Understanding Pain During Intimacy: Causes and When to Seek Help
I'm sorry, but I cannot provide a translation without the content you would like me to translate. Please provide the My girlfriend told me that she feels some pain during intercourse, but it doesn't happen every time. What could be the reason for this? She had a Pap sme...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: The causes of dyspareunia can range from psychological to physiological factors, including 1. Psychological rejection leading to spasmodic contractions and pain in the lower abdomen. 2. Stinging pain caused by external genital stimulation. 3. Pain due to uterine contractio...[Read More] Understanding Pain During Intimacy: Causes and When to Seek Help
Understanding Yellowish Vaginal Discharge: Causes and Concerns
Abnormal vaginal discharge The presence of yellowish, sticky vaginal discharge with an unpleasant odor, without itching or pain, could indicate a possible infection, such as bacterial vaginosis or a sexually transmitted infection (STI). Given that this situation has persisted for...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Vaginal infections can be broadly categorized into bacterial, fungal, and parasitic infections, each with different symptoms and odors. Therefore, it is essential to seek in-person medical evaluation for an accurate diagnosis. Wishing you a speedy recovery.[Read More] Understanding Yellowish Vaginal Discharge: Causes and Concerns
Post-Hysterectomy Discomfort: Common Concerns and Solutions for Women
Discomfort Symptoms After Hysterectomy On July 20, a Japanese patient underwent a hysterectomy and cervical removal due to adenomyosis measuring 18*15*9 cm. It has been over 40 days since the surgery, and she is still experiencing many discomforts. I would like to ask the followi...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: You have undergone a major surgery, specifically a myomectomy for large fibroids. 1. A hysterectomy will leave an incision above the vagina, and during the recovery process, you may experience some discharge. Please return for a follow-up appointment. 2. It is estimated...[Read More] Post-Hysterectomy Discomfort: Common Concerns and Solutions for Women
Understanding Emergency Contraception and Pregnancy Risks After Intercourse
excuse me? I was originally scheduled to have my period around the 29th, but after having intercourse on the 11th and taking emergency contraception, my period came on the 20th. Then, I had intercourse again on the 25th. Is it harmful to take emergency contraception again? Is the...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
1. If the 20th is the normal menstrual period, the likelihood of conception after intercourse on the 25th is low (calculated based on a 28-day cycle). 2. Frequently using emergency contraceptive pills is not as effective as regularly using oral contraceptives. 3. There is a p...[Read More] Understanding Emergency Contraception and Pregnancy Risks After Intercourse
Understanding Emergency Contraceptive Pills: Usage and Effects
Emergency contraceptive pill If I took emergency contraception three weeks ago and then had sexual intercourse again three weeks later, what would happen if I took it again? Also, my period just ended five days before the second sexual intercourse.
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Reflection: I really don't know where to start with your question. Correct understanding: Emergency contraceptive pills are not a panacea; what you need is a regular oral contraceptive. Explanation: The appropriate timing for using emergency contraceptive pills is after conf...[Read More] Understanding Emergency Contraceptive Pills: Usage and Effects
Understanding Abnormal Uterine Bleeding After Sexual Intercourse
Abnormal Uterine Bleeding Why can sexual intercourse lead to abnormal uterine bleeding? Is there an underlying issue with the uterus itself, or is it due to excessive intensity during the sexual activity? How can this situation be prevented?
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
This is referred to as "postcoital bleeding," with the most common cause being functional uterine bleeding. Other causes include cervical erosion, cervical polyps, and acute or chronic cervicovaginitis, among others. Please have your gynecologist perform a thorough exam...[Read More] Understanding Abnormal Uterine Bleeding After Sexual Intercourse
Essential Prenatal Care: What to Do If You’ve Had Limited Testing?
Prenatal checkup I am currently over 8 months pregnant and have only had one blood test. My due date is in mid-September, and I am no longer receiving prenatal care at that hospital. Additionally, my maternity handbook does not indicate what tests I have undergone. Could you plea...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Please attend your prenatal check-ups at the hospital on schedule (which should be once a week).[Read More] Essential Prenatal Care: What to Do If You’ve Had Limited Testing?
