Understanding Irregular Bleeding While Taking Birth Control Pills
Bleeding after taking emergency contraceptive pills? Hello Doctor, I had my regular menstrual cycle on May 4th. However, on May 17th and 18th, I experienced slight brown discharge and bleeding, which increased on May 19th along with mild abdominal pain (similar to premenstrual sy...
Dr. Cao Guotao Reply:
Hello, if you are taking menstrual regulation medication and are still experiencing bleeding, it is a bit unusual. I recommend visiting a hospital for an examination. Wishing you good health.[Read More] Understanding Irregular Bleeding While Taking Birth Control Pills
Understanding Pelvic Pain: Is Menstrual Discomfort Normal?
Menstrual pain I used to not experience menstrual pain, but for the past year and a half, I've frequently had pain in the right side of my pelvis accompanied by lower back pain, which sometimes radiates down to my thigh, but it has only been on the right side. I went to the ...
Dr. Lin Manying Reply:
Ms. Sakai: Hello, based on your description, it is possible that you have endometriosis or adenomyosis. I recommend getting re-evaluated. If pain relief medications are ineffective, you may consult a physician for other treatment options. The Hualien Hospital of the Ministry of H...[Read More] Understanding Pelvic Pain: Is Menstrual Discomfort Normal?
Understanding Uterine Fibroids, Teratomas, and CA125 Levels in Women
Uterine fibroids, teratomas, CA-125? Hello Dr. Huang, I have a few questions I would like to ask. During a health check-up, my CA-125 levels were found to be elevated, so I sought treatment at the gynecology department of National Taiwan University Hospital. A vaginal ultrasound ...
Dr. Huang Yuande Reply:
1. A 6 cm fibroid is unlikely to cause significant pressure symptoms; confirming its location should provide clarity. 2. Although teratomas are mostly benign, it is still recommended to remove them, as laparoscopic surgery is not difficult. 3. CA-125 levels will not be elevated i...[Read More] Understanding Uterine Fibroids, Teratomas, and CA125 Levels in Women
Understanding Adenomyosis: Symptoms, Treatment Options, and Management
Adenomyosis My most recent menstrual period left me so weak that I didn't even have the strength to eat. On the fifth day, I visited a traditional Chinese medicine practitioner, and after my menstrual flow slightly decreased, I went to the obstetrics and gynecology departmen...
Dr. Chen Zhiyu Reply:
In response to your concerns, most cases of anemia in women are associated with gynecological disorders. If a specialist diagnosis indicates adenomyosis, while surgery is one of the treatment options, it is advisable for women of childbearing age to consider additional alternativ...[Read More] Understanding Adenomyosis: Symptoms, Treatment Options, and Management
Understanding Secondary Bleeding: Causes and When to Seek Medical Advice
Secondary hemorrhage Hello Doctor, I received a menopause injection in 2020 due to having an ovarian chocolate cyst and a small uterine adenomyosis. Due to the medication's effects, I was expected to have my period this year. I experienced light bleeding from January 27 to J...
Dr. Chen Zhiyu Reply:
Regarding your concerns, based on your description, it is indeed more appropriate to return to your original treating physician to confirm the status of the bleeding. Thank you for your inquiry, and I wish you health and happiness.[Read More] Understanding Secondary Bleeding: Causes and When to Seek Medical Advice
Understanding Secondary Bleeding: Causes and When to Seek Medical Advice
Secondary hemorrhage Hello Doctor, I received a menopause injection in 2020 due to having an ovarian chocolate cyst and a small uterine adenomyosis. Because of the medication, I was expected to have my period this year. I experienced light bleeding from January 27 to January 31, ...
Dr. Chen Zhiyu Reply:
In response to your concerns, based on your description, it is indeed advisable to return to your original treating physician to confirm the status of the bleeding. Thank you for your inquiry, and I wish you good health and happiness.[Read More] Understanding Secondary Bleeding: Causes and When to Seek Medical Advice
Can Birth Control Pills Help Manage Adenomyosis Symptoms?
Issues with the use of contraceptives in adenomyosis? Hello Doctor, I would like to ask if it is possible to use birth control pills to adjust my menstrual cycle next month due to my adenomyosis. Recently, I have noticed that my cycles have been gradually shortening, and I have ...
