Dr. Zhan Deqin reply Obstetrics and Gynecology Question - Page 14

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Understanding Post-Menstrual Symptoms: Is Ovulation Causing Breast Discomfort?

排卯 (Páim Hello Dr. Jan, I would like to ask if it is possible to ovulate right after menstruation? For the past four months, I have noticed that a few days (about 3-5 days) after my period ends, my breasts start to feel a bit swollen, and this continues until my next menstruati...


Dr. Zhan Deqin reply Obstetrics and Gynecology
If menstruation consistently starts 5 days early each month, that can still be considered normal. The ovulation period typically occurs about 14-15 days before the next expected period. For example, if the next period is estimated to start on September 15, then ovulation would li...

[Read More] Understanding Post-Menstrual Symptoms: Is Ovulation Causing Breast Discomfort?


Understanding Infertility: Seeking Help After Failed Conception Attempts

Fertility issues Hello Dr. Jan: I got married at the end of December last year and have been actively trying to conceive since May of this year. I visited the obstetrics and gynecology department in June and July to take ovulation-stimulating medications, but both attempts were u...


Dr. Zhan Deqin reply Obstetrics and Gynecology
The definition of infertility is: if a couple has normal sexual intercourse without contraception for one year and has not achieved pregnancy, it is considered infertility. There is no need to be overly anxious.

[Read More] Understanding Infertility: Seeking Help After Failed Conception Attempts


Understanding A.M.D: Uses and Effects in Obstetrics and Gynecology

Medication issues A.M.D. refers to a medication used in the treatment of age-related macular degeneration (AMD). It typically contains a combination of antioxidants, vitamins, and minerals that are believed to support eye health and slow the progression of the disease. The specif...


Dr. Zhan Deqin reply Obstetrics and Gynecology
A.M.D is a gastric medication that contains 334 mg of aluminum hydroxide and 166 mg of magnesium oxide. Its function is to neutralize stomach acid and protect the gastric mucosa.

[Read More] Understanding A.M.D: Uses and Effects in Obstetrics and Gynecology


Understanding Emergency Contraceptive Pills: Effectiveness and Risks

Questions about emergency contraceptive pills? Hello Dr. Jan: I would like to ask, after taking emergency contraceptive pills, during the waiting period before the next menstrual period, if one continues to have sexual intercourse without using condoms, is there still a certain l...


Dr. Zhan Deqin reply Obstetrics and Gynecology
It is still effective, but there is no statistical data available regarding the exact probability. If taken within 72 hours after sexual intercourse, it is approximately 90% effective.

[Read More] Understanding Emergency Contraceptive Pills: Effectiveness and Risks


Concerns About Menstrual Delay Pills and Safe Sex During Travel

Questions about menstrual irregularities? Hello, at the end of this month, I will be traveling to Phuket with my boyfriend. Since my period is coming, I bought medication to delay my menstruation. I would like to ask if there is any risk of having unprotected sex during this time...


Dr. Zhan Deqin reply Obstetrics and Gynecology
It is still important to use condoms, as they not only prevent pregnancy but also protect against sexually transmitted infections. Aside from occasionally interfering with the menstrual cycle, there are no significant side effects. Some individuals may experience nausea or a loss...

[Read More] Concerns About Menstrual Delay Pills and Safe Sex During Travel


Understanding Left Lower Abdominal Pain: Causes and Concerns

Lower abdominal pain? Hello, Doctor: I have been experiencing pain (aching) in my lower left abdomen for some time. About ten years ago, the pain was so severe that I couldn't stand, and after consulting a traditional Chinese medicine practitioner, it was suggested that it m...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Left lower abdominal pain can initially be evaluated by a gynecologist. If the gynecologist finds no issues, then further examination by a gastroenterologist and a general surgeon may be necessary. There are many potential causes for left lower abdominal pain, including issues re...

[Read More] Understanding Left Lower Abdominal Pain: Causes and Concerns


Understanding the Risks and Effects of Uterine Fibroid Surgery

The doctor said that a 9.8 cm uterine fibroid needs to be surgically removed? My wife has excessive menstrual bleeding and was diagnosed with a 9.8 cm uterine fibroid. What are the potential complications after surgery? Will she need to take medication long-term? What are the eff...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There are two types of surgery for uterine fibroids: one involves removing the fibroids, while the other is a total hysterectomy, depending on the situation. However, if the patient is in her 40s and does not wish to have more children, the doctor may recommend a total hystere...

