Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?
Regarding middle-aged women? Hello, doctor: At what age should middle-aged women definitely experience menopause as normal? Is it normal to still have heavy periods in their 50s? After menopause, what foods or supplements can be taken? Are there any precautions to consider? Thank...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. What is the latest age at which middle-aged women should normally experience menopause? A: Around 50 years old, and it can even approach 55 years old. Is it normal for some women in their 50s to still have heavy menstrual bleeding? A: No, it is not normal. Conditions such as u...[Read More] Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?
Does Taking Traditional Chinese Medicine Affect Child Health During Pregnancy?
Does taking traditional Chinese medicine affect children's health? Hello: I am currently taking Tie Niu Yun Gong San, which contains the following ingredients: Chai Hu (Bupleurum), Huai Niu Xi (Achyranthes), San Qi (Notoginseng), Dang Gui (Angelica Sinensis), Ze Lan (Lycopus...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Ingredients include: Radix Achyranthis Bidentatae, Panax Notoginseng, Borneol, and Safflower, which may affect implantation due to their blood-activating properties, potentially leading to signs of threatened miscarriage; therefore, they should not be consumed during pregnancy.[Read More] Does Taking Traditional Chinese Medicine Affect Child Health During Pregnancy?
Understanding Severe Masculinization in PCOS: Causes and Concerns
Polycystic Ovary Syndrome (PCOS) & Masculinization Hello Doctor: I previously visited a gynecologist due to irregular menstruation. After blood tests and an ultrasound, I was diagnosed with polycystic ovary syndrome (PCOS). Currently, I rely on medication to induce menstruati...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Hirsutism caused by polycystic ovary syndrome (PCOS) is primarily regulated by three important factors: 1) the actual concentration of free testosterone in serum, 2) the activity of the peripheral enzyme 5α-reductase, and 3) the cyclical changes in hair growth within the tissu...[Read More] Understanding Severe Masculinization in PCOS: Causes and Concerns
How to Determine if Your Fertility is Normal Before Pregnancy?
How to determine if your pregnancy function is normal? Hello Doctor: I am getting married next year and would like to conceive in May. However, I am worried that drinking too much cold beverages during my childhood may have caused infertility, even though I have regular menstrual...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
(1) You can start by measuring your basal body temperature at home for 2 to 3 months. Generally, if ovulation occurs, there will be a biphasic pattern, meaning a shift from lower temperatures to higher temperatures. If there is no ovulation, this change will not be observed. If o...[Read More] How to Determine if Your Fertility is Normal Before Pregnancy?
How Long Can You Safely Use Birth Control Pills?
At what age can one no longer take birth control pills? Hello, I apologize for the interruption. My mother is 55 years old and is still taking the birth control pills provided by the health center. Although she is experiencing menopausal symptoms, her menstrual cycle remains regu...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is indeed rare for women aged 55 to still be taking contraceptive pills, unless there are other gynecological conditions causing abnormal bleeding. Generally, women between the ages of 40 and 55 experience irregular or intermittent menstruation due to the gradual decline in ov...[Read More] How Long Can You Safely Use Birth Control Pills?
