Concerns of a Pregnant Mother: Understanding Symptoms and Risks
A worried mother? Hello, I am currently 16 weeks pregnant. Since the beginning of my pregnancy, I have felt some discomfort in my abdomen, similar to the feeling before menstruation. Last week, I noticed about a 3 cm blood stain on my underwear, but I haven't had any bleedin...
Dr. Li Guanghan Reply:
Hello: 1. Experiencing bleeding and a cervical dilation of one centimeter at just 16 weeks of pregnancy is indeed a sign of a potential miscarriage. It is advisable to rest and seek medical evaluation regarding the need for medications to support the pregnancy and whether a cervi...[Read More] Concerns of a Pregnant Mother: Understanding Symptoms and Risks
Should You Get Tested for HPV? Understanding Risks and Precautions
Should a check-up be done? Hello Doctor: I have a concern. Three years ago, I had sexual intercourse without using a condom with my ex-girlfriend. I am not very clear about her past sexual history, but I believe it is not very complicated; however, I cannot be completely certain ...
Dr. Li Guanghan Reply:
Hello: 1. Instead of worrying, it's better to bring your girlfriend for an HPV test. For males, a sample is taken from the glans penis. For females, if the hymen is no longer intact, a sample is taken from the cervix. If the hymen is still intact, a careful vaginal sample ca...[Read More] Should You Get Tested for HPV? Understanding Risks and Precautions
Understanding Infertility: Next Steps After Failed Treatments
Infertility Hello Dr. Huang, I have been married for two and a half years without conceiving. A year ago, I sought medical attention and underwent all the necessary tests (as advised). I have also undergone two cycles of artificial insemination, but neither was successful. I am...
Dr. Huang Jianxun Reply:
The patency of the fallopian tubes is also a key factor in conception. Please confirm whether the other fallopian tube is patent. If one fallopian tube is open, there is still a high chance of natural pregnancy. The ability to palpate the cervix does not necessarily indicate any ...[Read More] Understanding Infertility: Next Steps After Failed Treatments
Understanding Persistent Vaginal Itching: Causes and Next Steps
Itching in the genital area? Hello, doctor. I have been experiencing itching in my genital area for a long time. The first time was in my sophomore year when I visited a gynecologist, took medication, and applied ointment, which resolved the issue without recurrence. However, in ...
Dr. Li Guanghan Reply:
Hello: Itching in the genital area may be due to a Candida infection, and cervical mucous cysts could be physiological Nabothian cysts. To rule out cervical cancer, a pelvic examination and Pap smear are necessary. Please seek medical attention promptly; you can go to Taichung Ve...[Read More] Understanding Persistent Vaginal Itching: Causes and Next Steps
Impact of Pelvic Inflammatory Disease on Fertility and Pregnancy
Pelvic Inflammatory Disease (PID) Hello, doctor... Does frequent pelvic inflammation affect fertility? If pelvic inflammation is discovered after pregnancy, will it have an impact on the baby?
Dr. Lü Lizheng Reply:
Does frequent pelvic inflammation affect fertility? Yes, the more often inflammation occurs, the harder it may be to conceive. If pelvic inflammation is discovered after pregnancy, will it affect the baby? Normally, the cervix during pregnancy remains closed, preventing most bact...[Read More] Impact of Pelvic Inflammatory Disease on Fertility and Pregnancy
Understanding Postpartum Lower Abdominal Pain: Causes and Solutions
Postpartum distress with lower abdominal pain? Hello Doctor: It has been nearly a year since I gave birth to my first child, and I still cannot shake off the inexplicable lower abdominal pain that started after childbirth (I did not experience this at all before pregnancy, and ev...
Dr. Chen Changfu Reply:
Dear online friend: Hello! Despite your detailed description of your ailments and medical history, and after many efforts to seek medical attention and consultations with multiple physicians, you are still suffering from your condition. I am truly sorry! I wish I could help, but ...[Read More] Understanding Postpartum Lower Abdominal Pain: Causes and Solutions
Is My Fetus Too Small? Understanding Growth Delays and Risks
Is my fetus too small? I am currently 20 weeks pregnant. During my recent check-up, the doctor mentioned that my fetus's head, arm, and leg bones are measuring 3 weeks smaller. Is this serious? Does it indicate "growth restriction"? What remedies are available? Add...