[Read More] Understanding the Risks and Effects of Uterine Fibroid Surgery


Concerns About Irregular Periods: When to Seek Further Gynecological Care

A good friend hasn't come by for a month and eleven days? This Tuesday, I went to the obstetrics and gynecology department for an ultrasound. The doctor said my uterus is normal and prescribed ovulation medication, advising me to check again in twelve days. However, I rarely...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Hormonal imbalances, irregular lifestyle habits, or pregnancy can all lead to missed periods. Ovulation medications should not be taken frequently; it is advisable to monitor the situation further, as it may not be related.

[Read More] Concerns About Irregular Periods: When to Seek Further Gynecological Care


Is Surgery a Good Option for Polycystic Ovary Syndrome?

Can polycystic ovarian syndrome (PCOS) be treated with surgery? I have had polycystic ovary syndrome (PCOS) for 2 years. I need to take medication to induce my period every month. Over the past 2 years, I have seen three different obstetricians and gynecologists, each time for mo...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Weight gain, increased body hair, and menstrual irregularities are indeed symptoms of polycystic ovary syndrome (PCOS). It is advisable to undergo a thorough examination at a medical center.

[Read More] Is Surgery a Good Option for Polycystic Ovary Syndrome?


How to Calculate Your Menstrual Cycle: Understanding the Start of Your Period

How to calculate the menstrual cycle? Your question: I have a little bit of blood-tinged discharge for two days before my period starts, and on the third day, I have a heavier flow. Should I consider the start of my period from the day I notice the blood-tinged discharge or from ...


Dr. Zhan Deqin reply Obstetrics and Gynecology
It is better to start counting from the third day.

[Read More] How to Calculate Your Menstrual Cycle: Understanding the Start of Your Period


Is There a Risk of Pregnancy from Finger Contact After Pre-Ejaculate?

About the fingers? I'm not a doctor, but I can provide some general information. If you had pre-ejaculatory fluid (pre-cum) on your fingers and then inserted your fingers into your girlfriend's vagina, there is a potential risk of pregnancy, as pre-ejaculatory fluid can...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Although the risk is very low (the risks during pregnancy), it is not completely absent.

[Read More] Is There a Risk of Pregnancy from Finger Contact After Pre-Ejaculate?


Understanding Ovulation Bleeding: When to Seek Medical Advice

Bleeding during sexual intercourse? Experiencing thick discharge with streaks of blood or brown discharge the day before your menstrual period and the day after it ends, as well as around ovulation, can be concerning. If this has been occurring consistently for two months, it may...


Dr. Zhan Deqin reply Obstetrics and Gynecology
It is common to have residual brown discharge after sexual intercourse before and after menstruation. As for ovulation bleeding, it is also quite common and typically lasts for 3-4 days as spotting; however, if it persists for a long time or is heavy, medical attention should be ...

[Read More] Understanding Ovulation Bleeding: When to Seek Medical Advice


Understanding Hard Lumps on the Vulva: Causes and Concerns

Fear!!! Hello: Today, while taking a shower, I noticed a hard lump on my labia that resembles a tumor. I didn't notice it yesterday. Could it be due to insufficient hygiene during my menstrual period, or could there be other reasons?


Dr. Zhan Deqin reply Obstetrics and Gynecology
A hard lump on the labia can have many different causes. The most common are a Bartholin's gland cyst (which is usually painless) or a sebaceous cyst. If there is pain, it could be a Bartholin's gland abscess, folliculitis, or a subcutaneous infection. It is advisable t...

[Read More] Understanding Hard Lumps on the Vulva: Causes and Concerns


Understanding Post-Menstrual Brown Discharge: Causes and Concerns

Vaginal bleeding I would like to ask: Why is there brown blood a week after my period ends (it's not much, and this has only happened this time, not before)? What could be the reason?


