Understanding Polycystic Ovary Syndrome: Key Questions and Insights
Polycystic Ovary Syndrome (PCOS) Hello Dr. Lin: Thank you for your previous response... I have a few more questions I would like to ask you: (1) I had a Pap smear and HPV test during my gynecological appointment on December 15, 2006, and I will receive the results in two weeks. I...
Dr. Lin Zhaopei Reply:
1. There is a window period between HPV infection and the onset of disease, averaging about 2 to 6 months. Therefore, it is recommended to receive the vaccine after six months and to undergo another HPV screening. 2. In fact, there are over 120 types of HPV, but the main ones a...[Read More] Understanding Polycystic Ovary Syndrome: Key Questions and Insights
Navigating Menopause: Understanding Irregular Periods and Health Concerns
Menopause? I would like to ask about my mother, who is 46 years old this year. I am unsure if she is approaching menopause. Since March of this year, her menstrual cycle has not stopped after it starts; it occasionally stops for a few days, but then it returns. This has been the ...
Dr. Cai Yonglong Reply:
Dear Xiao Hui, Greetings from the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare. 1. Your mother is 46 years old, which is close to the age of menopause. If she has uterine fibroids along with abnormal bleeding (irregular menstruatio...[Read More] Navigating Menopause: Understanding Irregular Periods and Health Concerns
Understanding the Causes of Ectopic Pregnancy: Key Factors and Tests
Causes of Ectopic Pregnancy Thank you, doctor, for answering my questions on November 2nd. I would like to ask again. After getting married, I have been using contraception, but in the second month of not using it, I experienced an ectopic pregnancy. Could this be due to blocked ...
Dr. Lin Zhaopei Reply:
If the fallopian tubes are blocked, pregnancy cannot occur. Ectopic pregnancies occur 80% of the time in the fallopian tubes, followed by the ovaries, the uterine cornua (the junction of the fallopian tubes and uterus), the cervix, and the abdominal cavity. Essentially, the fallo...[Read More] Understanding the Causes of Ectopic Pregnancy: Key Factors and Tests
Understanding Cervical Ectopic Pregnancy: Diagnosis, Management, and Risks
Cervical ectopic pregnancy 1. How is a cervical ectopic pregnancy diagnosed? 2. What are the management options for early-stage cervical ectopic pregnancy? 3. If a patient has a pregnancy of about one to one and a half months with ongoing abnormal bleeding and a low-lying emb...
Dr. Lin Zhaopei Reply:
1. Cervical ectopic pregnancy is primarily diagnosed through ultrasound, pelvic examination, and blood tests. 2. Chemotherapy can be administered. 3. If there is bleeding or abdominal pain during pregnancy, the gestational sac may be positioned lower, leading to a threatened ...[Read More] Understanding Cervical Ectopic Pregnancy: Diagnosis, Management, and Risks
Understanding Abdominal Pain and Discomfort During Intimacy: Common Concerns
Could you please provide more details or specify your question? It sounds like you are experiencing discomfort during intercourse, specifically deep penetration that causes abdominal pain, as well as a sensation of heat in your genital area and pain for your boyfriend. There coul...
Dr. Jian Hongmou Reply:
1. Sexual intercourse can affect the uterus and may cause pain. 2. Regarding your boyfriend's issues, it would be more appropriate for both of you to seek a consultation together. Dr. Jian Hong-Mou is currently abroad, so Dr. Zhong Wen-Zhen will respond on his behalf.[Read More] Understanding Abdominal Pain and Discomfort During Intimacy: Common Concerns
Understanding Irregular Bleeding: Menstrual Issues or Menopause?
Inquiry about menstrual issues? Since May 30, there has been intermittent bleeding, and I am unsure if it is related to menstrual cycle issues or the onset of menopause. The date of the last menstrual period was May 12, 2006.
Dr. Cai Yonglong Reply:
Dear Director Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Executive Yuan Health Department: Are you experiencing symptoms of menopause such as facial flushing, palpitations, or other issues related to the cervix or endometrium? It is advisab...[Read More] Understanding Irregular Bleeding: Menstrual Issues or Menopause?
Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns
Is this normal? I would like to consult a physician: My menstrual cycle is consistently about 30 days, but my period lasts around 10 days (which seems long). We are planning to conceive, and after having intercourse with my husband a week after my period, I experienced bleeding. ...