Dr. Li Guanghan Reply:
Hello: It is most likely a case of wrong dating, meaning that your menstrual cycle may be irregular or ovulation may be delayed, leading to this discrepancy. If you are consistently measuring three weeks behind during each prenatal check-up, there is no need to worry too much. Hs...[Read More] Is My Fetus Too Small? Understanding Growth Delays and Risks
Understanding Post-Laser Cervical Changes: Granules and Concerns
Granules remain after cervical laser treatment? Hello, I underwent laser surgery for cervical erosion in late March. Recently, while using a suppository, I noticed a lump resembling a polyp deeper inside. However, after multiple checks post-surgery, my doctor has assured me that ...
Dr. Li Guanghan Reply:
Hello: In my personal experience, when patients report feeling a lump inside the vagina, it is often the vaginal folds or their own cervix. Please make sure to communicate your concerns clearly to your physician during your next visit! Hsinchu City Hospital, Department of Obstetr...[Read More] Understanding Post-Laser Cervical Changes: Granules and Concerns
Understanding Pap Smears and Biopsy Tests in Cervical Cancer Screening
Pap smear and biopsy examination? Dear Doctor, I would like to ask you a question regarding cervical cancer. My mother underwent a total hysterectomy (with ovaries preserved) over a year ago due to early-stage cervical cancer. She has been having regular Pap smears post-surgery,...
Dr. Chen Nengjin Reply:
Hello: The Pap smear and biopsy are different procedures. A Pap smear involves using a cervical brush to collect cells from the surface of the cervix for examination, and it is non-invasive. A biopsy involves the removal of a portion of tissue for examination, and it is invasive....[Read More] Understanding Pap Smears and Biopsy Tests in Cervical Cancer Screening
Understanding Cervical Cancer: Risks, Symptoms, and Screening Insights
Cervical cancer 1. The first time was at 17 or 18 years old. Is that too early? 2. I have been sexually active for about three to four years, but my partner is the same person, and we are both quite innocent. Recently, I want to get a Pap smear. After looking into some informat...
Dr. Li Guanghan Reply:
Hello: The cause of cervical cancer has been established as an infection of the cervix by the HPV virus, with sexual intercourse being the most likely mode of transmission. Additionally, the younger the age, the poorer the cervix's resistance to HPV, which increases the like...[Read More] Understanding Cervical Cancer: Risks, Symptoms, and Screening Insights
How Soon After a Pap Smear Can You Have Sex Without Pain?
After undergoing a Pap smear, it is generally recommended to wait at least 48 hours before engaging in sexual intercourse. This allows time for any potential irritation or discomfort to subside. However, it's always best to follow the specific advice given by your healthcare...
Dr. Mao Yikun Reply:
A Pap smear is performed by using a wooden stick similar to a tongue depressor to brush the cervix, and it should be fine by the evening. Taking a small piece of tissue is called a cervical biopsy, not a Pap smear.[Read More] How Soon After a Pap Smear Can You Have Sex Without Pain?
Understanding Bleeding During Early Pregnancy: Causes and Concerns
Bleeding during pregnancy? Dear Doctor: My last menstrual period was on February 9, and I am currently in the 8th week of pregnancy. I have been experiencing bleeding since the 6th week. On March 16, I confirmed my pregnancy through an ultrasound. From March 21 to March 22, I had...
Dr. Lü Lizheng Reply:
There are many possible reasons for this, including excessive uterine contractions, partial placental abruption, or uterine polyps. Currently, at 8 weeks, the risk of miscarriage decreases significantly after 10 weeks, so there is no need to worry too much. What can be done now i...[Read More] Understanding Bleeding During Early Pregnancy: Causes and Concerns
Understanding Tamoxifen Side Effects: Should You Consider Endometrial Biopsy?
Side effects of Tamoxifen? Doctor: Hello! I am a stage 0 breast cancer patient and started taking Tamoxifen last October. Before starting the medication, I had an ultrasound of the cervix, and the endometrial thickness was 0.5 cm. After starting the medication, my first menstrual...
Dr. Li Guanghan Reply:
Hello: If you were postmenopausal before taking Tamoxifen, then an endometrial thickness of 6mm with bleeding should be evaluated with a dilation and curettage (D&C). If you were premenopausal before starting the medication, you may consult your physician to determine if the ...[Read More] Understanding Tamoxifen Side Effects: Should You Consider Endometrial Biopsy?
