Adenomyosis, Obstetrics and Gynecology FAQ

Understanding Dysmenorrhea: Pain Management and Medication Insights

Dysmenorrhea issues and medication consultation? Hello, doctor. I am a 22-year-old female who experiences severe menstrual pain every month, and I have also been experiencing ovulation pain in recent months. I have a history of ovarian cysts from 2014, which have been surgically ...

Dr. Huang Jianzhong Reply:
@ Primary dysmenorrhea occurs when women begin to experience regular menstruation, with pain typically manifesting one to two days before menstruation. The pain is characterized by cramping and colicky sensations. Most dysmenorrhea resolves spontaneously by the second to third da...

Sudden Decrease in Menstrual Flow: Possible Causes and Concerns

Menstrual flow suddenly decreases significantly? Hello, Doctor. I underwent a hysteroscopy on March 30 and a hysterosalpingography on March 31, which confirmed that there were no new polyps in the uterus and that my fallopian tubes are patent. However, during this menstrual perio...

Dr. Cao Guotao Reply:
Hello, I apologize for not being able to provide a diagnosis based on your description. Bloating pain accompanied by fever could indicate inflammation. If you continue to experience discomfort, it is advisable to consult a gynecologist. Wishing you good health.

Understanding Chocolate Cysts: Treatment Options and Fertility Concerns

Chocolate cyst Hello Doctor: A few days ago, I went for a gynecological examination and was diagnosed with endometriosis, deep infiltrating endometriosis, right ovarian chocolate cysts, pelvic adhesions, and adenomyosis symptoms. There are three chocolate cysts on the right ovary...

Dr. Huang Jianzhong Reply:
A few days ago, I went to the obstetrics and gynecology department and was diagnosed with endometriosis, deep infiltrating endometriosis, a right ovarian chocolate cyst, pelvic adhesions, and symptoms of adenomyosis. There are three chocolate cysts on the right ovary measuring 3....

Understanding Brown Discharge: When to Seek Gynecological Care

The discharge is dark brown? Hello Doctor, recently I have been experiencing dark brown discharge (which has been occurring for about a week), and the amount is considerable. My menstruation is currently 3 days late, and I have had sexual intercourse. I was previously diagnosed w...

Dr. Huang Jianzhong Reply:
Recently, I have been experiencing dark brown discharge, and my period is currently 3 days late. I have had sexual intercourse, and I was previously diagnosed with adenomyosis by a gynecologist. Lately, I have also been waking up at night to urinate 3 to 4 times. Could this indic...

Understanding Fertility Challenges: Ovulation and Pregnancy Concerns

Can I get pregnant? I have been married for three years, and there has been no progress in my pregnancy journey. After visiting the hospital for examinations, it turns out my husband has no issues, but I have chocolate cysts on both ovaries (the right side had surgery for a cyst ...

Dr. Cao Guotao Reply:
Hello, ovulation occurs around the time of low temperatures. Engaging in intercourse before and after ovulation does not have a specific time point. Wishing you good health.

Managing Heavy Menstrual Bleeding with Uterine Adenomyosis: Treatment Options

Menorrhagia Hello Doctor: I have adenomyosis causing heavy menstrual bleeding. Since the adenomyosis is not large, the physician I consulted previously did not recommend surgery. I have used the Mirena IUD, but I experienced continuous spotting and it later fell out for unknown r...

Dr. Cao Guotao Reply:
Hello, you may consider taking uterotonics and hemostatic medications. It is recommended to consult an obstetrician-gynecologist for medication management. Wishing you good health.

Exploring HIFU Treatment for Adenomyosis: A Patient's Perspective

Regarding HIFU treatment for adenomyosis? Hello Dr. Chang, I have adenomyosis and am currently receiving treatment at Taichung Veterans General Hospital. Based on my physician's recommendation, I had an intrauterine drug delivery system, specifically the Mirena, inserted be...

Dr. Zhang Kunmin Reply:
Hello, the HIFU (High-Intensity Focused Ultrasound) is primarily used to treat uterine fibroids that have a clear range and lesion. Adenomyosis, on the other hand, involves infiltrating endometrial tissue within the uterus, making it difficult to focus the thermal energy on a spe...

Understanding Hysterectomy: Options for Uterine Adenomyosis and Anemia

Hysterectomy Hello Doctor, I would like to ask: I am 43 years old, have two children, and do not wish to become pregnant again. I have adenomyosis with a size of about 8 cm, experiencing severe dysmenorrhea, and passing many blood clots. My hemoglobin level is 8; does this indica...

Dr. Lü Lizheng Reply:
The hemoglobin level of 8 is considered severe anemia. If you prefer to avoid surgery, there is a device similar to an intrauterine contraceptive device called Mirena, which you can find more information about online. Its size, shape, and method of insertion are similar to that o...

Understanding Large Blood Clots During Menstruation: When to Seek Help

Large menstrual blood clots? Previously, my menstrual cycle was normal, and this time the flow is also considered normal, with a bright red color. However, there are many blood clots, and unlike before when they were small, these clots are larger. I would like to ask the doctor i...

Dr. Yang Wangjun Reply:
Hello: (1) The presence of large blood clots typically indicates a significant amount of bleeding occurring suddenly. After the endometrium sheds, the spiral arteries become exposed, allowing blood to flow into the uterine cavity. The hemostatic mechanisms of the uterus begin wit...

