How Long After Due Date Should You Wait for Baby's Arrival?
Post-term pregnancy Dear Dr. Chang, My due date is this Sunday, November 20th, but during my prenatal check-up, everything with the amniotic fluid is still good, and the baby is very active, showing no signs of wanting to come out. I would like to ask how long after the due date...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
More than 80% of babies are born within two weeks before or after the due date. If it exceeds two weeks, it is advisable to return to the hospital for an examination.[Read More] How Long After Due Date Should You Wait for Baby's Arrival?
Improving Vaginal Health: Probiotics and Hygiene Tips for Yeast Infections
Taking probiotics to improve vaginal health! I have recurrent Candida infections. Today, I bought a jar of "Shang Yu Shi Nu Qing" probiotics, and it is recommended to take them for three months. Should I continue taking them? Can I use a douching product to irrigate the...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. It is recommended to continue treatment. To completely eradicate this type of infection, treatment must be sustained for at least three months; otherwise, this stubborn Candida cannot be fully eliminated. 2. Vaginal douching is not recommended because the normal vaginal envi...[Read More] Improving Vaginal Health: Probiotics and Hygiene Tips for Yeast Infections
Which Specialist to See for Urinary Pain: Urology or Gynecology?
Should I see a urologist or a gynecologist? Hello Doctor: I am experiencing pain during urination and have very little urine output. Last August, I had significant difficulty urinating, only able to produce a few drops, and I had to exert a lot of effort to urinate. I underwent a...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
You should see an obstetrician-gynecologist (OB-GYN). Some hospitals have more specialized divisions, where under obstetrics and gynecology, there are also urology departments that specifically address these types of issues.[Read More] Which Specialist to See for Urinary Pain: Urology or Gynecology?
Understanding Vaginal Itching: Causes and Solutions for Women
The issue of itching in the genital area? Hello, Doctor: After having unprotected sexual intercourse with my girlfriend, she has been experiencing frequent itching in her genital area for over a month. Initially, I thought it might be a urinary tract infection, but she reports no...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Normal vaginal discharge does not necessarily mean the absence of leukorrhea. Some leukorrhea may remain in the vagina. It is advisable to visit a gynecologist for an examination, including a Pap smear, to check for the presence of Trichomonas vaginalis, Candida, Neisseria gonorr...[Read More] Understanding Vaginal Itching: Causes and Solutions for Women
How to Determine the First Day of Your Menstrual Period?
How is the first day of the menstrual period determined? Hello, doctor. How should the first day of the menstrual period be determined? Is it the day when there is a slight bleeding (brownish discharge) or the day when normal red blood flow starts and is more abundant that should...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The first day of menstruation is considered to be 14 days after ovulation, and any slight bleeding counts as the start. The typical duration of menstruation is 4 to 6 days, but a range of 2 to 8 days is still considered normal.[Read More] How to Determine the First Day of Your Menstrual Period?
Understanding Cervical Cancer Vaccines and Pregnancy Concerns
Cervical cancer vaccine Dear Doctor: I asked my obstetrician about the vaccine, and she said that the latest vaccine can be completed in three doses over four months, and that it is safe to conceive after completing the vaccination. Is that correct? Also, can a transvaginal ultra...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. It is recommended to wait at least 3 to 6 months after receiving the vaccine before trying to conceive for better assurance. 2. A transvaginal ultrasound can visualize the interior of the uterus.[Read More] Understanding Cervical Cancer Vaccines and Pregnancy Concerns
Common Pregnancy Questions: Safe Sex Practices and Pre-Ejaculate Concerns
Pregnancy inquiries? Hello, I have the following questions: 1. My girlfriend and I place great importance on safe sex and contraception, so we both use condoms, but we only put them on during penetration. Is this correct? 2. When a man is aroused, is it normal for the tip of ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Incorrect, afraid it might be too late. 2. Not necessarily (it varies from person to person), it could potentially lead to pregnancy.[Read More] Common Pregnancy Questions: Safe Sex Practices and Pre-Ejaculate Concerns
Understanding Menopause: Is It Normal at 48 and What to Expect?
The age of menopause? Hello doctor, my mother is 48 years old and has experienced irregular menstrual periods for the past two years, with her cycle coming every three to six months. The doctor mentioned that this is due to menopause, but no specific medication has been prescribe...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is a normal physiological phenomenon. Menopause typically occurs between the ages of 45 and 50, starting with irregular menstruation, followed by symptoms such as hot flashes, palpitations, and insomnia. These symptoms may not necessarily appear, and some individuals may exper...[Read More] Understanding Menopause: Is It Normal at 48 and What to Expect?
Understanding Gynecological Issues: Dealing with Discomfort and Symptoms
Gynecological issues I have been troubled by a persistent issue in my intimate area, which feels very itchy and has a white, flake-like substance resembling dandruff. I have researched this online and have tried to keep the area dry, but nothing seems to help. I'm hesitant t...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Based on your description, it may be a candidiasis infection, which is a type of fungus; the discharge is white and resembles either dandruff or cottage cheese, and it is extremely itchy. Individuals with diabetes, those who have been on long-term contraceptive pills, or those wh...[Read More] Understanding Gynecological Issues: Dealing with Discomfort and Symptoms
What to Do If You Received Rubella Vaccine While Early Pregnant?
What should I do if I received the German measles vaccine while less than one month pregnant? Hello, I had my first day of menstruation on August 7. I took a pregnancy test at Mackay Memorial Hospital on September 1, which came back negative. Therefore, I received the German meas...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
During the first trimester of pregnancy (the first three months), it is best to avoid taking medications or receiving injections unless they are lifesaving.[Read More] What to Do If You Received Rubella Vaccine While Early Pregnant?