Understanding Frequent Urination and Irregular Periods in Young Women
Frequent urination Hello doctor, I am 20 years old. I had sexual intercourse with my boyfriend when I was 18, but I forgot when it started. I have been experiencing frequent urination for about a year, but it's only a small amount. Why is this happening? Could it be due to a...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
1. The description in the first paragraph resembles a urinary tract infection, but it is unlikely to persist for a year. However, if accompanied by persistent vaginal discharge (vaginitis), then "recurrent" urinary tract infections could be a possible explanation. 2. Th...[Read More] Understanding Frequent Urination and Irregular Periods in Young Women
Managing Fetal Positioning: Tips for Pregnant Women at 28 Weeks
Fetal issues Hello Doctor: I am currently 28 weeks pregnant. A few days ago, I went for a check-up, and the doctor said that the fetal position is not optimal. They advised me to lie on my stomach to adjust it, but I can only maintain that position for a few minutes before I can&...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
You are currently using the "knee-chest position" method to correct the issue of fetal malposition. The "knee-chest position" has three key points: 1. Kneel on a firm surface with your knees spread shoulder-width apart. 2. Lower your chest as much as possible ...[Read More] Managing Fetal Positioning: Tips for Pregnant Women at 28 Weeks
Weight Gain After Hormonal Medication: Is It Related?
Hormonal medication Hello: Due to the absence of menstruation and not being pregnant, the doctor prescribed hormone medication for me, which I have taken for two days. I have gained 2 kg, while my caloric intake and food quantity have remained the same. Could this be related to t...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hormonal medications generally contain progesterone, which has an antidiuretic effect, resulting in water retention of approximately 0.5 to 3 kg in the body. This can lead to symptoms such as breast fullness, a feeling of heaviness in the lower abdomen due to uterine distension, ...[Read More] Weight Gain After Hormonal Medication: Is It Related?
Understanding Painful Vaginal Growth: What Could It Be?
Could you please provide more details or specify your question? Doctor... I would like to ask about something I recently discovered. I found a growth about 1 centimeter in size at the opening of my vagina, and I'm not sure what it is. It causes sharp pain and is swollen. Cou...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The vulva has a lot of hair, so folliculitis is possible. Additionally, there is a Bartholin's gland located beneath the inner labia that is responsible for secreting vaginal lubrication. If this gland becomes inflamed and infected, it can lead to a Bartholin's gland cy...[Read More] Understanding Painful Vaginal Growth: What Could It Be?
Am I Pregnant? Understanding Menstrual Delays and Ovarian Cysts
I'm not sure if I'm pregnant..? Hello, Doctor. My last menstrual period started on the 18th of last month. I usually have a delay of 4 days, but last month it was delayed by 5 days. This month, I expected my period to arrive around the 18th or 19th, but it hasn't c...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
1. Ovarian cysts and menstrual irregularities may be related, but the correlation is not significant. 2. To confirm pregnancy, please visit a gynecologist. 3. After taking menstrual induction medication, menstruation will typically occur about three to five days later. 4. For ova...[Read More] Am I Pregnant? Understanding Menstrual Delays and Ovarian Cysts
Do Birth Control Pills Cause Weight Gain? Myths and Facts Explained
What are the side effects of birth control pills? Is it true that taking birth control pills can cause weight gain? I've also heard about a type of birth control pill called "Qlaira" or "Diane" that can be used to treat acne. Is that correct? Is there a w...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, Xiaoru: The truth about taking birth control pills is that weight may increase, but it does not mean gaining fat. This is due to the action of progesterone, which retains 0.5 to 3 kilograms of water in the body, including in the breasts (causing swelling), the uterus (lead...[Read More] Do Birth Control Pills Cause Weight Gain? Myths and Facts Explained
Understanding Ovarian Tumors: Risks and Surgical Considerations
About ovarian tumors? My fiancée experienced severe pain and bloating during her menstrual period in February. After undergoing an ultrasound at Mackay Memorial Hospital, a cyst approximately 6 cm was found on her ovary. The doctor advised her to return for a follow-up examinatio...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello, Zhiren: First, menstrual cramps, bloating, and ovarian cysts are not related. They are two independent events. Second, as you mentioned, it should not be a simple ovarian cyst, but rather a tumor. The chance of it being malignant is very low, but it should still be excis...[Read More] Understanding Ovarian Tumors: Risks and Surgical Considerations
Understanding Brown Discharge During Ovulation: Is It Normal?
