Understanding Luteal Phase Deficiency and Its Impact on Adenomyosis Management
Luteal phase adenomyosis Hello Dr. Lu, my menstrual period was from April 4 to April 7. From April 30 to May 2 and again from May 13 to May 18, I experienced the same situation where there was a small amount of fresh blood on the first day (very brief, only a few minutes, and it ...
Dr. Lü Lizheng Reply:
Dear Moss: Indeed, supplementing with progesterone has an inhibitory effect on the growth of adenomyosis; however, it requires long-term medication to be effective. Wishing you peace and health. Sincerely, Dr. Li-Cheng Lu, Director of the Department of Obstetrics and Gynecology, ...[Read More] Understanding Luteal Phase Deficiency and Its Impact on Adenomyosis Management
Understanding Menstrual Irregularities: Concerns and Pregnancy Risks
Menstrual concerns Doctor, my period started on May 1 and ended on May 6. Between May 10 and May 20, I experienced light bleeding for about 1 to 2 days. On May 24, I had sexual intercourse with my boyfriend, during which we used a condom and there was no ejaculation. My period st...
Dr. Liu Yuhong Reply:
"Can pregnancy concerns be ruled out?" 1. A urine test can be performed to confirm whether or not you are pregnant. "There may be brief pain in the right lower abdomen, which is not similar to any previous pain." 2. You can visit a gynecologist for an ultrasou...[Read More] Understanding Menstrual Irregularities: Concerns and Pregnancy Risks
Understanding Menstrual Pain: Causes, Treatments, and Concerns
About menstrual pain? I started experiencing menstrual pain around my sophomore year of high school. I have consulted a gynecologist and have been prescribed painkillers. During each follow-up visit, I have undergone ultrasounds, and the doctor has indicated that there are no sig...
Dr. Dong Yuhong Reply:
Hello: There are many factors that influence menstrual pain. Ultrasound is often used to check for specific lesions such as uterine fibroids, adenomyosis, or ovarian issues. Recently, if your menstrual cycle has been irregular and the pain persists, it would be advisable to consu...[Read More] Understanding Menstrual Pain: Causes, Treatments, and Concerns
Managing Uterine Adenomyosis: Alternatives to Hysterectomy and Dietary Tips
Endometrial adenomyosis Hello Dr. Zhang, I would like to consult you regarding the issue of uterine adenomyosis. My older sister (currently 43 years old and has three children) has recently been experiencing severe abdominal pain before and after her menstrual period, requiring ...
Dr. Zhang Kunmin Reply:
Hello, the surgical approach generally involves only the removal of the uterus while preserving the ovaries, so it will not accelerate aging. If symptoms are severe or if menopause is expected to be a long way off, this may be considered. For medical management, oral progesterone...[Read More] Managing Uterine Adenomyosis: Alternatives to Hysterectomy and Dietary Tips
Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Examination issues Can ultrasound examination detect endometriosis? When is the best time to perform a blood test for checking endometriosis?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. When it occurs in the ovaries, it forms what is known as a "chocolate cyst," and when it grows within the uterine muscle, it is referred to as &q...[Read More] Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Understanding Endometriosis: Ultrasound and Blood Test Insights
Please provide the content you would like translated into English? Does a transvaginal ultrasound examination detect endometriosis? Does a pelvic ultrasound examination detect endometriosis? Can blood tests detect endometriosis? When is the blood test most accurate?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. If it grows on the ovaries, it forms what is known as a "chocolate cyst," and if it grows within the uterine muscle, it is referred to as "a...[Read More] Understanding Endometriosis: Ultrasound and Blood Test Insights
Understanding Intrauterine Drug Delivery Systems for Contraception
Intravaginal Drug Delivery System I want to undergo sterilization, but I found information online about the "Intrauterine Drug Delivery System." I would like to ask: 1. Does this system require specific candidates? 2. Are there any side effects? 3. Does your hospital of...
