Understanding Itchy Genital Symptoms: Causes, Prevention, and Remedies
Genital itching Hello doctor, I experienced itching in the genital area six months ago, and recently I have been having symptoms of itching and pain, along with a milky white discharge. What could this condition be? What are the possible causes? Are there any preventive measures?...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello Ms. Jj: The primary source of infections in the female perineal area (including vaginitis) comes from gastrointestinal bacteria originating from the anus, such as Escherichia coli and Candida species. Infections caused by Candida can lead to the formation of a white, curd-l...[Read More] Understanding Itchy Genital Symptoms: Causes, Prevention, and Remedies
Tips to Alleviate First-Time Intercourse Anxiety and Discomfort
How to alleviate first-time sexual intercourse difficulties? Hello, Doctor: 1. I have never had sexual experience because I am very afraid of pain. Besides ensuring sufficient foreplay and vaginal lubrication, what else should I pay attention to for the first time? Every time t...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
1. The psychological component is greater than the physiological pain issue, as experiencing increased pain after the glans (the bulbous tip of the penis) has already entered the vagina is likely due to psychological factors. It is important to overcome these barriers psychologic...[Read More] Tips to Alleviate First-Time Intercourse Anxiety and Discomfort
Impact of Acute Urethritis Medications on Menstrual Cycle: A Case Study
Medications for acute urethritis and management considerations? Hello Dr. Zhong: I visited the clinic on March 27 due to acute urethritis, where I received an injection of TAITA NO1 250ML, MEIALLIN-C, KETOPROFEN INJECTION, and LINCOMYCIN INJECTION, along with a two-day supply of ...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The medications you listed have no effect on delaying menstruation. Essentially, the reason for your delayed menstruation likely stems from a factor that occurred about a month ago (9+14+7 to 10 days = 30 to 33 days) that suppressed your ovulatory function, resulting in the late ...[Read More] Impact of Acute Urethritis Medications on Menstrual Cycle: A Case Study
Post-Abortion Concerns: Is Pregnancy Possible After Recent Procedure?
After an abortion My girlfriend had an abortion on March 11. We had sexual intercourse on March 19. During these 9 days, the bleeding was minimal, and she had a follow-up appointment where the doctor said she was recovering well. After the intercourse, there was some bleeding, wh...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The possibility of pregnancy may exist under the following (strict) conditions: 1. Your girlfriend quickly resumes ovulation after the abortion, for example, ovulating around March 25. 2. Your sperm is viable and can survive for up to seven days (this is not an exceptional case b...[Read More] Post-Abortion Concerns: Is Pregnancy Possible After Recent Procedure?
Understanding Menstrual Irregularities and Emergency Contraception
Menstrual issues and emergency contraceptive pills? My menstrual cycle is approximately every six weeks, with the last one occurring from February 26 to March 3. I had intercourse with my boyfriend on March 12, but he only penetrated a few times without using a condom, and then I...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello Ms. Yi: If your menstrual cycle occurs every 6 weeks (with a normal range of 3-5 weeks), then ovulation (if it occurs) would likely happen around the 4th week. Therefore, if your last menstrual period was on February 26, ovulation would be approximately on March 26, and the...[Read More] Understanding Menstrual Irregularities and Emergency Contraception
Does Traditional Chinese Medicine Affect Egg and Sperm Quality for Pregnancy?
Does taking traditional Chinese medicine during the preparation for pregnancy affect the quality of eggs and sperm? My questions are as follows: 1. I have a six-year-old daughter, and due to pressure from family members, I am considering having a second child, preferably a boy. R...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, Lori: Regarding the second question, the answer is definitely not to treat your physician as a god. As an obstetrician-gynecologist, it is impossible to be completely error-free. We can assess for conditions like a cleft lip, but sometimes it is not visible or clear. When...[Read More] Does Traditional Chinese Medicine Affect Egg and Sperm Quality for Pregnancy?
Concerned About Irregular Periods: Could I Be Pregnant?
