Understanding Adenomyosis: Why Birth Control Isn't Stopping My Periods
Adenomyosis: Continuous menstruation despite taking birth control pills? Hello Dr. Chang, I have heavy menstrual bleeding, needing to change my sanitary pad every hour, and I have anemia. In March of this year, I was diagnosed with adenomyosis in the gynecology department, with a...
Dr. Zhang Kunmin Reply:
Hello, the user: Taking regular birth control pills will still result in menstruation. If your symptoms during the menstrual period do not show significant improvement, it is advisable to discuss with your physician to evaluate whether other treatment options should be considered...[Read More] Understanding Adenomyosis: Why Birth Control Isn't Stopping My Periods
Understanding Menstrual Pain: Causes and Factors Behind Discomfort
Why does menstruation cause pain? Why does menstruation cause pain? What components in the menstrual discharge contribute to the pain experienced by some women?
Dr. Zhang Kunmin Reply:
Hello, here is the response to your inquiry: I. Introduction: Dysmenorrhea, in addition to cramping pain in the lower abdomen during menstruation, may be accompanied by symptoms such as nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderne...[Read More] Understanding Menstrual Pain: Causes and Factors Behind Discomfort
Key Ingredients for Relieving Menstrual Cramps: What to Know
What are the ingredients that help relieve menstrual pain? What are the components that relieve menstrual pain? What substances are contained in menstruation?
Dr. Zhang Kunmin Reply:
Hello, the questioner: Due to the unclear content of your inquiry, I will respond as follows: 1. Introduction: Dysmenorrhea, in addition to lower abdominal cramping during menstruation, may be accompanied by symptoms such as nausea, vomiting, headaches, anxiety, fatigue, diarrhe...[Read More] Key Ingredients for Relieving Menstrual Cramps: What to Know
Understanding Chocolate Cysts and Uterine Removal: What to Expect Post-Surgery
Total hysterectomy and chocolate cysts? Dear Doctor, I have been experiencing severe bleeding due to adenomyosis and have completed a total hysterectomy while preserving my ovaries. Prior to the surgery, I had chocolate cysts on my ovaries, which were also addressed during the pr...
Dr. Lin Wenbin Reply:
Yes, as long as there are ovarian hormones, there is a possibility of endometriosis. After surgery, it is important to have the physician perform blood tests and provide appropriate medication treatment.[Read More] Understanding Chocolate Cysts and Uterine Removal: What to Expect Post-Surgery
Understanding Blood-Streaked Discharge: Causes and Concerns
The discharge contains blood streaks? Hello Doctor: I have been experiencing postmenstrual bleeding and have always thought it was ovulatory bleeding. Recently, after a pelvic examination, my doctor diagnosed me with vaginitis and noted that there is a tear on my cervix. Despite ...
Dr. Lü Lizheng Reply:
Post-menstrual bleeding may have several potential causes, including uterine polyps, uterine fibroids, adenomyosis, and chronic uterine inflammation. It is recommended to undergo further examination to identify the exact cause before proceeding with treatment. Sincerely, Lu Lizhe...[Read More] Understanding Blood-Streaked Discharge: Causes and Concerns
Heavy Menstrual Flow After Breastfeeding: Causes and Solutions
Increased menstrual flow during breastfeeding? Hello Dr. Chang, I gave birth to a son in October 2012 and breastfed him until he was one and a half years old. My menstrual cycle returned when my baby was eleven months old, but it was irregular at first, with an extremely heavy fl...
Dr. Zhang Kunmin Reply:
Hello, based on the symptoms you described, it is possible that you have uterine fibroids or adenomyosis. These conditions cannot be diagnosed solely through a Pap smear. I recommend that you consult a gynecologist for an ultrasound and blood tests to determine if you have the af...[Read More] Heavy Menstrual Flow After Breastfeeding: Causes and Solutions
Understanding Low Menstrual Flow: Causes and Concerns for Women
Menstrual flow is very light? Dear Dr. Lu, I would like to ask you a question. I am 30 years old and have never given birth. My menstrual cycle is generally normal, with intervals of about 28-30 days. However, this past year, the volume of my menstrual blood has decreased signif...