Dr. Dong Yuhong Reply:
Hello: Due to some garbled content in your question, I'm not sure if you are inquiring about the Mirena intrauterine drug delivery system. Mirena is a T-shaped contraceptive device that contains levonorgestrel, a progestin. It is inserted into the uterus and releases a small...[Read More] Understanding Intrauterine Drug Delivery Systems for Contraception
Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Regarding the size of adenomyosis? Hello, I have a question on behalf of my family member. They had a hospital examination and their CA-125 level is as high as 204. After a gynecological examination, it seems to be a case of adenomyosis, with a size reaching 9 centimeters, which ...
Dr. Zhang Kunmin Reply:
Hello, the explanation of adenomyosis is as follows: Adenomyosis is defined as the presence of endometrial tissue (including glands and stroma) growing into the muscular layer of the uterus, leading to uterine enlargement. This condition occurs in approximately 10-20% of women,...[Read More] Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Understanding Menstrual-Related Anal Pain: Causes and Solutions
Menstrual-related anal pain? Hello Dr. Lu, due to adenomyosis, I experience a sensation of pressure and pain in the rectum during my menstrual period (I had surgery to remove the endometriosis last year, and this is my third menstrual cycle since the surgery). However, after this...
Dr. Lü Lizheng Reply:
Dear Moss, Hello. 1. Endometriosis can indeed cause a sensation of pressure and pain in the rectum during menstruation. However, you are currently 11 days past your menstrual period, which is not the typical timing for this issue. It is advisable to first consider problems rel...[Read More] Understanding Menstrual-Related Anal Pain: Causes and Solutions
Understanding Birth Control Pills and Luteal Insufficiency in Gynecology
Contraceptive pills and luteal phase deficiency? Hello Dr. Lu, I have endometriosis, adenomyosis, and fibroids. A year ago, I had surgery to remove the fibroids and received 6 doses of Leuplin Depot. After the first injection (on February 14), my menstrual period was 3 months apa...
Dr. Lü Lizheng Reply:
Hello, 1. Birth control pills do indeed suppress ovulation. Although ovulation does not occur, the hormones in the birth control pills can directly act on the uterus, causing it to produce a menstrual-like response, thus having a regulating effect on the menstrual cycle. 2. I...[Read More] Understanding Birth Control Pills and Luteal Insufficiency in Gynecology
Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?
Regarding middle-aged women? Hello, doctor: At what age should middle-aged women definitely experience menopause as normal? Is it normal to still have heavy periods in their 50s? After menopause, what foods or supplements can be taken? Are there any precautions to consider? Thank...
Dr. Zhang Yongxuan Reply:
1. What is the latest age at which middle-aged women should normally experience menopause? A: Around 50 years old, and it can even approach 55 years old. Is it normal for some women in their 50s to still have heavy menstrual bleeding? A: No, it is not normal. Conditions such as u...[Read More] Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?
Understanding the Long-Term Effects of RU486 on Menstrual Health
Issues related to RU486? Hello Dr. Dong, I would like to inquire about the aftereffects of RU486 after abortion. Since I took the RU486 abortion pill prescribed by my obstetrician in 2004, my menstrual flow has become very heavy, and I experience severe abdominal pain during mens...
Dr. Dong Yuhong Reply:
Hello: There are many causes for heavy menstrual bleeding and dysmenorrhea, and uterine leiomyomas may be one of the factors affecting your condition. As I am not your treating physician, I cannot fully understand the severity of your illness and its potential impact on your mens...[Read More] Understanding the Long-Term Effects of RU486 on Menstrual Health
Post-Hysterectomy: Managing Persistent Hematoma and Symptoms
Fascial hematoma after hysterectomy Hello Doctor: I underwent an open abdominal surgery for adenomyosis and fibroids at the beginning of August, resulting in a total hysterectomy with ovarian preservation. The surgeon mentioned that there was significant adhesion. After the surge...
Dr. Dong Yuhong Reply:
Hello: There is a possibility of hematoma formation after surgery, which usually resolves on its own over time, although the rate of absorption can vary. It is recommended to continue monitoring the situation. You can discuss your concerns with your attending physician, allowing ...[Read More] Post-Hysterectomy: Managing Persistent Hematoma and Symptoms
Can You Determine Ovulation After a Hysterectomy?
Can we determine if the ovaries are functioning normally after a hysterectomy? Hello, doctor. I underwent a total hysterectomy and removal of a 4 cm tumor from my right ovary on May 21 due to adenomyosis, and I had a follow-up appointment on June 25. The surgeon mentioned, "...
