Understanding Pelvic Inflammatory Disease Symptoms and Diagnosis
Regarding inflammatory symptoms..? Hello, doctor. I would like to ask about the main symptoms of pelvic inflammatory disease (PID). Does it cause abdominal pain or increased endocrine activity? A few months ago, I had an ectopic pregnancy, so I want to know what could be the caus...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Pelvic inflammatory disease (PID) typically presents with symptoms such as abdominal pain and increased discharge. As for the mild abdominal pain you experience post-surgery, it may be related to adhesions that can develop after the procedure.[Read More] Understanding Pelvic Inflammatory Disease Symptoms and Diagnosis
Understanding Due Dates: How to Calculate Pregnancy Weeks Correctly
Calculate the due date? The due date is typically calculated by adding 280 days (or 40 weeks) to the first day of the last menstrual period (LMP). The formula you mentioned, which is months + 9 days + 7, is a simplified method that may lead to confusion, as it does not account fo...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Adding 9 to the month and 7 to the day is correct; thus, the estimated due date is 40 weeks, with the first day being the first day of the last menstrual period (therefore, this is based on a regular menstrual cycle). A pregnancy is considered full-term at 37 weeks, and any deliv...[Read More] Understanding Due Dates: How to Calculate Pregnancy Weeks Correctly
Does Taking 9 Capsules of Zhenglu Pills in Early Pregnancy Affect the Baby?
In early pregnancy, accidentally consuming nine tablets of Pepto-Bismol may affect the baby. It is important to consult a healthcare professional for personalized advice and to assess any potential risks? Hello, doctor. I accidentally ingested 9 capsules of a medication during th...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Based on your described ingredients, I cannot understand. I suggest you consult a traditional Chinese medicine practitioner; perhaps you can get your answers there.[Read More] Does Taking 9 Capsules of Zhenglu Pills in Early Pregnancy Affect the Baby?
Understanding Immature Ovarian Follicles: Impacts on Fertility and Health
Immature ovarian follicles Hello, recently I experienced two menstrual periods within a month, and I've been feeling strange in my abdomen along with diarrhea. Therefore, I went to see a gynecologist for an examination (it seems to be an ultrasound). The doctor mentioned tha...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Girls are born with immature eggs stored in their ovaries. With the onset of menstruation, one egg matures and is released each month during the menstrual cycle. Therefore, during the menstrual cycle, it is possible to detect follicles via ultrasound, which only requires observat...[Read More] Understanding Immature Ovarian Follicles: Impacts on Fertility and Health
Understanding Pain During Intercourse: Causes and Solutions for Women
Experiencing pain during intercourse multiple times can be concerning. It is important to consult a healthcare professional to determine the underlying cause, which may include factors such as insufficient lubrication, infections, or other medical conditions? Hello Doctor: I had ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The experience of sexual intercourse varies for everyone; by accumulating experiences, you can discover the most suitable approach for you both.[Read More] Understanding Pain During Intercourse: Causes and Solutions for Women
Understanding Uterine Didelphys: Pregnancy Considerations and Resources
Uterus didelphys and double cervix? Recently, my wife discovered she is pregnant after a missed period. After visiting the obstetrician, the doctor informed us that she has a uterus didelphys and two cervices, and that the gestational age is already 4 weeks. Should both uteri be ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Uterus didelphys is a condition that arises during embryonic development and can present in various forms. It may affect the chances of conception, but it can also be asymptomatic. If pregnancy occurs, it functions similarly to a normal uterus, and no special treatment is typical...[Read More] Understanding Uterine Didelphys: Pregnancy Considerations and Resources
Managing Discomfort and Emotional Health in Older Pregnant Women
Advanced maternal age At around 22 weeks of pregnancy, I have been experiencing frequent abdominal tightness, and the fetal movements feel stronger when I lie flat. I often feel a sensation of swelling in my legs, particularly more pronounced in my left leg. Are there better ways...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
From the beginning of pregnancy, contractions in the uterus (abdomen) may occur, typically not too strong or frequent. However, if the pregnant woman exerts herself too much or becomes overly fatigued, it may lead to increased contraction intensity. Therefore, it is recommended t...[Read More] Managing Discomfort and Emotional Health in Older Pregnant Women
Can Drinking Four Herbs Tea Before Menstruation Alleviate Pain?