Dr. Lü Lizheng Reply:
A reduced menstrual flow may be indicative of issues related to the uterus or ovaries. Initially, uterine problems should be considered. If there has been a history of dilation and curettage (D&C), it is possible that the endometrial surface has been damaged, leading to a dec...[Read More] Understanding Low Menstrual Flow: Causes and Concerns for Women
Understanding Adenomyosis: Effective Treatments for Severe Pelvic Pain
Consultation: Uterine Adenomyosis Hello, my friend is currently not in Taiwan and is experiencing the following troubling symptoms. She is 42 years old and has been suffering from recurrent severe lower abdominal pain and coccygeal pain for nearly ten years. She has undergone exa...
Dr. Cao Guotao Reply:
Hello, if your friend is not improving with treatment there, it is advisable to return to Taiwan for a thorough examination, as it may be more appropriate.[Read More] Understanding Adenomyosis: Effective Treatments for Severe Pelvic Pain
Comparing Medications for Heavy Menstrual Bleeding: Progesterone vs. Tranexamic Acid
Inquire about medications for controlling menstrual blood flow? Hello Dr. Lin, I have uterine fibroids and adenomyosis, which cause heavy menstrual bleeding and anemia. I am currently not considering a hysterectomy. However, I have consulted two doctors at China Medical Universit...
Dr. Lin Wenbin Reply:
There is no definitive answer to this question. If medication can control menstrual bleeding but requires long-term use, one should not overlook the potential side effects, such as kidney damage. If, after a period of treatment, menstrual bleeding remains heavy and anemia fluctua...[Read More] Comparing Medications for Heavy Menstrual Bleeding: Progesterone vs. Tranexamic Acid
Understanding Menstrual-Related Rectal Pain: Causes and Concerns
Menstrual pain can be felt in the rectal area? Hello, doctor. I experience pain in my anus during menstruation, but it goes away afterward. I found online that some doctors say this could be endometriosis, while others mention adenomyosis. However, I already have external moles. ...
Dr. Lin Wenbin Reply:
Pain in the rectum during menstruation can have various causes. A common cause is endometriosis, and adenomyosis is also a possibility, as it shares the same underlying etiology as endometriosis. However, adenomyosis occurs within the muscular layer of the uterus, which is why it...[Read More] Understanding Menstrual-Related Rectal Pain: Causes and Concerns
Understanding Endometriosis Medication: Should You Continue Treatment?
Medication for endometriosis? Due to ongoing menstrual pain issues, I went to the hospital last month for a transvaginal ultrasound, which showed no significant problems. The only finding was a slightly thicker endometrial lining. The doctor mentioned the possibility of endometri...
Dr. Zhang Kunmin Reply:
Hello, the inquirer: Gestrin is a synthetic steroid hormone with anti-progestational properties, used to treat endometriosis. It inhibits the hypothalamus from synthesizing or releasing gonadotropins. It may also suppress ovarian estrogen and progesterone synthesis by interacting...[Read More] Understanding Endometriosis Medication: Should You Continue Treatment?
Understanding Uterine Adenomyosis: Causes, Dietary Tips, and Growth Prevention
Adenomyosis Hello, doctor: Why do uterine adenomyomas develop? What dietary considerations should I keep in mind? What methods can help inhibit their growth? Thank you, I appreciate it :)
Dr. Cao Guotao Reply:
Hello: Uterine adenomyosis is primarily related to individual constitution and may also be associated with female hormones. Generally, reducing the intake of soy products in the diet may help inhibit its growth. However, the most important thing is to have regular follow-ups, and...[Read More] Understanding Uterine Adenomyosis: Causes, Dietary Tips, and Growth Prevention
Managing Heavy Menstrual Bleeding and Pain with Uterine Adenomyosis
Persistent bleeding with large blood clots and lower abdominal pain? I have a uterine adenomyoma, and for the past year, my menstrual bleeding has been continuous with blood clots, and I have severe lower abdominal pain. I previously had a special intrauterine device (IUD), Miren...
Dr. Dong Yuhong Reply:
Hello: If you have uterine fibroids or adenomyosis, it is common to experience abdominal pain or heavy menstrual bleeding during your period, which may also lead to symptoms of anemia. Using the Mirena IUD is one of the treatment options, but there is a possibility that it may ex...[Read More] Managing Heavy Menstrual Bleeding and Pain with Uterine Adenomyosis
Understanding Heavy Menstrual Clots: Causes and Fertility Implications
Heavy menstrual clots? Hello, doctor. After turning thirty, I have noticed that on the second and third days of my menstrual period, I experience a significant amount of blood clots, sometimes quite large, and they are dark red in color. My menstrual cycle is about 28 days and is...
