Understanding Ovarian Tumors: When to Consider Surgery vs. Observation
Ovarian tumor I would like to ask about my family member who underwent a total abdominal hysterectomy and bilateral oophorectomy due to low-grade ovarian cancer two years ago. After regular follow-ups, a tumor was discovered in the left abdomen last year. Blood tests for CA-125 w...
Dr. Cao Guotao Reply:
Hello, if there is continuous growth, surgery should be considered. If the surgery can achieve clean margins, there should be no recurrence, unless it cannot be completely removed. Wishing you good health.[Read More] Understanding Ovarian Tumors: When to Consider Surgery vs. Observation
Understanding CA-125 Levels: What High Readings Mean for Ovarian Health
Ovarian CA-125 Hello Doctor, my last CA-125 level was as high as 107, and there is also a tumor on my left ovary. I have undergone ultrasound and Doppler imaging, and the doctor currently assesses it as benign, with ongoing monitoring. I have been researching online and found tha...
Dr. Huang Yuande Reply:
CA-125 is only a reference marker for ovarian cancer and lacks specificity; therefore, conditions such as endometriosis and infections can also cause elevated levels. Generally, imaging studies are still required for further evaluation.[Read More] Understanding CA-125 Levels: What High Readings Mean for Ovarian Health
Understanding Endometriosis: Symptoms, Diagnosis, and Treatment Options
Endometriosis I have been experiencing irregular menstruation since the second half of last year. In March of this year, I consulted a doctor due to lower abdominal pain and was found to have an endometrial polyp. I underwent a removal procedure in June, and in early August, I ha...
Dr. Huang Jianzhong Reply:
Since the second half of last year, I have been experiencing irregular menstruation. In March of this year, I consulted a doctor due to lower abdominal pain and was found to have an endometrial polyp, which was removed in June. In early August, I had a blood test for CA125, which...[Read More] Understanding Endometriosis: Symptoms, Diagnosis, and Treatment Options
Understanding Ovarian Cysts: What Does a Septated Cyst Mean?
Ovarian cyst Hello, doctor. Last week, my period did not come, and a pregnancy test showed I am not pregnant, so I went to the obstetrics and gynecology department for an examination. The doctor performed a transvaginal ultrasound and found a 3 cm cyst on my right ovary with a se...
Dr. Cao Guotao Reply:
Hello, the ultrasound examination revealed a 3 cm cyst on the right ovary with a septum. It is advisable to continue monitoring it for now without any intervention. The LH level is 25.15, which is somewhat indicative of polycystic ovary syndrome; however, everything else appears ...[Read More] Understanding Ovarian Cysts: What Does a Septated Cyst Mean?
Understanding Vaginal Health: Infections, Treatments, and CA125 Testing
Vaginal issues Hello Doctor, I would like to ask you the following questions: 1. On October 22, I had a pelvic examination. The doctor did not mention a trichomonas infection but said that the inflammation was not severe. I was given suppositories and ointment, and when I asked ...
Dr. Huang Jianzhong Reply:
1. On October 22, during the pelvic examination, the doctor did not mention a trichomoniasis infection but stated that the inflammation was not severe. I was given suppositories and ointment, and I asked the doctor if a follow-up visit was necessary. The doctor said to return onl...[Read More] Understanding Vaginal Health: Infections, Treatments, and CA125 Testing
Understanding Chocolate Cysts: When to Consider Surgery for Ovarian Tumors
Chocolate cyst Hello Dr. Tsai: During my examination last year, a 4 cm tumor was found in my ovary. At that time, my CA-125 level was normal (in the 20s). After a year, during my follow-up examination, the tumor has increased to 6 cm, and my CA-125 level is approximately 425. The...
Dr. Cai Yonglong Reply:
Hello: A chocolate cyst is caused by the accumulation of menstrual blood within the ovary. If it reaches a size of 5-6 centimeters or more, surgical treatment (laparoscopic surgery) is necessary; otherwise, there is a risk of adhesions, rupture, bleeding, or torsion. Please consu...[Read More] Understanding Chocolate Cysts: When to Consider Surgery for Ovarian Tumors
Understanding Lower Abdominal Pain: Possible Causes and Concerns
Lower abdominal tenderness? Hello Doctor: My menstrual cycle has been very regular (3/23, 4/22, 5/19), and my last period started on 5/19. However, today (6/2), I suddenly feel discomfort in my lower abdomen (it hurts when pressed, but feels okay when not pressed). I had a CT sca...
