Dr. Zhang Kunmin reply Obstetrics and Gynecology Question - Page 38

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Can You Take Accutane with Emergency Contraceptive Pills?

Medication issues Hello, doctor: I would like to ask if it is safe to take A acid (tretinoin) together with the emergency contraceptive pill "Ella" (ulipristal acetate)?


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) can reduce the effectiveness of oral contraceptives. When taking these medications, alternative...

[Read More] Can You Take Accutane with Emergency Contraceptive Pills?


How Long to Wait After Using Vaginal Suppositories Before Urinating?

Vaginal suppository How long should I wait to urinate after using a vaginal suppository? Although I usually go to the bathroom before inserting it and getting ready for bed, I feel the urge to urinate shortly after insertion. Is this normal? Can I go to the bathroom, or should I ...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the user: After inserting, you can use the restroom as long as you don't feel any leakage. It's best to place it as far inside as possible. Thank you! Wishing you peace and health. Dr. Chang

[Read More] How Long to Wait After Using Vaginal Suppositories Before Urinating?


Concerns After Ejaculating with a Condom: What You Need to Know

Concerns After Ejaculating with a Condom If a condom is removed immediately after ejaculation while still erect, and upon inspection, there is no white fluid in the female's vagina, but some semen is observed at the tip of the condom with a slight white fluid on the side, an...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the failure rate of correctly using condoms throughout intercourse is still around 5%. As long as there are active sperm in the vagina during the ovulation period, there is a possibility of pregnancy regardless of the method, and it cannot be est...

[Read More] Concerns After Ejaculating with a Condom: What You Need to Know


Managing Continuous Bleeding While Taking Birth Control Pills

Taking birth control pills to stop menstruation but experiencing continuous bleeding? I only have my period and my body becomes very poor, to the point where I almost die. When I don't have my period, my body feels better, so I need to stop my menstruation. I have been takin...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the user: During the use of contraceptive pills, if bleeding occurs, there is no need to stop taking the medication; continue to take it as scheduled. Once the body adapts to the contraceptive pills, abnormal bleeding will cease. However, if irregular bleeding persists for...

[Read More] Managing Continuous Bleeding While Taking Birth Control Pills


Is It Menstruation? Understanding Irregular Bleeding After Sexual Activity

Is it menstruation? The menstrual cycle is approximately 31-35 days, with the last menstrual period starting on February 22. On March 25, my boyfriend did not wear protection while I was wearing sweatpants, and he thrust a few times, but he assured me there was no bodily fluid. O...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of correctly using condoms throughout is still over 5%, which is less reliable compared to other methods. Bleeding may be due to hormonal imbalance or an early onset of menstruation; however, bleeding can also occur in the early stages of pregnancy or arou...

[Read More] Is It Menstruation? Understanding Irregular Bleeding After Sexual Activity


Understanding the Continuous Effectiveness of IUDs in Contraception

Mirena IUD Hello, under correct usage, does the contraceptive ring provide continuous protection? For example, if I inserted the ring on Sunday, February 26, and removed it three weeks later on March 19 for a one-week break, and then reinserted the ring on Sunday, March 26, will ...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the contraceptive ring must remain in the body continuously for three weeks to ensure a full month of contraceptive effectiveness. When used correctly, the effectiveness is approximately 99-98%. Thank you! Wishing you peace and health. Dr. Chang

[Read More] Understanding the Continuous Effectiveness of IUDs in Contraception


Understanding IUD Effectiveness: Key Questions Answered

Mirena IUD Hello, under correct usage, does the intrauterine device (IUD) provide continuous protection? For example, if I had the IUD inserted on Sunday, February 26, and removed it three weeks later on March 19 for a week of rest, and then reinserted the IUD on Sunday, March 26...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the contraceptive ring must remain in the body continuously for three weeks to ensure a full month of contraceptive effectiveness. When used correctly, the effectiveness is approximately 99-98%. Thank you! Wishing you peace and health. Dr. Zhang

[Read More] Understanding IUD Effectiveness: Key Questions Answered


Do I Need Emergency Contraception After Condom Failure?

Probability of pregnancy If the condom did not break during intercourse but burst during the inspection process, and the semen was splashed onto your body and pubic area but was immediately rinsed off, it is generally considered that the risk of pregnancy is low. However, since t...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of correctly using condoms throughout intercourse is still about 5%. As long as there are active sperm in the vagina during ovulation, there is still a possibility of pregnancy, regardless of the method of contraception used. It is not possible to estimate...

[Read More] Do I Need Emergency Contraception After Condom Failure?


Can You Get Pregnant Without Ejaculation During Ovulation?

Possible pregnancy Hello, doctor: I would like to ask about the possibility of pregnancy if there was unprotected vaginal intercourse during the woman's ovulation period for less than 1 minute without ejaculation. Is there a need for emergency contraception? Additionally, th...


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. It is best to use emergency contraception as a remedy, but its effectiveness is not 100%, with a failure rate of about 3...

[Read More] Can You Get Pregnant Without Ejaculation During Ovulation?


Understanding Drug Interactions: Birth Control and Antibiotics

Drug interactions Hello, I am currently taking the oral contraceptive pill Diane-35 and have completed two packs. On the seventh day of my seven-day break, I started taking doxycycline (two pills a day) prescribed by my clinic due to a cold. I plan to return to the ENT specialist...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) can reduce the effectiveness of oral contraceptives. When taking these medications, alternative c...

