Understanding Abnormal Bleeding After Medication: When to Seek Help
Abortion Hello Dr. Chuang, I visited Nantou Hospital last Friday (the 21st) for a consultation with you. I am the one who wrote a long list of questions, and you suspected that my symptoms might be due to intrauterine adhesions. After our consultation, you prescribed me a 7-day ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
The amount of bleeding is not significant, so continue taking the medication for 7 days as planned, and come in for your appointment at the originally scheduled time.[Read More] Understanding Abnormal Bleeding After Medication: When to Seek Help
Understanding Pregnancy Weeks: When to Expect Heartbeat and Ultrasound
Gestational age Hello Doctor: I noticed some light blood traces when I went to the bathroom before bed on February 14. On February 15, I realized my period had started. I found out I was pregnant on March 31 after taking a pregnancy test. My average menstrual cycle is 32 days, an...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
(1) The current gestational age should be determined as 6 weeks and a few days (calculated from the first day of the last menstrual period). (2) Fetal heartbeat can typically be detected via abdominal ultrasound around 7 weeks. (3) There are no restrictions on when to perform an ...[Read More] Understanding Pregnancy Weeks: When to Expect Heartbeat and Ultrasound
Impact of Flu Vaccine on Fetal Development During Pregnancy
The impact of influenza vaccination on the fetus? Hello Dr. Chuang, I have been troubled by a question during my pregnancy. I received the flu vaccine before I knew I was pregnant, and I am concerned about whether it could affect the fetus.
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
So far, there have been no reports of fetal effects caused by vaccination under these circumstances.[Read More] Impact of Flu Vaccine on Fetal Development During Pregnancy
Understanding Hormonal Imbalance After Childbirth: A Guide for New Mothers
Endocrine disorder Hello, Dr. Chuang. I gave birth to my first child on November 18, 2003. My first menstrual period after delivery started on February 16, 2004, and lasted for a total of 16 days. On March 12, 2004, I experienced heavy bleeding again, with blood flowing like a fa...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Your statement is unclear; I recommend visiting a hospital for a thorough examination.[Read More] Understanding Hormonal Imbalance After Childbirth: A Guide for New Mothers
Understanding Uneven Breast Size and Hormonal Imbalances in Women
Uneven breast size? Hello doctor, I am 170 cm tall and weigh about 77 kg. I always feel that women with a larger body type tend to have bigger breasts. However, my breasts seem to be underdeveloped, very small, and uneven in size. When I was 17 years old, I had an examination in ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Breast development is influenced by many factors, including genetics, dietary habits, and hormones. Just like height, there are individuals who are very tall and others who are quite short. As for asymmetry in breast size, if the difference is not significant and does not cause a...[Read More] Understanding Uneven Breast Size and Hormonal Imbalances in Women
Understanding Enlarged Labia and Associated Symptoms: When to Seek Help
Vulva I am 24 years old and have no sexual experience, but my labia minora have been enlarged for a long time and have a granular appearance. They occasionally itch, and this has been going on for some time. I am unsure what the issue might be. If I seek medical attention, will I...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Regarding the aforementioned statement, due to the presence of lesions on the labia minora, it is best to visit a gynecology clinic for a physician to examine the appearance in order to make a more detailed assessment and treatment.[Read More] Understanding Enlarged Labia and Associated Symptoms: When to Seek Help
Can You Get Pregnant During Your Period? Understanding Risks and Options
Can I get pregnant? Hello, my girlfriend got her period on November 29th, and we had unprotected intercourse on that day with ejaculation inside. Is there a possibility of pregnancy? If we are concerned about pregnancy, can she take the morning-after pill during her period, and w...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
It is not possible to become pregnant during that time period.[Read More] Can You Get Pregnant During Your Period? Understanding Risks and Options
Managing Weight and Blood Sugar in Pregnancy: Concerns for Baby's Growth
What is the baby's weight? Hello Doctor: I am a mother with gestational diabetes. During my first blood test after consuming 50g of glucose, my blood sugar was 155, which is elevated. During the second test after consuming 100g of glucose, my fasting blood sugar was 87, with...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Congratulations! You have done an excellent job managing your diet. Currently, at 32 weeks, the baby's weight is approximately 1800 grams, which is not too light. As long as you continue to manage your diet and attend regular prenatal check-ups, the baby's weight should...[Read More] Managing Weight and Blood Sugar in Pregnancy: Concerns for Baby's Growth
Understanding Post-Sexual Activity Symptoms and Emergency Contraception Options
Sexual intercourse I noticed redness and swelling on my labia about three to four days after having unprotected sexual intercourse. There are small, flesh-colored bumps, and while it itches, the discharge has increased but does not have any unusual odor or color. The next day, I ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. In terms of sexually transmitted infections, it is also an inflammation, so it is best for you to see a gynecologist for an examination. 2. Most emergency contraceptive pills are hormonal medications that induce menstruation; the method of administration and outcomes vary depe...[Read More] Understanding Post-Sexual Activity Symptoms and Emergency Contraception Options