It is advisable to drink Si Wu tea bags before menstruation? Hello Director Chuang, I would like to ask if drinking Si Wu tea bags a week before my period would have any effects. Everyone says that Si Wu soup should only be consumed after menstruation. In the past, my mother wo...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
There are many causes of menstrual pain, so it is advisable for you to visit a gynecologist for an examination.[Read More] Can Drinking Four Herbs Tea Before Menstruation Alleviate Pain?
Cesarean vs. Natural Birth: Safety Considerations for Your Second Pregnancy
Cesarean section or vaginal delivery? Hello Doctor: I gave birth to my first child, a daughter weighing 3400 grams (now almost 2 years old), but I experienced postpartum hemorrhage. I later underwent emergency measures to stop the bleeding, avoiding a hysterectomy. Now I am pregn...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
I am not sure when the hemorrhage you mentioned occurred—was it during delivery, postpartum, or due to some other reason? However, regardless of the type of bleeding, it should not be related to the next pregnancy or delivery, and a cesarean section is not necessarily required. I...[Read More] Cesarean vs. Natural Birth: Safety Considerations for Your Second Pregnancy
Understanding Vaginal Itching: Causes, Care, and When to See a Doctor
Vaginal itching I've been experiencing vaginal itching for the past two weeks. In the past, my mom would give me some wash, and it would resolve quickly, but this time I've been washing for a while, and the itching seems to be getting worse. I often feel uncomfortable, ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Based on what you described, it could be a fungal infection. However, if there are indeed "small lumps between the vagina and anus," there may be other lesions present. It is advisable to seek treatment from a gynecologist.[Read More] Understanding Vaginal Itching: Causes, Care, and When to See a Doctor
Early Pregnancy: Dietary Concerns and Medication Safety
Diet and Medication Issues in Early Pregnancy Hello Dr. Chuang: The first day of my last menstrual period was April 8, and I am currently about four weeks pregnant. During this time, I took an allergy medication that contained: Decadolone 0.5 mg, Tellwell, AlOH 334 mg, Prinate 3 ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. Taking it only once should not cause significant issues; it is recommended to minimize usage during this period. 2. It should be fine. 3. Currently, there are no research reports indicating that it is necessary to "stay away from the computer."[Read More] Early Pregnancy: Dietary Concerns and Medication Safety
Understanding Changes in Menstrual Cycle: Is Your Period Normal?
Menstrual duration Hello, Doctor: My menstrual cycle has not been very regular in the first three months of this year, typically arriving about a week late. Additionally, I have noticed that the duration of my period has increased from the usual 4-5 days to 8-9 days (from the sta...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
According to what you mentioned, the ultrasound examination showed no issues, so we should consider the possibility of ovarian function being a factor. It is recommended that you measure your basal body temperature yourself and keep a continuous record to bring to the hospital fo...[Read More] Understanding Changes in Menstrual Cycle: Is Your Period Normal?
