Confused About Which Specialist to See for Women's Health Issues?
I'm not sure which specialty to see? Recently, I've been feeling bloated and unable to eat, but I'm not sure if it's a problem with my uterus or my intestines, which is quite distressing. Additionally, I've been experiencing back pain after sitting for a ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Due to being abroad, I am responding to your question today. Sorry for the delay. Given your situation, it is a good choice to first see a gynecologist for an ultrasound examination. If there are no issues, then you can consult a gastroenterologist.[Read More] Confused About Which Specialist to See for Women's Health Issues?
Understanding Early Pregnancy: Week Calculation and Abortion Options
I'm sorry, but I need the content you would like me Yesterday, I discovered I was unintentionally pregnant during a pregnancy test at the hospital. The embryo measures approximately 2.6 centimeters, and the doctor estimated that I am about seven weeks along. However, this se...
Dr. Zhan Deqin reply Obstetrics and Gynecology
The seven weeks referred to by the physician is calculated from the first day of the last menstrual period, not from the actual day of conception, so there may be discrepancies with the date you calculated. As for whether to take medication or undergo surgery, both options have t...[Read More] Understanding Early Pregnancy: Week Calculation and Abortion Options
Can I Rely on My Period After Birth Control Pills to Avoid Pregnancy?
Contraceptive pills..? Doctor, I had my period for 6 days a week after taking the birth control pill. Can I be sure that I won't be pregnant? Thank you for your response.
Dr. Zhan Deqin reply Obstetrics and Gynecology
Theoretically, if you have a normal menstrual period, it indicates that you are not pregnant. However, it is important to confirm that what you are referring to as your period is indeed a true menstrual cycle, which should be similar in terms of your previous menstrual cycle'...[Read More] Can I Rely on My Period After Birth Control Pills to Avoid Pregnancy?
Using Emergency Contraceptive Pills Twice During Menstruation: What to Know
Using emergency contraceptive pills twice during menstruation? My girlfriend said her period was late, and after using two different pregnancy tests, both showed two lines. However, she took emergency contraceptive pills twice within the same cycle. What should I do?
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Emergency contraceptive pills may be less effective if not used correctly, and even when used as directed, they do not guarantee 100% effectiveness. 2. It is advisable to visit a gynecologist for a thorough examination.[Read More] Using Emergency Contraceptive Pills Twice During Menstruation: What to Know
Understanding Myoma: What to Know About Fibroids During Pregnancy
Leiomyoma It's been a long time, about a year and eight months, right? I'm back because I'm pregnant again. The baby should be about 6 weeks along. 1. Last week, I had an ultrasound, and the doctor said there is a 2 cm fibroid. What is that? Will it cause any pro...
Dr. Zhan Deqin reply Obstetrics and Gynecology
I'm glad to hear that you have adenomyosis, which is caused by the growth of endometrial cells into the muscular layer of the uterus, usually resulting in smaller lesions. Fibroids, on the other hand, are caused by the smooth muscle fibers of the uterus and can grow quite la...[Read More] Understanding Myoma: What to Know About Fibroids During Pregnancy
Can Birth Control Pills Cause Acne Breakouts? Understanding the Connection
Can birth control pills cause acne? In the past few weeks, after taking the emergency contraceptive pill, I got my period (on February 12). However, starting from February 15, I have been experiencing a sudden outbreak of acne on my face. I have rarely had acne since puberty, mos...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There are many causes of acne, including diet, lifestyle habits, and hormonal imbalances. 2. Taking emergency contraception once should not lead to a significant increase in acne. It may be due to a recent diet that is too greasy or irregular lifestyle habits. 3. It could ...[Read More] Can Birth Control Pills Cause Acne Breakouts? Understanding the Connection
Understanding Long-Acting Oral Contraceptives: Safety and Efficacy Concerns
Regarding long-acting oral contraceptives? Dear Doctor, my girlfriend recently purchased a so-called long-acting oral contraceptive: ROSA (containing Levonorgestrel 6mg and Quinestrol 3mg). The pharmacy in France stated that it only needs to be taken once a month, which is why sh...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. The side effects of long-acting oral contraceptives may include a reduction in menstrual flow, and in some cases, menstruation may stop altogether; however, it often resumes after discontinuation of the medication. 2. Taiwan has strict regulations regarding pharmaceuticals, so...[Read More] Understanding Long-Acting Oral Contraceptives: Safety and Efficacy Concerns
Understanding Ovarian Cysts: Symptoms, Treatment, and Menstrual Changes
Cyst Hello Dr. Jan: I recently underwent an ultrasound examination, and the results indicated that there is a cyst (approximately 3.8 cm) near my uterus. During a follow-up visit, it was noted that the cyst has reduced to 2.7 cm. I would like to ask if surgery is necessary for th...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Generally, cysts smaller than 5 centimeters are not recommended for surgical intervention. 2. Based on your description, it is likely not a true cyst, but rather an ovarian follicle or corpus luteum cyst, which is why it is shrinking; this is a normal phenomenon and should not...[Read More] Understanding Ovarian Cysts: Symptoms, Treatment, and Menstrual Changes
Understanding Abortion Options for Unplanned Pregnancies in Taiwan
Pregnancy My girlfriend is pregnant, but the current situation does not allow us to have a child. Is it possible to have an abortion? We are both over 20 years old.
