Adenomyosis, Obstetrics and Gynecology FAQ - Page 3

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Understanding Abnormal Menstrual Patterns After Childbirth

Menstrual irregularities? In the past, my menstrual flow was light on the first day and then returned to normal on the second day. However, for the past two years, my menstruation has consistently been light for the first three to four days (there is some spotting, but sometimes ...


Dr. Wu Xianghui Reply:
1. Heavy menstrual bleeding that begins after childbirth is most commonly caused by adenomyosis. 2. It is recommended to visit a gynecologist for examination and to rule out other possible causes.

[Read More] Understanding Abnormal Menstrual Patterns After Childbirth


Understanding Irregular Menstrual Cycles: Causes and Solutions

Menstruation has lasted for a month with light bleeding? Hello Doctor, I started taking oral contraceptives for menstrual regulation in August of last year, and my menstrual cycle was stable until March of this year when I began experiencing abnormalities. Initially, I had a Pap ...


Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause irregular bleeding include age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterine or cervical lesions, infecti...

[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions


Understanding Side Effects of Yaz Birth Control Pills: Dry Mouth Concerns

Side effects of Yaz birth control pills? I recently visited a gynecologist and was diagnosed with adenomyosis. The doctor recommended that I take Yaz oral contraceptive pills to manage the condition. I have been taking them for almost two weeks now, and aside from occasional head...


Dr. Zhang Kunmin Reply:
Common side effects of oral contraceptives include headaches, dizziness, heavy or irregular menstrual bleeding, nausea, vomiting, edema, increased cervical mucus, cervical hypertrophy, increased appetite, weight gain, skin itching, acne, fatigue, depression, flushing, feelings of...

[Read More] Understanding Side Effects of Yaz Birth Control Pills: Dry Mouth Concerns


Understanding Side Effects of Yaz Birth Control Pills: Dry Mouth Concerns

Side effects of Yaz birth control pills? I recently visited a gynecologist and was diagnosed with adenomyosis. The doctor recommended that I take Yaz oral contraceptive pills to manage the condition. I have been taking them for almost two weeks now, and aside from occasional head...


Dr. Zhang Kunmin Reply:
Common side effects of contraceptive pills include headaches, dizziness, heavy or irregular menstruation, nausea, vomiting, edema, increased cervical mucus, cervical hypertrophy, increased appetite, weight gain, skin itching, acne, fatigue, depression, flushing, feelings of weakn...

[Read More] Understanding Side Effects of Yaz Birth Control Pills: Dry Mouth Concerns


Understanding Pelvic Pain After Menopause: Causes and Solutions

Lower abdominal issues? Hello Doctor: Several years ago, I began experiencing lower abdominal pain during my monthly ovulation, which extended to a feeling of heaviness in the rectal area. After a gynecological examination, I was diagnosed with adenomyosis. Since I was in my 50s ...


Dr. Zhang Kunmin Reply:
Hello, the reason for abdominal pain can be quite varied, making it difficult to diagnose based on your description. I recommend consulting a gynecologist to evaluate for adenomyosis or any changes in the pelvis. Additionally, you may want to see a gastroenterologist or a colorec...

[Read More] Understanding Pelvic Pain After Menopause: Causes and Solutions


Understanding Elevated CA-125 Levels: What You Need to Know

Abnormal CA-125 This year, I went to a large hospital for a health check-up, and one of the tests was a CA-125 blood test. At that time, I was on my menstrual period and informed the nurse, but she said it wouldn't affect the results. The test result showed elevated levels, ...


Dr. Wu Xianghui Reply:
1. Whenever the peritoneal lining is stimulated, CA125 levels will increase. In other words, benign conditions or even healthy individuals can also have elevated levels. For example, women during their menstrual period, those experiencing diarrhea, or individuals with gastroenter...

[Read More] Understanding Elevated CA-125 Levels: What You Need to Know


Should You Stop Birth Control Before Surgery for Adenoma?

Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal, and the patient is currently using an intrauterine device (IUD), is it necessary to discontinue the medication? If discontinuation is required, should the new c...


