Should You Delay or Induce Your Period Before Your Wedding?
Menstrual suppression or menstrual extension? Hello, my last menstrual period started on September 27. I am getting married on November 2 and will be on my honeymoon from November 4 to 8. Should I consider delaying my period with medication? How long in advance should I visit the...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is more suitable to take the medication for menstrual regulation. If your menstrual cycle is regular, start taking the medication three days before your next period. If your cycle is irregular, start taking it five days before your next period, and continue until you want your...[Read More] Should You Delay or Induce Your Period Before Your Wedding?
Does Ovarian Surgery Affect Your Menstrual Cycle? Understanding Post-Op Changes
Will surgery on the ovaries affect the menstrual cycle? I had surgery for an ovarian tubo-ovarian abscess at the beginning of August. Three weeks after the surgery, my menstrual period started and lasted for about a week. After it ended, I continued to have discharge, and on the ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Any surgical procedures on reproductive organs, such as sterilization, excision, or the removal of an intrauterine device (IUD), can affect the menstrual cycle for up to three months or even six months afterward. The cycle may return to normal after some time. However, if bleedin...[Read More] Does Ovarian Surgery Affect Your Menstrual Cycle? Understanding Post-Op Changes
Postpartum Hair Loss: Is It Normal After Giving Birth?
Is postpartum hair loss severe? Hello Doctor: I am currently over four months postpartum and experiencing severe hair loss. I would like to know if this is related to childbirth, as I did not have this issue before.
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
During pregnancy, in addition to estrogen, there may also be stimulation from androgens that promote the anagen phase or growth of hair, leading to an increased proportion of hair in the telogen phase or resting phase. After childbirth, this ratio reverses, and hair shedding beco...[Read More] Postpartum Hair Loss: Is It Normal After Giving Birth?
Which Specialty to Choose for HPV Treatment: Gynecology or Urology?
Which department should I see? Hello~ I was diagnosed with genital warts and have been undergoing treatment for three months using topical medications and cryotherapy, but there has been no improvement, and the condition has spread. Therefore, I am considering electrosurgery for ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. You should see a gynecologist. 2. During the pelvic examination, the doctor will also check for genital warts in the vagina, which can generally appear in the lower vagina, but are rarely found in the upper vagina and on the cervix. A Pap smear will also be performed. 3. Genit...[Read More] Which Specialty to Choose for HPV Treatment: Gynecology or Urology?
Understanding Recurrent Pelvic Inflammatory Disease After Childbirth
Pelvic Inflammatory Disease (PID) Hello Dr. Chang, I have experienced recurrent pelvic inflammation three times postpartum. Each time, I followed the treatment plan provided by my doctor, but shortly after completing the treatment, I get infected again. The discharge is green, an...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Pelvic inflammatory disease is primarily caused by Neisseria gonorrhoeae (accounting for 50%) and Chlamydia trachomatis (accounting for 23.7%). 2. Generally, significant improvement is observed within three days after treatment, with a treatment course lasting about two weeks...[Read More] Understanding Recurrent Pelvic Inflammatory Disease After Childbirth
Understanding Abnormal Brown Discharge: Causes and Concerns
Abnormal discharge Doctor, I noticed some brown discharge the day before yesterday, and calculating the dates, it should be around my ovulation period. I've also had some leukorrhea and previously experienced intermenstrual bleeding, but I've been taking traditional Chi...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
This is a normal phenomenon. During ovulation, the rupture of the follicle can cause some bleeding mixed with secretions, resulting in a brownish color. Some individuals may even experience abdominal pain or bloating. Unless there is heavy bleeding or severe pain, which would req...[Read More] Understanding Abnormal Brown Discharge: Causes and Concerns
How to Prevent a Third Miscarriage After Two Losses?
Having experienced two miscarriages, what steps can be taken to prevent a third one? I experienced my first pregnancy but did not detect a heartbeat, so I underwent a procedure to remove it. Three months later, I became pregnant again, and although there was a heartbeat initially...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Three or more consecutive miscarriages are classified as recurrent pregnancy loss. 2. The average incidence of spontaneous abortion is 15%. When the first pregnancy ends in a spontaneous abortion, regardless of the chromosomal pattern of the aborted fetus, the chance of expe...[Read More] How to Prevent a Third Miscarriage After Two Losses?
