Understanding Hymen Rupture: Clinic vs. Hospital Care and Costs
Gynecological Consultation Hello Dr. Jan: Due to the rupture of the hymen, I would like to know if I can go to a general clinic for the procedure or if I need to go to a hospital. Will it be possible to complete it on the same day, or will I need to be hospitalized? What would th...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. It's better to go to a public hospital because you are less likely to be overcharged, as those are surgeries not covered by health insurance. 2. Simple surgeries typically do not require hospitalization; the costs can vary, but public hospitals are definitely the most aff...[Read More] Understanding Hymen Rupture: Clinic vs. Hospital Care and Costs
Understanding Fistulas: Causes, Symptoms, and When to Seek Help
What is a fistula? Hello Dr. Jan! I have read about "fistulas" in newspapers and magazines, and I feel that my situation is quite similar. I gave birth to my first child naturally in 1990, underwent a myomectomy in 1993 (my first surgery), then had a cesarean section fo...
Dr. Zhan Deqin reply Obstetrics and Gynecology
It could be a vaginal-rectal fistula, but a thorough examination is necessary to confirm. If left untreated, there is a possibility that stool may enter the vagina, leading to an increased risk of infection. It is advisable to consult a gynecologist to prevent the condition from ...[Read More] Understanding Fistulas: Causes, Symptoms, and When to Seek Help
Understanding Pelvic Inflammatory Disease and Its Impact on Fertility
Pelvic Inflammatory Disease (PID) Dr. Jan: If someone has experienced pelvic inflammatory disease, does that mean they can no longer conceive? Is artificial insemination an option? Can laparoscopic surgery be performed if there is pelvic inflammatory disease? What steps can be ta...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Severe pelvic inflammatory disease can cause fallopian tube obstruction, which affects fertility; however, having pelvic inflammatory disease does not mean that laparoscopy cannot be performed. 2. An X-ray can determine if there is a fallopian tube obstruction. 3. Many causes ...[Read More] Understanding Pelvic Inflammatory Disease and Its Impact on Fertility
Understanding Chronic Vaginal Discharge and Its Impact on Fertility
Women's concerns Hello, Doctor: Since the onset of menstruation, I have been troubled by abnormal vaginal discharge and odor. Despite undergoing numerous treatments, the symptoms reappear as soon as the treatment stops. I am now 22 years old, and my condition has not improve...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. It is normal to have increased discharge before and after menstruation; if there is an unusual odor, please consult a gynecologist. 2. Unless there is a severe pelvic infection, there should not be any blockage of the fallopian tubes. 3. Scoliosis does not compress the ovaries...[Read More] Understanding Chronic Vaginal Discharge and Its Impact on Fertility
Understanding Urethritis: Symptoms, Treatment, and Self-Care Tips
Regarding urethritis..? Hello, Doctor. I have been experiencing redness, swelling, and skin breakdown in the vulvar area, along with painful urination, so I consulted a physician. The doctor diagnosed me with urethritis, but I do not have symptoms of frequent urination or difficu...
Dr. Zhan Deqin reply Obstetrics and Gynecology
The redness, swelling, and skin breakdown of the vulva may indicate vulvovaginitis. Please do not self-medicate or apply random ointments; you should see a gynecologist at the hospital.[Read More] Understanding Urethritis: Symptoms, Treatment, and Self-Care Tips
Amniocentesis for Pregnant Women Over 35: Government Subsidy Guide
Amniocentesis Dear Sir/Madam, I would like to inquire whether a general pregnant woman aged 35 years or older (born on January 4, 1954) is eligible for government subsidies for amniocentesis. If so, how can she apply for this assistance? Thank you for your response!
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. If you are only 35 years old or older, the subsidy is 2,000 NT dollars. 2. If you are 35 years old and live in a remote area, the subsidy is 5,500 NT dollars. Remote areas include Shui-Li, Hsin-Yi, Yu-Chi, Jen-Ai, Chung-Liao, Lu-Gu, Guo-Hsing Township, etc. If you have further...[Read More] Amniocentesis for Pregnant Women Over 35: Government Subsidy Guide
Heavy Menstrual Bleeding After IUD Insertion: What to Do?