Dr. Huang Jianzhong Reply:
My menstrual cycle has been very regular (3/23, 4/22, 5/19), and the last period started on 5/19. However, today (6/2), I suddenly feel discomfort in my lower abdomen (it hurts when I press down, but it's manageable when I'm not pressing). I had a CT scan in May that sh...[Read More] Understanding Lower Abdominal Pain: Possible Causes and Concerns
Understanding Menstrual Irregularities and Ovarian Cysts: Key Insights
Menstrual regulation medications, menstrual issues, ovarian cysts? Hello doctor, I took medication to delay my menstrual period in February due to traveling. I started taking it on June 2nd, and my period came the day after taking it for one day. However, I continued taking the m...
Dr. Huang Jianzhong Reply:
In February, I took medication to delay my menstrual period due to traveling. I started taking it on June 2nd, and after one day of taking the medication, my period started. However, I continued taking the medication for an additional two days until August 2nd. As a result, my me...[Read More] Understanding Menstrual Irregularities and Ovarian Cysts: Key Insights
Understanding Ovarian Tumors: Risks, Diagnosis, and Treatment Options
Ovarian tumor issues? On April 13, I had a transvaginal ultrasound due to lower abdominal pain, which revealed a 4-5 cm mass. The doctor indicated that its soft texture suggested it was due to bleeding, and tumor markers were normal. During a follow-up visit on May 8, another tra...
Dr. Huang Jianzhong Reply:
On April 13, I underwent a transvaginal ultrasound due to lower abdominal pain, which revealed a 4-5 cm mass. The doctor indicated that its soft texture suggested it was due to bleeding, and tumor markers were normal. During a follow-up appointment on May 8, another transvaginal ...[Read More] Understanding Ovarian Tumors: Risks, Diagnosis, and Treatment Options
Understanding Tumor Markers: What Blood Tests Should You Expect?
Blood test for tumor markers? Hello, doctor: May I ask if the obstetrics and gynecology department is asking me to have blood tests for tumor markers, which refers to tests such as AFP, CEA, CA19-9, PSA, CA-125, CA-153, or just some of these? Thank you.
Dr. Huang Jianzhong Reply:
Tumor marker blood tests refer to the measurement of specific markers such as AFP, CEA, CA19-9, CA125, and CA15-3, but not PSA.[Read More] Understanding Tumor Markers: What Blood Tests Should You Expect?
Understanding Left Lower Abdominal Pain and Rectal Discomfort in Women
Left lower abdominal pain and anal pain? I have polycystic ovary syndrome, which causes irregular menstrual cycles. This time, my period was over a month late and lasted for 15 days without stopping. I went to a clinic where the doctor administered an injection to stop the bleedi...
Dr. Lin Manying Reply:
Dear Ms. Lin Mi: Based on your description, it is recommended that you check for endometriosis (or polycystic ovary syndrome?). If it is polycystic ovary syndrome, it is less likely to cause the pain and increased inflammatory markers you mentioned (CRP or CA-125?). The Hualien H...[Read More] Understanding Left Lower Abdominal Pain and Rectal Discomfort in Women
Understanding Pregnancy and Bleeding Issues: What You Need to Know
Pregnancy and bleeding issues? Hello Doctor, my menstrual cycle was supposed to start on July 5th, but it was delayed and only started on July 10th. My cycle was expected on August 9th, but it was again delayed and started on August 19th. On that day, I went to the gynecology cli...
Dr. Huang Jianzhong Reply:
On July 5, my menstrual period was expected, but it arrived late on July 10. My period was expected again on August 9, but it was delayed and came on August 19. On that same afternoon, I went to the gynecology clinic for an examination, and there were no signs of pregnancy. The e...[Read More] Understanding Pregnancy and Bleeding Issues: What You Need to Know
Understanding Lower Abdominal Pain: Causes and Concerns for Young Women
Lower abdominal pain? I belong to the late development type, as I only started my period in high school, but it has been very irregular, sometimes at the beginning of the month and sometimes at the end. Recently, for the past four days, I have been feeling a dull pain in my lower...
Dr. Huang Jianzhong Reply:
You belong to the late development category, as you only started menstruating in high school, but your periods are very irregular, sometimes occurring at the beginning of the month and other times at the end. Recently, for the past four days, you have been experiencing a dull pai...[Read More] Understanding Lower Abdominal Pain: Causes and Concerns for Young Women
Understanding Chocolate Cysts: Symptoms, Treatment, and Surgical Options
Chocolate cyst In April, a suspected chocolate cyst measuring approximately 5x4 cm was detected. Two weeks ago, a follow-up examination showed that the cyst had not decreased in size, and the CA-125 level was 75. Recently, in addition to menstrual pain, I have experienced symptom...
