Understanding Hormonal Imbalance: Unusual Breast Discharge Concerns
I don't know if I have a hormonal imbalance? Recently, I noticed small white spots on my nipples while showering, which felt strange. Later, when I tried to squeeze my nipples, I surprisingly discharged milk, which shocked me and left me in a daze for a while. I've been...
Dr. Zhan Deqin reply Obstetrics and Gynecology
(1) The secretion of breast milk may be due to the following conditions: 1. Pregnancy 2. Elevated prolactin levels 3. Medication-induced: such as gastrointestinal medications and sedatives. (2) If you are certain that you are not pregnant and have not been taking gastrointestinal...[Read More] Understanding Hormonal Imbalance: Unusual Breast Discharge Concerns
Persistent Bleeding After Taking Postcoital Pills: What to Do Next?
Continuous bleeding after taking Postinor? Hello Doctor, I took one dose of Postinor on the evening of October 5th and another on the morning of October 6th. I started my menstrual bleeding on October 21st, which continued until November 1st (the amount was not heavy). Yesterday ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Premarin is primarily used for hemostasis and menstrual regulation. Taking one tablet last night should not lead to an increase in bleeding today; it may just be coincidental that today’s bleeding is heavier. It is recommended that you continue to take it as prescribed by your ph...[Read More] Persistent Bleeding After Taking Postcoital Pills: What to Do Next?
Cost and Considerations of Tubal Reanastomosis Surgery: What to Expect
Cost of tubal ligation reversal surgery? Hello Dr. Jan: I have been married for many years without conceiving. I would like to ask how much the cost is for tubal reanastomosis. Does health insurance cover it? What is the success rate? Is there a high risk involved? Thank you.
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. If the procedure is a reversal of sterilization, health insurance will not cover the costs. The fees vary by hospital, making it difficult to provide an exact amount, but public hospitals tend to be cheaper (approximately over thirty thousand NTD). 2. If the blockage is not ...[Read More] Cost and Considerations of Tubal Reanastomosis Surgery: What to Expect
Understanding Chronic Cervicitis: Treatment Options After Pap Smear Results
Cervical smear test Hello Dr. Jan: A few days ago, I went to the hospital for a Pap smear, and today I learned that the result shows chronic cervicitis. I would like to ask you what the next steps for treatment should be. Thank you.
Dr. Zhan Deqin reply Obstetrics and Gynecology
Cervical inflammation is best treated by visiting a gynecologist at the hospital.[Read More] Understanding Chronic Cervicitis: Treatment Options After Pap Smear Results
Does Emergency Contraception Affect Pregnancy Test Results?
Does emergency contraception affect pregnancy tests? Hello Dr. Jan, I have a few questions to ask you: 1. Is it true that a pregnancy test is generally taken 10-14 days after sexual intercourse? 2. If emergency contraception is taken, will it affect the results of a pregnancy ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Pregnancy tests should be conducted when menstruation is due but has not yet arrived. 2. No, it will not. 3. It may not be detectable. 4. Emergency contraceptive pills are intended for short-term use, so they do not have long-term effects; however, some individuals may e...[Read More] Does Emergency Contraception Affect Pregnancy Test Results?
Understanding Menstrual Induction Medications: Is Your Body Responding Normally?
Menstrual induction medication Hello, doctor. I missed my period and went to see a gynecologist for an ultrasound and pregnancy test. The doctor said I was not pregnant and prescribed me medication to induce my period. After taking the medication for three days, my basal body tem...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Menstrual induction medications contain female hormones and progesterone, and it is true that taking them can cause a slight increase in basal body temperature.[Read More] Understanding Menstrual Induction Medications: Is Your Body Responding Normally?
Managing Shingles During Pregnancy: Safety, Treatment, and Care Tips
Pregnant women can develop shingles? I am currently three months pregnant and have a cold. I noticed that I have a water blister on the same side of my body, accompanied by sharp pain. It is now the third day, and the blister has not burst. What medication can I take? Is there an...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Try not to burst the blister and avoid scratching it with your hands to prevent infection. 2. Generally, it will not have an impact. 3. If it occurs before delivery, it is more likely to be transmitted to the baby; if there are blisters in the genital area before delivery, a c...[Read More] Managing Shingles During Pregnancy: Safety, Treatment, and Care Tips
Essential Tests to Identify Fertility Issues for Second Pregnancy
I want to get pregnant, but I have been unsuccessful. What kind of tests should I undergo? I have one child and would like to have a second one, but I have been unsuccessful. What tests should I undergo to determine what the issue might be?