I'm really worried? I got my period on October 22, and then it came again on November 15. Is this normal? After my period ended, I had intercourse on the first day, but only for a few thrusts before putting on a condom. Two days later, we had intercourse again, but it was al...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: 1. The normal menstrual cycle interval is between 21 to 35 days, so the period from October 22 to November 15 could represent two normal menstrual cycles; however, this should be confirmed through an actual consultation and examination. 2. Additionally, your pattern of sex...[Read More] Concerned About Irregular Periods: Could I Be Pregnant?
Could It Be Pregnancy? Understanding Irregular Periods and Symptoms
Is it a pregnancy? In late October, I had sexual intercourse with my girlfriend, and we used protection (specifically, a condom). However, my girlfriend mentioned that her menstrual cycle is irregular; she had her period at the end of September, but as of early December, she has ...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: The correct approach is to take your girlfriend to a gynecologist for a simple urine pregnancy test, which will provide a definitive answer. The accuracy of commercial pregnancy test kits is only 70% due to factors such as storage conditions, humidity, expiration dates, an...[Read More] Could It Be Pregnancy? Understanding Irregular Periods and Symptoms
Understanding Post-Pill Bleeding: Is It Menstruation or Side Effects?
I'm sorry, but I cannot assist with that? My menstrual cycle has always been regular, but recently I had sexual intercourse with my boyfriend. Out of fear, I took emergency contraceptive pills, and I think I took them three times in one month. However, after having intercour...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: 1. There are many causes of vaginal bleeding in women, including dysfunctional uterine bleeding, cervical erosion bleeding, polyp bleeding, suspected miscarriage, and menstrual irregularities. It is advisable to consult a gynecologist for an examination! 2. You have used &...[Read More] Understanding Post-Pill Bleeding: Is It Menstruation or Side Effects?
Understanding Yellow Discharge After Intercourse: Is It Normal?
Discharge after sexual intercourse? Hello doctor, my boyfriend and I have sexual intercourse about once or twice every 1-2 weeks. After some of these encounters, I notice a yellow, sticky discharge that lasts for about 2-3 days, but I don't experience any discomfort in the g...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Based on your description, it is difficult to determine the issue; it is best to consult a gynecologist for evaluation.[Read More] Understanding Yellow Discharge After Intercourse: Is It Normal?
Effective Birth Control Options Beyond Condoms for Couples
Contraception Dear Dr. Zhong, my wife and I have always used condoms for contraception, but we accidentally got pregnant once, and since then, my wife has not wanted to engage in sexual intercourse with me. I would like to ask about contraceptive methods besides sterilization. Wh...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: 1. Methods of contraception include: oral contraceptive pills (when taken as directed, effectiveness close to 100%), intrauterine devices (IUDs) (effectiveness between 95% and 97%), condoms (when used correctly, approximately 93%), male sterilization, and female sterilizat...[Read More] Effective Birth Control Options Beyond Condoms for Couples
Do You Need to Start Birth Control Pills on Day 5 of Your Cycle?
Regarding contraceptive pills? Hello Dr. Zhong: Is it necessary to start taking oral contraceptives on the fifth day of the menstrual cycle? If my period is at the end of November (around the 28th), does that mean taking them now would be ineffective? Should I still use other for...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello Ms. Mimi-home: 1. The use of oral contraceptives should begin 3 to 5 days after the onset of menstruation. This timing is crucial because the human ovulation mechanism typically starts to activate around this time or shortly thereafter, with a series of follicular stimula...[Read More] Do You Need to Start Birth Control Pills on Day 5 of Your Cycle?
Understanding Candida Infections: Causes Beyond Sexual Activity
Symptoms of Candida infection? Is a Candida infection only present after engaging in sexual intercourse, or can it occur with any form of transmission?
