Can Dienogest and Mirena IUD Be Used Together for Birth Control?
Drug interactions Hello, I would like to ask if it is possible to use the Mirena IUD for contraception while currently taking Dienogest for the treatment of endometriosis-related chocolate cysts. Thank you.
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there may be considerations regarding medication concentration. It is recommended to discuss and decide with your treating physician. Thank you! Wishing you peace and health. Dr. Chang[Read More] Can Dienogest and Mirena IUD Be Used Together for Birth Control?
Does Amoxicillin 500mg Affect the Effectiveness of Birth Control Pills?
Taking amoxicillin 500 mg? Hello, I would like to ask if during my doctor's visit, I informed them that I am taking the oral contraceptive pill (Yaz), and later when they prescribed medication, they reassured me that it would not affect the efficacy of Yaz. However, I just f...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following medications can interact with oral contraceptives: 1. Antibiotics (such as Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) may reduce the effectiveness of oral contraceptives. When taking these medications, alt...[Read More] Does Amoxicillin 500mg Affect the Effectiveness of Birth Control Pills?
Is This Menstruation? Understanding Irregular Cycles and Emergency Contraception
Is this considered a menstrual period? Hello, Doctor. My menstrual cycle has been irregular. In the past three months, my periods were as follows: October 27 to November 2, December 11 to December 17, and January 16 to January 22. I had sexual intercourse on January 24 (the secon...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the effects of emergency contraceptive pills on menstruation can vary; they may cause your period to come earlier or later. Additionally, their contraceptive effectiveness is not 100%, with a failure rate of about 3%. If you are unsure whether the bleeding is a true menstr...[Read More] Is This Menstruation? Understanding Irregular Cycles and Emergency Contraception
Does Oral Sex Affect Ovulation and Chances of Conception?
Ovulation & Oral Sex Hello, regarding the timing of ovulation, if a partner performs oral sex and ingests a significant amount of vaginal fluids before vaginal intercourse, will the ovulated egg be affected or consumed during oral sex? Or does this not impact the chances of c...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is difficult to assess the situation. If necessary, you may consider taking a pregnancy test or consulting a physician for an examination. Thank you! Wishing you peace and health. Dr. Chang[Read More] Does Oral Sex Affect Ovulation and Chances of Conception?
Concerns About Vaginal Suppository Use After Recent Miscarriage
Vaginal suppository issues? Hello Doctor: I have been experiencing a simultaneous infection of urinary tract infection and vaginitis these past few days. After taking medication, my urine has turned very yellow. When I inserted the vaginal suppository, I think I didn't push ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is recommended to use the suppository correctly. If the symptoms persist or do not improve, please consult a physician for evaluation and treatment. Thank you! Wishing you peace and health. Dr. Zhang[Read More] Concerns About Vaginal Suppository Use After Recent Miscarriage
Does Delaying Your HPV Vaccine Affect Its Effectiveness?
Delayed administration of the HPV vaccine? Hello, doctor. I received my first dose in April and my second dose in October of last year, and I received my third dose in February of this year, which was a four-month delay. Will this affect my immunity? Do I need to get re-vaccinate...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on the situation you described, since you have completed three doses within a year, the protection and recommended schedule are adequate, and there is no need for additional vaccination. Thank you! Wishing you safety and good health. Dr. Chang[Read More] Does Delaying Your HPV Vaccine Affect Its Effectiveness?
Can You Get Pregnant from Indirect Contact After Ejaculation?
Can I get pregnant? Today (the fifth day of my girlfriend's menstrual period), she helped me with masturbation, and I ejaculated on the bed and on her thigh. During the cleaning process, my hand came into contact with the semen, and then I used body wash to clean my hands be...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
As long as there are active sperm in the vagina during the ovulation period, regardless of the method of intercourse, there is still a possibility of pregnancy. It is recommended that you take appropriate contraceptive measures, and if necessary, consult a physician for evaluatio...[Read More] Can You Get Pregnant from Indirect Contact After Ejaculation?
Can Oral Sex and Kissing Lead to Pregnancy? Understanding the Risks
Can you get pregnant from kissing after oral sex? If a girl had her last menstrual period on February 7 and engaged in oral sex with a male on February 26, the likelihood of pregnancy from this encounter is extremely low. Pregnancy typically occurs when sperm fertilizes an egg, w...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the chances of pregnancy are low but not impossible. As long as there are active sperm present in the vagina during the ovulation period, there remains a possibility of conception, regardless of the method. It is still advisable to take appropria...[Read More] Can Oral Sex and Kissing Lead to Pregnancy? Understanding the Risks
Understanding Vaginal Bumps: What You Need to Know
Vaginal issues Hello doctor, when I was intimate with my boyfriend, he inserted his finger about 2-3 centimeters into my vagina and felt a small bump about the size of a grain of rice. There were no similar bumps nearby, and it felt very much like his pearly penile papules. There...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, a definitive diagnosis cannot be confirmed. The identification of warts (condylomata acuminata) relies on the appearance of the lesions, the location of the infection, and histopathological examination of the biopsy. Typically, during the onset, ...[Read More] Understanding Vaginal Bumps: What You Need to Know
Understanding Pregnancy Risks After Ovulation and Menstrual Cycles
Are you pregnant? If there was genital friction two days after your girlfriend's ovulation period without ejaculation and no emergency contraception was taken, and if her menstrual period arrives normally two weeks later, it is unlikely that she is pregnant.