Dr. Huang Jianzhong Reply:
Answer: Since I will be going abroad for six months next week, I will take oral contraceptives for four months and reconsider when I return home.[Read More] Understanding Chocolate Cysts: Symptoms, Treatment, and Surgical Options
Can Long-Term Use of Progesterone Affect Fertility and Menstrual Cycle?
Can progesterone be taken long-term for ovarian cysts? Hello, I would like to ask about my situation. I had a chocolate cyst removed last year and took medication for three months. After that, my CA-125 level was 8. However, after six months, although the ultrasound showed no iss...
Dr. Cao Guotao Reply:
Hello, if the ultrasound examination shows no issues, observation is sufficient. Wishing you good health.[Read More] Can Long-Term Use of Progesterone Affect Fertility and Menstrual Cycle?
Can Chocolate Cysts Shrink? Understanding Changes and Symptoms
Is it possible for a chocolate cyst to shrink? Hello Doctor, about 5 years ago, I was diagnosed with a chocolate cyst on my right side measuring approximately 3 cm. However, a few days ago, the doctor mentioned that it has increased in size to about 5 cm. I would like to know why...
Dr. Huang Jianzhong Reply:
1. About five years ago, a chocolate cyst approximately 3 cm was detected on the right side, but a few days ago, the doctor mentioned it has increased in size to about 5 cm. I would like to know why the size of the chocolate cyst remained stable over the years, but has suddenly i...[Read More] Can Chocolate Cysts Shrink? Understanding Changes and Symptoms
Understanding Pain During Intercourse: When to Seek Medical Advice
Dyspareunia Hello doctor, I have a question. Sometimes during sexual intercourse with my boyfriend, I experience pain in my right abdomen. After the intercourse, I feel a bit of swelling and pain in the area just below my navel and above my pubic hair, along with a sensation simi...
Dr. Huang Jianzhong Reply:
During sexual intercourse with my boyfriend, I sometimes experience pain in the right lower abdomen. After intercourse, I feel some swelling and pain in the area just below the navel and above the pubic hair, along with a sensation similar to needing to have a bowel movement. Pre...[Read More] Understanding Pain During Intercourse: When to Seek Medical Advice
Understanding Chocolate Cysts: Diagnosis, Treatment, and Surgical Options
Chocolate cyst Hello, Dr. Tsai. Recently, I underwent ultrasound examinations at two obstetrics and gynecology clinics, where I was found to have 4 to 5 uterine fibroids measuring 2 to 3 cm each, and a chocolate cyst on the left ovary also measuring 2 to 3 cm. One doctor suggeste...
Dr. Cai Yonglong Reply:
Hello: Uterine fibroids, endometriomas, or intestinal adhesions are challenging but benign conditions that should be monitored and treated with medication. Clinically, a CT scan and CA-125 are necessary examinations, but the decision to operate should be based on clinical symptom...[Read More] Understanding Chocolate Cysts: Diagnosis, Treatment, and Surgical Options
Understanding Early Menstruation After Second IVF: Key Concerns and Insights
Second artificial insemination? Doctor, I underwent laparoscopic surgery to remove an ovarian cyst last November. My last menstrual period started on November 24, and this is my second attempt at artificial insemination. I received an ovulation trigger shot on December 6, had the...
Dr. Cao Guotao Reply:
Hello, artificial insemination may not necessarily affect the timing of menstruation. Generally, after undergoing artificial insemination, it is recommended to continue taking the prescribed medication. If you have further questions, it is advisable to consult your original obste...[Read More] Understanding Early Menstruation After Second IVF: Key Concerns and Insights
Concerns About Pregnancy After Taking Ovulation Medication: What to Know
I have taken the second pill of You-Ru, and it has been more than five days since my expected menstrual period? I have taken the second pill of Youru, as I have mild endometriosis with a CA-125 blood test result of 55. My expected menstrual period is over five days late, original...
Dr. Cao Guotao Reply:
Hello, if you are not using contraception, it is best to take preventive measures beforehand. The chances of pregnancy are low at this time, but if your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.[Read More] Concerns About Pregnancy After Taking Ovulation Medication: What to Know