Dr. Cao Guotao Reply:
Hello, you can use birth control pills to regulate your menstrual cycle, starting with a low dose. Wishing you good health.[Read More] Can Birth Control Pills Help Manage Adenomyosis Symptoms?
Managing Heavy Menstrual Bleeding and Iron Deficiency Anemia: Key Considerations
Please advise on medications for excessive menstrual bleeding and issues related to supplementing hemoglobin for iron deficiency anemia? Hello! I have menorrhagia due to adenomyosis, which has led to iron deficiency anemia. I would like to ask if taking Tranexamic acid only durin...
Dr. Cao Guotao Reply:
Hello, uterine contraction medications and hemostatic agents can help reduce menstrual flow when experiencing heavy periods. Generally, iron supplements are taken at a dosage of 1 to 2 tablets per day. If there is long-term anemia, surgical options may need to be considered. It i...[Read More] Managing Heavy Menstrual Bleeding and Iron Deficiency Anemia: Key Considerations
Understanding Ultrasound and CA125 Results in Endometriosis Diagnosis
Regarding the results of ultrasound and CA-125 tests? Hello Doctor, I apologize for the lengthy message, and thank you for your response. (I have not had sexual intercourse yet.) I have been experiencing chronic menstrual pain for a long time, which I used to endure, but over the...
Dr. Huang Yuande Reply:
1. Dr. B's statement is correct, but testing can serve as a reference for the severity of symptoms and is not excessive. 2. These pain points are essentially common sites for endometriosis; therefore, in addition to symptomatic treatment, management should be tailored to add...[Read More] Understanding Ultrasound and CA125 Results in Endometriosis Diagnosis
Understanding Ultrasound and CA125 Results in Endometriosis Diagnosis
Regarding the results of ultrasound and CA-125 testing? Hello Doctor, I apologize for the lengthy message and thank you for your response. (I have not engaged in sexual intercourse yet) I have been experiencing chronic menstrual pain, which I used to endure, but over the past six...
Dr. Cao Guotao Reply:
Hello, some issues are difficult to address, so I recommend getting checked at another hospital. Wishing you good health.[Read More] Understanding Ultrasound and CA125 Results in Endometriosis Diagnosis
Do Medications Affect Birth Control Efficacy? A Guide for Women
Drug interactions I have been taking birth control pills for a year, and I am currently on the twelfth day of this month (Yueji). Recently, I have been experiencing a cold and fever. I informed my doctor that I am taking birth control pills along with Strocain 10mg, Epilon, Motil...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.[Read More] Do Medications Affect Birth Control Efficacy? A Guide for Women
Understanding Heavy Menstrual Bleeding: When to Use Hemostatic Medications
Gynecological medications Hello, doctor. I would like to ask you a question. My menstruation started on November 21, and due to my condition of adenomyosis, I experience heavy bleeding and severe pain every month. On November 25, I went to the hospital for blood tests and an ultr...
Dr. Wu Xianghui Reply:
1. Abnormal bleeding and irregular menstrual cycles can have various underlying causes; it is recommended to consult a specialist in obstetrics and gynecology for evaluation. 2. It is advisable to visit a major hospital as soon as possible to confirm whether there is anemia or ot...[Read More] Understanding Heavy Menstrual Bleeding: When to Use Hemostatic Medications
Understanding Irregular Menstruation After Liver Transplant: Key Insights
Menstrual irregularities Hello, Doctor. I have a few questions. I have previously undergone a liver transplant. My menstrual cycle has always been regular, lasting 9-11 days each month, and it has been this way for years. A few years ago, I experienced irregular menstruation only...
Dr. Wu Xianghui Reply:
1. Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to consult a gynecologist for evaluation. 2. Adenomyosis is a benign gynecological tumor, formally known as "endometriosis of the uterine body." 3. The ultrasound repo...[Read More] Understanding Irregular Menstruation After Liver Transplant: Key Insights
Post-Vaccine Bleeding: Understanding Cervical Vaccine Effects and Concerns
Bleeding after receiving the cervical cancer vaccine? I would like to ask the doctor about my condition. I have adenomyosis and infiltrative endometriosis, and I am currently taking Dienogest, having completed five packs. I started receiving the nine-valent HPV vaccine in Novembe...