Dr. Cao Guotao Reply:
Hello, if you are experiencing heavy menstrual bleeding with blood clots, it is generally recommended to undergo an ultrasound to rule out the presence of tumors, such as uterine fibroids or adenomyosis. If no tumors are found, symptomatic treatment is usually sufficient, which m...[Read More] Understanding Heavy Menstrual Clots: Causes and Fertility Implications
Understanding Uterine Adenomyosis: Treatment Options and Considerations
Uterine adenomyosis 1. My wife is 35 years old and was diagnosed with an adenomyoma measuring 2.5 cm at a gynecological clinic. Does she need to have it surgically removed? 2. What size of an adenomyoma typically necessitates surgical removal? 3. From my research, I understand ...
Dr. Cao Guotao Reply:
Hello, for general gynecological patients with tumors larger than 5 centimeters, surgery should be considered. If there are symptoms such as dysmenorrhea or heavy menstrual bleeding, surgery is also a consideration. For patients approaching menopause, observation may be advisable...[Read More] Understanding Uterine Adenomyosis: Treatment Options and Considerations
Understanding Post-Defecation Vaginal Bleeding: Causes and Concerns
Regarding post-defecation vaginal bleeding..? Hello Doctor: In December 2011, I traveled abroad and purchased menstrual delay medication from a pharmacy. Since then, I have been experiencing irregular bleeding during my menstrual cycle and in between (sometimes I notice light pin...
Dr. Lin Wenbin Reply:
The body naturally secretes progesterone, and when menstruation is about to occur, progesterone levels drop. This drop in levels leads to the shedding of the endometrium, which is the onset of menstruation. Taking medication to delay menstruation essentially supplements progester...[Read More] Understanding Post-Defecation Vaginal Bleeding: Causes and Concerns
Understanding Menstrual Cycle Changes and Adenomyosis Concerns
Could you please provide more details about the menstrual cycle and adenoma issues? Hello, I have the following questions. Thank you for your help. My menstrual cycle used to be about 27 days, with ovulation occurring around day 13. However, for the past two months, my cycle has ...
Dr. Dong Yuhong Reply:
Hello; a menstrual cycle of 25 to 27 days is still within the normal range, and different cycles can result in different ovulation periods. As for the abdominal discomfort, it would be more appropriate for the physician who examines you in person to explain the related conditions...[Read More] Understanding Menstrual Cycle Changes and Adenomyosis Concerns
Can I Request Blood Tests for Pituitary Function in Gynecological Issues?
Blood test? Because my menstrual cycle has not come since mid-July, and during my visit in July (I did not have my period in May and June), the doctor only suggested that I take birth control pills (I have endometriosis, adenomyosis, and ovarian cysts, and I had a laparoscopy in ...
Dr. Zhang Kunmin Reply:
Hello, if you haven't had a blood test recently, you can discuss with your physician the possibility of testing for endometriosis and related indices for menstrual irregularities. If it meets the criteria for insurance coverage, the physician will clearly note it in your med...[Read More] Can I Request Blood Tests for Pituitary Function in Gynecological Issues?
Understanding Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Adenomyosis Hello, when I was in my teens, I had heavy menstrual bleeding, but the pain was manageable. However, about four to five years ago, my menstrual cycle became very irregular, occurring approximately every three to four months, and sometimes it would be quite painful. Th...
Dr. Dong Yuhong Reply:
Hello; I can understand your pain, and you have seen doctors multiple times as a result. Based on your description, the outcomes seem to be similar. Access to healthcare in Taiwan is quite easy, and I believe that the doctors in Taiwan are very competent, so you should be able to...[Read More] Understanding Adenomyosis: Symptoms, Diagnosis, and Treatment Options
Pap Smears and Adenomyosis: Essential Insights for Women Over 70
Pap smear & adenomyosis Hello Dr. Lu, 1. Do women aged 70 and above need to have regular Pap smear tests? 2. If uterine adenomyosis is not treated with contraceptive pills, can progesterone be supplemented to inhibit endometrial growth? (Currently, due to prolonged follicu...
Dr. Lü Lizheng Reply:
Dear Moss: 1. Due to the long latency period of cervical cancer, older women still carry a risk and should continue to have regular Pap smears. 2. Indeed, progesterone supplementation has an effect in inhibiting the growth of adenomyosis; however, it must be taken long-term to...[Read More] Pap Smears and Adenomyosis: Essential Insights for Women Over 70