Understanding the Connection Between Bladder Infections and Menstrual Pain
Cystitis and dysmenorrhea? I'm sorry, I only have that kind of MSN email. Hello, doctor. Can cystitis cause pain in the upper left abdomen? During my menstrual period, I usually experience severe pain in the bladder area and the upper left abdomen, which lasts for at least t...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Hello, Thank you for your message. Regarding your questions: - The normal duration of menstruation is typically 3 to 5 days, but it can range from as short as 1 to 2 days and as long as 7 to 8 days. - The criteria for determining whether menstruation is normal can be quite a...[Read More] Understanding the Connection Between Bladder Infections and Menstrual Pain
Understanding Fishy Odor in Vaginal Discharge: Causes and Insights
Foul-smelling discharge Hello Dr. Chang, recently I have noticed a slight fishy odor in my vaginal discharge. The discharge is not abundant, and there is no itching or redness. I have seen a gynecologist, and they confirmed that there is no infection, but I am puzzled as to why t...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Based on your description, it is likely that you have an infection caused by Gardnerella vaginalis, which was previously referred to as nonspecific vaginitis. This bacterium is a surface commensal that can alter the composition of vaginal secretions (essentially displacing lactob...[Read More] Understanding Fishy Odor in Vaginal Discharge: Causes and Insights
Understanding Cervical Cancer Vaccine: Timing and Pregnancy Considerations
Cervical cancer vaccine Thank you for your response, but I still have questions. For the second dose: it should be administered two months after the first dose. For the third dose: it should be given six months after the first dose, with an interval of three to six months being...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
I'm sorry, but I cannot access attachments. Please provide the text you would[Read More] Understanding Cervical Cancer Vaccine: Timing and Pregnancy Considerations
Understanding Cervical Cancer Vaccine Timing and Pregnancy Concerns
Cervical cancer vaccine vs. pregnancy I lost my baby at 36 weeks earlier this year, and I am eager to get pregnant again. However, I have received two doses of the vaccine (administered in May and June), and the next dose is scheduled for August. Can the vaccine be completed earl...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Second dose: two months after the first dose; third dose: six months after the first dose. The appropriate interval for cervical cancer vaccination during pregnancy is between three to six months. Pregnant women are not recommended to receive the vaccine. If a woman becomes pregn...[Read More] Understanding Cervical Cancer Vaccine Timing and Pregnancy Concerns
Understanding Pelvic Pain: Causes and When to Seek Help
Pain around the pelvis? I occasionally experience a sharp pain between my right pelvis and skin, and sometimes it hurts when I press on it. It feels like a bruised pain, but I’m puzzled because there’s only a thin layer of skin connecting the skin to the pelvis, and I can feel th...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It may be an orthopedic issue; please visit the orthopedic outpatient clinic for evaluation.[Read More] Understanding Pelvic Pain: Causes and When to Seek Help
Understanding Pelvic Pain: Causes and When to Seek Help
Pelvic pain Doctor, I have recently been experiencing some pain on the right side of my pelvis, where the bone connects to the skin, and it feels like a bruised type of pain. What could this issue be? Should I see a gynecologist or an orthopedic specialist? Thank you for your tim...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It may be an orthopedic issue; please visit the orthopedic outpatient clinic for evaluation.[Read More] Understanding Pelvic Pain: Causes and When to Seek Help
Understanding Painful Bumps on the Labia: Causes and Solutions
Growths on the labia? I have a bump on my labia that feels like a pimple. It is not painful or itchy, but it hurts when I squeeze it. There is no pus on the surface, and it feels like a pimple when I touch it. I'm not sure what it could be.
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Based on your description, it is likely a sebaceous cyst, as factors such as staying up late, poor immunity, poor local hygiene, or hormonal imbalances can lead to the obstruction of sebaceous glands. If left untreated and combined with bacterial infection, it can result in secon...[Read More] Understanding Painful Bumps on the Labia: Causes and Solutions
Essential Dietary Guidelines for Managing Gestational Diabetes
Gestational diabetes diet My friend is 35 years old, approximately 160 cm tall, and weighs 80 kg. She is currently eight months pregnant, and recent glucose tolerance tests during her prenatal check-ups have indicated elevated blood sugar levels. I would like to ask the doctor fo...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Foods that are too sweet or too processed should be avoided; try to limit the intake of refined foods such as candies, honey, soda, and both Western and Asian desserts. Additionally, it seems that your weight has increased a bit; it is advisable to reduce the consumption of fr...[Read More] Essential Dietary Guidelines for Managing Gestational Diabetes
Essential Preconception Health Checkups for Future Parents
Preconception Health Checkup Hello, doctor: I would like to inquire about the "preconception health checkup." What are the "essential" items that need to be included? Most hospitals offer "pre-marital checkups," which do not meet my needs, and I am n...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The items you listed are almost all included, such as gonorrhea, hepatitis B, and chest X-ray. However, semen analysis is not part of the tests. Generally, infertility evaluations are more necessary after one year of marriage. It is certainly advisable to conduct tests if needed....[Read More] Essential Preconception Health Checkups for Future Parents
Impact of Cell Phone Radiation on Sperm: Concerns for IVF Success
The impact of mobile phone electromagnetic waves on sperm? Hello, doctor. I am scheduled to undergo artificial insemination (sperm separation technique) next month in hopes of having a baby boy. However, I have been carrying my phone on my waist recently and have received over te...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Not necessarily, staying a bit farther away is safer. 2. Not necessarily, although conception may be successful, the normal development and growth of the embryo thereafter require regular prenatal check-ups and monitoring.[Read More] Impact of Cell Phone Radiation on Sperm: Concerns for IVF Success
Is It Normal for Semen to Leak After Ejaculation?