Understanding Abortion: Key Questions About Pregnancy and Health Risks
Abortion Hello, I would like to ask you the following questions: 1. How long after sexual intercourse can a pregnancy test detect pregnancy? 2. Once pregnancy is confirmed, how soon can a medical abortion be performed? 3. Are there any potential complications from a medical abo...
Dr. Zhong Wenzhen Reply:
(1) The earliest detection is approximately 10 days later, while generally it is about 14 days later. (2) After confirming pregnancy, about 24 days post-conception (counting from the last menstrual period as 5 weeks and 3 days), a gestational sac of about 0.5 cm can be seen on ul...[Read More] Understanding Abortion: Key Questions About Pregnancy and Health Risks
Is a Pelvic Exam Necessary to Diagnose Pelvic Inflammatory Disease?
Is a pelvic examination necessary for pelvic inflammatory disease? To confirm pelvic inflammatory disease (PID), is an internal examination necessary? What does the pelvic cavity include? What does pelvic inflammatory disease refer to? Thank you for your response, I greatly appre...
Dr. Chen Nengjin Reply:
Hello: Pelvic inflammatory disease (PID) is an infection of the female reproductive organs, including the uterus, ovaries, and fallopian tubes, caused by bacteria. When bacteria that can cause PID proliferate in the lower reproductive tract (cervix, vagina), they can ascend throu...[Read More] Is a Pelvic Exam Necessary to Diagnose Pelvic Inflammatory Disease?
Understanding Hormonal Imbalance: Managing Irregular Bleeding in Women
Hormonal imbalance Previously, I experienced abnormal bleeding and went to the hospital for an examination of my uterus and cervix, which were found to be normal. The doctor diagnosed me with hormonal imbalance and recommended that I take birth control pills for two months to hel...
Dr. Li Guanghan Reply:
Hello: You may need to take it continuously for 4-6 months for it to be more effective. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital.[Read More] Understanding Hormonal Imbalance: Managing Irregular Bleeding in Women
Understanding Vaginal Discharge Inflammation: Treatment Options Explained
Vaginal discharge inflammation What is vaginal discharge inflammation? Is it necessary to use medication for treatment?
Dr. Zhuang Zhijian Reply:
Vaginal discharge refers to the secretions produced by the vagina and cervix. It can include bacteria, fungi, and vaginal parasites, among others. This discharge may lead to inflammation, with primary symptoms varying based on the underlying cause, including itching, redness, swe...[Read More] Understanding Vaginal Discharge Inflammation: Treatment Options Explained
Is It Normal for Women to Experience Fluid Release During Orgasm?
After sexual intercourse..? Is it normal for a woman to release a watery fluid that makes the bed wet during orgasm? The fluid has a similar taste to male semen but is colorless and feels somewhat like urine. What should be done about this? Should I see a doctor, and if so, which...
Dr. Lin Zhaopei Reply:
Normal secretions are produced by the cervix, Bartholin's glands, and the vagina, especially increasing in volume and becoming clearer as ovulation approaches. This is a normal phenomenon.[Read More] Is It Normal for Women to Experience Fluid Release During Orgasm?
Does Pap Smear Testing Damage the Hymen in Virgin Women?
Will a Pap smear examination harm the hymen? The hospital is promoting cervical smear tests, and after undergoing the test, there was bleeding and pain despite never having had sexual intercourse. Does this indicate that the hymen has been ruptured?
Dr. Wu Linting Reply:
Hello, a Pap smear is performed by using a spatula or brush to collect cells from the area near the cervix through gentle scraping. The collected cells are then fixed onto a slide for microscopic examination. It is common to experience some bleeding after the procedure due to the...[Read More] Does Pap Smear Testing Damage the Hymen in Virgin Women?
Understanding Post-Menstrual Spotting: Causes and Concerns
excuse me? After menstruation (about 3 to 5 days), there is a phenomenon of vaginal bleeding, with only a small amount of blood, but it lasts only 1 to 2 days and is not continuous, often accompanied by vaginal discharge. When I wanted to see a doctor, I found that there was no b...
Dr. Chen Changfu Reply:
Dear user: Hello! Based on your situation and symptom description, it is highly likely that you are experiencing ovulatory bleeding. In the same woman, symptoms may not appear during every ovulation period, and when they do, they can vary. Most cases will improve and resolve on t...[Read More] Understanding Post-Menstrual Spotting: Causes and Concerns