Understanding Incompetent Cervix: Testing, Risks, and Treatment Options
Issues related to uterine incompetence? 1. Should women with cervical incompetence undergo testing before attempting to conceive? What kind of tests? Or should they just pay special attention during the next pregnancy? Is this a serious condition? 2. If a woman has had a miscar...
Dr. Chen Changfu Reply:
Dear netizens: Hello! Cervical incompetence is clinically diagnosed primarily based on medical history (having experienced two or more consecutive miscarriages between 15 to 20 weeks of gestation). Researchers from teaching hospitals have proposed statistical reports suggesting t...[Read More] Understanding Incompetent Cervix: Testing, Risks, and Treatment Options
Is It Normal to Experience Bloating and Breast Pain Before Periods?
Could you please provide the content you would like me to translate? After observing for a few months, it seems that I feel bloated a few days after having intercourse with my husband each time. Is this normal? Additionally, I experience breast tenderness before my period, which ...
Dr. Lin Zhaopei Reply:
The female reproductive organs can be accessed through the cervix into the uterine cavity. If air is introduced during intercourse, it may enter the abdominal cavity through the uterus and fallopian tubes, potentially causing bloating. Additionally, if the male partner has a high...[Read More] Is It Normal to Experience Bloating and Breast Pain Before Periods?
Understanding Early Miscarriage: Causes and Prevention of Uterine Contractions
Early rupture of membranes leading to miscarriage due to uterine contractions? Hello: 1. I have some questions to ask you. I am nearly 16 weeks pregnant and experienced early rupture of membranes due to uterine contractions, resulting in a miscarriage (the fetus had a heartbeat...
Dr. Lin Zhaopei Reply:
1. A miscarriage at 16 weeks of pregnancy, entering the second trimester, can be attributed to various factors beyond immune system issues and fetal abnormalities, including premature rupture of membranes, infections (specifically viral infections), and cervical incompetence. Ute...[Read More] Understanding Early Miscarriage: Causes and Prevention of Uterine Contractions
Self-Care Tips for Managing Ovarian Cysts: A Guide for Women
How to practice self-care for uterine hydrosalpinx? Hello Director Wang, I was diagnosed with hyperthyroidism a year ago and am currently undergoing medication treatment. Recently, I had an ultrasound due to a delayed menstrual period and discovered a 5 x 5.5 cm cyst in my uterus...
Dr. Wang Gongliang Reply:
Hello, Miss Hsiao-Chuan: Based on your age, the reason for your delayed menstruation is generally related to approaching menopause and is less likely associated with hyperthyroidism treatment or uterine tumors. Typically, if there are tumor-related changes in the uterus, symptoms...[Read More] Self-Care Tips for Managing Ovarian Cysts: A Guide for Women
Understanding Tamoxifen Use: Effects on Menstrual Cycle and Health Concerns
The use of Tamoxifen? Hello Dr. Zheng, thank you very much for your prompt response. I had surgery in early September, and my doctor confirmed that I have stage 0 breast cancer, so I do not need chemotherapy or radiation therapy. My pathology report indicated positive receptor te...
Dr. Li Guanghan Reply:
Hello: 1. Tamoxifen will suppress female hormones, leading to reduced menstrual flow or cessation of menstruation, which is a normal response. 2. The suppression of female hormones may result in anovulation, but it can also cause the endometrium to thicken and may lead to some me...[Read More] Understanding Tamoxifen Use: Effects on Menstrual Cycle and Health Concerns
Unexplained Vaginal Bleeding: Causes and Concerns for Women
Abnormal vaginal bleeding About three weeks ago, I noticed brown discharge that resembled the end of a menstrual period, so I didn't pay much attention to it. After a few days, it gradually turned into a small amount of bright red blood. Even with a panty liner, I could go t...
Dr. Lin Zhaopei Reply:
Possible causes of abnormal bleeding can be attributed to several factors, especially since the individual is only 20 years old and malignant tumors (such as those of the uterus, cervix, or ovaries) can be temporarily excluded. More likely causes include hormonal imbalances, beni...[Read More] Unexplained Vaginal Bleeding: Causes and Concerns for Women
Understanding Cervical Erosion: Causes, Healing, and Treatment Options
Abrasion In May, there was sexual intercourse, but there was no sexual activity in the following three months of June, July, and August. However, in August, a gynecologist found that there was some abrasion on the cervix. Is it difficult for the abrasion to heal? Is it treatable?