Ejaculation Hello, I would like to ask if it is normal for semen to flow out of my body about a minute after my partner ejaculates. Does this mean that sperm has entered my body? Is it because the penetration is not deep enough? We really want to have a child. Thank you!
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is normal that ejaculation occurs during sexual intercourse. Under normal circumstances, the pregnancy rate from ejaculation inside the body is less than 20%. If there has been no pregnancy for over two years, it is advisable to check for potential issues such as insufficient ...[Read More] Is It Normal for Semen to Leak After Ejaculation?
Can You Get Pregnant While Taking Inderal for Hyperthyroidism?
Medication Consultation You have hyperthyroidism and are taking Inderal (10 mg) three times a day. Is it safe to become pregnant? Will it affect the fetus? Thank you.
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Inderal (10 mg), which is propranolol, is a beta-adrenergic blocker that is effective in treating arrhythmias. 2. Since 1965, this class of medications (beta-blocking agents) has been used alone or in combination with antithyroid drugs in pregnant women with hyperthyroidism, ...[Read More] Can You Get Pregnant While Taking Inderal for Hyperthyroidism?
Understanding Vaginal Pain and Discomfort During Intercourse: A Guide
excuse me? During intercourse with my boyfriend, he is unable to fully penetrate. Could it be that my vagina is too short? Additionally, I experience abdominal pain when he moves. How should I go about getting this checked?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. No. The vagina is a fibromuscular tube that connects the cervix to the vulva, measuring approximately 8 cm in length on the anterior wall and about 12.5 cm on the posterior wall. It seems that you may not be sufficiently familiar with this; otherwise, I recommend visiting the ...[Read More] Understanding Vaginal Pain and Discomfort During Intercourse: A Guide
Understanding Irregular Menstrual Cycles: What Could Be Wrong?
Could you please provide more details or specify your question? Since the onset of menstruation, my periods have consistently lasted about 2 to 3 days, followed by a complete absence of menstrual flow for another day, then returning for another 2 to 3 days with a small amount of ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The menstrual cycle pattern and menstrual volume in individuals can change due to luteal phase defects or a shortened follicular phase. Luteal phase defects can be categorized into luteal formation defects or luteal regression defects. Your issue may be related to luteal regressi...[Read More] Understanding Irregular Menstrual Cycles: What Could Be Wrong?
Understanding Cervical Cancer Vaccination: Age Requirements and Access
Cervical cancer vaccine Hello, doctor. I would like to ask if the cervical cancer vaccine can only be administered to individuals aged 9 to 26. Is this based on actual age or lunar age? If I want to receive the vaccine, what should I do? Do I need to make an appointment with an o...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Yes. 2. Actual age. 3. You can visit the departments of Obstetrics and Gynecology, Pediatrics, and Family Medicine. 4. Yes, but you need to first inquire if there are available doses. 5. It should be the same; a total of 3 doses should be completed within six months, costing a...[Read More] Understanding Cervical Cancer Vaccination: Age Requirements and Access