Managing Anxiety About Cervical Cancer Risks: A Guide for Women
Worrying all day about having cancer? Hello, doctor. I apologize for not intending to repeat my questions; I just feel that my wording was not precise enough, and I'm concerned about any miscommunication. After making slight adjustments, I kindly ask you to answer these two ...
Dr. Cao Guotao Reply:
Hello, you are all negative, just like everyone else. Don't worry. Wishing you good health.[Read More] Managing Anxiety About Cervical Cancer Risks: A Guide for Women
Understanding Cervical Cancer Risks: Do Early Sexual Experiences Matter?
Cervical cancer probability issues? Hello Doctor, I am 33 years old and have just completed a Pap smear and HPV test, both of which came back negative, indicating no HPV virus. I had my first sexual experience before the age of 18. I have read reports stating that having early se...
Dr. Cao Guotao Reply:
Hello, both tests are negative, and the risk is the same as that of a normal person. It is recommended to have a Pap smear test annually. Wishing you good health.[Read More] Understanding Cervical Cancer Risks: Do Early Sexual Experiences Matter?
Understanding Your Negative Pap and HPV Results: Should You Worry?
Both the Pap smear and HPV test results are negative? Hello Doctor, I have another question to ask you. I am 33 years old and have just completed a Pap smear and HPV test, both of which came back negative, indicating no HPV infection. I have also been tested for HIV, which was ne...
Dr. Cao Guotao Reply:
Hello, both tests are negative, so the probability is low. However, it is still recommended to have a Pap smear annually. Wishing you good health.[Read More] Understanding Your Negative Pap and HPV Results: Should You Worry?
Understanding Abnormal Bleeding After Ovarian Cyst Surgery: What You Need to Know
Bleeding issues Hello doctor, I had laparoscopic surgery to remove an endometrioma at the end of March last year. I received long-acting leuprolide injections in April and July of last year. Starting in November, I began taking dienogest (I have been taking it regularly without m...
Dr. Zhang Kunmin Reply:
Hello, the user: It is possible to experience irregular bleeding while taking Etonogestrel. I recommend that you consult your physician for evaluation and treatment of this issue. Thank you! Wishing you peace and health. Dr. Chang[Read More] Understanding Abnormal Bleeding After Ovarian Cyst Surgery: What You Need to Know
Do I Need the Cervical Cancer Vaccine at 42 with No Sexual Activity?
Cervical cancer vaccine injection Hello Doctor, I am 42 years old and have not engaged in sexual activity for 10 years, and I do not plan to in the future. Should I still receive the cervical cancer vaccine? Thank you for taking the time to respond! Summer
Dr. Cao Guotao Reply:
Hello, the recommended age for the cervical cancer vaccine is 12 to 26 years old. Its effectiveness is lower for those aged 42 and above. Getting vaccinated is generally harmless, but it's advisable to first have a Pap smear to ensure there are no issues. Ultimately, the dec...[Read More] Do I Need the Cervical Cancer Vaccine at 42 with No Sexual Activity?
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Abnormal genital bleeding? Hello Doctor, I would like to ask you about my situation. My last menstrual period started on December 29 and ended on January 6 (my periods usually last 8-9 days, but my cycle has always been irregular, ranging from 28 to 40 days). This week, my period...
Dr. Zhang Kunmin Reply:
Hello, the information you provided does not allow for a definitive determination of whether you are experiencing menstruation. Early pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used for diagnosis. There are many causes of bleeding outside...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Expired Cervical Cancer Vaccine: Can You Still Get the Second Dose?
Expired cervical cancer vaccine? I would like to ask about the first dose of the HPV vaccine (nine-valent from Sanofi) that I received in Taichung. I am planning to get the second dose on February 4, but I was informed that the current batch expired on January 18. They mentioned ...
Dr. Cao Guotao Reply:
Hello, medications have their expiration dates, and expired ones should not be used. You should check with another pharmacy. If they don't have it, other companies' nine-valent vaccines are also available. Wishing you good health.[Read More] Expired Cervical Cancer Vaccine: Can You Still Get the Second Dose?