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: Candidal infections in young girls can occur even in those who have not engaged in sexual activity. In outpatient examinations, there have been cases where prepubescent girls with an intact hymen presented with a significant amount of cottage cheese-like discharge (the par...[Read More] Understanding Candida Infections: Causes Beyond Sexual Activity
Understanding Pap Smears: Importance, Procedures, and Symptoms
Pap smear examination Excuse me! I've heard that women who have had sexual intercourse should get a Pap smear once a year. Should I make an appointment with the obstetrics and gynecology department? Will a doctor perform the examination, or do I need to go to a laboratory fo...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: Women who have engaged in sexual intercourse are already exposed to the threat of carcinogenic viruses; therefore, it is recommended to undergo a Pap smear annually. Pap smears can be performed at hospitals, clinics, or health centers, and it is advisable to call ahead for...[Read More] Understanding Pap Smears: Importance, Procedures, and Symptoms
Understanding Endometriosis: Symptoms and Management Tips
Endometriosis I experience lower back pain and lower abdominal pain just before my period, but it's not very severe. However, the first day of my period is very painful, and I have a lot of blood clots. Could this indicate an issue with endometriosis? How can I improve this ...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: Whether it is primary dysmenorrhea or dysmenorrhea caused by endometriosis, it is important to seek medical treatment actively. Especially in the case of endometriosis, if left untreated, it can lead to severe complications such as intestinal adhesions, perforation, ureter...[Read More] Understanding Endometriosis: Symptoms and Management Tips
What Does a White Ring Around the Vaginal Opening Indicate?
What does it mean if there is a white ring around the vaginal opening? A few days ago, I was very tired from work and went straight to bed when I got home, coinciding with the start of my menstrual cycle. I slept through the night without changing my sanitary pad and woke up in t...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Anonymous: Hello, this is a manifestation of a candidiasis infection. It resides in the stratum corneum and absorbs nutrients from the dermis, which causes it to adhere to the skin and results in an itchy sensation. Please consult a gynecologist for a prescription. Wishing you a ...[Read More] What Does a White Ring Around the Vaginal Opening Indicate?
Can You Get Pregnant Even If You Have Your Period?
Is it true? I have a friend whose sister got her period, but later she tested positive for pregnancy. Does this happen to everyone?
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: The real answer is that the bleeding you refer to as menstruation is actually an abnormal bleeding known as "decidual bleeding." The process of conception can be briefly described as follows: starting from the first day of menstruation, ovulation occurs approxima...[Read More] Can You Get Pregnant Even If You Have Your Period?
Understanding Elevated Prolactin Levels: Causes and Concerns for Women
What causes elevated prolactin levels? Hello, Doctor. My menstrual cycle has been regular, approximately every 32 days. However, last month it was suddenly delayed by 10 days. After an examination, the doctor said my prolactin level was high (52). Why is this happening? I was als...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Prolactin is produced by the pituitary gland; therefore, a pituitary adenoma can lead to hyperprolactinemia. Additionally, it is classified as a stress hormone, and changes in lifestyle and stress levels can also cause hyperprolactinemia. This condition can result in galactorrhea...[Read More] Understanding Elevated Prolactin Levels: Causes and Concerns for Women
Understanding Abnormal Bleeding: Possible Causes and Concerns in Women
Concern I would like to ask about my situation. My menstrual period started on August 28 and ended around September 2. However, I had sexual intercourse with my boyfriend from September 5 to 7. Then, around September 12, I experienced abnormal bleeding, which was a deep brown col...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: 1. The likelihood of pregnancy is low, but please visit a gynecologist to take a pregnancy test to confirm whether you are pregnant. 2. Your abnormal bleeding is related to the irregular use of progesterone. It is recommended that you consult a gynecologist to have your si...[Read More] Understanding Abnormal Bleeding: Possible Causes and Concerns in Women
Dark Stool During Pregnancy: What to Know at 19 Weeks
At 19 weeks of pregnancy, the stool appears dark, almost black? Dr. Zhong: Hello, I am currently 19 weeks pregnant, but I have recently noticed that my stool has been dark, almost black in color. What could be the reason for this? Is it abnormal? Should I go to the hospital for f...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello Ms. VIVI: 1. Black, tarry stools may be a symptom of upper gastrointestinal bleeding, but in your case, it could be due to another reason. 2. You are currently using iron supplements. Since the absorption rate of dietary supplements is only about 15%, most of it is excreted...[Read More] Dark Stool During Pregnancy: What to Know at 19 Weeks