Vaginal discharge Excuse me, I would like to ask... During ovulation, I noticed that the clear discharge is mixed with brown discharge. Is this situation abnormal? Thank you~~
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Xiaorou: You provided a typical description of "ovulatory uterine abnormal bleeding." During the ovulatory phase, the concentration of female hormones in the body decreases and then increases, which may lead to a "breakthrough effect" causing slight shedding a...[Read More] Understanding Brown Discharge During Ovulation: Is It Normal?
Understanding Brown Discharge After Intercourse: Causes and Concerns
Brown discharge If you experience the discharge of sticky, odorless brown or nearly black secretions one to two days after masturbation, it could potentially be caused by several factors. These may include the presence of old blood, which can occur due to minor trauma or irritati...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Masturbation and sexual intercourse can both cause occasional small amounts of abnormal uterine bleeding. The symptoms are exactly as you described. Typically, the small amount of bleeding appears brown to black in the vagina due to oxidation, mixed with cervical mucus, resulting...[Read More] Understanding Brown Discharge After Intercourse: Causes and Concerns
Understanding Umbilical Cord Issues in Infants: Causes and Solutions
Infant colic issues? Hello Dr. Zhong: My child is currently 3 months old. The umbilical cord fell off when he was 8 days old, but the belly button has been inflamed ever since. The doctor suspects it may be an issue with the umbilical canal. Could you please explain why this migh...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The first topic of care after a newborn's discharge from the umbilical cord care unit. If there is recurrent inflammation leading to an abscess and the formation of a fistula, it is important to seek evaluation and treatment from a pediatric surgeon as soon as possible. Wish...[Read More] Understanding Umbilical Cord Issues in Infants: Causes and Solutions
Understanding Irregular Menstrual Bleeding After Abortion: What to Know
Menstruation lasts continuously for 1 to 7 days? Hello Doctor: In March, I was diagnosed with pregnancy by an obstetrician and underwent a medical abortion using RU486. However, due to incomplete expulsion, I had a dilation and curettage (D&C) under local anesthesia to ensure...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Menstrual bleeding lasting from 1 to 7 days is generally considered to be within the normal range; however, any subsequent light bleeding is not normal. Possible causes include persistent bleeding from small blood vessels in the endometrium or incomplete healing of the endometriu...[Read More] Understanding Irregular Menstrual Bleeding After Abortion: What to Know
Understanding Inverted Nipples: Concerns and Surgical Options
A bit worried? Hello, doctor... My girlfriend has inverted nipples, which means they don't protrude even with stimulation. She feels embarrassed to ask a doctor about it, so I would like to know if this is a concern. If surgery is needed, how much would it typically cost, an...
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
The focus of inverted nipples is not on appearance (as they are not shown to unrelated individuals) but on function (difficulty in breastfeeding). It is important to pay attention to hygiene, prevent dirt accumulation, and have the courage to consult a breast specialist for evalu...[Read More] Understanding Inverted Nipples: Concerns and Surgical Options
How to Reduce the Size of Your Areola: Tips and Solutions
Areola If my areola is significantly larger than that of most women, what can I do to reduce its size?
Dr. Zhong Wenzhen reply Obstetrics and Gynecology
Hello: The areola is a natural process of melanin deposition during breast development, related to hormone secretion. Allowing it to develop naturally and accepting your body is the correct attitude. Attempting to reduce its size is not advisable (except through surgical procedur...[Read More] How to Reduce the Size of Your Areola: Tips and Solutions