Understanding Uterine Adenomyosis: Fertility Concerns and Diagnosis Options
Uterine fibromatosis I have endometriosis and, wanting to conceive, I received a long-acting contraceptive injection (Leuprolide) on October 5th last year, as per my doctor's recommendation. The medication is effective for three months (from 10/05 to 01/05). Now, on March 12...
Dr. Cao Guotao Reply:
Hello, the primary diagnosis of adenomyosis is through ultrasound and medical history. Sometimes, after receiving leuprolide, menstruation may not come immediately and may take some time. Leuprolide does not increase the risk of ectopic pregnancy. Your basal body temperature is a...[Read More] Understanding Uterine Adenomyosis: Fertility Concerns and Diagnosis Options
Understanding Abnormal Vaginal Bleeding: Symptoms and Treatment Options
Hemorrhagic symptoms Hello doctor, I experienced light bleeding in my genital area for a week starting from February 29. On March 7, I consulted a gynecologist who informed me that my vaginal bleeding was abnormal and attributed it to adenomyosis. The doctor prescribed treatment ...
Dr. Cao Guotao Reply:
Hello, you are experiencing irregular menstruation. It is recommended to see a gynecologist. Wishing you good health.[Read More] Understanding Abnormal Vaginal Bleeding: Symptoms and Treatment Options
Why Increased Bleeding After Taking Provera for Hormonal Imbalance?
Taking progesterone may actually increase the amount of bleeding? I have been experiencing irregular menstrual bleeding, with a persistent light flow and brownish blood spots appearing about a week before my period. Sometimes the color resembles that of menstrual blood. After see...
Dr. Cao Guotao Reply:
Hello, is it the time for your menstrual period? If not, it may be considered abnormal, and I recommend seeing a gynecologist. Wishing you good health.[Read More] Why Increased Bleeding After Taking Provera for Hormonal Imbalance?
Managing Uterine Fibroids: IUD vs. Surgery Options Explained
Contraceptive devices and surgery? Hello: I have uterine fibroids and adenomyosis, experiencing prolonged menstrual periods with heavy bleeding and pain that can only be managed with painkillers. Since I do not plan to have children, I am considering a hysterectomy. The doctor ha...
Dr. Xu Junrui Reply:
Ms. Li, given your situation, I would recommend that if you do not have any fertility needs, it may be worth considering a hysterectomy. Your concerns are valid, especially if you have previously experienced multiple instances of intrauterine device displacement; it is indeed pos...[Read More] Managing Uterine Fibroids: IUD vs. Surgery Options Explained
Heavy Menstrual Bleeding: Causes and Concerns for Women
Heavy menstrual bleeding? Hello, my menstrual cycle is approximately 28 days. Last month, my period started on December 8, and this month it began on January 5 with heavy bleeding that is bright red and contains many blood clots. I had sexual intercourse on January 4.
Dr. Lü Lizheng Reply:
If the menstrual flow is consistently heavy, it is usually related to uterine issues, such as uterine fibroids or adenomyosis. If this is the only instance of particularly heavy flow, there could be many possible causes, with common ones including irregular menstruation, miscarri...[Read More] Heavy Menstrual Bleeding: Causes and Concerns for Women
Understanding Abnormal Menstrual Cycles: Causes and Concerns
Menstrual irregularities Hello, doctor. Recently, my menstrual cycles have been quite unusual. At the beginning of my last cycle, I had bleeding for 10 days without stopping. I consulted a doctor who diagnosed me with adenomyosis (2 cm), which is causing poor uterine contractions...
Dr. Lin Wenbin Reply:
There could be various associations, including whether the medications prescribed by the physician contain progesterone. You should consult the original physician for further evaluation.[Read More] Understanding Abnormal Menstrual Cycles: Causes and Concerns
Should You Return for a Check-Up After Endometriosis Surgery?
I don't understand if a follow-up appointment is necessary? Hello Doctor: I have endometriosis and underwent surgery this year to remove adenomyosis and cysts. After six months of amenorrhea, my menstruation returned for two months. Three days before my period, I noticed som...
