Understanding Vaginal Ultrasound Reports for Gynecological Issues
Interpretation of Transvaginal Ultrasound Report Dear Director Tsao, I have been experiencing severe menstrual pain, heavy menstrual bleeding, and symptoms of iron deficiency anemia, which have been a long-term concern. After a gynecological examination, the physician recommende...
Dr. Cao Guotao Reply:
Hello, you have tumors, but they are not very large. However, you are experiencing symptoms. If you are looking for alternative treatment options, I recommend seeking a second opinion at another hospital. Wishing you good health.[Read More] Understanding Vaginal Ultrasound Reports for Gynecological Issues
Post-Surgery Concerns: Odor and Bleeding After Adenomyosis Surgery
Postoperative Issues of Adenomyosis Surgery Hello doctor, I underwent surgery to address my adenomyosis, and it has been 18 days since the procedure. However, I still notice a foul odor coming from my genital area. Currently, when I use a panty liner, there is a small amount of d...
Dr. Lin Manying Reply:
Hello, if the surgery was performed via vaginal removal, what you described is a reasonable phenomenon. However, it is still recommended to return for follow-up examinations at Hualien Hospital of the Ministry of Health and Welfare to ensure your health.[Read More] Post-Surgery Concerns: Odor and Bleeding After Adenomyosis Surgery
Post-Laparoscopic Hysterectomy: Managing Pain and Discomfort
Postoperative Issues After Laparoscopic Hysterectomy Hello, my mother underwent laparoscopic surgery to remove her uterus and both fallopian tubes a few days ago due to adenomyosis. However, after returning home, she has been experiencing body aches and a burning sensation when u...
Dr. Cao Guotao Reply:
Hello, let's observe for now. If there is no improvement, I recommend returning to the original hospital for further management. Wishing you good health.[Read More] Post-Laparoscopic Hysterectomy: Managing Pain and Discomfort
Continued Bleeding on Dienogest: Should I Keep Taking It?
I am still experiencing bleeding despite taking Etoposide? Hello doctor, I am currently taking Danazol for the treatment of adenomyosis. I have been on it for four months, but I am still experiencing menstruation, which does not align with the expected effects of the medication, ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended to continue the medication without interruption. There are various methods to improve the bleeding condition. It is advisable to return for a follow-up consultation with your physician for assistance in managing the bleeding. Th...[Read More] Continued Bleeding on Dienogest: Should I Keep Taking It?
Heavy Bleeding After Starting Qilian: Should I Continue Treatment?
After taking Prilactone for the first month, there was heavy menstrual bleeding? Doctor, I would like to ask about my condition. I have adenomyosis, and I am experiencing heavy menstrual bleeding and dysmenorrhea. Last month (March 9), I started taking Kylian on the third day of ...
Dr. Cao Guotao Reply:
Hello, if there is still a significant amount, it is recommended to first consult with an obstetrician-gynecologist for an examination. If everything is fine, then you can proceed as per the original physician's instructions. Wishing you good health.[Read More] Heavy Bleeding After Starting Qilian: Should I Continue Treatment?
Can Hormonal Birth Control Help with Adenomyosis and Ovarian Cysts?
Can hormonal contraceptives be used to improve conditions like adenomyosis and ovarian cysts? Hello Doctor, currently my symptoms include: palpitations, rapid heartbeat, chest tightness, anxiety, chills, insomnia, tinnitus, gastroenteritis, and night sweats waking me up with feve...
Dr. Lin Xinwang Reply:
Hello, Xiao-Qin: For menopausal symptoms, it is recommended to supplement with female hormones, progesterone, or soy isoflavones, and contraceptive pills are not advised. For adenomyosis or ovarian cysts, symptomatic treatment and regular ultrasound monitoring are suggested.[Read More] Can Hormonal Birth Control Help with Adenomyosis and Ovarian Cysts?
Understanding Endometriosis: Risks of Untreated Symptoms
Untreated endometriosis? Hello, doctor. I was recently diagnosed with endometriosis (adenomyosis). The doctor prescribed "Danazol," but I am afraid of the side effects. If I do not undergo treatment, will my condition worsen? Currently, my only symptom is dysmenorrhea, ...
