Optimal Timing for Ovarian Function and CA125 Blood Tests in Gynecology
Examination issues When is the best time to have blood tests for ovarian function? Also, when is the optimal time for the CA-125 test? How are hormone levels tested, and when is the best time for those tests? Are these covered by health insurance?
Dr. Lin Wenbin Reply:
The ovaries have two main functions: ovulation and endocrine function (hormone secretion). Therefore, when assessing ovarian function, it is important to determine whether the focus is on evaluating ovulation or hormone levels. Initial assessments of ovulatory function can also u...[Read More] Optimal Timing for Ovarian Function and CA125 Blood Tests in Gynecology
Understanding CA-125 Testing for Long-term Abdominal Pain in Women
Blood draw issues I have been experiencing intermittent lower abdominal pain for a year. Is it unnecessary for my doctor to order a CA-125 test? Is the CA-125 test out-of-pocket or covered by insurance? What does the CA-125 test check for? What is its accuracy? When is the best t...
Dr. Zhang Kunmin Reply:
Hello, the CA-125 test requires a relevant clinical diagnosis for insurance coverage, typically performed when there are tumors related to the uterus or ovaries. If the cause of abdominal pain does not have a related diagnosis, testing may not be necessary. It is advisable to dis...[Read More] Understanding CA-125 Testing for Long-term Abdominal Pain in Women
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 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 Endometriosis: Surgical Options for Treatment While Preserving the Uterus
I have endometriosis! Hello Doctor: I have a high CA-125 level (approximately 75) from a blood test. After a thorough examination by a gynecologist, I was diagnosed with endometriosis, which has affected my daily life (such as heavy menstrual bleeding, pain during intercourse, an...
Dr. Dong Yuhong Reply:
Hello; Endometriosis can significantly impact daily life due to symptoms such as heavy menstrual bleeding, dyspareunia, and severe anemia. If symptoms do not improve with medication, surgical intervention may be indicated. Your primary physician will likely discuss the surgical o...[Read More] Understanding Endometriosis: Surgical Options for Treatment While Preserving the Uterus
Understanding Abdominal Pain and Abnormal Bleeding in Women
Abdominal discomfort with bleeding? Hello, doctor. I am 38 years old and unmarried. Recently, I have experienced bleeding during my ovulation period for two consecutive months (the bleeding lasts until my period starts). When my period came recently, I had left lower abdominal di...
Dr. Zhong Wenzhen Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The treatment provided by your current physician is very reasonable and appropriate. I recommend that you follow the doctor's orders and patiently await the fin...[Read More] Understanding Abdominal Pain and Abnormal Bleeding in Women
Understanding CA-125 Levels and Follow-Up for Ovarian Chocolate Cysts
CA-125 and its implications? Hello, I have been diagnosed with chocolate cysts on my ovaries measuring 3.4 and 3.0 centimeters during a clinic examination. My CA-125 level is 29.07. What further tests or follow-up treatments do I need? Thank you for your hard work!
Dr. Li Guanghan Reply:
Hello: Since you are 50 years old, I recommend that you take the time to visit the obstetrics and gynecology department at a hospital near your residence. If you have had sexual intercourse, you may consider undergoing a transvaginal ultrasound, or if deemed necessary by the phys...[Read More] Understanding CA-125 Levels and Follow-Up for Ovarian Chocolate Cysts
Can I Get a Vaginal Ultrasound During My Period? Expert Advice on Chocolate Cysts
excuse me? Hello Doctor, I previously had an abdominal ultrasound at the clinic which revealed 3 to 4 chocolate cysts, each measuring 5 to 6 centimeters. The doctor at the clinic advised me to go to a larger hospital for a transvaginal ultrasound, but my menstrual period started ...
Dr. Li Guanghan Reply:
Hello: It is recommended to come for an examination after your menstrual period has ended. A blood test for CA-125 is more accurate. If you have had sexual intercourse, a pelvic exam, Pap smear, and vaginal ultrasound can be performed. Thank you! Wishing you peace and good health...[Read More] Can I Get a Vaginal Ultrasound During My Period? Expert Advice on Chocolate Cysts
Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
What is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Hello Dr. Lin: I apologize for bothering you again... (1) I would like to ask, what is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Some people say that ovarian cysts ...
Dr. Lin Zhaopei Reply:
1. A simple cyst generally refers to a fluid-filled sac larger than 3 centimeters, and it is usually solitary. In contrast, polycystic ovaries contain multiple small follicles (typically more than 7), with each follicle rarely exceeding 1.2 centimeters in size. 2. The tumor mar...[Read More] Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Ovarian tumor After the ultrasound examination, the doctor mentioned that there is a 2.9 cm tumor on the right ovary, which is likely a teratoma. A blood test for CA-125 has been done, and the results will be available in a week. Can blood tests definitively determine whether the...
Dr. Zheng Chengjie Reply:
Dear Apple users, hello: CA-125 can serve as a reference indicator for chocolate cysts and ovarian cancer, but it is not absolutely accurate and must be interpreted alongside ultrasound images for a proper diagnosis. If it is a teratoma, surgical removal is recommended; if it is ...[Read More] Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Understanding Endometrial Cancer Treatment: Questions and Nutritional Support
Endometrial cancer My mother underwent laparoscopic surgery for uterine fibroids, during which her uterus and cervix were removed. The uterine tissue was sent for pathology, and it was found to contain malignant cells. She has been referred to radiation oncology for further treat...