Dr. Zhan Deqin reply Obstetrics and Gynecology
Abortion is a choice made out of necessity, and it should be avoided whenever possible. If there are special circumstances that prevent carrying the pregnancy to term, it is best to undergo the procedure within the first three months of pregnancy. Currently, there are two methods...[Read More] Understanding Abortion Options for Unplanned Pregnancies in Taiwan
When to Seek Medical Attention for Abnormal Bleeding in Women
Hemorrhage Doctor, under what circumstances should I seek medical attention for bleeding? I experience ovulatory bleeding almost every month, and occasionally have dark brown discharge with blood a few days before and after my period. I had a Pap smear six months ago and an ultra...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Many women experience ovulatory bleeding, which occurs a few days around the midpoint between two menstrual periods. Some may feel abdominal bloating or pain during this time, and it typically lasts for about 4 to 5 days. If it persists longer or if the abdominal pain is severe, ...[Read More] When to Seek Medical Attention for Abnormal Bleeding in Women
Understanding Ectopic Pregnancy: Symptoms, Risks, and Treatment Options
Ectopic pregnancy? Ten days ago, my girlfriend had sexual intercourse one day after her menstrual period (the seventh day after menstruation), and there was ejaculation inside. Concerned about the possibility of pregnancy, I purchased "emergency contraception" (levonorg...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Ectopic pregnancy is difficult to diagnose without detailed examinations. It is necessary to perform a blood test to check for beta-HCG levels and an ultrasound to confirm the diagnosis. It is recommended that you take your girlfriend to the hospital for a thorough evaluation as ...[Read More] Understanding Ectopic Pregnancy: Symptoms, Risks, and Treatment Options
Understanding Irregular Periods: When to Seek Medical Advice
Amenorrhea Hello Doctor: I am married and have a daughter. I originally had an intrauterine device (IUD) for contraception, and my menstrual cycle was always regular. However, since my last period on November 8, 2002, I have not had another one. On December 24, 2002, I visited a ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
If your menstruation has not occurred for an extended period and you notice abdominal swelling, it is advisable to undergo a thorough examination as soon as possible; it is not wise to delay further.[Read More] Understanding Irregular Periods: When to Seek Medical Advice
Understanding Abnormal Vaginal Discharge During Intercourse: What to Know
Abnormal secretions Hello doctor, I would like to ask about something. Recently, my girlfriend has been experiencing a white discharge that resembles cottage cheese coming out during intercourse with me. However, she says it doesn't cause her any discomfort, and it doesn...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. A discharge resembling tofu curds is likely indicative of a fungal infection, and it would be advisable to consult a gynecologist. Currently, treatments for vaginal fungal infections are very effective. 2. Some women experience irregular menstrual cycles due to anovulation or ...[Read More] Understanding Abnormal Vaginal Discharge During Intercourse: What to Know
Can You Get Pregnant from Finger Contact After Intercourse?