Understanding the Impact of Timing on 21-Day Birth Control Pills
Questions about the 21-day birth control pill? I would like to ask if taking my medication consistently at around 6 PM every day, but having taken it at around 11 or 12 PM on two occasions over a 21-day period, will affect its contraceptive effectiveness? Additionally, after fini...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. Taking the medication a few hours late will not have an impact. 2. Typically, a pack of 21 contraceptive pills is taken for 21 days, followed by a 7-day break before starting another pack. During this 7-day break, menstruation should occur, and it is unlikely to conceive durin...[Read More] Understanding the Impact of Timing on 21-Day Birth Control Pills
Understanding Candida Infections: Causes, Prevention, and Myths
Issues related to Candida infections? Hello Dr. Chuang, I often have a white discharge. Is that a yeast infection? Is a yeast infection only transmitted through sexual intercourse? If I have a yeast infection, does that mean I have had sexual intercourse? If I haven't had se...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
According to what you said, it should be a Candida infection, which is not absolutely related to sexual activity but is more associated with individual constitution, lifestyle habits, and clothing. It tends to become more pronounced during pregnancy, and in some individuals, symp...[Read More] Understanding Candida Infections: Causes, Prevention, and Myths
Understanding Emergency Contraceptive Pills: Nausea and Menstrual Irregularities
Emergency contraceptive pill Is it certain that taking emergency contraceptive pills will always cause nausea, or does experiencing nausea indicate that the contraceptive issue has been resolved? Can one become pregnant if intercourse occurs right after menstruation? My menstrual...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. It is possible. 2. I don't understand what you mean. 3. Theoretically, it should not happen. 4. Emergency contraceptive pills are not required to be used "after every instance"; they should only be used during the fertile window. Incorrect usage can certai...[Read More] Understanding Emergency Contraceptive Pills: Nausea and Menstrual Irregularities
Can Vitamins and Supplements Affect Birth Control Patch Efficacy?
Contraceptive effectiveness Hello, I have been using the contraceptive patch for over two months. Can I supplement with vitamins such as B, C, E, calcium tablets, or health products like Shun Tian Tang herbal supplements? Will these affect the contraceptive effectiveness? Thank y...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
It should not affect its contraceptive effectiveness.[Read More] Can Vitamins and Supplements Affect Birth Control Patch Efficacy?
Understanding Hemorrhoids and Natural Birth: Key Concerns for Expecting Mothers
Hemorrhoids and Natural Childbirth Hello, Doctor: During my pregnancy, I experienced constipation and strained too much, resulting in external hemorrhoids. Is there a relationship between hemorrhoids and vaginal delivery? Will I need a cesarean section? This is my second pregnanc...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Although you have hemorrhoids, it shouldn't require medication. As for cold medicine, if it is prescribed by an obstetrician, they would consider the issues related to the fetus. When you go for your prenatal check-up, you can ask the doctor about the baby's development...[Read More] Understanding Hemorrhoids and Natural Birth: Key Concerns for Expecting Mothers
Can You Get Pregnant from Touching? Understanding Fertility Risks
Will it cause pregnancy? Hello, doctor... I'm sorry to trouble you. I have a question. My girlfriend got her period on the 18th of last month, and she still hasn't gotten it this month as of today, the 18th. 1. On February 5th, my girlfriend touched my penis, and I to...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
According to the information provided, there is no mention of whether the girlfriend's menstrual cycle is regular or if ejaculation occurred at the time. Therefore, it is difficult to make a judgment. If her period is late, it is advisable to visit a gynecologist for testing...[Read More] Can You Get Pregnant from Touching? Understanding Fertility Risks
Effects of Scented Products on Fetal Development: What Pregnant Women Should Know
Pregnancy-related issues? Hello Dr. Chuang, I am currently 8 weeks pregnant. If I inhale the chemical scents emitted from a liquid incense burner every night, will it affect the growth of the fetus and potentially lead to "birth defects" or "brain issues"? I...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Currently, there are no reports on this matter.[Read More] Effects of Scented Products on Fetal Development: What Pregnant Women Should Know
Why Your Period May Be Delayed After Stopping Birth Control Pills
After stopping the birth control pill, my menstrual cycle has not yet returned? After taking birth control pills, my menstrual cycle lasted almost three weeks, so I stopped using the pills. After that, my period continued for another week before it stopped. It has now been a mont...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
I am not aware of your previous menstrual situation or how you have been using contraceptive pills, so I recommend that you visit a gynecologist for a more appropriate evaluation.[Read More] Why Your Period May Be Delayed After Stopping Birth Control Pills