Dr. Lin Wenbin Reply:
After this type of surgery, medication treatment is usually required for six months. After six months, when menstruation resumes, it may take an additional 3 to 4 months to gradually return to normal. It is recommended that you return for a follow-up appointment to have your phys...[Read More] Should You Return for a Check-Up After Endometriosis Surgery?
Understanding Post-Surgery Menstrual Changes: When to Seek Help
Please provide the content you would like me to translate into English? I apologize, doctor, for continuing from the previous response. I had surgery in January this year and received three doses of medication. My menstruation returned in June, and it has been five months since t...
Dr. Lin Wenbin Reply:
Please return for a follow-up examination.[Read More] Understanding Post-Surgery Menstrual Changes: When to Seek Help
Do All Women with Adenomyosis Need Endometrial Biopsy?
Is a biopsy necessary? Do all patients with adenomyosis need to undergo endometrial biopsy?
Dr. Lin Wenbin Reply:
It depends on the situation.[Read More] Do All Women with Adenomyosis Need Endometrial Biopsy?
Can Birth Control Pills Reduce Ovarian and Endometrial Cancer Risk?
Taking contraceptive pills? Hello, doctor. I've heard that taking contraceptive pills can reduce the risk of endometrial cancer and ovarian cancer. After undergoing surgery for adenomyosis and ovarian cysts, could you prescribe contraceptive pills for long-term use to lower ...
Dr. Lin Wenbin Reply:
There are many options for medication, not limited to just contraceptives. Please visit the outpatient clinic for an examination and prescription.[Read More] Can Birth Control Pills Reduce Ovarian and Endometrial Cancer Risk?
Understanding Intrauterine Drug Delivery: Benefits and Side Effects
Options for intrauterine medication administration? Hello, doctor! I have been suffering from severe dysmenorrhea (adenomyosis) for over ten years. In the past two years, the duration of pain has increased to about ten days. Sometimes, pain relievers are ineffective, and I often ...
Dr. Lü Lizheng Reply:
Since the medication is administered intrauterinely, it will not spread throughout the body, resulting in minimal side effects. - Dr. Li-Cheng Lu, Taoyuan Hospital.[Read More] Understanding Intrauterine Drug Delivery: Benefits and Side Effects
Understanding Abnormal Uterine Bleeding: Causes and Treatments
Abnormal uterine bleeding Hello, Dr. Lu! I would like to ask: I have had irregular menstrual cycles for a long time, with heavy bleeding. My menstrual cramps are only on the first and second days (managed with painkillers), and then it becomes manageable for the next few days. My...
Dr. Lü Lizheng Reply:
The response indicates that this is likely irregular menstruation. It is recommended to continue taking the medication and to return for follow-up examinations and treatment. Sincerely, Dr. Li-Cheng Lu, Taoyuan Hospital.[Read More] Understanding Abnormal Uterine Bleeding: Causes and Treatments
Understanding Menstrual Irregularities and Pregnancy Concerns
Menstrual issues Hello, doctor. I had my period on September 28th, and due to bleeding caused by uterine fibroids, the bleeding stopped on October 8th. The doctor mentioned that the delayed bleeding doesn't count as a period. How should I calculate my next period since it ha...
Dr. Lü Lizheng Reply:
1. Prolonged menstrual periods can have many possible causes, including irregular menstruation, uterine fibroids, adenomyosis, and uterine inflammation. 2. If the prolonged menstrual period is due to uterine fibroids or adenomyosis, the timing of the next menstrual period is usu...[Read More] Understanding Menstrual Irregularities and Pregnancy Concerns
Can Lupron Injections Prevent Recurrence of Endometriosis?
Administering Liraglutide Doctor: I have adenomyosis and underwent surgery for endometriosis. I have received three doses of Lupron and my menstrual cycle has returned to normal. It has been less than six months since my last period and I have not experienced any recurrence yet. ...