[Read More] Understanding Drug Interactions: Birth Control and Antibiotics


Understanding Emergency and Regular Birth Control Methods: A Guide

Contraception-related Hello, I would like to ask about my girlfriend. She took the emergency contraceptive pill on February 22, and her period started on February 28 (at this time she began taking the regular contraceptive pill, 21 tablets). Her period ended on March 3. Is this t...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the recommended practice for starting the medication is to begin on the first day of your menstrual period. It is best to take it at the same time every day for a continuous period of 21 days. After completing the 21 pills, take a break for seven days; your menstrual perio...

[Read More] Understanding Emergency and Regular Birth Control Methods: A Guide


Could I Be Pregnant? Understanding Risks After Protected Intercourse

Can I get pregnant? Hello, doctor. I would like to ask about an incident that occurred on January 30th, where I had sexual intercourse with a condom and ejaculation inside. My last menstrual period was from February 12 to February 19. This time, my period is ten days late (it has...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is a possibility of pregnancy, as the failure rate of correctly using condoms is still around 5%. I recommend that if your period is a week late, you should take a urine test to check for pregnancy. Thank you! Wishing you peace and health. ...

[Read More] Could I Be Pregnant? Understanding Risks After Protected Intercourse


Understanding Pregnancy Chances After Unprotected Intercourse: A Comprehensive Guide

Probability of Pregnancy The last menstrual period started on February 21. I had unprotected intercourse on March 2, but the withdrawal method was used (withdrawn just before ejaculation). I took emergency contraception within two hours. On March 20, I took a home pregnancy test,...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, if you have had a regular menstrual period, it is likely that you are not pregnant. If your period is late or if you are uncertain, it is advisable to consult a physician for evaluation. Thank you! Wishing you peace and health, Dr. Chang.

[Read More] Understanding Pregnancy Chances After Unprotected Intercourse: A Comprehensive Guide


Understanding White Bumps on the Vulva: Causes and Treatment Options

Vulvar issues, with dense white small nodules that are slowly expanding? The skin of the vulva has many small, densely packed white bumps that are slightly raised, without itching or pain. I have a habit of hair removal (plucking), which I have maintained for about two years. Pre...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is difficult to determine the type of lesion. It is recommended that you consult a gynecologist for further examination and evaluation. Thank you! Wishing you peace and health, Dr. Zhang.

[Read More] Understanding White Bumps on the Vulva: Causes and Treatment Options


Understanding Pregnancy Chances After Unprotected Intercourse: A Guide

What is the probability of getting pregnant? Hello, doctor. My partner and I attempted penetration on March 9, but it was unsuccessful; the tip entered and there was some friction at the opening (we used a condom the entire time, and it was our first time). On March 14 and March ...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is a possibility of pregnancy, as the failure rate of correctly using condoms is still around 5%. I recommend that if your period is a week late, you should take a urine test to check for pregnancy. Thank you! Wishing you peace and health. ...

[Read More] Understanding Pregnancy Chances After Unprotected Intercourse: A Guide


Understanding Contraceptive Pills and Ovulation: Your Questions Answered

I would like to inquire about birth control pills and ovulation issues? My last menstrual period started on February 25th, and my cycles are usually very regular, ranging from 32 to 33 days. I estimated my ovulation date to be March 12th. I had sexual intercourse on March 18th, b...


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. Additionally, the effectiveness of emergency contraception is not 100%, with a failure rate of about 3%. It is recommend...

[Read More] Understanding Contraceptive Pills and Ovulation: Your Questions Answered


Unusual Bleeding After Menstruation: When to Seek Medical Advice?

Unusual blood Doctor, I apologize for bothering you, but I have a question. My period just ended not long ago, and I recently noticed a small amount of blood (very little) that feels different from my menstrual flow. For example, yesterday I noticed some on my underwear, so I use...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical l...

[Read More] Unusual Bleeding After Menstruation: When to Seek Medical Advice?


Can Dietary Supplements Alleviate Post-Menopausal Syndrome Symptoms?

Can postmenopausal syndrome be improved by supplementing with health products? Hello Doctor, my mother is 59 years old and has been menopausal for a while. Although she should have already transitioned out of menopause, she is currently experiencing prolonged emotional sensitivit...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the inquirer: Based on your description, it is recommended to consult an obstetrician-gynecologist for relevant examinations and treatment. Thank you! Wishing you peace and health. Dr. Chang

[Read More] Can Dietary Supplements Alleviate Post-Menopausal Syndrome Symptoms?


Understanding Brown Discharge During Ovulation: What You Need to Know

Brown discharge during ovulation period issue? Hello doctor, my girlfriend and I have not had sexual intercourse since December 2nd of last year. I took a pregnancy test on January 7th of this year, which was negative, and my girlfriend had normal menstrual periods from January t...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors affecting intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, post-coital contraceptives, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulatio...

[Read More] Understanding Brown Discharge During Ovulation: What You Need to Know


Understanding Brown Discharge During Ovulation: Common Concerns and Questions

Brown discharge during ovulation? Hello Doctor, my girlfriend and I have not had sexual intercourse since December 2nd of last year. On January 7th of this year, a pregnancy test was negative, and from January to March, her menstrual cycles were normal, lasting 7 days each: Decem...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors affecting intermenstrual bleeding 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] Understanding Brown Discharge During Ovulation: Common Concerns and Questions


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