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Both partners should undergo an examination together. 2. The husband needs to check his sperm and whether there is any varicocele. 3. The wife needs to check for ovulation, hormone levels, the condition of the uterus, patency of the fallopian tubes, and the normalcy of cer...[Read More] Essential Tests to Identify Fertility Issues for Second Pregnancy
Understanding Chlamydia Infection: Risks, Transmission, and Treatment Options
Clostridium infection Hello Dr. Jan: I previously asked you about pelvic inflammatory disease. The doctor who examined me suggested that I get tested for Chlamydia (due to recurrent infections). I was shocked to find out that the test result came back positive! I can't belie...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Chlamydia is a microorganism that exists between bacteria and filterable viruses. After infection, it grows within cells and can be transmitted to both males and females. In males, it can lead to urethritis, epididymitis, and cystitis. In females, it can cause vaginitis, urethrit...[Read More] Understanding Chlamydia Infection: Risks, Transmission, and Treatment Options
Understanding Pregnancy Tests: When to Seek Further Medical Advice
Second pregnancy test? Hello, doctor. I haven't gotten my period yet, which was due around September 15. I took a home pregnancy test, and it showed negative. You mentioned not to be too reassured, but today is September 26, and my period still hasn't arrived. I took an...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Emergency contraception can indeed affect your menstrual cycle. Since you took it on the 26th of last month (today is the 27th), wait another week, and if your period hasn't started by then, take a pregnancy test again (preferably at a clinic). If necessary, an ultrasound ca...[Read More] Understanding Pregnancy Tests: When to Seek Further Medical Advice
How Accurate Are Pregnancy Tests After Emergency Contraception?
How accurate are pregnancy tests? Hello, Doctor. My last menstrual period was from August 15 to August 21. I had sexual intercourse on August 24 and took the emergency contraceptive pill prescribed by my obstetrician on the morning of August 26, completing a three-day course. On ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. After taking the emergency contraceptive pill, it is common to experience spotting or brown discharge. 2. It is important to remain cautious; you should wait until after September 15th. If your period comes as usual after that date, you can feel reassured. If your period has...[Read More] How Accurate Are Pregnancy Tests After Emergency Contraception?
Why Is There Blood After a Fall? Understanding Vaginal Injuries in Young Girls
The little girl fell and hit her buttocks, resulting in a small amount of vaginal bleeding? Hello Dr. Jan: Why is there bleeding from the vagina after a bump to the buttocks? Is it due to a rupture of the hymen? There was only a drop or two of blood, and it didn't continue t...
Dr. Zhan Deqin reply Obstetrics and Gynecology
After a fall, vaginal bleeding and painful urination may indicate a laceration or abrasion in the genital area, and it is also possible that the hymen could be involved. It is advisable to consult a gynecologist for evaluation.[Read More] Why Is There Blood After a Fall? Understanding Vaginal Injuries in Young Girls
Impact of X-rays on Fertility and Early Pregnancy: What You Need to Know
The effects of X-rays on fertilized eggs? Hello, my husband and I are planning for pregnancy, so I have been measuring my basal body temperature for several months. I expect my next ovulation day to be September 20th. However, on the same day, September 20th, I have an appointmen...
Dr. Zhan Deqin reply Obstetrics and Gynecology
During a bad pregnancy, it is certainly advisable to avoid X-rays as much as possible. However, the radiation dose from a chest X-ray is quite low and should not pose a problem for the egg, as fertilization has not yet occurred and the egg has not begun to divide. Nevertheless, y...[Read More] Impact of X-rays on Fertility and Early Pregnancy: What You Need to Know
Understanding Post-Coital Concerns: Pregnancy Risks and Symptoms Explained
Worrying days..? Hello, doctor. My menstrual period was from August 15 to August 21. I had sexual intercourse on August 24 and took the emergency contraceptive pill prescribed by my gynecologist on the morning of August 26, with a total of three doses taken three times a day. On ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Brown discharge indicates that there is bleeding. 2. When the menstrual cycle is irregular, ovulation may not occur, which can make it more difficult to conceive. To determine if ovulation is occurring, one can monitor basal body temperature; however, since not every month is ...[Read More] Understanding Post-Coital Concerns: Pregnancy Risks and Symptoms Explained
Can Washing the Uterus Prevent Pregnancy After Unprotected Intercourse?