Dr. Cao Guotao Reply:
Hello, since your symptoms have improved, continue taking the medication. Wishing you good health.[Read More] Understanding Endometriosis: Risks of Untreated Symptoms
Managing Adenomyosis: Birth Control Pills and Menstrual Cycle Adjustments
Adenomyosis and the cessation of contraceptive pills? Hello, doctor. I currently have adenomyosis and have been taking birth control pills to regulate my menstrual cycle and reduce blood flow. However, I have been experiencing abdominal pain, diarrhea, and headaches during my per...
Dr. Cao Guotao Reply:
Hello, you can go to the hospital to use a medication that suppresses hormones causing pseudomenopause; you might want to give it a try. Wishing you good health.[Read More] Managing Adenomyosis: Birth Control Pills and Menstrual Cycle Adjustments
Post-Ovarian Surgery: Understanding Left-Side Pain During Menstruation
After the removal of the left ovary, experiencing pain on the left side during menstruation is common? Hello Doctor, I had a laparoscopic surgery at the end of 2019 to remove my left ovary and fallopian tube due to a 20 cm non-benign but also non-malignant tumor. Six months post-...
Dr. Chen Zhiyu Reply:
It is recommended that you visit a pain clinic for diagnosis and treatment. Thank you.[Read More] Post-Ovarian Surgery: Understanding Left-Side Pain During Menstruation
Managing Adenomyosis: Can I Combine Medications for Menstrual Control?
Adenomyosis Hello, Doctor. I underwent traditional surgical treatment for adenomyosis in mid-August 2023. Initially, I was diagnosed with three fibroids measuring 3 to 5 centimeters, so I thought it would be sufficient to remove the fibroids while preserving my uterus. However, a...
Dr. Lin Xinwang Reply:
Hello Luna: Taking Estrogen may cause uterine bleeding. If you experience this issue, you can discuss switching to another medication with your doctor.[Read More] Managing Adenomyosis: Can I Combine Medications for Menstrual Control?
Should You Replace or Remove Mirena After Menopause?
Should the Mirena be removed or replaced after menopause? Seven years ago, I experienced excessive bleeding due to adenomyosis, and my doctor assisted in the placement of a Mirena IUD. Three years later, blood tests confirmed that I had entered menopause, and it has been about fo...
Dr. Cao Guotao Reply:
Hello, at 55 years old, you are likely in the menopausal or perimenopausal stage. If you are not experiencing any discomfort, my recommendation is to discontinue Hormone Replacement Therapy (HRT) and monitor your condition. If you have not had any menstrual periods, you can also ...[Read More] Should You Replace or Remove Mirena After Menopause?
Understanding Post-Implantation Bleeding: Causes and Solutions in Gynecology
Post-implantation bleeding Hello Doctor: Due to adenomyosis, I underwent a medication cycle implantation, but about 4-8 days after the implantation (before the pregnancy test date), I experienced menstruation without ovulation, and all three implantations resulted in negative pre...
Dr. Cao Guotao Reply:
Hello, it seems that it was not successful. Please follow up with the original obstetrics and gynecology department for further management. Wishing you good health.[Read More] Understanding Post-Implantation Bleeding: Causes and Solutions in Gynecology
Understanding Birth Control Pills: Timing, Effects, and Concerns
Issues with contraceptive pill usage? Hello Doctor: I had a consultation on September 22 due to bleeding from adenomyosis, and the doctor prescribed "Youru" for one month. I took the last pill of Youru on October 16 and returned for a follow-up on October 17. Due to a w...
Dr. Cao Guotao Reply:
Hello, generally, it is recommended to start taking it on the fifth day of your menstrual cycle. Wishing you good health![Read More] Understanding Birth Control Pills: Timing, Effects, and Concerns
Can You Get Pregnant After One Menopause Shot Without Contraception?
Is it possible to become pregnant after receiving only one dose of a menopause injection without using contraception? Previously, I naturally conceived and gave birth to a baby boy. Recently, while preparing for a second pregnancy, I had a follow-up appointment where my CA125 lev...