Dr. Huang Yuande Reply:
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...

[Read More] Should You Stop Birth Control Before Surgery for Adenoma?


Managing IUD Use Before Surgery: What You Need to Know

Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal and the patient is currently using an intrauterine device (IUD), is there a need to discontinue the medication? If so, should the new cycle be recalculated start...


Dr. Huang Yuande Reply:
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...

[Read More] Managing IUD Use Before Surgery: What You Need to Know


Understanding Uterine Cramps and Pain: Causes and Treatment Options

Uterine cramping and distension? Recently, I have been experiencing intermittent cramping and bloating in my uterus outside of my menstrual period, usually lasting about 30 seconds to 1 minute, but it occurs repeatedly. Additionally, I feel pain when using a squat toilet or bendi...


Dr. Lin Xinwang Reply:
Hello: Dysmenorrhea and heavy menstrual bleeding may be caused by fibroids or adenomyosis. If there is persistent pain or excessive menstrual flow, it is recommended to consult a gynecologist for examination.

[Read More] Understanding Uterine Cramps and Pain: Causes and Treatment Options


Understanding Menstrual Pain: Is It Normal to Experience Delayed Discomfort?

Inquiry about menstrual pain-related issues? Hello, doctor. I am 24 years old, and I have experienced menstrual cramps since I started my period over 10 years ago. Typically, I have cramps during the first 1-2 days of my menstrual cycle, and I usually take pain relievers on the f...


Dr. Zhang Kunmin Reply:
Hello, the estimated 80-90% of women experience symptoms of dysmenorrhea, with varying degrees of severity, which can often impact work or academic performance. Therefore, accurate diagnosis and treatment can help improve quality of life and work efficiency. Dysmenorrhea can gene...

[Read More] Understanding Menstrual Pain: Is It Normal to Experience Delayed Discomfort?


Understanding Abnormal Pap Smear and Uterine Fibroids: What You Need to Know

Abnormal cervical smear with concurrent uterine fibroids? Hello Doctor: A few years ago, I was diagnosed with adenomyosis, and I have been having regular check-ups. During my recent visit, I found that my CA-125 level increased from 29 to 47. Because of this, I underwent an ultra...


Dr. Cao Guotao Reply:
Hello, an ASCUS result from a Pap smear indicates that the findings are uncertain regarding any abnormalities. You may consider undergoing a cervical biopsy or continuing with Pap smear follow-up, and further testing can be done if issues arise. As for the elevated CA-125, it may...

[Read More] Understanding Abnormal Pap Smear and Uterine Fibroids: What You Need to Know


Managing Endometriosis: Effective Pain Relief and Menstrual Delay Options

Endometriosis Hello, doctor. I have been suffering from adenomyosis for over 15 years. Last month, it was found to be about 9 cm in size. During my menstrual pain period, I need to take 4 painkillers a day for about 4 days, which is quite distressing. I would like to know if ther...


Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary response based on your information. Since the known source of the condition originates from the uterus itself, any medication that avoids addressing the underlying issue (such as those that reduce menstrual flow or alleviate menstrual pa...

[Read More] Managing Endometriosis: Effective Pain Relief and Menstrual Delay Options


Understanding Adenomyosis: Treatment Options and Concerns for Women

Uterine adenomyosis Hello, Doctor: A few days ago, I was diagnosed with an adenomyoma, approximately 8 centimeters in size (is this large? Is it serious?). Additionally, my blood test revealed that I have anemia (with a level of 9.5), and the doctor advised me to supplement with ...


Dr. Chen Zhiyu Reply:
Hello! It is advisable to consult the original treating physician regarding medication recommendations. If you have any concerns, you may seek treatment at another medical facility. Thank you!

[Read More] Understanding Adenomyosis: Treatment Options and Concerns for Women


Challenges in Removing a Mirena IUD: Expert Insights and Solutions

Removal of honeycomb issues? Currently living abroad, this is my second intrauterine device (IUD), which I have been using for nearly five years. When I went to the clinic to replace the IUD, the doctor was unable to locate the original IUD despite using various tools. An ultraso...