Should You Seek Medical Attention for Gynecological Concerns?
Should I seek medical attention? Dear Dr. Zhang: Due to poor gynecological conditions (previously had a chocolate cyst treated with traditional surgery and adhesions treated with laparoscopy), I went to the hospital for ovulation induction injections and followed the doctor'...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It should belong to the latter.[Read More] Should You Seek Medical Attention for Gynecological Concerns?
Comparing Ovulation Tests and Follicle Monitoring for Conception
Ovulation test strips vs. follicle monitoring? DEAR DOCTOR: I have been trying to conceive for a while and have undergone fertility tests, which showed no issues. The doctor suggested that I go to the hospital for a follicle scan on days 12-13 after my menstrual period. I would l...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
As the ovulation day approaches (around the 14th day of the menstrual cycle), an ultrasound (SONA) is performed to assess whether the follicles are mature and large enough. If the follicle size is 20mm, it is about to mature and ovulate; if it is still less than 17mm, it is not m...[Read More] Comparing Ovulation Tests and Follicle Monitoring for Conception
Understanding Labial Bumps: Causes and Concerns for Women
Genital issues Hello Doctor: Four days ago, I noticed a raised area on the left side of my labia majora near the vaginal opening, approximately 0.5 cm in diameter (not certain). It feels somewhat like the skin after a mosquito bite, and the surface does not have any significant e...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Based on your description, it could be a common abscess or cellulitis, which may become red, swollen, warm, and painful in a few days. These symptoms will gradually appear.[Read More] Understanding Labial Bumps: Causes and Concerns for Women
Missed Period Concerns: Should I Take a Pregnancy Test?
Menstruation is causing me concern? Last month on June 18, I experienced the onset of my period, but now on July 21, my menstruation has not arrived and is already several days late. Should I take a pregnancy test?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Menstruation often starts irregularly and anovulatory, but it typically becomes more regular and ovulatory within two years. In the first year of menstruation, ovulatory cycles account for only about 14%, increasing to 50% by the end of the second year and reaching 87% by the fif...[Read More] Missed Period Concerns: Should I Take a Pregnancy Test?
Understanding Menstrual Issues and Hormonal Imbalances: What You Need to Know
Are menstrual problems related to endocrine disorders? I'm concerned because my boyfriend cheated on me, and I'm worried about the symptoms that the other girl has. She has been menstruating for over three weeks, and there is bleeding during intercourse with my boyfrien...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Menstrual issues during puberty are primarily due to 1. the immaturity of the hypothalamic-pituitary regulation, 2. mild hypothyroidism, and 3. psychological factors. It is common for young women to experience secondary amenorrhea and dysfunctional uterine bleeding due to psychol...[Read More] Understanding Menstrual Issues and Hormonal Imbalances: What You Need to Know
Managing Severe Menstrual Pain After Endometriosis Surgery: Expert Insights
Severe dysmenorrhea (post-endometriosis surgery) Hello Dr. Zhang, I have a few questions I would like to consult with your expertise. Background: My girlfriend is 21 years old and a year ago, she was diagnosed with endometriosis by a physician at a military hospital due to sever...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. It's hard to say. Endometriosis lesions cannot be completely eradicated, and the recurrence rate is high, requiring long-term treatment. 2. Long-term use can lead to drug resistance, and excessive amounts may cause toxicity. 3. After surgery, should there be continued...[Read More] Managing Severe Menstrual Pain After Endometriosis Surgery: Expert Insights
Understanding Aldara for Wart Treatment: Health Risks and Long-term Effects
Is Aldara used for treating warts safe for overall health? Hello, Doctor. I have been using ALDARA to treat genital warts for six weeks, and I have a few questions. First, why is this medication not recommended for use beyond four months? Does it pose a burden on the body, and if...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Aldara, generic name IMIQUIMOD, is used to treat external genital warts in adults. This medication should not be used for more than four months, as treatment for warts typically does not require such a prolonged duration. Additionally, since only 0.9% of the drug is excreted in u...[Read More] Understanding Aldara for Wart Treatment: Health Risks and Long-term Effects
Missed Period and Discharge: Could It Be Pregnancy?
Missed menstruation? I don't have a habit of tracking my menstrual cycle. About a month ago, I had anal intercourse with my boyfriend without using a condom. My period has been over a month late, but I have been experiencing continuous vaginal discharge. Could I be pregnant?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. You can take a pregnancy test. Increased vaginal discharge and vaginal inflammation can indirectly affect the regularity of your menstrual cycle. 2. Anal intercourse cannot result in pregnancy.[Read More] Missed Period and Discharge: Could It Be Pregnancy?
Will Previous Hymen Scars Affect Future Sexual Experiences?
Please provide more context or specific questions regarding sexual experience? Could you please clarify if my girlfriend, who has had previous sexual experiences and has old scars on her hymen, will develop new scars on her hymen after subsequent sexual intercourse?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Not necessarily; if one undergoes cosmetic surgery, new scars may still form after the procedure.[Read More] Will Previous Hymen Scars Affect Future Sexual Experiences?
Eczema in Pregnant Women: Safety of Fenazin and Synchloramin
Eczema - Pregnant Women My sister, who is four months pregnant, returned from the UK and developed eczema due to the humid and hot weather (itchy and red). The doctor prescribed a medication called "Fenazin" and "Synchloramin," as well as a cream called "...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Hello: There are no related products available in Taiwan; it is recommended to consult a local pharmacist.[Read More] Eczema in Pregnant Women: Safety of Fenazin and Synchloramin