Dr. Zhan Deqin reply Obstetrics and Gynecology Question - Page 20

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Understanding Ovarian Cysts: Causes, Treatment, and Fertility Impact

How to manage ovarian fibromas? Hello Doctor: Since I couldn't go to Kaohsiung Medical University in person, my dad went on my behalf. The blood test results came back, and my dad said the doctor mentioned that my progesterone levels are too low, which is preventing my ovari...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Hello: 1. Polycystic ovary syndrome (PCOS) is characterized by three main features: 1. Insulin resistance. 2. Hyperandrogenism. 3. Abnormal secretion of gonadotropins. 2. Women with polycystic ovaries often experience menstrual irregularities, hirsutism, acne, obesity, and may ha...

[Read More] Understanding Ovarian Cysts: Causes, Treatment, and Fertility Impact


Understanding Abdominal Pain and Irregular Bleeding During Menstruation

Lower abdominal pain? Hello, I would like to ask a question: My menstrual cycle has always been regular, but during this period, I experienced abnormal bleeding (around the sixth day). On the fifth day, there was brown discharge, which is a normal occurrence for me before the end...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Sometimes it can be due to uterine inflammation, and other times it may be related to medication, contraceptive devices, or sexual activity. If similar symptoms occur next month, it is best to consult a gynecologist. 2. Given your age, the incidence of cervical cancer is very ...

[Read More] Understanding Abdominal Pain and Irregular Bleeding During Menstruation


Relief for Itchy Skin During Pregnancy: Tips and Solutions

So easy to care for! Hello Doctor: I am currently 34 weeks pregnant. About three weeks ago, I started experiencing itching on my abdomen, which has now spread to my entire body for the past week. I can't help but scratch, and for the past two days, I've even been unable...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. During pregnancy, due to cholestasis, it is common to experience skin itching or develop pregnancy-specific pruritic urticarial papules and plaques. It is best to seek medical treatment and avoid applying medications indiscriminately. 2. While pregnancy creams can be used, the...

[Read More] Relief for Itchy Skin During Pregnancy: Tips and Solutions


Understanding Vaginal Discharge: What is It and How to Manage It?

excuse me? Doctor, I would like to ask: Before having intercourse with my boyfriend, in addition to the secretion of lubricating fluid, I also notice a white substance. I'm not sure if that is vaginal discharge. What is vaginal discharge? How can I prevent any issues related...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Abnormal discharge is referred to as leukorrhea. Normally, the discharge is clear and odorless. If it appears yellow, green, or has a purulent consistency, resembles curds, has a fishy odor, or is accompanied by itching, these are signs of infection, and medical attention should ...

[Read More] Understanding Vaginal Discharge: What is It and How to Manage It?


Pregnancy Concerns: When Can We Resume Intimacy and Is Pain Normal?

Pregnancy Hello Dr. Jan, I would like to ask how long I should wait before we can resume sexual activity since my wife is currently 6 weeks pregnant. Additionally, since her pregnancy, she has frequently mentioned experiencing diarrhea and has been having occasional dull pain o...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. If the pregnancy is normal and there is no bleeding, there are generally no restrictions on activities. 2. It is common to experience abdominal pain in early pregnancy; however, if accompanied by other symptoms such as bleeding, contractions, or fever, medical attention should...

[Read More] Pregnancy Concerns: When Can We Resume Intimacy and Is Pain Normal?


Understanding Polycystic Ovary Syndrome: Symptoms, Fertility Impact, and Treatment

What is polycystic ovary syndrome? Hello, I experience severe swelling in my lower body and breasts during my menstrual period, and my cycles are irregular, occurring approximately every 30-45 days. I strictly control my diet, but my weight continues to increase. After consulting...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Polycystic ovary syndrome (PCOS) can sometimes lead to menstrual irregularities, anovulation, or may affect fertility, but many individuals exhibit no obvious symptoms and are only diagnosed during ultrasound examinations or blood tests. 2. Ovulation can be induced, or laparos...

[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Fertility Impact, and Treatment


Understanding Prolonged Menstrual Periods: Causes and Insights

Prolonged menstrual period Hello Doctor: I previously experienced a period where my menstruation almost stopped, relying on medication for about 2 to 3 years. Recently, my periods have returned, but the flow is less than before and the duration is prolonged, sometimes exceeding t...


