Understanding Menstrual Blood Clots: When to Seek Medical Advice
Menstrual blood clots Hello, doctor. In the past 3 to 4 months, during the second day of my menstrual period, I experience a sudden surge of heavy bleeding accompanied by large blood clots. It feels like the blood is continuously flowing out, and during these episodes, there is a...
Dr. Li Guanghan Reply:
Hello: There are many possible causes for increased menstrual flow, such as fibroids, adenomyosis, and endometrial hyperplasia, but they are less likely related to warts. Please seek medical attention promptly. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Menstrual Blood Clots: When to Seek Medical Advice
Understanding Menstrual Changes After Childbirth: Headaches and Clots
Menstrual period Hello, after giving birth in October 2001, I have experienced headaches and breast tenderness every month during my menstrual period. Additionally, I pass large blood clots during my period, sometimes as big as a fist. I never experienced this before having child...
Dr. Li Guanghan Reply:
Hello: Generally, after a natural delivery, menstrual cramps tend to be less painful and menstrual flow may decrease. However, if you experience increased menstrual pain and heavier bleeding after a cesarean section, it could be due to adenomyosis. Please come to the Department o...[Read More] Understanding Menstrual Changes After Childbirth: Headaches and Clots
Understanding Uterine Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Uterine adenomyosis Twelve years ago, I underwent laparoscopic surgery for endometriosis at a central clinic. I was completely normal for about five years, but then I started experiencing severe dysmenorrhea. After an examination at Renai Hospital, I was diagnosed with adenomyosi...
Dr. Wang Jionglang Reply:
Hello: In response to your question... More than half of patients with severe uterine leiomyomas experience heavy menstrual bleeding, and one-third may have increasingly severe dysmenorrhea. The treatment for uterine leiomyomas generally follows a surgical approach; myomectomy ca...[Read More] Understanding Uterine Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Postpartum Concerns: Is Pink Discharge Normal After 45 Days?
Could you please provide the content you would like me to translate? Hello, I would like to ask about my situation. It has been 45 days postpartum, and I am currently breastfeeding. My lochia had turned light yellow, but I occasionally notice some mucus, which seems normal. Howev...
Dr. Wang Jionglang Reply:
Hello: In response to your questions... 1. The discharge of lochia typically lasts for about four weeks, but the amount and color can vary significantly depending on individual constitution and the delivery process. Furthermore, if breastfeeding is not continuous but intermittent...[Read More] Postpartum Concerns: Is Pink Discharge Normal After 45 Days?
Understanding Ladogal Capsule: Side Effects and Health Impact
What are the side effects of taking Ladogal Capsule, and is it harmful to the body? I have a long menstrual period, and the day before yesterday, I went to the hospital for a blood transfusion due to anemia (caused by adenomyosis leading to heavy menstrual bleeding). Some doctors...
Dr. Chen Nengjin Reply:
Hello Shanshan: Thank you for your letter. Given your situation, surgical treatment is the fundamental approach. However, the method of surgery must be evaluated based on the location, size, and extent of your fibroids. I hope you can come to the hospital for a consultation, wher...[Read More] Understanding Ladogal Capsule: Side Effects and Health Impact
Understanding Unusual Menstrual Odors After Childbirth: Causes and Concerns
Odor Doctor, after giving birth in July this year, my menstrual flow has changed. On the first day, there is almost no flow, but by the second day, it becomes so heavy that I need to use overnight sanitary pads, and there is a strong odor, which I can only describe as a fishy sme...
Dr. Zhou Dali Reply:
Menstrual odor may indicate that menstrual blood has been retained for a longer period, leading to changes due to vaginal bacteria. A fishy smell may not be a significant concern, but if there is a foul odor or a change in color, it could suggest a bacterial infection, and furthe...[Read More] Understanding Unusual Menstrual Odors After Childbirth: Causes and Concerns
Persistent Bleeding After IUD Insertion: Causes and Concerns
Uncontrollable bleeding Hello Doctor: I had an intrauterine device (IUD) inserted on September 21, and I have been experiencing bleeding since then. I returned to the hospital for a follow-up appointment on October 5, where the IUD was removed (as it had slightly fallen out, whic...
Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, replies to Ah-Hui: 1. After the insertion of the intrauterine device (IUD), taking uterine contraction medication for 1 to 2 days after its removal should help...[Read More] Persistent Bleeding After IUD Insertion: Causes and Concerns
Understanding Endometriosis: Pain, Fertility, and Treatment Options
Endometriosis Hello, due to my menstrual period, I experience cramping pain around the anal area (there is also some pain normally). A few days ago, I saw a doctor who diagnosed me with endometriosis, noting that my ovaries are tilted backward and adhered. She also mentioned aden...
Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Tainan Hospital, Department of Obstetrics and Gynecology, responded: 1. Endometriosis is a condition where endometrial cells implant and grow outside the uterus. During menstruation, the ectopic endometrium can bleed into the abdominal cavity, causi...[Read More] Understanding Endometriosis: Pain, Fertility, and Treatment Options
Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Heavy menstrual bleeding? Hello, Doctor: I am 46 years old and had a Mirena IUD inserted about three years ago. I have been experiencing heavy menstrual bleeding, with a cycle of approximately 25 to 28 days, and my periods last around ten days, with lighter flow during the last 2...
Dr. Wu Zongcheng Reply:
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health, Executive Yuan, responded: 1. For heavy menstrual bleeding, first identify the cause (diagnosis): a. Uterine tumors (including fibroids and adenomas) can be evaluated through ultrasound and pelvic examin...[Read More] Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Understanding Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Adenomyosis Dr. Jan: Hello! What is adenomyosis? What are its symptoms? What does it look like inside the uterus? How should it be treated? Is surgery necessary? Is it considered a serious condition? During a pregnancy ultrasound (which has since ended in miscarriage), the doctor...
Dr. Zhan Deqin Reply:
Adenomyosis occurs when endometrial cells grow into the uterine muscle layer. If it is confined to the uterus, it is generally not a serious issue, typically causing menstrual pain or heavy menstrual bleeding, and usually does not require surgical intervention.[Read More] Understanding Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Understanding Uterine Prolapse: Symptoms, Causes, and Treatment Options
Uterine prolapse Hello Doctor: I experience severe abdominal pain every time my period comes, and I also have pain during ovulation that makes it difficult to stand. Additionally, I often have lower back pain. Could this be related to uterine prolapse? If I have uterine prolapse,...
Dr. Huang Jianxun Reply:
1. Periodic menstrual pain is indeed a concern for women. 2. Physicians must first rule out other pathological issues such as uterine tumors, adenomyosis, and endometriosis, as uterine prolapse can exacerbate menstrual discomfort. 3. Uterine prolapse requires rehabilitation, ...[Read More] Understanding Uterine Prolapse: Symptoms, Causes, and Treatment Options
Confusion Over Ovarian Cysts: To Operate or Not? A Patient's Dilemma
Cyst Hello Doctor: My mother, born in 1981, is entering menopause. Recently, she underwent examinations at three different hospitals. At the first hospital, the doctor mentioned a 0.6 cm cyst on one ovary and insisted on surgery, followed by blood tests. A few days later, she vis...
Dr. Wu Zongcheng Reply:
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health, Executive Yuan, responds: (1) The uterus does not develop cysts; it can only have uterine fibroids and adenomyosis. (2) Generally, when referring to cysts, it pertains to ovarian cysts. According to textbooks,...[Read More] Confusion Over Ovarian Cysts: To Operate or Not? A Patient's Dilemma
Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Menstrual odor Hello Dr. Lin, I am unmarried and had a laparoscopic surgery around 1997 due to endometriosis, during which a portion of my left ovary was removed, and uterine fibroids were also excised. I still have adenomyosis that has not been treated, and I have been experie...
Dr. Lin Manying Reply:
1. The presence of adenomyosis can still lead to dysmenorrhea. Additionally, undergoing surgery for endometriosis does not guarantee a cure, as there is still a possibility of recurrence, necessitating regular follow-up. 2. The menstrual blood volume you described is normal. Ty...[Read More] Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Understanding Myoma: What to Know About Fibroids During Pregnancy
Leiomyoma It's been a long time, about a year and eight months, right? I'm back because I'm pregnant again. The baby should be about 6 weeks along. 1. Last week, I had an ultrasound, and the doctor said there is a 2 cm fibroid. What is that? Will it cause any pro...