Understanding Menstrual Irregularities and Uterine Medication Systems

Menstrual issues and intrauterine drug delivery systems? Dear Doctor: My menstrual period was from July 23 to July 29. A few days after it ended, I started experiencing brown discharge, which continued until August 8, when I unexpectedly got my period again. I had a fibroid detec...

Dr. Huang Yiwen Reply:
Hello Miss Jin Ni Wei: Your condition is likely due to menstrual irregularities. You may start by taking hemostatic or uterine contraction medications to see if they help. If ineffective, you might consider hormone therapy or progesterone to regulate your cycle. The intrauterine ...

Can You Get the HPV Vaccine Before and After Endometriosis Surgery?

Is it possible to administer the cervical cancer vaccine before and after surgery for endometriosis? And some related questions? Hello Doctor, I received the Gardasil cervical cancer vaccine in mid-July, and afterwards, I went for an examination due to menstrual pain. An abdomina...

Dr. Cao Guotao Reply:
Hello, the Gardasil cervical cancer vaccine is unrelated to surgery, and chocolate cysts are not related to diet; they are primarily associated with individual constitution. Wishing you good health.

Severe Left Abdominal Pain During Menstruation: Is It Adenomyosis?

Menstrual cramps in the abdomen? I would like to ask, this month during my menstruation, I have been experiencing severe pain in the left lower abdomen (three fingers below the navel on the left side). The pain is only on the left side, and pressing slightly increases the pain. I...

Dr. Cao Guotao Reply:
Hello, I apologize for not being able to diagnose based on the described symptoms. It could be related to adenomyosis. If discomfort persists, I recommend seeing a gynecologist for a thorough examination. Wishing you good health.

Severe Menstrual Pain with Rectal Spasms: What to Do Next?

Severe menstrual cramps accompanied by lower abdominal and rectal spasms? About three years ago, I suddenly experienced severe menstrual cramps during my period. Initially, I thought it was related to my constitution, diet, and lifestyle, but the pain has progressively worsened. ...

Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only cramping pain in the lower abdomen during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. The onset of symptoms ca...

Understanding AMH Levels: Can They Increase After Surgery?

The increase in AMH levels..? Hello Doctor: Due to ovarian cysts and adenomyosis, my AMH level was 4.1 before surgery last year, and it dropped to 2 afterward. In April of this year, it increased to 3.7. I would like to ask if it is possible for the AMH level to continue to rise?...

Dr. Li Yueyuan Reply:
Hello: AMH levels are influenced by age, surgery, and medication, and can also exhibit slight fluctuations. A value between 2.0 and 4.0 is not considered low, indicating normal ovarian function, so there is no need for concern. Li Yueyuan

Unpleasant Odor After Menstruation: When to Seek Medical Advice?

After menstruation Hello, after my menstrual period ends, I notice a strong odor in my genital area. This has not happened in previous cycles, but since being diagnosed with adenomyosis earlier this year, I have experienced this strong odor starting on the first day of my period,...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is possible that you have vaginitis. I recommend consulting with a gynecologist who can assess your condition and determine whether any relevant tests or treatments are necessary. Thank you! Wishing you safety and health. Dr. Chang

Understanding Abnormal Menstrual Pain After Abortion: Causes and Solutions

Dysmenorrhea I previously underwent an abortion, and during my first menstrual cycle post-procedure, I experienced light flow along with significant abdominal pain. I felt unable to exert myself, and I experienced pain while using the restroom and even while laughing. Any movemen...

Dr. Lin Manying Reply:
If the contraceptive device has been removed and there are still symptoms of heavy menstrual bleeding, prolonged periods, and abdominal pain, it may be more related to adenomyosis. It is recommended to pursue treatment in this area.

Managing Pain from Uterine Adenomyosis: Effective Strategies

Questions about adenomyosis? Hello Doctor: Recently, my girlfriend went for an examination and was diagnosed with adenomyosis. She has been experiencing abdominal pain every day, but recently the pain has intensified in the mornings, especially after waking up. She experiences se...

Dr. Cao Guotao Reply:
Hello, if you are still feeling unwell, it is recommended to visit a hospital for a detailed examination by an obstetrician-gynecologist. Wishing you good health.

Managing Chocolate Cysts: Options and Concerns for Women After Surgery

Chocolate cyst Dear Doctor: Three years ago, I underwent a hysterectomy due to adenomyosis. Two years later, I discovered chocolate cysts measuring 7 cm and 5 cm. My doctor prescribed Lupron for 6 months, which improved my condition, but after stopping the medication for 3 months...

Dr. Cao Guotao Reply:
Hello, since there hasn't been any improvement and it is quite significant, you may want to consider further evaluation. If you still have concerns, I recommend consulting your regular obstetrician-gynecologist. Wishing you good health.

Understanding Adenomyosis: Treatment Options and Menstrual Concerns

Adenomyosis Hello, I would like to ask about my situation. My period did not come at the beginning of March, but I noticed some noticeable bleeding in my genital area, although it was only a little bit. I saw a doctor yesterday, and the doctor diagnosed me with adenomyosis. They ...

Dr. Lin Manying Reply:
You should be taking menstrual induction medication. If your menstrual flow is light and you are experiencing severe menstrual pain, it is recommended to continue treatment.

Severe Menstrual Cramps with Nausea and Sweating: What to Know

On the first day of menstruation, experiencing lower abdominal pain accompanied by vomiting, diarrhea, cold sweats, and slightly rapid breathing? Hello Doctor: I would like to ask about the reasons for experiencing "lower abdominal pain" on the first day of menstruation...

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