Heavy menstrual bleeding? I am not sure if the heavy menstrual flow is related to the insertion of the intrauterine device (IUD). Should I consider having it removed? It has been over ten months since I had the IUD placed after giving birth, and my menstrual flow has been very he...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Yes, contraceptive devices can increase menstrual flow. Sterilization is a good option, but it typically requires general anesthesia and is an out-of-pocket expense. If you have further questions, it is recommended to visit an obstetrics and gynecology clinic.[Read More] Heavy Menstrual Bleeding After IUD Insertion: What to Do?
Understanding Irregular Periods and High Prolactin Levels in Women
Irregular menstruation and elevated prolactin levels? I have normal menstrual flow only every three months, while the previous two months I experienced slight discharge with a blood tint, and sometimes I haven't even seen a doctor. They only did a blood test and mentioned th...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There are many reasons for irregular menstruation, and elevated prolactin levels are one of them, which can affect fertility. 2. It is recommended to have an ultrasound to check for any issues with the uterus and ovaries. 3. If it is solely a prolactin issue, a head X-ray shou...[Read More] Understanding Irregular Periods and High Prolactin Levels in Women
Understanding Menstrual Pain: Causes, Diagnosis, and Treatment Options
Dysmenorrhea Hello: I did not often experience menstrual pain in the past, only occasionally, until high school when I began to have pain almost every time, although the intensity varied. The pain lasted for two to three days. After examination, the doctor said I had retrograde m...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Most cases of dysmenorrhea have no identifiable cause. 2. An ultrasound can help determine if there is endometriosis or other issues. 3. Symptoms often improve after marriage and childbirth, so please try not to worry. If you have concerns, please visit a gynecology clinic.[Read More] Understanding Menstrual Pain: Causes, Diagnosis, and Treatment Options
Understanding Caffeine and Hydration During Pregnancy: Myths and Facts
Does caffeine affect the fetus? Can stretch marks be avoided? How can this be done? Why do doctors recommend that I drink at least six large cups of water a day during pregnancy? What happens if I don't? Can I substitute with other beverages? Will this lead to decreased amni...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Drinking more fresh milk is better. 2. Do not consume excessive amounts of tea and coffee (three to four cups a day is too much). 3. Folk sayings are not always reliable. 4. High-quality cosmetics should not cause issues; however, please check if they contain excessive amounts...[Read More] Understanding Caffeine and Hydration During Pregnancy: Myths and Facts
Understanding Fibrocystic Breast Changes: What You Need to Know
Fibrocystic changes?! Dear Doctor, I recently underwent a health check-up conducted by my company and discovered that I have a fibrocystic mass in my right breast. I am unsure if this will have any impact on my health. If it is benign, can I leave it untreated? If it is malignant...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. It is recommended to undergo a breast ultrasound. 2. If it is benign, only monitoring is necessary. 3. If it is malignant, surgical removal is required. It is advised that you come to our hospital's obstetrics and gynecology department for a more detailed examination.[Read More] Understanding Fibrocystic Breast Changes: What You Need to Know
Understanding Infertility: Risks, Treatments, and Costs for Women
Infertility Having a history of cervical erosion and endometriosis can increase the risk of infertility, but it does not guarantee that one will be infertile. The suitability for assisted reproductive technologies such as artificial insemination, in vitro fertilization (IVF), and...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Severe endometriosis can make it more difficult to conceive. The cost of in vitro fertilization (IVF) varies among different clinics, typically ranging from several hundred thousand to over a million New Taiwan Dollars, and it may not be suitable for everyone. If you have further...[Read More] Understanding Infertility: Risks, Treatments, and Costs for Women
Managing Cold Symptoms During Pregnancy: Impact on Your Baby
Obstetrics and Gynecology Hello, doctor; I am a 24-week pregnant woman. A month ago, I had cold symptoms, but they have not improved until now. I have been coughing continuously, and I also have phlegm and nasal discharge, which is very thick. Sometimes I experience nasal congest...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Common colds do not affect the fetus; however, if there is a fever, it can be a concern. It is important to rest and drink plenty of warm fluids. If symptoms such as fever or sore throat occur, it is essential to seek medical attention promptly.[Read More] Managing Cold Symptoms During Pregnancy: Impact on Your Baby
Understanding Safe and Dangerous Days in Your Menstrual Cycle
Safe period To calculate the safe period and dangerous period for conception, you can follow these steps based on a typical menstrual cycle: 1. **Determine the Length of Your Menstrual Cycle**: The average menstrual cycle is about 28 days, but it can range from 21 to 35 days for...