Can You Get an Expired Cervical Cancer Vaccine? Key Considerations
Expired cervical cancer vaccine? I would like to ask about the first dose of the cervical cancer vaccine (nine-valent from Sanofi) that I received in Taichung. I am planning to get the second dose on February 4, but I was informed that the current batch expired on January 18. The...
Dr. Cao Guotao Reply:
Hello, I have responded to your questions. Wishing you good health.[Read More] Can You Get an Expired Cervical Cancer Vaccine? Key Considerations
Does Having Sex During HPV Vaccine Doses Affect Its Effectiveness?
Engaging in sexual intercourse during the administration period of the cervical cancer vaccine? Hello, I have never had sexual intercourse before. I received the first dose of the cervical cancer vaccine at the end of December last year. I would like to know if having sexual inte...
Dr. Zhang Kunmin Reply:
Hello, based on your description, if an infection occurs before the vaccination is completed, the vaccine will not have a therapeutic effect. Generally, receiving the cervical cancer vaccine after engaging in sexual intercourse still has its benefits; however, if you are already ...[Read More] Does Having Sex During HPV Vaccine Doses Affect Its Effectiveness?
Understanding Cervical Erosion, CIN3, and Menstrual Cycle Medications: Key Insights
Cervical erosion, CIN3, menstrual regulation medications, and ovulatory discharge? Hello, Doctor: My menstrual cycle has always been regular, but recently I experienced some abnormal bleeding (brown discharge) and a little light red discharge after sexual intercourse (which is un...
Dr. Zhang Kunmin Reply:
Hello, the menstrual regulation medication does not suppress ovulation. If there are significant symptoms related to discharge, it is necessary to consult a physician for evaluation and potential treatment. After a cervical biopsy, you will need to wait for the report to determin...[Read More] Understanding Cervical Erosion, CIN3, and Menstrual Cycle Medications: Key Insights
Understanding Abnormal Pap Smear Results and Cervical Health Concerns
Abnormal cervical smear? Due to early initiation of sexual activity (at age 16), there has been recent abnormal bleeding outside of menstruation (brown color, low volume) or postcoital bleeding shortly after menstruation. Therefore, a Pap smear was performed at the clinic, and th...
Dr. Zhang Kunmin Reply:
Hello, the response to your inquiry is as follows: 1. The severity of the two reports is not necessarily comparable. 2. There are still more conservative treatment options available. It is best to wait for the relevant test results to confirm the diagnosis before determining the ...[Read More] Understanding Abnormal Pap Smear Results and Cervical Health Concerns
Can Asymptomatic HPV Be Treated? Guidance for Couples
Can asymptomatic HPV be treated? Hello doctor, my girlfriend recently underwent an HPV PCR test and was found to be infected with a type of HPV that is not among the 27 types tested (not 6, 11, 16, 18, 31, 33, 35, 39, 45, 51, 52, 53, 54, 56, 58, 59, 61, 62, 66, 68, 69, 70, 72, 73...
Dr. Zhang Kunmin Reply:
Hello, the current treatment options for this virus are limited. However, the human immune system is often capable of overcoming the virus, so most HPV infections can resolve on their own in a short period. There are treatment methods available for lesions caused by the virus, su...[Read More] Can Asymptomatic HPV Be Treated? Guidance for Couples
Understanding the Timing for Cervical Cancer Vaccine Doses
Cervical cancer vaccine vaccination schedule issues? Hello, Director. I received the first dose of the Gardasil 9 vaccine on July 12, and I was supposed to receive the second dose on September 12. However, due to receiving two doses of the Moderna vaccine, I needed to wait 28 day...
Dr. Cao Guotao Reply:
Hello, it is generally recommended to get vaccinated every two months. You are now two months late, which may affect the effectiveness somewhat. For the third dose, you should wait another two months, completing all three doses in six months. Wishing you good health.[Read More] Understanding the Timing for Cervical Cancer Vaccine Doses
Understanding Abnormal Vaginal Bleeding: Causes and Concerns for Women
Bleeding issues Hello Doctor, I started taking long-acting leuprolide injections after having a laparoscopic ovarian cystectomy at the end of March. I began the injections in April, and on November 12, I started taking estradiol. On the night of November 14, just before having a ...