Dr. Wu Xianghui Reply:
1. Etonogestrel does have abnormal bleeding as a side effect. However, there are many potential causes for abnormal bleeding, and it is recommended to consult a gynecologist for evaluation. 2. Abnormal discharge is one of the most common symptoms in women, with numerous potenti...[Read More] Post-Vaccine Bleeding: Understanding Cervical Vaccine Effects and Concerns
Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Endometriosis adenomyosis Hello, my mother recently had a gynecological examination because she was diagnosed with an adenoma a long time ago. She has been experiencing heavy bleeding and severe pain during her menstrual periods, but she has not received any treatment, only dieta...
Dr. Huang Yuande Reply:
For a 48-year-old woman, whether surgery is needed for endometriosis or adenomyosis depends on the severity of the symptoms, as the likelihood of malignant transformation is low. However, based solely on your description, it is difficult to provide accurate recommendations. Furth...[Read More] Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Understanding Endometrial Hyperplasia: Risks and Differences from Adenomyosis
Endometrial hyperplasia Hello Doctor, I was diagnosed with adenomyosis about a year ago during an ultrasound (approximately 9.6 cm including the uterus itself). A few months ago, I experienced abnormal bleeding (only that one time), which led me to undergo a hysteroscopy today. T...
Dr. Cao Guotao Reply:
Hello, adenomyosis is a form of endometriosis and is completely different from endometrial hyperplasia. Endometrial hyperplasia is a precursor to endometrial cancer and is generally manageable with medication. If you have further questions, you can consult your healthcare provide...[Read More] Understanding Endometrial Hyperplasia: Risks and Differences from Adenomyosis
Post-Laparoscopy Concerns: Is This Tumor Normal After Surgery?
Postoperative Issues After Laparoscopic Surgery Hello. I would like to ask about my condition. I underwent laparoscopic surgery and hysteroscopy to remove endometriosis and adenomyosis. It has been over two weeks since the surgery, and I have noticed a small lump about 5 cm to th...
Dr. Cao Guotao Reply:
Hello, it is recommended to visit the outpatient clinic first. Wishing you good health.[Read More] Post-Laparoscopy Concerns: Is This Tumor Normal After Surgery?
Understanding Chocolate Cysts: Treatment Options and FAQs
Chocolate cyst Thank you, Dr. Huang, for your previous response. I would like to ask if chocolate cysts can be removed using hysteroscopy. Can non-nodular adenomyosis also be treated with hysteroscopy? Additionally, I would like to inquire about HIFU (High-Intensity Focused Ultra...
Dr. Huang Yuande Reply:
1. Chocolate cysts can be removed using laparoscopy, rather than hysteroscopy, while fibroids located close to the endometrial layer can be resected using hysteroscopy. 2. In fact, each surgical method has its own advantages and disadvantages. We need to consider symptoms, locati...[Read More] Understanding Chocolate Cysts: Treatment Options and FAQs
Understanding Chocolate Cysts: Treatment Options and FAQs for Women
Chocolate cyst Hello Doctor, the ultrasound examination revealed that I have a 7 cm chocolate cyst, an adenomyoma measuring 3 x 5-6 cm, and two small uterine fibroids. I am currently leaning towards laparoscopic surgery to address the chocolate cyst. I would like to ask: 1. Can...
Dr. Huang Yuande Reply:
Thank you for your questions. Here are the brief answers: 1. It can be addressed together when necessary. 2. Yes, complications may include menstrual irregularities or cessation, but after removal, resting for one cycle is sufficient before attempting to conceive again. 3. Yes,...[Read More] Understanding Chocolate Cysts: Treatment Options and FAQs for Women
Post-Hysteroscopic Polypectomy: Understanding Abnormal Bleeding Concerns
Post-operative bleeding after hysteroscopic polypectomy? Hello Doctor, I originally had infiltrative endometriosis, adenomyosis, and endometrial polyps. On December 30, 2019, I underwent a hysteroscopic surgery to remove the endometrial polyp. For the first week after the surgery...
Dr. Cao Guotao Reply:
Hello, it could be ovulatory bleeding, or it may be related to the recent hysteroscopy. Please monitor it for another 2-3 days, and if it continues to be heavy, I recommend returning to your original hospital for evaluation. Wishing you good health.[Read More] Post-Hysteroscopic Polypectomy: Understanding Abnormal Bleeding Concerns