Can You Get Pregnant After Taking Emergency Contraceptive?
Is it still possible to get pregnant this way? If I took the emergency contraceptive pill the day before, but today my boyfriend and I had sexual intercourse again and he accidentally ejaculated inside me, is there still a chance of getting pregnant? Thank you.
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Mifepristone (RU486) is an anti-progestin medication that is effective for emergency contraception, but it does not guarantee 100% efficacy, so there is still a possibility of pregnancy. 2. A single oral dose can prevent ovulation and may also be related to the prevention of...[Read More] Can You Get Pregnant After Taking Emergency Contraceptive?
Impact of X-ray Exposure on Infants: What New Parents Should Know
Does this have any impact on the baby? Hello Dr. Zhang, I would like to ask you a few questions. My wife and I have a five-month-old daughter. About three months ago, my wife had her first postpartum menstrual period (although I’m not sure if it was a true period, as the flow and...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It was your daughter who was exposed to the X-ray, not your wife, so the impact should be minimal. 1. If exposure occurs before or shortly after implantation, specifically between 9 to 10 days post-conception, it may result in fetal death. 2. If exposure occurs during the early o...[Read More] Impact of X-ray Exposure on Infants: What New Parents Should Know
Understanding Nipple Inversion: When to Seek Medical Advice
Breast issues Hello, I have a question. When I press on my right nipple, it sinks in and does not protrude again. Is this normal? Should I go to the hospital for an examination? Which department should I visit?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It is abnormal; typically, a depression should return to a protrusion. You should go to the hospital for an examination, and you can see a general surgeon or a breast surgeon.[Read More] Understanding Nipple Inversion: When to Seek Medical Advice
Abdominal Pain: Could It Be Pregnancy or Something Else?
Abdominal cramping. Dull pain? I have been experiencing intermittent abdominal pain for the past few days, sometimes feeling like the discomfort I get before my menstrual period. I am no longer using contraception, and my last menstrual period was on December 19, so I should be e...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
It could be a possibility of pregnancy or an ectopic pregnancy. Have you taken any medications recently? Have you had any abdominal surgeries? Tumors (such as fibroids or ovarian cysts) could also be a factor, along with other internal or surgical conditions. Please visit a hospi...[Read More] Abdominal Pain: Could It Be Pregnancy or Something Else?
When is the Best Time to Take a Pregnancy Test for Accuracy?
When is the best time to take a pregnancy test for accurate results? When is the best time to take a pregnancy test for accurate results? The last time I tested was when I felt some breast tenderness, but the result was negative. I've heard that it's more accurate to te...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
The correct time to take a pregnancy test should be within 7 days after the expected date of the next menstrual period. If pregnant, the level of HCG in urine will be >= 25 mIU/ml; if not pregnant, HCG will either be undetectable or < 25 mIU/ml. It is advisable to retest af...[Read More] When is the Best Time to Take a Pregnancy Test for Accuracy?
Postpartum Nutrition: Essential Fruits and Vegetables for New Moms
What should one eat after giving birth? Could you please provide a list of recommended fruits and vegetables for a physician to suggest for someone who has just given birth and is following a lacto-vegetarian diet for the first 10 days postpartum? Thank you, doctor.