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, if it is confirmed that the bleeding is a regular menstrual period, then pregnancy is not likely. However, bleeding can occur in early pregnancy or due to hormonal imbalances. Therefore, if you are unsure whether the bleeding is a menstrual period, it is still advisable to...[Read More] Understanding Pregnancy Risks After Ovulation and Menstrual Cycles
Understanding Pregnancy Chances with Irregular Menstrual Cycles: Your Concerns Addressed
Probability of Pregnancy Hello, Doctor. My menstrual cycle averages 38 days, and it has now been 48 days without my period. My cycle is usually irregular, occurring approximately every 30 to 40 days, and lasts about 7 to 9 days. My last period was from January 6 to January 13. I ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors affecting the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnanc...[Read More] Understanding Pregnancy Chances with Irregular Menstrual Cycles: Your Concerns Addressed
Understanding Pregnancy Weeks: Calculating Conception and Ultrasound Timing
Gestational age Hello Doctor: The first day of my last menstrual period was January 6, with a cycle length of approximately 34 days and a duration of 6 days. I did not use full protection on January 9, and I had sexual intercourse on January 26. I went to the clinic for an ultras...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is recommended to have a physician estimate the conception date around 8 to 9 weeks of pregnancy for a more accurate assessment. Calculating the gestational age too early or too late may result in a larger margin of error. Thank you! Wishing y...[Read More] Understanding Pregnancy Weeks: Calculating Conception and Ultrasound Timing
Can You Get Pregnant During Your Period? Understanding Menstrual Changes
Can you get pregnant while on your period? Hello doctor, I would like to ask: if I took emergency contraception within 8 hours after unprotected intercourse, and then my period came 12 days later (5 days early), but the flow on the first day was very light while the second day wa...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the effects of emergency contraceptive pills on menstruation can vary; they may cause your period to come earlier or later. Additionally, their contraceptive effectiveness is not 100%, with a failure rate of about 3%. If you are unsure whether the bleeding is a normal peri...[Read More] Can You Get Pregnant During Your Period? Understanding Menstrual Changes
Understanding Clitoral Sensitivity Issues: Causes and Solutions
Clitoral issues Hello doctor, I have recently lost sensation in my genital area and clitoris when touched. I have been washing my genital area with soap since I was young. Once, I experienced itching in that area and thought it might be due to a bacterial infection, so I used cry...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is not possible to determine if there is an abnormality. It is recommended that you consult a gynecologist for evaluation to confirm. Thank you! Wishing you peace and health. Dr. Chang[Read More] Understanding Clitoral Sensitivity Issues: Causes and Solutions
Impact of Irregular IUD Use on Hormonal Balance: Expert Insights
Issues with the use of intrauterine devices (IUDs) Hello Doctor, I am currently using an intrauterine device (IUD) for contraception. Since my partner and I occasionally do not see each other for a month or two, I would like to ask if stopping the use of the IUD twice within a ye...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, if the usage is in accordance with the recommended cycle days in the package insert, it will not cause any interference. Thank you! Wishing you peace and health. Dr. Chang[Read More] Impact of Irregular IUD Use on Hormonal Balance: Expert Insights
Can You Get Pregnant During the Safe Period After Intercourse?
Can ejaculation during the beginning of the safe period lead to pregnancy? Hello doctor, my girlfriend's menstrual period ended on February 16 (no bleeding), and today (February 18) we engaged in sexual intercourse without using a condom. Although I withdrew before ejaculati...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, if your menstrual cycle or ovulation is irregular, this month's ovulation may not necessarily occur earlier or on time. It is best to consider emergency contraception afterward, but keep in mind that its effectiveness is not 100%. I recommend checking for pregnancy if...[Read More] Can You Get Pregnant During the Safe Period After Intercourse?
Understanding Menstrual Irregularities and Pregnancy Testing: Your Questions Answered
Menstruation, pregnancy test? Hello doctor, my menstrual period started on January 8 and ended on January 13. I had sexual intercourse with my boyfriend on January 19, which seemed to be around the time of ovulation (when the chance of pregnancy is higher). We had unprotected int...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the failure rate of using condoms is still around 5%. It is not possible to determine pregnancy based on subjective symptoms. There are many factors that can affect the menstrual cycle, so if your period does not arrive as expected, it is advisable to consult a gynecologis...[Read More] Understanding Menstrual Irregularities and Pregnancy Testing: Your Questions Answered
Understanding Pregnancy Chances: Unprotected Intercourse and Pre-Ejaculate Risks
Probability of Pregnancy Today, on February 19th, the app on my phone indicates that the probability of pregnancy is moderate, and ovulation day is in three days. My partner and I had unprotected intercourse, and my partner confirmed that there was no pre-ejaculate fluid released...
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-ejaculate fluid or sperm may be present, which is difficult to assess subjectively. It is best to consider emergency contraception as a remedy. If your perio...[Read More] Understanding Pregnancy Chances: Unprotected Intercourse and Pre-Ejaculate Risks
Forgot to Replace IUD After Intercourse: Pregnancy Risks and Menstrual Effects
Forgot to reinsert the contraceptive device after removal? I have consistently worn my contraceptive ring on time and removed it as scheduled. Before each sexual intercourse, I always take it out and put it back within three hours, and there have been no issues. This time, I took...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the chances of pregnancy are low but not impossible. Removing the contraceptive device early may result in an earlier onset of your menstrual period. Thank you! Wishing you peace and health. Dr. Chang[Read More] Forgot to Replace IUD After Intercourse: Pregnancy Risks and Menstrual Effects
Understanding Ovulation and Pregnancy Risks: Your Questions Answered
Shoulder pain Your girlfriend ovulated on February 17, and you engaged in genital rubbing on February 19 without penetration. It's unclear whether there were any secretions from the glans. The possibility of pregnancy from this type of contact is low, but not impossible, as ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is still a chance of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. It is best to consider emergency contraception as a remedy. If your period is more than a week late, it is advisable to...[Read More] Understanding Ovulation and Pregnancy Risks: Your Questions Answered