Understanding Endometriosis: CA-125 Levels and Diagnosis Explained
Endometriosis I went to see a doctor because my period was late. During the ultrasound, the doctor mentioned that there is a mass attached to the uterine wall and the ovary. However, my CA-125 level was 12.53. The doctor said it is an endometrioma, as I only experience occasional...
Dr. Cao Guotao Reply:
Hello, the values are normal; however, it is still recommended to follow up. Wishing you good health.[Read More] Understanding Endometriosis: CA-125 Levels and Diagnosis Explained
When Will My Period Return After Long-Acting Leuprolide Injection?
How long after receiving the long-acting injection of Medroxyprogesterone Acetate (commonly known as Depo-Provera) will menstruation return? I underwent laparoscopic myomectomy on September 27, 2023. The day after the surgery, I received a long-acting injection of Leuprolide, and...
Dr. Cao Guotao Reply:
Hello, please follow the original physician's instructions. Menstruation typically occurs every three months. Wishing you good health.[Read More] When Will My Period Return After Long-Acting Leuprolide Injection?
Understanding Endometriosis, Uterine Polyps, and Hormonal Treatments
Endometriosis. Uterine polyps. Progesterone (Dydrogesterone)? Hello Doctor: Here are my examination results from Hospital A: 2023/12/07 - uterus 8.02 x 6.35 x 5.72 cm, endometrium 2.08 cm, left ovary 3.60 x 4.34 cm, right ovary 3.48 x 2.98 cm; 2023/02/27 - uterus 6.05 x 5.83 x 5....
Dr. Chen Zhiyu Reply:
It is advisable to discuss with the original treating physician. Thank you.[Read More] Understanding Endometriosis, Uterine Polyps, and Hormonal Treatments
Should I Use Danazol for My Ovarian Pain and Hormonal Imbalance?
Should I use Epinastine? Hello Doctor: I have been experiencing consistent right abdominal pain during my ovulation period for the past four months (the pain lasts for 3-4 days and then subsides). Recently, in the past month, I have also had pain during my menstrual period (again...
Dr. Zhang Kunmin Reply:
Hello, based on the situation you described, I recommend discussing your concerns with your treating physician. Thank you! Wishing you safety and good health. Dr. Chang[Read More] Should I Use Danazol for My Ovarian Pain and Hormonal Imbalance?
Does Birth Control Affect AMH Levels and Ovarian Health?
Is there a relationship between AMH and birth control pills? Do birth control pills have a protective effect on the ovaries? Dear Dr. Tsao, I would like to inquire about the significance of some laboratory test results. I recently had my AMH tested, and the value was 1.18. My vi...
Dr. Cao Guotao Reply:
Hello, with low AMH, we can only observe. Birth control pills are generally used to regulate menstruation and treat acne. It's advisable to take birth control pills for a while to see if the acne improves. Wishing you good health.[Read More] Does Birth Control Affect AMH Levels and Ovarian Health?
Laparoscopy vs. IVF: Which is Best for Fertility Challenges?
Laparoscopy or artificial insemination, or in vitro fertilization? Hello Doctor: I have been trying to conceive for a year without success. Tests revealed that my husband has a low sperm count and reduced motility (but not to the extent of being unable to conceive). I have a choc...
Dr. Cao Guotao Reply:
Hello, if the ovarian tumor is small, it may not need to be removed. Please discuss with your obstetrician-gynecologist about whether to proceed with in vitro fertilization. Wishing you good health.[Read More] Laparoscopy vs. IVF: Which is Best for Fertility Challenges?
Managing PCOS: Insights on Irregular Periods and Hair Loss
Polycystic Ovary Syndrome (PCOS) I am 23 years old, and for the past two to three years, my weight and fasting blood sugar levels have been normal. However, in 2018, my weight (162 cm, 78 kg) and fasting blood sugar (133) were both elevated, and I also had acanthosis nigricans on...