Dr. Zhang Tingzhang Reply:
Dear devoted daughter: After reading your letter, I can feel your concern for your mother. Due to uterine fibroids, she underwent laparoscopic hysterectomy, and subsequently, it was discovered that she has endometrial cancer. This is a consultation we sometimes receive in our gyn...[Read More] Understanding Endometrial Cancer Treatment: Questions and Nutritional Support
Uterine Removal: A Dual Solution for Anemia and Fibroids?
Hysterectomy and Treatment of Anemia! Hello Doctor, I underwent a series of gynecological examinations at the obstetrics and gynecology department. Apart from an elevated CA-125 tumor marker level, which is #64 (normal range: 0-35), all other results were normal. However, I late...
Dr. Li Guanghan Reply:
Hello: 1. Uterine fibroids and adenomyosis do not necessarily require surgery, but if there is anemia, choosing surgery is reasonable. However, if there is still a possibility of fertility or if you cannot psychologically accept becoming a woman without a uterus, you may also cho...[Read More] Uterine Removal: A Dual Solution for Anemia and Fibroids?
Understanding Uterine Fibroids: Key Questions and Concerns Addressed
Uterine fibroids! Hello, Doctor: I have had blood tests for the past three years, and my CA-125 tumor marker has been between 65-72. This year, the results are still abnormal. The doctor has recommended surgery to remove my uterine fibroids, and since I have two children, the doc...
Dr. Li Guanghan Reply:
Hello: 1. No 2. No 3. Yes 4. No 5. Any surgery carries the possibility of complications. I believe your physician likely observed a suspicious mass on the ultrasound, and the tumor markers in your blood were elevated, which is why it is reasonable for them to suggest considering ...[Read More] Understanding Uterine Fibroids: Key Questions and Concerns Addressed
Managing Severe Menstrual Pain: Insights on CA-125 and Endometriosis
CA-125: 139 Hello, I am 30 years old and have been experiencing menstrual pain for the past year and a half, which has progressively worsened and lasts throughout my entire menstrual period. The pain is located in the lower right abdomen (around the appendix area), and during pai...
Dr. Li Guanghan Reply:
Hello: Endometriosis can be treated with medication or surgery. Many patients in our department have had quite good treatment outcomes. You are welcome to visit us at the Department of Obstetrics and Gynecology, Hsinchu City Hospital.[Read More] Managing Severe Menstrual Pain: Insights on CA-125 and Endometriosis
Understanding Elevated CA-125 Levels: Implications and Concerns for Women
CA-125 What are the implications of having a CA-125 level higher than normal? If surgery is not performed, will there be any other pathological changes? What factors can cause CA-125 levels to rise or fall? My CA-125 level is 81, and I have a cyst measuring 5.5 cm. I am currently...
Dr. Xu Junzheng Reply:
CA-125 is 81... the cyst measures 5.5 cm... it could be an endometrioma, but endometriomas are benign tumors (not malignant tumors). CA-125 can be elevated in many conditions, but based on what you said, I believe most doctors would consider it to be an endometrioma. It would be ...[Read More] Understanding Elevated CA-125 Levels: Implications and Concerns for Women
Understanding Endometriosis: Key Questions and Concerns Addressed
Endometriosis! Hello Dr. Hsu, I have been undergoing blood tests for the CA-125 tumor marker for three consecutive years, with values ranging from 49 to 72. In 2003, my test result was #72. When I asked the doctor about it, he couldn't find a reason. A year passed, and this...
Dr. Xu Junzheng Reply:
1. It is difficult to diagnose via ultrasound if there are no lesions formed in the ovaries or uterus. 2. CA-125 can be elevated in many conditions, but your situation does resemble endometriosis, and a level of 71 is not considered too high. 3. Some believe that medication may n...[Read More] Understanding Endometriosis: Key Questions and Concerns Addressed
Understanding Menstrual Issues: Ovarian Health and CA-125 Testing
Menstrual irregularities Hello Doctor: I have two questions I would like to ask you..................1. I received a menstrual induction injection and have been taking birth control pills for about a month, but I still haven't had my period. I had an ultrasound, and everythi...
Dr. Li Guanghan Reply:
Hello: 1. There are many reasons for missed menstruation, including pregnancy, chronic anovulation, elevated prolactin levels, thyroid abnormalities, and the use of psychiatric medications. Please come to the clinic for an examination. 2. If you want to use CA125 to check for ova...[Read More] Understanding Menstrual Issues: Ovarian Health and CA-125 Testing
Understanding Chocolate Cysts: Impact on Fertility and Health Choices
Chocolate cyst Hello, Doctor. I am 31 years old, unmarried, and in a stable relationship with my boyfriend. During a recent health check, I discovered that I have chocolate cysts approximately 3 cm in size on both ovaries, and my CA-125 level is 53. I originally planned to study ...
Dr. Li Guanghan Reply:
Hello: 1. One or two trusted physicians are sufficient; there should be no waste of healthcare resources. 2. Endometriosis can cause adhesions in the surrounding tissues, and if the fallopian tubes are affected, it can indeed impact future fertility chances. 3. No. Hsinchu City H...[Read More] Understanding Chocolate Cysts: Impact on Fertility and Health Choices
Understanding Ovarian Cysts: From Menstrual Pain to Diagnosis
Chocolate cyst Since high school, I have frequently experienced menstrual pain. After consulting a doctor and undergoing an ultrasound, I was diagnosed with primary dysmenorrhea, and the doctor prescribed painkillers. However, recently the pain has become increasingly severe, occ...
Dr. Xu Junzheng Reply:
Based on your description, it is indeed possible that it is a chocolate cyst. I recommend that you undergo an ultrasound examination after your next menstrual period. Additionally, you may consider a blood test to check the CA-125 level for reference. Thank you.[Read More] Understanding Ovarian Cysts: From Menstrual Pain to Diagnosis