Can I get pregnant? Hello, doctor. I have a question. Yesterday, after having intercourse with my girlfriend, I removed the condom, cleaned it, and disposed of it. I wiped my hands dry with a tissue but did not wash my hands, and then I inserted my fingers into my girlfriend'...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Although the chances are very low, it is not impossible.[Read More] Can You Get Pregnant from Finger Contact After Intercourse?
Understanding Placental Abruption: Risks and Impacts on Pregnancy
Placental abruption Hello Dr. Jan: My sister has difficulty conceiving and has trouble with embryo implantation. She has successfully undergone artificial insemination and is currently in the process of maintaining her pregnancy (now four months along). Initially, there were two ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Among the two fertilized eggs, one may degenerate and will gradually be absorbed, and there may be some bleeding during this process. 2. Frequent abdominal hardness and bleeding should be monitored, as they can sometimes indicate the risk of preterm labor or miscarriage; bed...[Read More] Understanding Placental Abruption: Risks and Impacts on Pregnancy
Understanding Early Menopause: Symptoms, Concerns, and Solutions
Early onset menopause Isn't menopause typically after the age of 50? I had endometriosis and an ovarian chocolate cyst at the age of 34, and I underwent traditional surgery at Chang Gung Memorial Hospital. Afterward, I experienced a recurrence of abdominal pain, and medicati...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. The average age of menopause for women in Taiwan is around 49-50 years old. 2. Medications used to treat endometriosis that have anti-estrogen effects may lead to menopausal-like symptoms, and estrogen supplementation may be necessary. 3. Based on what you described, it is pos...[Read More] Understanding Early Menopause: Symptoms, Concerns, and Solutions
Understanding Skin Irritation: Rashes During Menstruation Explained
Rash Doctor, I'm sorry to bother you again. I would like to ask why on the first night of my menstrual period, while showering, I noticed a small area of red, bumpy skin on my vulva. Could this be due to wearing a pad all day? I have to sit for long periods at work! This sit...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. The presence of granules in the vulva that itch may be caused by eczema or an infection, especially around the menstrual period when immunity is lower. 2. Please do not apply medication on your own; it is advisable to seek treatment from a gynecologist.[Read More] Understanding Skin Irritation: Rashes During Menstruation Explained
Understanding Propolis Treatment for Vulvar Inflammation: Benefits and Risks
Propolis Hello, Doctor: I previously asked you about vestibular inflammation... I would like to ask again: Are there any side effects of using propolis for vulvar inflammation? Is it really painful? What should I pay attention to during the treatment period? The doctor at the cli...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Although there has been much discussion about the medicinal properties of propolis recently, it is ultimately not considered part of conventional medicine, and its effectiveness, especially in gynecological applications, remains unclear and unproven. 2. It is advisable not to ...[Read More] Understanding Propolis Treatment for Vulvar Inflammation: Benefits and Risks
Understanding Vestibular Inflammation: Concerns and Treatment Options
Vestibular inflammation Hello Dr. Jan, I have been experiencing itching in the vulvar area, so I visited a gynecologist. The doctor diagnosed me with vestibulitis and noted that there are granules on the inner sides of the labia, as well as some thread-like structures. He mentio...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Based on your condition, it does not appear to be genital warts, as genital warts typically present as clusters that protrude outward and grow rapidly. Usually, a physician can identify them at a glance, so it is unlikely that only one doctor would notice them. 2. Your condit...[Read More] Understanding Vestibular Inflammation: Concerns and Treatment Options
Understanding Infertility: Can Menstruation Affect Your Chances of Conceiving?
Infertility Is it true that having intercourse during menstruation can lead to infertility, aside from the risk of infection? I had my first sexual experience at 18 and did not conceive then, nor have I conceived since. Does this mean I am infertile? Does this imply that my chanc...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Having intercourse during menstruation does not cause infertility. 2. Infertility is defined as not achieving pregnancy after more than one year of regular unprotected intercourse. 3. Endometriosis can be treated, and pregnancy is possible afterward. 4. If you have not conceiv...[Read More] Understanding Infertility: Can Menstruation Affect Your Chances of Conceiving?