Understanding Unusual Symptoms: Breast Swelling and Abdominal Pain in Women
Strange situation? My girlfriend experienced breast swelling, abdominal pain, and nausea recently. Initially, we thought she might be pregnant. However, after a visit to the gynecologist on August 29, the pregnancy test came back negative. Then, her menstrual period started on Se...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
As you described the symptoms, they do resemble those of pregnancy, but the most important reference information is: when was your last menstrual period? This has not been mentioned. Since your period started on "September 1," it is still necessary to pay attention to w...[Read More] Understanding Unusual Symptoms: Breast Swelling and Abdominal Pain in Women
Understanding Endometriosis and Pelvic Adhesions: Symptoms and Treatment
Symptoms caused by endometriosis and pelvic adhesions? I would like to ask Dr. Chuang a few questions: 1. Is there a connection between endometriosis and pelvic adhesions? 2. If a person has both conditions simultaneously, can it lead to infertility? 3. I've heard that lapar...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. Endometriosis is a major factor in pelvic adhesions. 2. Yes, it is one of the causes of infertility. 3. It is possible. 4. Postoperatively, complete recovery is possible, but recurrence may occur depending on the circumstances during the surgery.[Read More] Understanding Endometriosis and Pelvic Adhesions: Symptoms and Treatment
Understanding Yeast Infections: Causes, Symptoms, and Prevention Tips
Fungal infection Hello Doctor, one week after having intercourse with my boyfriend, I noticed itching in my genital area. I went to see a gynecologist, and the doctor said it could be a fungal infection or a yeast infection (what is the difference between the two?). The condition...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. There is no direct relationship with sexual activity. 2. Both refer to the same condition. 3. Fungi thrive in humid and non-breathable environments, so it is recommended to maintain ventilation, keep dry, and choose cotton underwear. It is advisable to avoid less breathable ...[Read More] Understanding Yeast Infections: Causes, Symptoms, and Prevention Tips
Understanding IUDs: Are They Linked to Fungal Infections and Side Effects?
Fungal Infection - Continuation Since I had an intrauterine device (IUD) inserted in September of last year, I have a few questions: 1. Is there a correlation between IUDs and fungal infections? Are they more likely to cause fungal infections? 2. Are there any side effects associ...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. There should be no direct correlation between intrauterine devices (IUDs) and bacterial infections. 2. IUDs should not have the side effects you described; more commonly, they may cause irregular spotting and heavier menstrual flow.[Read More] Understanding IUDs: Are They Linked to Fungal Infections and Side Effects?
Is It Normal for My Partner's Legs to Feel Weak During Intimacy?
If she feels weakness or lack of strength in her legs during intercourse? Doctor, could you please respond to my concern? When having intercourse with my wife, she sometimes feels that her legs are weak or lacking strength. Is this normal? It seems to happen particularly when I a...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
In a normal sexual process, symptoms as you described should not occur. If you still have concerns, please visit a hospital for an examination.[Read More] Is It Normal for My Partner's Legs to Feel Weak During Intimacy?
Understanding Severe Coma and Organ Failure Risks in High-Risk Pregnancies
Causes of severe coma or brain death, as well as multiple organ failure in parturients? Dear Director Zhuang, My sister-in-law was examined at the hospital on June 20, June 27, and July 4 of 2003, and was admitted for labor on July 4, 2003. On July 5, 2003, at 1:23 PM, she deliv...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. Advanced maternal age refers to mothers who are 35 years old or older at the time of delivery. The decision for cesarean delivery for advanced maternal age is primarily based on the physician's assessment, and it is not automatically indicated. 2. The necessity of consu...[Read More] Understanding Severe Coma and Organ Failure Risks in High-Risk Pregnancies
Emergency Contraception: Understanding Its Effectiveness and Risks
Emergency I had sexual intercourse with my girlfriend, and because she was afraid of getting pregnant, I bought emergency contraception for her to take. We followed the instructions for the medication completely, but six days later, she experienced nausea. Could this be a sign of...
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
Director Chuang Chih-Chien is on leave, and Dr. Chung Wen-Chen is responding on his behalf. 1. Nausea and vomiting in pregnancy typically occur about 10 to 14 days after conception; therefore, your girlfriend's vomiting is not related to whether she is pregnant or not. 2....[Read More] Emergency Contraception: Understanding Its Effectiveness and Risks
Can You Get Pregnant Without Ejaculation? Understanding the Risks
Can you get pregnant without ejaculation? Hello, doctor: I have a question... I had sexual intercourse with my boyfriend recently, but he did not wear a condom and he refrained from ejaculating. What is the likelihood of me getting pregnant?
Dr. Zhuang Zhijian reply Obstetrics and Gynecology
In theory, to achieve pregnancy, there must be contact between sperm and an egg. If there are no sperm at all, pregnancy cannot occur. However, if ejaculation is completely avoided, it does not mean that sperm cannot be released, so there is still a possibility of pregnancy.[Read More] Can You Get Pregnant Without Ejaculation? Understanding the Risks