Understanding Emergency Contraception: Your Questions Answered
Emergency contraceptive pill Hello doctor, recently my boyfriend and I had sexual intercourse around 5:30 AM on April 4th. After we finished, I discovered that the condom had broken, and I am unsure how much sperm actually entered my body. At that moment, I didn't have any e...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the effectiveness of emergency contraceptive pills taken within 72 hours after intercourse is approximately 97%. However, it is not 100% effective, with a failure rate of about 3%, but it is still considered a viable option for prevention. Additionally, early pregnancy may...[Read More] Understanding Emergency Contraception: Your Questions Answered
Understanding Changes in Menstrual Flow: Causes and Concerns
Menstrual issues Hello, doctor. Previously, my menstrual period lasted for 7 days, and I experienced blood clots along with severe menstrual pain. However, after taking traditional Chinese medicine, my symptoms have improved significantly, and I have had little to no menstrual pa...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual blood volume in women may include hormonal imbalances, emotions, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If sympto...[Read More] Understanding Changes in Menstrual Flow: Causes and Concerns
Understanding Pain During Intercourse: Causes and Solutions
Pain during orgasm Every time I have intercourse with my husband, I experience an uncomfortable feeling of rejection. Although there is some pleasure, it seems that the more pleasure I feel, the more pain I experience. It happens regardless of the day, and every time it hurts. So...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, if there are no structural issues with the pelvis, it is recommended to consult with an obstetrician-gynecologist or a psychiatrist to evaluate whether treatment with medication or other methods is appropriate. Thank you! Wishing you peace and he...[Read More] Understanding Pain During Intercourse: Causes and Solutions
Risk of Pregnancy After Condom Failure on Ovulation Day
Condom rupture during ovulation day? Thank you, Doctor, for taking the time to answer my questions. My girlfriend and I had sexual intercourse around 1 AM on April 1st, and we used a condom throughout the process. However, when I pulled out to ejaculate, I discovered a large hole...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, there is a possibility of pregnancy, although the probability cannot be calculated. Additionally, the failure rate of using condoms for contraception is over 5%. Therefore, it is recommended to check for pregnancy if your menstrual period is more...[Read More] Risk of Pregnancy After Condom Failure on Ovulation Day
Continuous Use of Birth Control Pills: What You Need to Know
Continuous use of pre-exposure prophylaxis (PrEP)? Hello, doctor. I am currently 23 years old and have been taking Yaz for a year and a half. I noticed that many women in Europe and the U.S. take birth control pills continuously without stopping, which means they don’t have a mon...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is medically advised to follow the medication instructions provided in the package insert, as this is the safest method of administration supported by research. If you have plans to conceive after long-term use of contraceptive pills, it is be...[Read More] Continuous Use of Birth Control Pills: What You Need to Know
Can You Get Pregnant from Semen on the Clitoris or Vaginal Opening?
Probability of Pregnancy Is there a chance of pregnancy if a small amount of semen comes into contact with the clitoris or vaginal opening? Additionally, could using a tissue that has been in contact with semen to wipe the vaginal opening or clitoris lead to pregnancy?
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. As long as there are motile sperm present in the vagina during the ovulation period, there remains a chance of conceptio...[Read More] Can You Get Pregnant from Semen on the Clitoris or Vaginal Opening?
Missed Period: Could It Be Pregnancy? When to See a Doctor
Delayed menstruation? Hello Dr. Chang, my last menstrual period started on February 22 and ended on February 28. In March (from February 22 to March 31), I had sexual intercourse 1 or 2 times without a condom for 1 to 2 minutes, but I used a condom for the rest of the time. Howev...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is still a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and...[Read More] Missed Period: Could It Be Pregnancy? When to See a Doctor
Concerns About Taking Ineffective Birth Control Pills: What to Do Next?
Ingesting an ineffective medication (Yuezi 24+4)? I have been taking Yaz for over six months, but a few days ago, when I reached the 22nd pill, I accidentally took a placebo pill without realizing it. The next day, I had unprotected intercourse and then realized I had taken the w...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, if you miss taking your birth control pill for more than 24 hours, you should stop taking the current pack of pills and refrain from taking them for seven days (including the days you missed). After that, you can continue with the next cycle. If you miss a pill and do not ...[Read More] Concerns About Taking Ineffective Birth Control Pills: What to Do Next?
Can Oral Sex and Residual Semen Lead to Pregnancy Risks?
If semen is rinsed out of the mouth and then oral sex is performed again after 20 minutes, is there a possibility of pregnancy? Hello, Dr. Chang. I would like to ask, after my girlfriend performed oral sex today, there was some residual semen in her mouth, and she rinsed her mout...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, the chances of pregnancy are low due to limited activity, but it is not impossible. As long as active sperm are present in the vagina during the ovulation period, there is still a possibility of pregnancy regardless of the method. It is advisable...[Read More] Can Oral Sex and Residual Semen Lead to Pregnancy Risks?