Dr. Wei Fumao Reply:
Post-coital bleeding can have several possible causes: 1. Bleeding from the male partner. 2. Frictional injury to the vagina or cervix. 3. Ovulation occurring at the time, which may lead to intrauterine bleeding that is expelled due to uterine contractions during intercourse. Ple...[Read More] Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns
Understanding Atypical Squamous Cells in Pap Smear Results
Pap smear examination (atypical squamous cells) The presence of atypical squamous cells in a Pap smear indicates that there are abnormal changes in the squamous cells of the cervix. This finding may suggest a potential precancerous condition or the presence of an infection. Furth...
Dr. Li Guanghan Reply:
Hello: A Pap smear is a type of screening test. ASCUS is an abnormal Pap smear result, and it is recommended to arrange for a colposcopy and cervical biopsy. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Atypical Squamous Cells in Pap Smear Results
Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Questions about uterine fibroids? Dear Doctor, Yesterday, I went to a small clinic for a Pap smear and a vaginal ultrasound. The doctor informed me that I have uterine leiomyomas (fibroids). He mentioned that surgery is not necessary, as the fibroid is somewhat large and located...
Dr. Li Guanghan Reply:
Hello: Most uterine fibroids are asymptomatic. The symptoms you found online are potential symptoms of fibroids, not definitive ones; conversely, the absence of these symptoms does not necessarily mean that fibroids are not present. You are welcome to visit us at the Hsinchu City...[Read More] Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Understanding Inflammation from Pap Smear: Treatment and Next Steps
The smear test results indicate "inflammation." How should it be treated? In February, I had a Pap smear, and while previous reports were normal, this time it indicated "inflammation," which has made me very worried. However, the clinic doctor only advised me ...
Dr. Lin Zhaopei Reply:
Generally, the female reproductive system is susceptible to ascending infections, which means that inflammation can start from the vagina, progress to the cervix, then to the uterus, and subsequently affect the fallopian tubes and ovaries. If not effectively treated, symptoms may...[Read More] Understanding Inflammation from Pap Smear: Treatment and Next Steps
Concerns About Cervical Polyp During Pregnancy at 17 Weeks
At 17 weeks of gestation, a polyp was found on the cervix? Dear Doctor, I am currently 17 weeks pregnant. I have experienced some light bleeding (a few drops) in the genital area when I strain during bowel movements, which has occurred about five times. During my prenatal check-...
Dr. Li Guanghan Reply:
Hello: Cervical polyps are mostly benign, but they may occasionally cause bleeding. If it is only a small amount of bleeding, it is usually not a significant concern. Please continue to consult your obstetrician during your prenatal check-ups. Hsinchu City Hospital, Department of...[Read More] Concerns About Cervical Polyp During Pregnancy at 17 Weeks
Understanding Induction Surgery: Risks and Considerations for Expecting Mothers
Induction of labor surgery? Doctor, thank you~ I saw your reply to my letter~ I appreciate your willingness to help me~ but your location is really too far for me to travel. I am currently over 18 weeks pregnant~ but due to many circumstances, I am unable to carry my baby to term...
Dr. Chen Xuhui Reply:
The process of miscarriage is generally similar to childbirth, but unlike typical labor where women experience pain for 1-2 days and are admitted to the hospital once the cervix has dilated to a certain degree, the duration of the miscarriage may be slightly longer. As for the ri...[Read More] Understanding Induction Surgery: Risks and Considerations for Expecting Mothers
Understanding Ovulation Bleeding: Causes and Implications for Conception
Ovulation bleeding Hello, I am a married woman who wants to conceive. I have been tracking my basal body temperature for several months. Although I observe fluctuations between low and high temperatures, it does not follow the typical pattern where the temperature drops before ov...
Dr. Li Guanghan Reply:
Hello: 1. Please measure your basal body temperature using the OV scale. If one morning your temperature suddenly rises above the red line (OV 24 degrees) and is greater than OV 5 degrees compared to the previous day, it may indicate ovulation. 2. Basic infertility evaluations in...[Read More] Understanding Ovulation Bleeding: Causes and Implications for Conception
Understanding Uterine Fibroids: Diagnosis, Treatment, and Sexual Health Impact
Uterine fibroids Hello, I am unmarried and have no sexual experience. Recently, a gynecologist informed me that I have uterine fibroids or adenomyosis, and it cannot be confirmed without surgery. There are many of them, with the largest being around 11 cm and 5 cm. I would like t...