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Some fiber-rich and blood-nourishing foods are beneficial for postpartum women, such as spinach, beets, cabbage, pears, and grapes. On the other hand, some commonly referred to "cooling" fruits and vegetables, such as citrus fruits, papaya, cabbage, and white radish, sh...[Read More] Postpartum Nutrition: Essential Fruits and Vegetables for New Moms
Understanding Irregular Periods and Pregnancy Testing After Miscarriages
Pregnancy test Hello, I would like to ask: In my first year of marriage, I had two induced abortions (both due to unavoidable circumstances), and the fetuses were both under 10 weeks. In the following year, I intermittently took traditional Chinese medicine due to my desire to co...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Are you experiencing increased vaginal discharge? The pelvic congestion and lower abdominal pain when lifting heavy objects may indicate inflammation of the uterus or pelvic cavity, which could likely be a result of a previous abortion. Additionally, your prolonged menstrual peri...[Read More] Understanding Irregular Periods and Pregnancy Testing After Miscarriages
Understanding Bleeding After Masturbation: A Gynecological Perspective
Masturbation! Hello doctor, I have had uterine fibroids and endometriosis, both of which have been removed. I do masturbate, but I do not insert anything into my vagina. However, I am experiencing bleeding, which appears as blood-tinged clear discharge. Why is this happening? Did...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Please visit the outpatient clinic for a detailed examination to determine the true cause of the bleeding.[Read More] Understanding Bleeding After Masturbation: A Gynecological Perspective
Understanding Irregular Menstrual Cycles and Vaginal Discomfort: Causes and Concerns
Menstruation and the vaginal opening? My menstrual cycle has always been regular, arriving at the same time each month with normal flow. However, for the past two years, my period has occasionally been delayed by 1 to 2 days. In the two days leading up to my period, I experience ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. The menstrual cycle is regulated by the ovarian cycle, which can be divided into the follicular phase and the luteal phase. The follicular phase primarily involves the development of ovarian follicles, starting from the first day of menstruation and lasting approximately 10 to...[Read More] Understanding Irregular Menstrual Cycles and Vaginal Discomfort: Causes and Concerns
Understanding Endometrial Ablation: Can It Stop Menstruation Completely?
excuse me? Hello, doctor. May I ask if "endometrial ablation" can completely stop menstruation? Is this procedure commonly performed currently, and what are the potential side effects? Could you also provide an approximate cost for the surgery? I apologize for asking so...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. Yes, "dilation and curettage" (D&C) is quite common and is used for procedures such as terminating a pregnancy, regulating menstrual cycles, and even managing incomplete miscarriages. If the procedure is performed too aggressively and the deepest layer of the end...[Read More] Understanding Endometrial Ablation: Can It Stop Menstruation Completely?
Medication Transition for Pregnancy: Seeking Guidance in Obstetrics
Dressing change issues? Hello Dr. Chang, I have a problem with mitral valve prolapse, which is accompanied by feelings of pressure and anxiety. Currently, I take diazepam and propranolol (minimum dosage) once a day; both medications are classified as category C-D. Since I plan t...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
1. First, consult an obstetrician-gynecologist. It is advisable to avoid taking any medications before pregnancy, especially antidepressants and anxiolytics, as these are clearly labeled in the drug manual as contraindicated for pregnant women. 2. Your mitral valve prolapse issue...[Read More] Medication Transition for Pregnancy: Seeking Guidance in Obstetrics
Foamy Discharge and Odor After Intercourse: Causes and Solutions
After sexual intercourse, there is often foam in the genital area, and a foul odor may develop a few days later? Hello, after having intercourse, I often notice foam at the vaginal opening. A couple of days later, I experience itching and a foul-smelling discharge that lasts for ...
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Hello, based on your description, it seems to be a case of trichomoniasis. It can be transmitted to healthy individuals through the anus, bath water, towels, and other instruments. However, the majority of cases are still most likely transmitted through sexual intercourse. It is ...[Read More] Foamy Discharge and Odor After Intercourse: Causes and Solutions
Causes of Blood in Urine: Understanding Potential Risks and Concerns
Hematuria I would like to ask about my classmate's mother, who experiences bleeding during urination. What could be the cause of this? Is it related to her complicated sexual relationships, as she has had very chaotic sexual encounters?
Dr. Zhang Yongxuan reply Obstetrics and Gynecology
Hello: Regarding your question, there are three possible causes: (1) urinary tract infection, (2) stones, and (3) tumors. A preliminary urinalysis can provide a general understanding. Complicated sexual relationships may potentially lead to inflammation and bleeding. It would be ...[Read More] Causes of Blood in Urine: Understanding Potential Risks and Concerns