Dr. Zhan Deqin reply Obstetrics and Gynecology
Women occasionally experience hormonal imbalances or menstrual irregularities, and the presence of brown discharge after menstruation can have various causes. First, it's important to compare this menstrual cycle with previous ones: consider whether the timing is consistent,...

[Read More] Understanding Post-Menstrual Brown Discharge: Causes and Concerns


Understanding Ectopic Pregnancy: Symptoms, Risks, and Misconceptions

Ectopic pregnancy Hello Doctor: I would like to ask about my girlfriend's situation. She had her menstrual period normally, but after almost two weeks, she continued to experience bleeding. Later, she visited a doctor, and after a urine test, it was confirmed that she was no...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Ectopic pregnancy: The embryo is not developing within the uterine cavity (normal pregnancy should occur inside the uterus). 2. Based on what you said, it is indeed difficult to make a determination; further blood tests and ultrasound examinations are necessary. 3. Ectopic...

[Read More] Understanding Ectopic Pregnancy: Symptoms, Risks, and Misconceptions


Understanding Basal Body Temperature: Insights on Ovulation and Menstrual Irregularities

Basal body temperature Hello, doctor. I have a habit of measuring my body temperature, but for the past ten days, my temperature has consistently been between 36.5°C and 36.6°C, with no significant changes. Could this be due to the weather gradually getting warmer? Is this a sign...


Dr. Zhan Deqin reply Obstetrics and Gynecology
If your period is late and your basal body temperature hasn't changed much, you should first consider the possibility of pregnancy. It's best to take a pregnancy test.

[Read More] Understanding Basal Body Temperature: Insights on Ovulation and Menstrual Irregularities


Could I Be Pregnant? Understanding Symptoms and Concerns

Am I possibly pregnant? Doctor, I have been feeling some abdominal bloating, lower abdominal pain, nausea, and fatigue over the past week or two. My period started on April 13, which was five days earlier than usual. I had intercourse with my boyfriend on March 23, and my average...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Menstruation started on April 13, which typically indicates that pregnancy is unlikely. However, it is important to pay attention to whether this menstrual period is different from usual, such as being particularly light, painful, or occurring earlier or later than expected. If a...

[Read More] Could I Be Pregnant? Understanding Symptoms and Concerns


Postpartum Belly: Concerns After C-Section and Future Pregnancies

Obese abdomen I gave birth over four months ago, but my abdomen is still quite large; it measures 90 centimeters. What should I do? This delivery was a cesarean section due to the baby being large. If I become pregnant again right away, will it harm the incision? Thank you for yo...


Dr. Zhan Deqin reply Obstetrics and Gynecology
A waist circumference exceeding 90 centimeters in women is considered above the obesity standard, and it is recommended to lose weight. There are various methods to achieve this: primarily through dietary control and exercise, which can also be supplemented with pharmacological t...

[Read More] Postpartum Belly: Concerns After C-Section and Future Pregnancies


Understanding Vaginal Itching: Causes and Solutions for Women

Vaginal itching Hello doctor, after having sexual intercourse with my husband last week, I occasionally feel itching in my vagina, which comes and goes, but there is no discharge. Could this be vaginitis? How can I improve this condition?


Dr. Zhan Deqin reply Obstetrics and Gynecology
There are many conditions that can cause genital itching, such as eczema, allergies (including those related to condoms), fungal infections, and trichomoniasis. It is advisable to consult a gynecologist for an internal examination to accurately differentiate between these conditi...

[Read More] Understanding Vaginal Itching: Causes and Solutions for Women


Understanding Ultrasound in Obstetrics: Key Questions Answered

Ultrasound Hello, doctor... I would like to ask the following questions: 1. What is petechial hemorrhage? How long does it typically last? 2. How many days after fertilization can an ultrasound detect a pregnancy? 3. If I had a procedure on February 23 and the ultrasound on Mar...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Spotting refers to the presence of small amounts of blood, typically seen as tiny stains on underwear, without a significant flow of menstrual blood. The duration can vary widely, ranging from a few days to several weeks. 2. It can typically be detected around six weeks. 3...

[Read More] Understanding Ultrasound in Obstetrics: Key Questions Answered


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