Dr. Zhan Deqin reply Obstetrics and Gynecology
If your menstrual period lasts too long, it is best to consult a gynecologist. If necessary, an ultrasound examination can be performed to check for any abnormalities in the uterus and ovaries.

[Read More] Understanding Prolonged Menstrual Periods: Causes and Insights


Gratitude to Dr. Chan: My Quick Delivery Journey

Thank you? Thank you, Dr. Jan, for answering many of my questions during my pregnancy. I gave birth to a baby boy weighing 3548 grams on June 23rd. It was a one-hour delivery (from labor to birth).


Dr. Zhan Deqin reply Obstetrics and Gynecology
Congratulations! Congratulations!

[Read More] Gratitude to Dr. Chan: My Quick Delivery Journey


Understanding Pregnancy Risk After Unprotected Sex and Emergency Contraception

Could this lead to pregnancy? Hello doctor: If I had sexual intercourse with my girlfriend on the afternoon of the 14th (the second day after her menstrual period ended) and took the emergency contraceptive pill on the afternoon of the 16th, what is the likelihood of pregnancy? P...


Dr. Zhan Deqin reply Obstetrics and Gynecology
The effectiveness of emergency contraceptive pills is quite good when taken within 72 hours after intercourse, as you mentioned, the chances of pregnancy are low.

[Read More] Understanding Pregnancy Risk After Unprotected Sex and Emergency Contraception


Long-Term Hormone Therapy: Risks and Alternatives for Women

Hormones Hello, doctor. My mother had uterine fibroids about ten years ago, and after consulting with a gynecologist, she followed the recommendation to undergo a hysterectomy and oophorectomy. Since the surgery, she has been receiving monthly injections of a Dutch synthetic horm...


Dr. Zhan Deqin reply Obstetrics and Gynecology
The purposes of hormone replacement therapy after menopause or ovarian removal are: 1. To prevent osteoporosis 2. To prevent aging and dementia 3. To treat menopausal symptoms such as hot flashes and palpitations. The only side effect is an increased incidence of breast cancer. H...

[Read More] Long-Term Hormone Therapy: Risks and Alternatives for Women


Understanding Vaginal Tears: Healing, Treatment, and Persistent Pain

Seeking medical advice on behalf of a friend? Hello Dr. Jan: I would like to inquire about a friend who has a tear or an unknown wound in the vagina. Will it heal on its own? Also, if it is difficult to heal, is it advisable to apply antibiotic ointment? Previously, she consulted...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Some may heal on their own. 2. Please do not apply medication randomly; you should consult a gynecologist. 3. It may be accompanied by a urinary tract infection, so I will prescribe medication for that. 4. Take it to a gynecologist for diagnosis; do not worry unnecessari...

[Read More] Understanding Vaginal Tears: Healing, Treatment, and Persistent Pain


Understanding the Differences Between Menstrual Regulation Pills and Contraceptives

Menstrual regulation tablets Hello, doctor. Could you please explain the differences between menstrual regulation pills and progesterone pills? Can progesterone pills be used for menstrual regulation? Will taking menstrual regulation pills cause weight gain? Thank you.


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. General contraceptive pills can be used to regulate menstruation. 2. There are also specific formulations designed for menstrual regulation, but their components are quite similar to those of contraceptive pills. 3. Some individuals may experience this due to the presence of p...

[Read More] Understanding the Differences Between Menstrual Regulation Pills and Contraceptives


Understanding Inverted Nipples in Teenagers: Causes and When to Seek Help

Inverted nipple? Hello, my friend is 16 years old and has inverted nipples. Could you please explain why this might happen? Is it a sign of any underlying condition? If she needs to get checked, should she go to a gynecologist? Thank you for your response.


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. A 16-year-old girl has a concave breast, mostly due to congenital causes. 2. It is advisable to consult a general surgeon or a breast surgeon.