Dr. Cao Guotao Reply:
Hello, theoretically, you should not be pregnant. Wishing you good health.[Read More] Can You Get Pregnant After One Menopause Shot Without Contraception?
Understanding Post-Hysterectomy Symptoms: Menstrual Changes and Pain
Hysterectomy Hello Dr. Chen: I have been suffering from anemia and menstrual pain for several years. It has been confirmed that I have adenomyosis and a 3 cm uterine fibroid (causing continuous bleeding), as well as a chocolate cyst on one ovary. I decided to undergo a hysterecto...
Dr. Chen Zhiyu Reply:
Indications and advantages/disadvantages of subtotal hysterectomy should be discussed prior to the procedure to allow for proper evaluation. This includes information about potential postoperative outcomes such as the continuation of menstruation and a reduction in menstrual flow...[Read More] Understanding Post-Hysterectomy Symptoms: Menstrual Changes and Pain
Managing PCOS: Insights on Irregular Periods and Hair Loss
Polycystic Ovary Syndrome (PCOS) I am 23 years old, and for the past two to three years, my weight and fasting blood sugar levels have been normal. However, in 2018, my weight (162 cm, 78 kg) and fasting blood sugar (133) were both elevated, and I also had acanthosis nigricans on...
Dr. Lin Xinwang Reply:
Hello Xiao Ling: 1. The symptoms resemble polycystic ovary syndrome, and it seems that soy isoflavones have not been helpful. If there is adenomyosis, fibroids, or endometrial abnormalities, they are usually not recommended. 2. Treatment is typically tailored to the patient'...[Read More] Managing PCOS: Insights on Irregular Periods and Hair Loss
Understanding the Differences Between Meridiana and Eltroxin for Endometriosis
Medication Consultation Hello, Doctor: I have endometriosis, adenomyosis, and a left chocolate cyst approximately 2.5 cm. I am currently being treated with Marvelon. I would like to ask how to take Danazol if I switch to it. I would also like to understand the differences between...
Dr. Cao Guotao Reply:
Hello, after finishing the Meriane, wait for your period to start before taking Endometrin; the effectiveness of Endometrin should be better this way. Wishing you good health.[Read More] Understanding the Differences Between Meridiana and Eltroxin for Endometriosis
Managing Dizziness and Headaches Before and After Menstruation
Dizziness before and after menstruation? Hello, doctor. I often experience dizziness and headaches before and after my menstrual period. The dizziness worsens after my period starts, to the point where I sometimes need to lie in bed all day and can't do anything. Occasionall...
Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only lower abdominal cramps during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. The onset of symptoms may occur 1-2 ...[Read More] Managing Dizziness and Headaches Before and After Menstruation
Post-Laparoscopic Surgery Concerns: Endometriosis and Fertility Questions
Postoperative issues following laparoscopic surgery? Hello, Doctor. I underwent laparoscopic surgery in April to remove a nearly 15 cm chocolate cyst and underwent adhesiolysis due to endometriosis. During the procedure, there was significant bleeding due to adhesions, and I also...
Dr. Huang Yuande Reply:
1. It is possible to experience some bleeding during the recovery period due to potential irritation of the endometrium; however, urinary tract infection is a separate issue. 2. Menstruation is expected to resume about 1 to 2 months after discontinuing the medication. 3. It is no...[Read More] Post-Laparoscopic Surgery Concerns: Endometriosis and Fertility Questions
Understanding Uterine Polyps: Post-Surgery Bleeding and Menstrual Irregularities
Uterine polyps, also known as endometrial polyps, can cause menstrual issues? Hello doctor, I finished my menstrual period from March 2 to March 10, and I underwent a hysteroscopic polypectomy on March 16. After that, my period started again from March 30 to April 4. On April 11,...
Dr. Lin Xinwang Reply:
Hello: For abnormal uterine bleeding, if there is an endocrine imbalance, medication can be used for adjustment. If the medication is ineffective or if the ultrasound shows a thickened endometrium, an endometrial biopsy or sampling is recommended to rule out hyperplasia or other ...[Read More] Understanding Uterine Polyps: Post-Surgery Bleeding and Menstrual Irregularities