Understanding Post-Coital Contraception: Effects and Pregnancy Risks Explained
After a condom broke, taking emergency contraception did not result in any side effects or heavy bleeding? Hello, doctor. My menstrual cycle is regular, approximately 29 days. My last period started on March 20 and lasted for 6 days. I had sexual intercourse on March 30 and disco...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, it is not possible to determine the cause of the bleeding, and there are no specific symptoms associated with early pregnancy that can be assessed subjectively. Additionally, the effectiveness of emergency contraception is not 100%, with a failur...[Read More] Understanding Post-Coital Contraception: Effects and Pregnancy Risks Explained
Does Stopping Birth Control Pills Delay Ovulation? Understanding Your Cycle
Does stopping the use of emergency contraceptive pills delay ovulation? Hello, doctor. I finished my last pack of oral contraceptives at the end of February, and my period came as expected. However, I decided to take a break from the medication and did not start the next pack, es...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the use of emergency contraceptive pills may lead to irregular menstrual cycles for a period of time after discontinuation, and this varies from person to person. The effectiveness of emergency contraceptive pills is not 100%, with a failure rate of about 3%. It is recomme...[Read More] Does Stopping Birth Control Pills Delay Ovulation? Understanding Your Cycle
Bleeding After Intercourse: Is Pregnancy Possible?
Bleeding the day after sexual intercourse? My girlfriend and I had sexual intercourse on March 17 (initially without a condom, then with one). She started bleeding the next day, March 18, and continued until March 28. The bleeding initially felt like a menstrual period (ranging f...
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] Bleeding After Intercourse: Is Pregnancy Possible?
Understanding Menopause and Cervical Polyps: What You Need to Know
Menopause Cervical Polyp During the Pap smear, polyps were found, which are benign. Is it true that my constitution makes me prone to having polyps? I did not have my period in July 2023, and in March 2024, I experienced bleeding that was only noticed during wiping, and it did...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the amount of bleeding cannot be used to determine whether it is menstruation. The causes of bleeding in women may also include hormonal imbalances, emotional factors, diet, age, and more. However, the most important thing is to rule out conditions such as uterine tumors, ...[Read More] Understanding Menopause and Cervical Polyps: What You Need to Know
Why Is My Period Coming Early While on Birth Control Pills?
Taking birth control pills can cause your menstrual period to become irregular, including starting earlier than expected? Hello Doctor, I have been taking birth control pills for nearly 10 months. Since I started taking the pills, my menstrual period has consistently arrived 1-2 ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, if you are taking a 21-pill pack of birth control pills, you should take one pill daily in the order of the pill dates for 21 consecutive days. During the 7-day break from the medication, you can expect your period to start between the 2nd and 4t...[Read More] Why Is My Period Coming Early While on Birth Control Pills?
Could I Be Pregnant? Understanding Risks After Unprotected Sex
Can I get pregnant? Hello doctor, my girlfriend had her period on February 19, and we had unprotected intercourse on February 20 without ejaculation. As of March 22, her period has not arrived. Is there a possibility that she could be pregnant?
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 recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and healt...[Read More] Could I Be Pregnant? Understanding Risks After Unprotected Sex
Understanding and Preventing Tear Injuries During Sexual Activity
Tear injuries from sexual intercourse Hello doctor, I have been in a relationship with my boyfriend for a while now, and we have engaged in sexual intercourse two to three times. During the first two times, I experienced tearing injuries (the vulva was affected, but the vagina wa...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, I recommend that you continue with your current approach, gradually and steadily. If symptoms persist, please consult a physician to check for any abnormalities in your physiological structure. Thank you! Wishing you peace and health, Dr. Zhang.[Read More] Understanding and Preventing Tear Injuries During Sexual Activity
Understanding Irregular Bleeding: Could It Indicate Pregnancy?
Intermenstrual bleeding The menstrual cycle is irregular, lasting 21 days. Sexual intercourse occurred on March 1. From March 7 to 11, there was brown discharge with a small amount, followed by a normal amount of bright red menstrual bleeding from March 12 to 18. However, from Ma...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description of the "bleeding" situation, it is not possible to determine whether it is actually menstruation. I recommend that you consult a gynecologist to arrange for urine tests, ultrasound, or blood tests to determine if you are pregnant or if t...[Read More] Understanding Irregular Bleeding: Could It Indicate Pregnancy?
Effectiveness of Emergency Contraceptive After Delayed Birth Control Use
Taking premedication late? My girlfriend started taking the birth control pill two weeks after her period ended. After taking it for nine consecutive days, there was one instance of ejaculation inside her, but she took the emergency contraceptive pill the next day. Will the birth...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description of the method of consumption, it should not have any contraceptive effect. Additionally, the effectiveness of emergency contraceptive pills is not 100%, with a failure rate of about 3%. It is recommended that if your period is more than a week lat...[Read More] Effectiveness of Emergency Contraceptive After Delayed Birth Control Use
Can You Get Pregnant After Intercourse with Withdrawal Method?
Pregnancy probability Hello doctor, I would like to ask if having an orgasm through masturbation and taking a shower one hour before having unprotected sex with my girlfriend, where I pulled out before ejaculation, could lead to pregnancy?
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the questioner: There is still a possibility of pregnancy even if ejaculation has not occurred during intercourse, as pre-ejaculatory fluid may contain sperm. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and...[Read More] Can You Get Pregnant After Intercourse with Withdrawal Method?
Understanding and Preventing Tears During Intimate Relations: A Guide
Tear injuries from sexual intercourse Hello doctor, I have been in a relationship with my boyfriend for a while now, and we have engaged in sexual intercourse two to three times. During the first two times, I experienced tearing (the external genitalia, but the vagina was fine). ...
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, based on your description, I recommend that you continue with your current approach, gradually and steadily. If symptoms persist, please consult a physician to check for any abnormalities in your physiological structure. Thank you! Wishing you peace and health, Dr. Zhang.[Read More] Understanding and Preventing Tears During Intimate Relations: A Guide