Dr. Zhan Deqin Reply:
I'm glad to hear that you have adenomyosis, which is caused by the growth of endometrial cells into the muscular layer of the uterus, usually resulting in smaller lesions. Fibroids, on the other hand, are caused by the smooth muscle fibers of the uterus and can grow quite la...[Read More] Understanding Myoma: What to Know About Fibroids During Pregnancy
Effective Strategies to Manage Menstrual Pain and Discomfort
Menstrual pain Hello Dr. Peng: I experience severe pain every time I have my period and need to take painkillers to manage it. However, once the medication wears off, the pain returns and can last all day. Sometimes, the pain is so intense at night that it wakes me up. Heat thera...
Dr. Peng Yiguo Reply:
Dysmenorrhea is a common gynecological condition and a leading cause of absenteeism or sick leave among young individuals. It is often accompanied by symptoms such as nausea, vomiting, headaches, fatigue, mood changes, and back pain. These symptoms typically occur 24-48 hours bef...[Read More] Effective Strategies to Manage Menstrual Pain and Discomfort
Understanding Uterine Adenomyosis: Pain Management and Pregnancy Concerns
Uterine adenomyosis Hello Dr. Chen, I started experiencing menstrual cramps when I got my first period at the age of 12. By the time I was 25, the pain became unbearable, and I began receiving monthly pain relief injections at the obstetrics and gynecology department. In May of ...
Dr. Chen Fuhao Reply:
Hello Ms. JJ: Your question can be summarized as follows: A chocolate cyst, also known as endometriosis, is a diagnosis often given to women experiencing dysmenorrhea or infertility. Normally, the endometrium exists only within the uterine cavity, but when it is found in abnormal...[Read More] Understanding Uterine Adenomyosis: Pain Management and Pregnancy Concerns
When Will My Period Return After Induction Abortion?
When does menstruation return after induction of labor? Hello Dr. Wu, I experienced premature rupture of membranes at 14 weeks of pregnancy, which led to an induction procedure on October 15, 2002 (the doctor mentioned that it was caused by adenomyosis leading to bleeding and sub...
Dr. Wu Zongcheng Reply:
1. The causes of dysmenorrhea can be divided into two main categories: (1) organ tumors and (2) functional pain. Uterine fibroids can certainly cause dysmenorrhea. 2. The prolonged abdominal pain is likely due to inflammation. If a bacterial infection has not completely healed,...[Read More] When Will My Period Return After Induction Abortion?
Understanding Abnormal Bleeding Before Menstruation: Causes and Solutions
Hemorrhage In the past few months, I have experienced slight bleeding a few days before my menstrual period. This month, I also noticed this condition, with dark brown discharge containing traces of blood. What could be the cause of this? I am not taking any contraceptive pills, ...
Dr. Zhan Deqin Reply:
1. The light bleeding and menstrual pain you described before your period may indicate the presence of adenomyosis, which can be detected through an ultrasound examination. 2. Breast tenderness before menstruation is a common phenomenon and should not be a cause for concern. 3....[Read More] Understanding Abnormal Bleeding Before Menstruation: Causes and Solutions
Understanding Cervical Stenosis: Risks, Symptoms, and Treatment Options
Cervical stenosis I was diagnosed with cervical stenosis while being evaluated for infertility, and the doctor recommended a cervical dilation procedure, which she referred to as an abortion. I did not agree to the procedure at that time because I forgot to ask questions, and now...
Dr. Lü Lizheng Reply:
Clinically, it is very rare for a person's cervix to be so severely narrowed that cervical dilation is necessary. It is recommended that you visit a large hospital (medical center) for further confirmation. If you are experiencing dysmenorrhea and heavy menstrual bleeding, i...[Read More] Understanding Cervical Stenosis: Risks, Symptoms, and Treatment Options
Understanding Brown Discharge Before Menstruation: Causes and Concerns
Brown discharge before menstruation? Why do I have a few days of brown discharge before my period starts? I am 33 years old and have not given birth yet, and this has only been happening for the past year. I consulted a doctor who mentioned it might be due to luteal phase deficie...
Dr. Zhan Deqin Reply:
1. Hormonal abnormalities can sometimes occur. 2. More common causes include adenomyosis, uterine fibroids, and endometrial hyperplasia, and sometimes uterine enlargement can be caused by other factors. 3. It is recommended to first undergo an ultrasound examination to determine ...[Read More] Understanding Brown Discharge Before Menstruation: Causes and Concerns