Dr. Lin Xinwang Reply:
Hello Xiao Ling: 1. The symptoms resemble polycystic ovary syndrome, and it seems that soy isoflavones have not been helpful. If there is adenomyosis, fibroids, or endometrial abnormalities, they are usually not recommended. 2. Treatment is typically tailored to the patient'...[Read More] Managing PCOS: Insights on Irregular Periods and Hair Loss
Understanding Endometrial Cancer Grades, Prognosis, and Tumor Markers
Staging, prognosis, and tumor markers of endometrial cancer? Hello, doctor. A senior family member recently sought medical attention due to abnormal bleeding and was diagnosed with Endometrial Cancer Grade 2/3. In addition to the pathological examination, blood tests were conduct...
Dr. Cao Guotao Reply:
Hello, the survival and cure rates depend on whether the cancer has spread beyond the uterus after surgery; other factors are for reference. Wishing you good health.[Read More] Understanding Endometrial Cancer Grades, Prognosis, and Tumor Markers
Understanding High CA-125 Levels: Is a 900+ Result Terminal?
A CA-125 level exceeding 900 is indicative of a significant elevation, which may suggest advanced-stage ovarian cancer or other serious conditions. However, CA-125 is not solely used to Hello, doctor. I discovered that my menstrual cycle was very regular between September and Nov...
Dr. Cao Guotao Reply:
Hello, whether it is benign or malignant can only be determined after the tumor is surgically removed and sent for pathology examination. It seems that there is a higher likelihood of it being benign. Wishing you good health.[Read More] Understanding High CA-125 Levels: Is a 900+ Result Terminal?
Managing Heavy Menstrual Bleeding: Medrone and Estrade for Treatment
Medrone tablets and Estrade? From September to October, there was heavy menstrual bleeding that lasted an entire month with significant blood loss. I eventually took hemostatic medication and received a blood transfusion. In November, I did not have a period, but in December, my ...
Dr. Zhang Kunmin Reply:
Hello, the current recommendation is not to discontinue medication; please consult with your treating physician first. There are many factors that can affect the menstrual cycle or cause intermenstrual bleeding, such as age, environment, lifestyle, stress, emotional instability, ...[Read More] Managing Heavy Menstrual Bleeding: Medrone and Estrade for Treatment
Understanding Ovulation Pain: When to Worry About Ovarian Cancer
Ovulation pain in the lower abdomen? Doctor, I usually experience consistent pain during my ovulation period, but this time the pain lasted longer than usual—about five days instead of three. However, the intensity of the pain has decreased. I recently had an ultrasound of my ova...
Dr. Cao Guotao Reply:
Hello, all tests are normal, so it is unlikely to be ovarian cancer. Wishing you good health.[Read More] Understanding Ovulation Pain: When to Worry About Ovarian Cancer
Understanding Teratomas: Causes of Abnormal Vaginal Bleeding
Teratoma and intermenstrual bleeding? Hello doctor, last month during an abdominal ultrasound, a right ovarian cyst measuring 6-7 cm was detected. My CA-125 level was normal, and the doctor initially diagnosed it as a teratoma. No other abnormalities were found. I plan to undergo...
Dr. Cao Guotao Reply:
Hello, it may not necessarily be related to a tumor. The doctor has prescribed you medication for regulating your menstrual cycle, which should help stop the bleeding. Please follow the original doctor's instructions. Wishing you good health.[Read More] Understanding Teratomas: Causes of Abnormal Vaginal Bleeding
Understanding Elevated CA-125 Levels: What You Need to Know
Abnormal CA-125 This year, I went to a large hospital for a health check-up, and one of the tests was a CA-125 blood test. At that time, I was on my menstrual period and informed the nurse, but she said it wouldn't affect the results. The test result showed elevated levels, ...
Dr. Wu Xianghui Reply:
1. Whenever the peritoneal lining is stimulated, CA125 levels will increase. In other words, benign conditions or even healthy individuals can also have elevated levels. For example, women during their menstrual period, those experiencing diarrhea, or individuals with gastroenter...[Read More] Understanding Elevated CA-125 Levels: What You Need to Know
Understanding Elevated CA125 Levels After Ovarian Cyst Surgery
Abnormal CA-125 levels? Hello, doctor! I underwent laparoscopic surgery to remove a chocolate cyst on February 26. My last CA-125 level before the surgery was 36. During my follow-up appointment on March 8 to check the incision, I had another blood test for CA-125, and the result...