[Read More] Understanding Inverted Nipples in Teenagers: Causes and When to Seek Help


Understanding Brown Discharge Before Menstruation: Causes and Concerns

Brown discharge before menstruation? Why do I have a few days of brown discharge before my period starts? I am 33 years old and have not given birth yet, and this has only been happening for the past year. I consulted a doctor who mentioned it might be due to luteal phase deficie...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Hormonal abnormalities can sometimes occur. 2. More common causes include adenomyosis, uterine fibroids, and endometrial hyperplasia, and sometimes uterine enlargement can be caused by other factors. 3. It is recommended to first undergo an ultrasound examination to determine ...

[Read More] Understanding Brown Discharge Before Menstruation: Causes and Concerns


Understanding Dysmenorrhea: Treatment Options and Surgical Insights

Dysmenorrhea Hello doctor, I am 29 years old and have given birth to one child via cesarean section. Over the past year or two, I have been experiencing menstrual pain (which I did not have before). I have been taking medication for nearly a year, including a treatment called The...


Dr. Zhan Deqin reply Obstetrics and Gynecology
Severe endometriosis often causes dysmenorrhea, and uterine artery embolization may sometimes provide limited relief. Pharmacological treatments, whether injectable or oral, only temporarily suppress symptoms and do not provide a cure. It is advisable not to rely on the same pain...

[Read More] Understanding Dysmenorrhea: Treatment Options and Surgical Insights


Understanding Occasional Vaginal Discomfort: Causes and Concerns

There is sometimes a prickling sensation at the vaginal opening? Hello, I would like to ask why sometimes I feel a sharp sensation at the vaginal opening. It doesn't seem to cause any problems, but it feels a bit strange.


Dr. Zhan Deqin reply Obstetrics and Gynecology
It may be vulvovaginitis; it is advisable to have a check-up with a gynecologist.

[Read More] Understanding Occasional Vaginal Discomfort: Causes and Concerns


Understanding IUD Complications and Male Vasectomy Risks: What You Need to Know

Contraceptive device Dr. Jan: I previously had an intrauterine device (IUD) inserted, but it fell out recently, and I had it reinserted. However, I have been experiencing a dull sensation in my lower abdomen. My menstrual cycle is still occurring, and the doctor mentioned that th...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. The insertion of a contraceptive device can sometimes cause the dull pain you mentioned, and it may also increase the risk of infection or inflammation. As for the white foreign object you described, it cannot be identified without direct observation. 2. You will not develop p...

[Read More] Understanding IUD Complications and Male Vasectomy Risks: What You Need to Know


How to Prevent German Measles During Early Pregnancy

I'm very scared? Hello, doctor. I am currently over a month pregnant, but I just realized that I have never been vaccinated against rubella and have never had rubella in the past. Please tell me how to avoid contracting rubella during my pregnancy. Will rubella occur?


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. You can determine the presence of rubella antibodies by simply having a blood test. 2. Avoiding contact with individuals infected with rubella is the only method; try to minimize visits to public places or wear a mask.

[Read More] How to Prevent German Measles During Early Pregnancy


Understanding Fertility: Key Questions for Couples Trying to Conceive

Want to conceive? Hello, I have been married for almost a year without getting pregnant. My husband's semen analysis is normal. Do I need to undergo invasive testing? How is the patency of the fallopian tubes checked? Is it done with a hysteroscopy? Will it be painful? Is th...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Infertility is defined as the inability to conceive after one year of regular unprotected intercourse. 2. The patency of the fallopian tubes is typically assessed through a hysterosalpingography (HSG), which is usually not painful. Laparoscopy is also one of the methods used, ...

[Read More] Understanding Fertility: Key Questions for Couples Trying to Conceive


Understanding Irregular Spotting: Causes and Concerns in Women's Health

Abnormal bleeding My menstrual cycle has always been regular, with a cycle length of 27 or 28 days and a duration of about 4 days, all of which have been normal. However, for the past two months, I have experienced bleeding on days 20 or 21, but it is only one or two drops, simil...


Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There are many potential causes of abnormal bleeding, and without a thorough examination, it is difficult to provide an answer. Factors to consider include whether you have an intrauterine device (IUD), are taking birth control pills, are on a weight loss regimen, are dieting,...

[Read More] Understanding Irregular Spotting: Causes and Concerns in Women's Health


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