia: Causes and Remedies for Relief
Early Menstruation: Understanding Pregnancy Tests and Possible Issues
Early onset of menstruation? I would like to ask, my period was expected on November 16, but it started on November 3. The next day, I bought a pregnancy test and it showed two lines. However, the amount of bleeding is similar to my previous menstrual flow. Could this indicate a ...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If the menstrual period in October was normal, and there is vaginal bleeding on November 3rd, with a pregnancy test taken on November 4th, which is around day 19 of the menstrual cycle, it is too close to ovulation to detect pregnancy. Therefore, if the pregnancy test is n...[Read More] Early Menstruation: Understanding Pregnancy Tests and Possible Issues
Understanding Areola Bumps: Signs of Pregnancy or Other Issues?
There are bumps on the areola? My menstrual cycle has always been irregular, sometimes coming every 3 to 4 months. However, in the past 2 to 3 months, it has been more regular, arriving around the 23rd to 30th of each month. But this month, it's already the 29th, and I still...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: If your period is overdue, it's advisable to take a pregnancy test. The symptoms you are experiencing can occur in early pregnancy, but they can also be associated with a missed period. If you are not pregnant, treatment to induce menstruation may be necessary. Thank ...[Read More] Understanding Areola Bumps: Signs of Pregnancy or Other Issues?
Understanding Post-Coital Contraception: Symptoms and Concerns
Emergency contraception Hello, my girlfriend took emergency contraception three times within a week. After taking the last dose, she experienced bleeding two days later and has pain on the right side of her lower abdomen. In her previous health check-up, she had elevated white bl...
Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: (1) Emergency contraceptive pills contain high concentrations of progestin, which can lead to abnormal shedding of the endometrium as a side effect. This may result in irregular vaginal bleeding. (2) Regarding the pain on the lower right side, if it is right lower abdomina...[Read More] Understanding Post-Coital Contraception: Symptoms and Concerns