Dr. Zhan Deqin reply Obstetrics and Gynecology
The safe period is more reliable for individuals with regular menstrual cycles. Ovulation typically occurs about fourteen days before the next menstrual period. For instance, if the next period is expected on November 23, ovulation would likely occur around November 10. Therefore...[Read More] Understanding Safe and Dangerous Days in Your Menstrual Cycle
Post-Hysterectomy Consultation: Managing Symptoms and Recovery Tips
Consultation After Hysterectomy Due to the large size of the uterine fibroids (6x8 cm), a laparoscopic surgery was performed to remove the uterus 24 days ago. There are still some symptoms: 1. light bleeding 2. pain. Is this normal? When can I expect to recover? What precautions ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Mild bleeding and discomfort may still be unavoidable, especially after vigorous exercise. 2. It is advisable to wait at least two months after surgery before resuming sexual activity. If there are any concerns, please visit the obstetrics and gynecology outpatient clinic.[Read More] Post-Hysterectomy Consultation: Managing Symptoms and Recovery Tips
Understanding Elevated Prolactin Levels: Causes and Implications for Women
Investigation of Prolactin Hello Doctor: I have not been able to conceive, so I went to the hospital for an examination and found that my prolactin level is elevated at 35. Could you please explain what causes an increase in prolactin? I am not pregnant and have not been breastfe...
Dr. Zhan Deqin reply Obstetrics and Gynecology
Prolactin level is 35, which is only mildly elevated; it may return to normal after some time. The most common causes of elevated prolactin are pituitary tumors or hypersecretion, but those typically present with levels in the hundreds, not just 35. Chronic elevation of prolactin...[Read More] Understanding Elevated Prolactin Levels: Causes and Implications for Women
Can You Take Cold Medicine While Treating Vaginal Infections?
What should I do if I catch a cold during the treatment period? I am currently using vaginal tablets to treat inflammation and am not taking any oral medication, but unfortunately, I have also caught a cold. Can I use cold medicine at the same time? Will there be any side effects...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There are several types of vaginitis, and it is important to identify the specific infection causing it. Generally, yeast infections related to vaginitis are associated with antibiotics, so it is best to avoid taking antibiotics during the treatment of a yeast infection. 2. ...[Read More] Can You Take Cold Medicine While Treating Vaginal Infections?
Understanding PCOS: Irregular Cycles, Fertility Challenges, and Treatment Options
Polycystic Ovary Syndrome (PCOS) I was pregnant in January of this year, but I experienced a miscarriage at 7 weeks due to bleeding, and the doctor performed a surgical abortion. Since then, my menstrual cycles have been irregular (ranging from 25 to 60 days), whereas before preg...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. If it is indeed polycystic ovary syndrome, taking ovulation medications is not incorrect, although it does not guarantee pregnancy. Ovulation medications are usually taken for a maximum of 5 to 6 months. 2. Although surgery is an option, combining it with ovulation-stimulating...[Read More] Understanding PCOS: Irregular Cycles, Fertility Challenges, and Treatment Options
Understanding Irregular Periods: Hormonal Influences and Concerns
Irregular menstrual cycle? Hello Doctor: My last menstrual period started on the 16th of last month, but this month it began on the 6th. For the first week, it was very light and the color was also very pale. Starting from the 13th, the flow increased, and it is still ongoing tod...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Menstrual issues are quite broad, as many factors such as medications, exercise, weight loss, moving, changing jobs, or irregular cycles can have an impact. Additionally, contraceptive devices can also cause abnormal bleeding. 2. If an ultrasound and Pap smear are performed an...[Read More] Understanding Irregular Periods: Hormonal Influences and Concerns
Understanding IVF: Twin Risks, Gender Selection, and Costs in Taiwan
Infertility Is the probability of having twins higher with artificial insemination and in vitro fertilization? Is it suitable for everyone? Is it possible to select sperm with X or Y chromosomes to determine the sex of the baby? What are the costs involved? Does health insurance ...
Dr. Zhan Deqin reply Obstetrics and Gynecology
1. There is no insurance coverage for assisted reproductive technology. 2. The sperm selection you mentioned is called sperm separation technique, and it can be done. 3. In vitro fertilization has a higher chance of multiple births because doctors tend to implant several embryos ...[Read More] Understanding IVF: Twin Risks, Gender Selection, and Costs in Taiwan