Dr. Wu Xianghui Reply:
1. Hysteroscopy can be performed for removal. 2. If removed after more than 5 years, there is no guarantee of effectiveness for contraception and treatment of adenomyosis. (The intrauterine device itself increases the risk of pelvic inflammatory disease.) 3. No.

[Read More] Challenges in Removing a Mirena IUD: Expert Insights and Solutions


Understanding Adenomyosis: Impacts on Fertility and Health Management

Adenomyosis Last December, I had a miscarriage, and the doctor diagnosed me with adenomyosis at that time. However, they did not mention the need for surgery or any other treatment, so does that mean it is not severe? What are my chances of getting pregnant in the future? (The do...


Dr. Cao Guotao Reply:
Hello, it should not be serious; otherwise, the doctor would have mentioned it. It should not affect fertility. Wishing you good health.

[Read More] Understanding Adenomyosis: Impacts on Fertility and Health Management


Understanding Prolonged Menstrual Bleeding: Causes and Next Steps

Menorrhagia Hello Dr. Chen: Since March, my menstrual periods have lasted over two weeks. I later went for an examination and was found to have uterine polyps, which I had surgically treated in May. However, starting in September, I had two menstrual cycles, and the second one di...


Dr. Chen Zhiyu Reply:
Regarding your concerns, here is the response: If there has been a history of endometrial polyp removal via hysteroscopic surgery and you are experiencing abnormal bleeding again, which has been confirmed by hysteroscopy as not being a recurrence, then the abnormal menstrual blee...

[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Next Steps


Understanding Irregular Menstrual Cycles: Causes and Concerns

Irregular menstrual cycle? Due to adenomyosis, I stopped taking medication (You Ru) at the end of April, and my menstrual cycle resumed in June, which has been relatively regular. However, starting last month, my periods have become irregular, with bleeding occurring approximatel...


Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary of the response: It has been reported in clinical cases that irregular menstruation can occur after vaccination. However, for individuals with existing uterine conditions, any bleeding outside of the menstrual period should be taken seri...

[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns


Understanding Post-Surgery Bleeding After Laparoscopic Myomectomy

Single-port laparoscopy + Daphnylin bleeding Hello, I underwent a surgical procedure for a blighted ovum on August 27, and on August 29, I experienced severe pain from adenomyosis, leading to a single-port laparoscopic surgery on September 1 to remove fibroids, adenomyosis, and a...


Dr. Wu Xianghui Reply:
The situation regarding the side effects of medication used in conjunction with surgery is complex, and it is recommended to return to the original surgeon's clinic for evaluation.

[Read More] Understanding Post-Surgery Bleeding After Laparoscopic Myomectomy


Understanding High Platelet Count and Iron Deficiency Anemia in Women

Thrombocytosis with iron deficiency anemia Hello, doctor. I have uterine fibroids and adenomyosis. Recently, I had my menstrual cycle and my blood test showed a hemoglobin level of 10.5, with a platelet count as high as 485, which is increasing. My platelet count has risen from b...


Dr. Wu Xianghui Reply:
1. There is a risk of thrombosis, making the individual unsuitable for receiving the AZ vaccine. 2. Iron supplements cannot improve platelet issues; it is recommended to consult a hematologist for evaluation. 3. Skin lesions can occur outside of menopause.

[Read More] Understanding High Platelet Count and Iron Deficiency Anemia in Women


Understanding Uterine Issues: Menstrual Irregularities and Adenomyosis

Uterine Menstrual Issues Hello Doctor: In June 2020, an abdominal ultrasound at the hospital revealed a uterine adenomyoma. My last menstrual period was from June 3, 2021, to June 10, 2021. From June 15 to June 26, 2021, I visited a clinic due to a urinary tract infection and abn...


Dr. Cao Guotao Reply:
Hello, please go to the hospital for a check-up after your menstrual period has ended. Wishing you good health.

[Read More] Understanding Uterine Issues: Menstrual Irregularities and Adenomyosis


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