Understanding Abnormal Vaginal Discharge: When to Seek Help
Vaginal discharge In the past couple of months, I have noticed a significant increase in vaginal discharge during non-menstrual periods compared to before. Most of the discharge is primarily white; occasionally, there is green discharge, and it almost always has a slightly gel-li...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Abnormal findings suggest that you are likely experiencing a mixed infection of Candida and Trichomonas. Candida infections are more widespread, presenting with white, cottage cheese-like or curdled discharge, while Trichomonas infections are localized, characterized by frothy, y...[Read More] Understanding Abnormal Vaginal Discharge: When to Seek Help
Understanding Abnormal Discharge Colors: When to Consult a Gynecologist
Color of secretions Hello Doctor: For the past 1 to 2 months, I have noticed that sometimes after using the restroom, the color of my discharge varies, appearing somewhat brownish. Could this be related to my menstrual cycle approaching (within about a week)? I'm unsure if t...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Based on your description, a preliminary examination for endometriosis using ultrasound can provide some insights (other conditions such as ovarian cysts or even uterine fibroids can also be differentiated). A pelvic examination along with a Pap smear is necessary to clarify whet...[Read More] Understanding Abnormal Discharge Colors: When to Consult a Gynecologist
How Soon After Taking Clomid Will I Ovulate and What Are the Risks?
How long after taking ovulation medication does ovulation occur? And what is the danger period? Hello Doctor, I recently took menstrual regulation medication due to irregular periods. After finishing the medication, my doctor prescribed Clomid for five days, starting from May 20....
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Ovulation occurs around May 30th. 2. It is not certain. 3. There is usually slight bleeding during ovulation (which appears as brown discharge due to mixed secretions). Although your menstrual cycle has been regulated, it is still uncertain whether there are any adjusting fact...[Read More] How Soon After Taking Clomid Will I Ovulate and What Are the Risks?
Can I Delay My Period After Taking Menstrual Induction Injection?
Can I delay my period on the fifth day after receiving an injection to induce menstruation? Hello, my last menstrual period was on April 22. I received an injection to induce menstruation on May 27, but my period still hasn't arrived by May 31. Since I plan to go swimming on...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. It is not possible, nor necessary, and it is likely that menstruation will occur before June 8th. 2. It is not possible.[Read More] Can I Delay My Period After Taking Menstrual Induction Injection?
Understanding Right Lower Abdominal Pain and Yellow Discharge in Women
Right lower abdominal discomfort and pain? I experience intermittent dull pain in my lower right abdomen, which becomes more pronounced when pressed. My discharge is slightly yellowish. I've heard that it's normal for discharge to be slightly yellow before and after men...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Your symptoms are likely indicative of pelvic inflammatory disease combined with vaginitis. Treatment can be effectively managed with vaginal suppositories, or by adding anti-inflammatory antibiotics. You may also consider visiting a hospital for a cervical examination and urine ...[Read More] Understanding Right Lower Abdominal Pain and Yellow Discharge in Women
Persistent Vaginal Itching and Peeling: Seeking Solutions and Relief
Genital itching and peeling? Hello Doctor: Last year, I sought medical attention due to an infection. The doctor prescribed me suppositories, oral medications, and topical treatments, which helped significantly. However, just over a week after feeling better, the symptoms returne...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Based on your statement, it is likely a fungal infection. The itching will persist until the fungus is eradicated, and treatment typically needs to continue for 1 to 2 weeks or even longer. 2. If you have diabetes, it should be treated simultaneously. 3. Regular Pap smears sho...[Read More] Persistent Vaginal Itching and Peeling: Seeking Solutions and Relief
Understanding Candida Treatment: When to Follow Up with Your Doctor
Candidiasis medication issues? Hello, I have itching in my genital area and went to see a doctor who diagnosed it as a candidiasis infection. The doctor didn't provide much information as they were in a hurry to attend to another patient. They prescribed a 3-day course of or...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
If you are still experiencing discomfort, please return for a follow-up appointment. Your symptoms may be mild, and there are several new topical medications that have been developed in recent years, which not only enhance efficacy but can also shorten the treatment duration to 3...[Read More] Understanding Candida Treatment: When to Follow Up with Your Doctor
Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Inquire about menstrual cycle issues? In the past six months, during each menstrual period, for example, on July 24, the first day of my period, I experienced heavy flow on July 25 and 26, requiring a pad change every 1.5 hours. By the fifth day, July 28, it seemed to have stoppe...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The uterus appears to have poor contractions, and an ultrasound can be used to check for the possibility of fibroids, especially submucosal fibroids. Endometrial shedding and bleeding may not always occur simultaneously, but a timeframe of 2-8 days before and after is generally c...[Read More] Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Understanding Pregnancy Tests and Irregular Periods After Birth Control
Questions about pregnancy testing and stopping birth control pills? Hello Dr. Chang: My girlfriend started using oral contraceptives over two years ago and did not stop until about six months ago. However, her menstrual cycle has been very irregular since then, with periods arriv...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is abnormal, but let's observe for now. As long as the amount is not enough to cause dizziness or anemia, it should gradually return to normal after a few menstrual cycles. If it does not normalize, you may consider using oral contraceptives to regulate your menstrual cyc...[Read More] Understanding Pregnancy Tests and Irregular Periods After Birth Control
Can Irregular Basal Body Temperature Indicate Ovulation Issues?
Is it possible to ovulate with an abnormal basal body temperature? I would like to consult a physician. After experiencing a natural miscarriage, I have been tracking my basal body temperature for 5 months. I noticed that my high-temperature phase lasts only a few days, and my da...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Ovulation occurs, but there is insufficient secretion of progesterone (the temperature rise should be maintained for 11 to 16 days). Although the high-temperature phase lasts only a few days, the transition from low to high temperature still indicates a biphasic basal body temper...[Read More] Can Irregular Basal Body Temperature Indicate Ovulation Issues?
Unexplained Gynecological Symptoms: Seeking Solutions for Chronic Discomfort
Undiagnosable gynecological diseases? Hello Doctor: My symptoms are as follows: 1. I have green or yellow vaginal discharge, and I have experienced large yellow secretions that resembled jelly. 2. My menstrual cycle lasts about three days. 3. Whenever I drink tea, coffee, or eat ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
You can visit the obstetrics and gynecology outpatient clinic and provide a detailed explanation of your medical history to the physician. If you are unmarried, an internal examination may not be performed; instead, alternative tests such as ultrasound may be conducted, or a cons...[Read More] Unexplained Gynecological Symptoms: Seeking Solutions for Chronic Discomfort
Understanding Irregular Menstruation: What to Expect This Month
Irregular menstruation? Last month (March), my period did not arrive (it usually comes around the 20th). However, there was a small amount of bleeding in the middle of March, but it only lasted for two days. I would like to ask if my period will be on time this month (April) sinc...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Not necessarily. At this time, endocrine tests are mostly normal, so observation is recommended while minimizing factors that cause psychological stress. During this period, female hormone secretion is sufficient. After the cycle, oral progesterone can be administered to induce p...[Read More] Understanding Irregular Menstruation: What to Expect This Month
Understanding Irregular Periods: When to Seek Medical Help
Menstruation is delayed? I often experience menstrual cycles that exceed 28 days. Since the second half of last year, my periods have been occurring approximately every 45 days. The most recent one was in January. Since that January period, I have not had my period again until no...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
You should consult a gynecologist, as it is likely that the ovaries are not responding well to the gonadotropins secreted by the pituitary gland, or there may be an abnormal ratio of follicle-stimulating hormone (FSH) to luteinizing hormone (LH). This is commonly seen in polycyst...[Read More] Understanding Irregular Periods: When to Seek Medical Help
Understanding Ovarian Cysts: Symptoms, Treatment, and Prevention Tips
Gynecological issues Dr. Zhang, my friend is 38 years old, unmarried, and has experienced one miscarriage. She has long suffered from ovarian cysts, mostly enduring the discomfort. Recently, she has been experiencing abdominal bloating, lower back pain, and difficulty lying flat,...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Further medical evaluation is required for detailed examination. If necessary (for instance, if the tumor is larger than 5 centimeters and there are symptoms such as abdominal distension and back pain), surgical removal may be indicated. The cause of the ovarian cyst is unknown, ...[Read More] Understanding Ovarian Cysts: Symptoms, Treatment, and Prevention Tips
Does Your Hospital Offer Advanced Ultrasound Services in Obstetrics?