Can this prevent pregnancy? My boyfriend suddenly decided to go without a condom for the first time. Although he withdrew before ejaculation, I know this is very risky. Unfortunately, I later realized that I was in my fertile window. Afterward, I remembered an elder saying that u...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Washing the vaginal canal immediately after intercourse may reduce the chances of pregnancy, but it is not guaranteed. If contraception was not used and pregnancy is not desired, it is safer to take emergency contraception within 72 hours.[Read More] Can Washing the Uterus Prevent Pregnancy After Unprotected Intercourse?
Understanding Blood-Streaked Discharge: What It Means for Your Health
Presence of blood-streaked discharge? I took emergency contraception on August 17. My menstrual period started on August 23. I had sexual intercourse on September 1. On September 4, I suddenly experienced a large amount of clear, egg white-like discharge with a slight yellowish-w...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Before ovulation, it is common to have cervical mucus that resembles egg whites, which may occasionally contain streaks of blood or spotting, and this is normal. However, if the discharge has an unusual odor, causes itching, or has abnormal colors such as yellow-green, resembling...[Read More] Understanding Blood-Streaked Discharge: What It Means for Your Health
Understanding Vaginal Gas: Is It Normal During Intercourse?
Gas in the vagina? Hello Dr. Jan: Recently, when I engaged in sexual intercourse with my boyfriend, I noticed that there was gas entering my vagina. Because of this gas, my boyfriend's penis could not be fully inserted. If he forced it in, it would soon slip out, and when hi...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Most foreign bodies in the vagina come from the outside, with the only exception being when something comes from the inside, which is the case of a rectovaginal fistula. However, rectovaginal fistulas are typically caused by severe lacerations during childbirth. If you have not g...[Read More] Understanding Vaginal Gas: Is It Normal During Intercourse?
Understanding Ovarian Health: Concerns About Hormonal Treatments and Fertility
It seems there is no I have not grown taller and did not experience puberty until I was around 23 or 24 years old. After receiving growth hormone injections, my breasts developed a little, and I started menstruating naturally every two to three months. When I went for a follow-up...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Dufaston contains estrogen and progesterone, which are hormones. There are many similar products available, and given your situation, there isn't a better option. An annual breast ultrasound should suffice. 2. Egg donation for conception is currently quite popular and sho...[Read More] Understanding Ovarian Health: Concerns About Hormonal Treatments and Fertility
Understanding Chronic Pelvic Inflammatory Disease: Causes and Concerns
Pelvic Inflammatory Disease (PID) Hello Dr. Jan, Two years ago, I had vaginitis that was not treated properly, which led to pelvic inflammatory disease. Since then, I have been on medication, but I still haven't recovered. Is this really related to my immune system? I have ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Pelvic inflammatory disease (PID) may sometimes recur, but it shouldn't lead to continuous medication without improvement. It's advisable to investigate other potential causes, and I recommend visiting a major hospital for a thorough examination. Abdominal pain after se...[Read More] Understanding Chronic Pelvic Inflammatory Disease: Causes and Concerns
Does Removing Uterine Ligaments Affect Future Pregnancy?
Is it okay? I underwent hernia surgery last year, and afterwards the doctor mentioned that the uterine ligament was cut. He said it wouldn't affect future pregnancies, but another doctor said it would. I would like to know if it will affect my ability to conceive or not.
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. I'm a bit unclear about what you mentioned. First: which type of hernia surgery are you referring to, and was the surgery performed within the abdominal cavity? Second: There are many ligaments of the uterus; which specific one was cut? 2. Just hearing you say this makes ...[Read More] Does Removing Uterine Ligaments Affect Future Pregnancy?