Dr. Lü Lizheng Reply:
There is no literature mentioning such an approach, and its effectiveness is uncertain. Sincerely, Li-Cheng Lu, Taoyuan Hospital.[Read More] Can Lupron Injections Prevent Recurrence of Endometriosis?
Understanding Uterine Fibroids: Impact on Fertility and Health Concerns
About uterine fibroids? Hello, doctor. I have a 3 cm uterine fibroid. Will this make it difficult for me to conceive? Sometimes I experience sudden pain in my lower abdomen. The doctor mentioned that there is a cyst on the right ovary, and the pain is related to bleeding from the...
Dr. Lin Wenbin Reply:
The chance of infertility caused by uterine fibroids is not very high, so it is important to check for other factors contributing to infertility. When fibroids undergo degeneration, they can cause pain. Conditions such as adenomyosis and endometriosis can also lead to pain, so pr...[Read More] Understanding Uterine Fibroids: Impact on Fertility and Health Concerns
Understanding Endometrial Thickness After Adenomyosis Surgery
Endometrial thickness Doctor, after the removal of adenomyosis, does the uterus become smaller, similar to how an apple is peeled? Therefore, when there is endometrial hyperplasia, does it become thicker until menstruation occurs and it returns to a normal endometrial thickness? ...
Dr. Lü Lizheng Reply:
The normal endometrium is located in the center of the uterus, on the surface of the muscular layer. In contrast, adenomyosis is characterized by endometrial tissue growing in the wrong location, specifically within the muscular layer of the uterus. Endometrial hyperplasia refers...[Read More] Understanding Endometrial Thickness After Adenomyosis Surgery
Impact of Metformin on Hormones and Menstrual Symptoms in Women with PCOS and Adenomyosis
Chocolate cysts and adenomyosis? Indeed, metformin can affect hormones and indirectly influence menstruation. If a doctor has endometriosis and ovarian cysts, could taking this medication impact hormone levels and potentially exacerbate symptoms related to menstruation?
Dr. Lü Lizheng Reply:
Metformin is not expected to change adenomyosis or chocolate cysts, nor is it guaranteed to affect symptoms. Many other factors, such as insufficient sleep, lack of exercise, diet, and weight, can contribute to menstrual discomfort. If there is any impact, it would likely be thro...[Read More] Impact of Metformin on Hormones and Menstrual Symptoms in Women with PCOS and Adenomyosis
Is a 9-Day Menstrual Period Normal? Understanding Your Cycle
Menstruation lasts for 9 days? Is it normal for menstruation to last around 9 days each time?
Dr. Lü Lizheng Reply:
The response may indicate potential issues such as poor uterine contractions, uterine polyps, uterine fibroids, or adenomyosis. Please seek medical evaluation. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Is a 9-Day Menstrual Period Normal? Understanding Your Cycle
Managing Menopause Symptoms: Is Royal Jelly Safe After Hysterectomy?
Menopausal Health Care Hello, I have a history of adenomyosis and underwent a hysterectomy about five years ago. I am currently experiencing menopausal symptoms. Is it safe for me to take royal jelly? Thank you!
Dr. Cao Guotao Reply:
Hello, if you are experiencing menopausal symptoms, you may try taking royal jelly. If the symptoms persist, it is recommended to consider hormone replacement therapy. Wishing you good health.[Read More] Managing Menopause Symptoms: Is Royal Jelly Safe After Hysterectomy?
Understanding Post-Menstrual Spotting: When to Seek Medical Advice
Blood streaks after menstruation? Hello, I would like to ask why I often experience spotting (light bleeding) one to two weeks after my menstrual period ends, which can last for almost a week. What could be the cause of this, and should I see a doctor? Thank you.
Dr. Lü Lizheng Reply:
There are many possible reasons for this, including uterine polyps, uterine fibroids, chronic uterine inflammation, adenomyosis, and hormonal imbalances. Please seek medical examination. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Understanding Post-Menstrual Spotting: When to Seek Medical Advice