Dr. Chen Changfu Reply:
I’m not sure why you need to know if your ovaries are ovulating normally. Perhaps diligently measuring and recording your basal body temperature (BBT) daily can help you understand whether your ovaries are ovulating.[Read More] Can You Determine Ovulation After a Hysterectomy?
Do I Still Need Annual Pap Smears After Total Hysterectomy?
Could you please provide the complete content or context regarding "total hysterectomy and..." so that I can assist you with the translation? Hello, I underwent a total hysterectomy, including a complete removal of the cervix, about three to four years ago. I currently ...
Dr. Xu Junzheng Reply:
Even after a total hysterectomy, it is still recommended to undergo Pap smears. If there is a feeling of pressure in the area close to the ovaries, please consult a physician for examination. Thank you![Read More] Do I Still Need Annual Pap Smears After Total Hysterectomy?
Understanding Uterine Adenomyosis: Pain Management and Treatment Options
Uterine adenomyosis Is it harmful to the body to take painkillers long-term due to severe pain during menstruation? If one has given birth, is it possible to avoid surgery postpartum? Can diet improve the symptoms? If one has this condition, should they still consider receiving t...
Dr. Cai Yonglong Reply:
Dear Fheji, Your symptoms are quite evident; you are likely experiencing endometriosis. Long-term use of painkillers is not advisable, and you should consult a gynecologist for an accurate diagnosis, which may include ultrasound and blood tests. If the condition is severe or if ...[Read More] Understanding Uterine Adenomyosis: Pain Management and Treatment Options
Understanding Heavy Menstrual Bleeding: Causes and Solutions
Menorrhagia I would like to ask: Previously, I had an ultrasound examination at the hospital that indicated adenomyosis. Since I have not engaged in sexual intercourse, the doctor did not perform a pelvic examination and only prescribed contraceptives, which I did not take. I hav...
Dr. Li Guanghan Reply:
Hello: Heavy menstrual bleeding and anemia are common symptoms of adenomyosis. In addition to taking iron supplements, if your doctor recommends hormonal contraceptives and you do not smoke, you might consider trying them. Most patients experience a reduction in menstrual bleedin...[Read More] Understanding Heavy Menstrual Bleeding: Causes and Solutions
Can Women Self-Check for Infertility? Essential Tests Explained
Regarding infertility? Hello, I would like to ask if a woman can independently go to a hospital to check for infertility? What are the methods of examination? Thank you!
Dr. Yang Wangjun Reply:
Hello: The evaluation of female infertility involves a series of examinations from the highest organ to the terminal organ: hypothalamus → pituitary gland → ovaries → uterus → cervix. (1) Cervical issues such as inflammation, poor mucus quality, or the presence of sperm antibodie...[Read More] Can Women Self-Check for Infertility? Essential Tests Explained
Understanding Menstrual Pain and Miscarriage: Key Insights for Women
Menstruation or miscarriage Hello, I would like to ask: I had a vasectomy about ten years ago. For the past six years, I have experienced significant pain during my menstrual periods, which typically occur every 30-35 days. My last period was on January 25, and the most recent on...
Dr. Chen Xuhui Reply:
If your period is late, you can take a pregnancy test to determine if you are pregnant. If your period arrives and you suspect a possible miscarriage, a pregnancy test can also help clarify the situation. If the test is positive, you should be cautious about the possibility of an...[Read More] Understanding Menstrual Pain and Miscarriage: Key Insights for Women
Understanding Anemia and Dizziness in Women with Endometriosis
Anemia. Dizziness? Hello Doctor: My menstrual cycle is 21 days, lasting about 3 days each time, but I experience spotting and other discharge afterwards, so it takes about a week to clear up. This means I only have a 2-week gap before my period returns. I started menstruating in ...
Dr. Cai Yonglong Reply:
Dear Ms. Chiu, Greetings from the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare. Unless there are uterine fibroids or severe adenomyosis, a hysterectomy is not necessary. For endometriosis and anemia, since you have already undergon...[Read More] Understanding Anemia and Dizziness in Women with Endometriosis