High-Resolution Ultrasound Does your hospital offer advanced ultrasound services?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
No, you can go to National Taiwan University Hospital Hsinchu Branch or a larger medical institution.[Read More] Does Your Hospital Offer Advanced Ultrasound Services in Obstetrics?
Is Your Menstrual Flow Normal? Understanding Light Periods and Their Implications
Is this menstrual cycle considered normal? Hello, Doctor: I would like to ask: If my period started on February 11 but the flow is very light, only showing blood when I wipe after using the restroom, and there isn't much blood on the pad, with the flow only increasing after ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The typical menstrual cycle duration can vary significantly, usually ranging from 4 to 6 days, but a duration of 2 to 8 days is still considered normal. This variation is related to the rate at which a type of fibrinolytic enzyme (fibrinogenolytic enzyme) acts within the uterus. ...[Read More] Is Your Menstrual Flow Normal? Understanding Light Periods and Their Implications
Pregnant While on Birth Control: Risks and Concerns for the Baby
Taking birth control pills but still getting pregnant? Hello. I have been taking birth control pills but I am pregnant. I am unsure about the effects on the fetus. I have heard that there is a possibility of birth defects. Is this true? Do you have any similar cases? I lack knowl...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
If pregnancy is suspected, it is important to stop taking the contraceptive pill immediately, as it contains female hormones. Excessive exposure to these hormones can lead to feminization of male fetuses, making pregnancy one of the absolute contraindications for the use of contr...[Read More] Pregnant While on Birth Control: Risks and Concerns for the Baby
Understanding Polycystic Ovary Syndrome: Insulin Resistance and Weight Management
Polycystic Ovary Syndrome (PCOS) I have been overweight since I was a child! Now, my mom took me to the weight loss clinic at XXX Hospital, and the doctor there is also an obstetrician-gynecologist! After a blood test, the doctor said I might have polycystic ovary syndrome (PCOS)...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. You can eat anything, but you need to control your carbohydrate intake and avoid excessive consumption of artificial sweeteners. 2. Elevated insulin levels can lower blood sugar; if the level drops below 50 mg/dL, it can cause confusion, dizziness, hunger, seizures, and even...[Read More] Understanding Polycystic Ovary Syndrome: Insulin Resistance and Weight Management
Understanding Yellowish Discharge Before Menstruation: Is It Normal?
Cervical mucus before menstruation Hello, Doctor! I would like to ask about my situation. My discharge is normal on regular days, but before my menstruation, it changes to a milky yellow discharge, although the amount is not much. I have previously had vaginitis (bacterial infect...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. The discharge before menstruation is influenced by progesterone, resulting in a decrease in volume and a thicker consistency. During ovulation, due to the influence of estrogen, the volume increases and the discharge becomes thinner, changing throughout the menstrual cycle. ...[Read More] Understanding Yellowish Discharge Before Menstruation: Is It Normal?
Impact of Pesticides on Pregnant Women Living Near Rice Fields
Regarding health care issues related to the living environment during pregnancy? Hello Dr. Chang, I would like to ask you about the effects on pregnant women living near rice fields during the pesticide spraying periods. Does long-term residence next to rice fields, where pestici...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. There will be an impact; the first trimester of pregnancy (the first three months) is especially important. 2. During pesticide spraying, it is advisable to avoid exposure or take protective measures. 3. Regarding drinking water, it is best to use filtered water, such as rev...[Read More] Impact of Pesticides on Pregnant Women Living Near Rice Fields