Can You Take Birth Control Pills Before Your Period Starts?
Can emergency contraception be taken before menstruation arrives? If you have taken emergency contraception but are taking birth control pills for the first time, and your period is expected in about 17 days, starting the birth control pills now can still provide contraceptive ef...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle. Given your situation, it is advisable to use other methods of contraception for now. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Can You Take Birth Control Pills Before Your Period Starts?
Can You Take Turmeric with Fish Oil and B Vitamins? Expert Advice
Nutritional consultation for health supplements? I have been taking fish oil and B vitamins daily, and I recently want to start taking curcumin. Is it okay to do so? I read some articles online suggesting that if you are taking fish oil, it is not recommended to take curcumin as ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the combination of fish oil and curcumin is generally considered safe to take together. However, fish oil and calcium should not be taken simultaneously, as excessive fat can interfere with calcium absorption. Taking calcium and fish oil together may lead to the formation ...[Read More] Can You Take Turmeric with Fish Oil and B Vitamins? Expert Advice
Understanding Delayed Menstruation: Could It Be Pregnancy?
Delayed menstruation? Hello, doctor. I would like to ask about my menstrual cycle, which is typically 28 days. About 2 to 3 days after my cycle, I noticed some brown discharge that lasted for about a day and then stopped. I had sexual intercourse with my boyfriend 3 days before m...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterin...[Read More] Understanding Delayed Menstruation: Could It Be Pregnancy?
Left Lower Abdominal Pain Before Menstruation: Causes and Concerns
Ten days before the onset of menstruation, there is a dull and cramping pain in the lower left abdomen? Hello doctor, my husband and I have been planning for a baby, so we haven't been using any protection. For several months, I haven't had any news regarding pregnancy....
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a determination. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and health. Dr. Zhang[Read More] Left Lower Abdominal Pain Before Menstruation: Causes and Concerns
Understanding the Pregnancy Risk After Condom Misuse in Women’s Health
What is the probability? Last Friday, during sexual intercourse while using a condom, I realized that it was on inside out. I turned it around and put it on correctly, and it did come into contact with the glans, but I am certain there were no secretions. After finishing, I check...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of contraception using condoms throughout the entire intercourse is over 5%. It is recommended to check for pregnancy if your menstrual period is more than a week late. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Understanding the Pregnancy Risk After Condom Misuse in Women’s Health
Understanding Menstrual Cycle Irregularities: When to See a Gynecologist
Menstrual issues? About last November, my menstrual period came about 6 to 7 days early. I thought it was not a big deal, but from November to December, my cycle changed to 23 days, while my usual cycle is around 28 to 30 days. I initially thought it might be due to my body being...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, lesions in the uterus or cervix, infections, ovulation...[Read More] Understanding Menstrual Cycle Irregularities: When to See a Gynecologist
Can You Adjust Birth Control Pills to Avoid Your Period?
Stop taking emergency contraceptive pills one to two days earlier than planned? Hello, Doctor. I have been taking the contraceptive pill Yaz continuously since June 2023 (with 24 active pills and 4 inactive pills per cycle, taking one pack after another without interruption). My ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description of symptoms, it is acceptable to continue with this method of taking the medication. You can either continue with the next pack after finishing the current one, or you may start with the first pill of the next pack after completing the 24 effectiv...[Read More] Can You Adjust Birth Control Pills to Avoid Your Period?
Do FM2 Medications Affect the Effectiveness of Birth Control Pills?
Interactions of Contraceptive Medications Is there a reduction in the effectiveness of contraceptive pills when taking FM2 (non-barbiturate)?
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives. ...[Read More] Do FM2 Medications Affect the Effectiveness of Birth Control Pills?