Dr. Xu Junzheng Reply:
1. Ultrasound sometimes cannot completely differentiate between fibroids and adenomas; however, fibroids are more common at 11 cm, and surgery may be necessary for a size of 11 cm. 2. Fibroids can be removed, but there is a possibility of recurrence; however, for unmarried indivi...[Read More] Understanding Uterine Fibroids: Diagnosis, Treatment, and Sexual Health Impact
Understanding Abnormal Bleeding: Causes and Concerns for Women
Abnormal bleeding Hello, I had a preconception check-up at the hospital on November 4th, which coincided with the first day of my menstrual period. During my follow-up appointment on the 21st to review the results, the doctor also performed a Pap smear and a vaginal ultrasound. T...
Dr. Li Guanghan Reply:
Hello: A Pap smear involves scraping the surface of the cervix with a wooden spatula. It is common to experience slight bleeding after the procedure. However, if the bleeding persists for more than five days, you should come in for an examination to check for any other issues. Hs...[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women
Can You Ovulate After a Hysterectomy? Understanding Your Body
Will ovulation still occur after a hysterectomy? Will there be ovulation after a hysterectomy? If a hysterectomy is performed but the cervix and ovaries are still intact, there will be no menstrual periods, but will there still be ovulation? Is it normal to have light brown disch...
Dr. Li Guanghan Reply:
1. If the ovaries have not yet reached the age of physiological failure (generally around 50 years old), ovulation will still occur, regardless of whether the uterus has been removed or not. 2. The source of menstruation is the uterine body; if the uterine body has been completel...[Read More] Can You Ovulate After a Hysterectomy? Understanding Your Body
Understanding Artificial Insemination Amidst Cervical Fungal Infections
Artificial insemination Background Facts: The wife has been suffering from chronic fungal infections and inflammation of the cervix since 2001, with symptoms fluctuating over time. Last year, a severe erosion was discovered during an examination. Although there was some improveme...
Dr. Xu Junzheng Reply:
1. If a hysterosalpingography has been performed, artificial insemination may be considered. 2. Generally speaking, there is no direct relationship between the two. 3. Cryotherapy is not recommended. 4. The risk of miscarriage is very low, and it usually does not cause fetal dise...[Read More] Understanding Artificial Insemination Amidst Cervical Fungal Infections
Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns
Uterine polyp Hello, I previously underwent an ultrasound examination at the first hospital, where it was discovered that I had a polyp in my uterus and that my cervix was scraped. The doctor recommended surgery to address the issue before planning for pregnancy, but also mention...
Dr. Li Guanghan Reply:
Hello: If a hysteroscopy confirms that there are polyps in the uterine cavity and this is the only possible cause of your abnormal bleeding, then surgical removal may be considered; this is not a major surgery and is unlikely to cause significant adhesions. Hsinchu City Hospital,...[Read More] Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns
Understanding Mucus Discharge Before Labor: What to Expect
Late pregnancy At full term, with only three days until the due date and no signs of labor, it is not uncommon to notice some vaginal discharge that may contain mucus mixed with yellowish clumps. This discharge can sometimes be thick or pasty, and if it is not accompanied by pain...
Dr. Li Guanghan Reply:
Hello: As the due date approaches, there is indeed an increase in discharge; however, to determine if there is an infection, a pelvic examination and possibly a bacterial culture are necessary. Among bacterial infections of the vagina or cervix, Group B Streptococcus (GBS) is par...[Read More] Understanding Mucus Discharge Before Labor: What to Expect
Understanding Irregular Periods: Causes and Concerns for Women
What is this condition? Hello Doctor: Since I became sexually active, my menstrual cycle has become irregular. Recently, I've noticed that my periods are getting shorter, lasting only 2 to 3 days, and I feel very uncomfortable. Could this be directly related to having interc...
Dr. Li Guanghan Reply:
Hello: During menstruation, the cervical mucus that protects the cervix is lost, making it inadvisable to engage in sexual intercourse. If you are concerned about any abnormalities, please come in for an ultrasound examination. Hsinchu Hospital, Department of Obstetrics and Gynec...[Read More] Understanding Irregular Periods: Causes and Concerns for Women