Dr. Huang Yuande Reply:
Although this index is slightly elevated, it is likely due to the recent surgery, as there may still be inflammatory responses or residual ectopic tissue in the abdominal cavity. Therefore, it is recommended that data from three months later will be more meaningful for comparison...[Read More] Understanding Elevated CA125 Levels After Ovarian Cyst Surgery
Understanding Abnormal Pap Smear and Uterine Fibroids: What You Need to Know
Abnormal cervical smear with concurrent uterine fibroids? Hello Doctor: A few years ago, I was diagnosed with adenomyosis, and I have been having regular check-ups. During my recent visit, I found that my CA-125 level increased from 29 to 47. Because of this, I underwent an ultra...
Dr. Cao Guotao Reply:
Hello, an ASCUS result from a Pap smear indicates that the findings are uncertain regarding any abnormalities. You may consider undergoing a cervical biopsy or continuing with Pap smear follow-up, and further testing can be done if issues arise. As for the elevated CA-125, it may...[Read More] Understanding Abnormal Pap Smear and Uterine Fibroids: What You Need to Know
Understanding Ovarian Cysts: Diagnosis, Treatment, and Fertility Concerns
Ovarian cystadenoma I would like to ask the doctor about an ultrasound finding of a cyst. However, the doctor was quite vague when I inquired whether it could be a chocolate cyst (I had surgery at 20 years old and I am now 47). He mentioned it is a possibility. In my previous exa...
Dr. Cao Guotao Reply:
Hello, a size of 4.8 cm should be monitored, and it is unrelated to vaccination. If menstruation has occurred, there is a chance of pregnancy, but the likelihood is low. As for medication, it is likely unnecessary. Wishing you good health.[Read More] Understanding Ovarian Cysts: Diagnosis, Treatment, and Fertility Concerns
Understanding High Platelet Count and Iron Deficiency Anemia in Women
Thrombocytosis with iron deficiency anemia Hello, doctor. I have uterine fibroids and adenomyosis. Recently, I had my menstrual cycle and my blood test showed a hemoglobin level of 10.5, with a platelet count as high as 485, which is increasing. My platelet count has risen from b...
Dr. Wu Xianghui Reply:
1. There is a risk of thrombosis, making the individual unsuitable for receiving the AZ vaccine. 2. Iron supplements cannot improve platelet issues; it is recommended to consult a hematologist for evaluation. 3. Skin lesions can occur outside of menopause.[Read More] Understanding High Platelet Count and Iron Deficiency Anemia in Women
Why Are Doctors Reluctant to Perform Internal Exams for Virgins?
Is it possible to have a pelvic examination without having engaged in sexual intercourse? Hello Doctor, I have a question that has been troubling me. When I visit obstetricians and gynecologists, they are unwilling to perform a pelvic examination and only conduct abdominal ultras...
Dr. Huang Yuande Reply:
1. A Pap smear can still be performed even if there is no sexual experience; however, if a colposcopy or hysteroscopy is performed, there is a possibility of damaging the hymen that needs to be considered. 2. Young women often experience "functional ovarian cysts," wh...[Read More] Why Are Doctors Reluctant to Perform Internal Exams for Virgins?
Understanding Ovarian Cysts: Chocolate Cysts and CA-125 Levels Explained
Ovarian cysts, chocolate cysts? Hello, doctor! Recently, I have been experiencing severe menstrual cramps (so intense that I roll on the floor) and I need to take painkillers just to manage sitting up. The pain starts a day before my period and lasts for two to three days (I have...
Dr. Huang Yuande Reply:
It appears more like a chocolate cyst; the actual condition still requires a urine test for confirmation. This type of cyst can vary in size, potentially becoming larger or smaller.[Read More] Understanding Ovarian Cysts: Chocolate Cysts and CA-125 Levels Explained
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