Estimating Conception Date Based on Ultrasound Measurements
Approximate date of fertilization? Hello, doctor. During my visit to the obstetrics and gynecology department on January 5th, the physician mentioned that there was a gestational sac, and the ultrasound measurement was approximately 0.85-0.95 cm. I would like to inquire if it is ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is recommended to reassess at 8-9 weeks; however, there is still a certain margin of error, and it cannot be used as legal evidence. Thank you! Wishing you peace and health, Dr. Zhang.[Read More] Estimating Conception Date Based on Ultrasound Measurements
Understanding HPV Infection: Treatment, Risks, and Future Implications
Could you please provide more details about the HPV infection issue? Hello Doctor, I started treatment for HPV-related genital warts at the end of August last year (cryotherapy and topical immune-enhancing medication). After two months, the lesions were no longer visible, and the...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the inquirer: 1. Cryotherapy and topical treatments have no significant effect on this condition. 2. If you have already been infected with certain types of human papillomavirus (HPV), receiving the HPV vaccine afterward will not prevent or treat diseases caused by thos...[Read More] Understanding HPV Infection: Treatment, Risks, and Future Implications
How to Properly Use Emergency Contraceptive Pills: A Guide
How to take 21 oral contraceptive pills? Hello Doctor, last month (on December 21) I took the emergency contraceptive pill (Ella) for the first time on the first day of my period, which resulted in irregular bleeding, and I still have some bleeding now. Yesterday (January 10), I ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, you can continue taking it on the fifth day after your next menstrual cycle or after a seven-day break; both options are usually around the same time. Thank you! Wishing you peace and health. Dr. Zhang.[Read More] How to Properly Use Emergency Contraceptive Pills: A Guide
Understanding Breakthrough Bleeding on Birth Control Pills: Your Questions Answered
Questions about contraceptive pills? Hello Dr. Chang, this is my first time using oral contraceptives. I am currently taking "Yaz": 1. I started experiencing bleeding after taking the 19th pill; is this normal menstruation? 2. When should I start taking the next pack of...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the user: During the use of contraceptive pills, there is no need to stop taking them if menstruation occurs or if there is any bleeding; continue to take them as scheduled. Once the body adapts to the contraceptive pills, abnormal bleeding will typically cease. However, i...[Read More] Understanding Breakthrough Bleeding on Birth Control Pills: Your Questions Answered
Understanding Clitoral Itching: Causes, Treatments, and When to Seek Help
Genital itching This week, I've been experiencing itching around the clitoris, and I've scratched it to the point of breaking the skin. I often wake up at night due to the itching. I applied some medication that my sister used for her itching, which helped a little. Tod...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is difficult to determine the type of infection. Vaginal infections are not necessarily related to sexual activity. If symptoms persist, it is advisable to consult with your treating physician for further evaluation. Thank you! Wishing you pea...[Read More] Understanding Clitoral Itching: Causes, Treatments, and When to Seek Help
Can You Get Pregnant from External Ejaculation? Understanding Risks and Menstrual Delays
Can I get pregnant? Hello, doctor. My girlfriend's last menstrual period started on December 1. We had sexual intercourse on December 19-20, but it was only through manual stimulation, and there was no direct contact between our genitals; ejaculation was external. My girlfri...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulation...[Read More] Can You Get Pregnant from External Ejaculation? Understanding Risks and Menstrual Delays
Do These Three Medications Affect the Effectiveness of Birth Control?
Will these three medications affect the effectiveness of preemptive contraception? Hello, I am currently taking these three medications: Microgynon 30, Clonazepam 0.5 mg, and Paroxetine. The first one is my oral contraceptive, and the second one is labeled as an anticonvulsant, b...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives. ...[Read More] Do These Three Medications Affect the Effectiveness of Birth Control?
Understanding Cervical Cancer Risks and Pap Smear Necessity for Young Women
Pap smear test Hello, doctor. I would like to ask if my boyfriend's finger penetration and friction with his penis against my genital area count as sexual intercourse. Should I have a Pap smear every year? Previously, when I didn't have a boyfriend, a gynecologist near ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, after engaging in sexual intercourse, it is advisable to undergo a Pap smear. However, it is important to note that HPV infection can occur immediately after sexual contact. Therefore, regular examinations of the vulva are recommended. The risk of cervical cancer is associ...[Read More] Understanding Cervical Cancer Risks and Pap Smear Necessity for Young Women
Understanding Emergency Contraceptives and Pregnancy Risks: Your Questions Answered
Emergency contraceptive pills and the probability of pregnancy? Hello, doctor. I am not planning to get pregnant, so I have been taking Yaz 24+4. This is the sixth month, and in the previous months, my period usually started on the 28th or 29th day. Today is the 29th day, and my ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the oral contraceptive pill must be taken at the same time every day. When taken correctly, it can achieve a 99% effectiveness in preventing pregnancy. If a dose is missed and there is no expected withdrawal bleeding during the subsequent pill-free interval, pregnancy shou...[Read More] Understanding Emergency Contraceptives and Pregnancy Risks: Your Questions Answered
Can You Get Pregnant from Pre-Ejaculate During Protected Sex?
Secretions from the glans penis? Hello, doctor. During sexual intercourse, I used a condom the entire time and there was no ejaculation. The discharge was only on the glans. However, halfway through, the condom slipped up a bit, and I touched the base of the penis, but that was o...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. Emergency contraception can be used as a remedy, but its effectiveness is not 100%, with a failure rate of about 3%. If ...[Read More] Can You Get Pregnant from Pre-Ejaculate During Protected Sex?
Could She Be Pregnant? Understanding Menstrual Delays and Risks
Can I get pregnant? My girlfriend got her period on November 24 last year, and we had unprotected intercourse with withdrawal on December 10. As of January 5, she still hasn't gotten her period, but she doesn't feel unwell, has no nausea, breast tenderness, or loss of t...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, lesions in the uterus or cervix, infections, ovu...[Read More] Could She Be Pregnant? Understanding Menstrual Delays and Risks
Missed Birth Control Pill: What to Do and Expect Next
Taking the last pill of the emergency contraceptive one day late? Hello Doctor: I am currently taking Yaz, and on December 31st, when I was supposed to take the first white inactive pill, I realized that I had taken the last pink active pill instead. My period was expected to sta...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, you may continue to take the medication. If you do not have your regular menstrual period after a week of observation, please consult a physician for evaluation. Thank you! Wishing you peace and health. Dr. Chang[Read More] Missed Birth Control Pill: What to Do and Expect Next