Dr. Huang Yuande Reply:
1. This is a normal phenomenon, and the bleeding will not be excessive. 2. In theory, it is possible, so after informing the physician, a Pap smear can still be performed without damaging the hymen. 3. This needs to be determined after examination by a clinical physician.[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns for Women
Understanding Abnormal Vaginal Bleeding: Key Concerns for Women
Hello, how can I assist you today? Hello Doctor, here’s my situation: I started taking the contraceptive pill at the end of March this year and began receiving long-acting leuprolide injections in April. On November 12, I started taking ethinyl estradiol, and on the night of Nove...
Dr. Wu Xianghui Reply:
1. Etonogestrel may cause abnormal bleeding as a side effect. 2. Squamous cell carcinoma of the cervix is 100% caused by HPV (a sexually transmitted infection); adenocarcinoma of the cervix, which has a lower incidence than squamous cell carcinoma, is not caused by HPV. 3. Ye...[Read More] Understanding Abnormal Vaginal Bleeding: Key Concerns for Women
Understanding Abnormal Vaginal Bleeding: Key Questions and Answers
How to differentiate? Hello Doctor, I started taking long-acting leuprolide injections after undergoing a laparoscopic ovarian cystectomy at the end of March. I began the injections in April, and on November 12, I started taking estradiol valerate. On the night of November 14, ju...
Dr. Zhang Kunmin Reply:
Hello, the adverse reactions after taking ethinyl estradiol are more commonly observed during the first month of treatment and tend to diminish over time. The reported adverse reactions include headaches, breast discomfort, mood swings, acne, irregular bleeding, and amenorrhea. I...[Read More] Understanding Abnormal Vaginal Bleeding: Key Questions and Answers
Understanding Cervical Cancer Screening Options for Women
Cervical cancer screening Hello, doctor. I previously asked you if an abdominal ultrasound can detect cervical cancer, and you replied that it cannot. Since I have not engaged in sexual intercourse, I am wondering what other methods are available for screening. Thank you.
Dr. Cao Guotao Reply:
Hello, the only correct diagnostic method is to first perform a Pap smear screening. If there has been no sexual intercourse, a smaller speculum can be used to assist with the sample collection, and this can also be considered. Wishing you good health.[Read More] Understanding Cervical Cancer Screening Options for Women
How to Screen for Cervical Cancer Without Prior Sexual Activity?
Health checkup How can someone who has never had sexual intercourse check for cervical cancer? Thank you.
Dr. Zhang Kunmin Reply:
Hello, the usual recommendation is not to perform a Pap smear in this situation. However, in certain special cases, a physician may use a thin, flexible hysteroscope to evaluate the uterine cavity. Thank you! Wishing you peace and health. Dr. Zhang[Read More] How to Screen for Cervical Cancer Without Prior Sexual Activity?
Can Abdominal Ultrasound Detect Cervical Cancer in Women?
Cervical cancer Hello doctor, can an abdominal ultrasound in gynecology detect cervical cancer?
Dr. Cao Guotao Reply:
Hello, it can only be done through a Pap smear examination. Wishing you good health.[Read More] Can Abdominal Ultrasound Detect Cervical Cancer in Women?
Understanding HPV 18 Positive Results: Next Steps for Cervical Health
Cervical cancer Hello Dr. Wu, my friend, a 59-year-old woman, has been working in mainland China with her husband. On October 8 of this year, she tested positive for HPV type 18 (human papillomavirus) during a health check-up. She consulted three well-known hospitals regarding th...
Dr. Wu Xianghui Reply:
1. A positive result for Human Papillomavirus (HPV) type 18 does not indicate cervical cancer. 2. It is recommended to consult with a specialist in obstetrics and gynecology for further discussion. 3. In cases of abnormal cervical cytology with a positive HPV result, it is advise...[Read More] Understanding HPV 18 Positive Results: Next Steps for Cervical Health