Dr. Li Guanghan Reply:
Hello: "Cervical abrasion" is a vague diagnosis. If you are referring to cervical abrasions caused by sexual intercourse, and there are no associated lesions or infections, then abstaining from sexual activity for a period of time should allow for gradual healing. Dr. C...[Read More] Understanding Cervical Erosion: Causes, Healing, and Treatment Options
Understanding Postpartum Uterine Contractions and Risks with Low Placenta
Postpartum uterine contraction Hello Doctor: I am currently 33 weeks pregnant. My attending physician has informed me that my placenta is too low, and as of yesterday's prenatal check-up, it is still partially previa. I may attempt a vaginal delivery, but I need to be mental...
Dr. Lin Zhaopei Reply:
1. If there is a partial placenta previa, attempting a vaginal delivery is not recommended; only in cases of low-lying placenta previa is vaginal delivery considered possible. 2. With a low-lying placenta, the muscle at the fundus of the uterus is thinner, and since the cesarea...[Read More] Understanding Postpartum Uterine Contractions and Risks with Low Placenta
Understanding Bleeding in Early Pregnancy: Expert Insights and Advice
I would like to know your opinion? Dear Dr. Lu, I am currently 11 weeks pregnant. On the morning of September 23, I jogged for about 3.4 steps and noticed a small amount of bleeding by noon. After an urgent ultrasound confirmed that the baby is fine, I felt more at ease, althoug...
Dr. Lü Lizheng Reply:
1. The most common cause of bleeding in early pregnancy may be uterine contractions, which can cause the blood vessels at the cervix to dilate and leak blood. 2. This may slightly increase the risk of miscarriage. 3. It is advisable to rest, though complete bed rest is not nece...[Read More] Understanding Bleeding in Early Pregnancy: Expert Insights and Advice
Understanding Cryotherapy for Cervical Erosion: Procedure, Risks, and Costs
Questions about the use of cryotherapy for cervical erosion? Hello! Since there has been no improvement with the vaginal suppository treatment for cervical erosion, the doctor will perform cryotherapy during the next outpatient visit. What is cryotherapy and how is it performed? ...
Dr. Mao Yikun Reply:
Hello: Cryotherapy involves using CO2 to freeze the epithelial cells of the eroded areas of the cervix, causing them to slough off and regenerate a new layer of epithelium. The procedure is relatively simple, and the cost may vary between facilities; however, public hospitals sho...[Read More] Understanding Cryotherapy for Cervical Erosion: Procedure, Risks, and Costs
When to Induce Labor: Understanding Timing and Recovery After C-Section
I'm sorry, but it seems that the input provided Hello, doctor. I am currently 40 weeks pregnant but have not gone into labor yet. I have been exercising regularly, such as climbing stairs and walking, but there are still no signs of labor. Under what circumstances can I rece...
Dr. Mao Yikun Reply:
Hello: Pregnancy at 38 to 42 weeks is considered full term, and induction should be assessed based on the condition of the cervix, fetus, and placenta.[Read More] When to Induce Labor: Understanding Timing and Recovery After C-Section
Understanding Bleeding Issues During Masturbation: A Gynecological Perspective
Bleeding issues Hello, doctor. Since the end of June, I have noticed blood streaks whenever I masturbate, although I do not insert anything into the vagina. The blood streaks usually accompany discharge; sometimes it lasts for half a day, but other times it can last for a week. T...
Dr. Li Guanghan Reply:
Hello: Inflammation or laceration of the vagina or cervix, as well as the expulsion of blood during masturbation due to uterine contractions, can occur and are generally considered normal. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital, Ministry of He...[Read More] Understanding Bleeding Issues During Masturbation: A Gynecological Perspective
Does Cervical Abrasion Increase Vaginal Discharge?
Excessive secretion? If there is a slight abrasion on the cervix, could it lead to increased discharge?
Dr. Li Guanghan Reply:
Hello; the amount of discharge may increase due to cervical injury. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital, Ministry of Health and Welfare.[Read More] Does Cervical Abrasion Increase Vaginal Discharge?
Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Uterine necrosis 1. Can uterine laceration cause bleeding? 2. Can uterine laceration heal on its own? 3. Is special treatment necessary?
Dr. Zhuang Zhijian Reply:
What you refer to as uterine erosion is likely cervical erosion. It has the potential to cause bleeding and may even be a precursor to cervical cancer. The chances of spontaneous healing are low, so it is best to seek medical treatment at a hospital. It is especially important to...[Read More] Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Understanding Cervical Inflammation: Treatment Options and Concerns
Cervicitis Hello Doctor: I have been experiencing increased vaginal discharge for almost a month. I visited a general obstetrician-gynecologist who advised me that medication would suffice for control, and that the suppository should only be used during follow-up visits. However,...
Dr. Shi Chengyang Reply:
Please visit our hospital for diagnosis and treatment.[Read More] Understanding Cervical Inflammation: Treatment Options and Concerns
Understanding Vaginal Bleeding: Causes and Concerns for Young Women
Vaginal bleeding Hello doctor, I am a 21-year-old female. I have noticed that after masturbation or intercourse, I sometimes experience a very small amount of blood discharge that lasts for about 2 to 3 days. The amount is really minimal, and it doesn't happen every time, bu...
Dr. Wu Linting Reply:
Postcoital bleeding may originate from the vagina, cervix, uterus, or endometrium, and a pelvic examination is necessary to determine the source. It is not necessarily cervical cancer, but a Pap smear can be performed to rule out this possibility.[Read More] Understanding Vaginal Bleeding: Causes and Concerns for Young Women
Timing for Second Cervical Biopsy: When is the Best Option?
When is it most appropriate to perform the second large resection surgery? Hello Doctor: I am 27 years old, unmarried, and have never given birth. On June 24, I underwent a Pap smear at a gynecology clinic near my home in Taichung, and the report indicated CIN II. I returned to t...
Dr. Wu Linting Reply:
If the last biopsy was performed using electrocautery or diathermy, it is advisable to wait 2-3 months to minimize tissue reaction that could affect interpretation before performing another biopsy. If the last biopsy did not involve electrocautery or diathermy, there are generall...[Read More] Timing for Second Cervical Biopsy: When is the Best Option?
Understanding Inflammation in Pap Smear Results: What You Need to Know
The smear test results indicate inflammation? Hello, doctor. I recently had a Pap smear test. On the day of the examination, the doctor informed me that my cervix showed some erosion, signs of inflammation, and a bit of discharge. After a week of treatment, I returned to review t...
Dr. Zhan Deqin Reply:
The so-called cervical erosion in young people is actually just the eversion of the columnar epithelium of the cervix; it is not truly eroded. Typically, this is not a disease but a normal condition. A Pap smear result of grade two indicates mild cellular inflammation or reactive...[Read More] Understanding Inflammation in Pap Smear Results: What You Need to Know
Understanding Obstetric Complications: The Case of Vesicovaginal Fistula
Postpartum complications? (Forwarded from the Director's mailbox) Dear Director: I would like to inquire whether a "vesicouterine fistula" can occur during childbirth, and how it is caused. In June 2003, I delivered at a large hospital where all my prenatal check-...
Dr. Li Guanghan Reply:
Hello Miss Ting-Ting: Both cesarean sections and vaginal deliveries can potentially lead to complications such as vesicouterine fistulas. For instance, a large fetal head may exert pressure on the cervix, or prolonged labor may cause excessive pressure on the lower uterine segmen...[Read More] Understanding Obstetric Complications: The Case of Vesicovaginal Fistula
Understanding Cervical Erosion: Causes, Treatments, and Concerns
Cervical erosion Hello, Doctor. I would like to ask you about the issue of cervical erosion. This term sounds quite alarming. During my Pap smear examinations last year and this year, the doctor mentioned that I have a slight erosion on my cervix. Last year, I underwent local med...
Dr. Zhan Deqin Reply:
This is not a major issue; most women experience this, especially those of reproductive age. There is no need for special treatment; an annual Pap smear is sufficient. In fact, most cases of cervical "erosion" are not true erosion but rather an eversion of the cervical ...[Read More] Understanding Cervical Erosion: Causes, Treatments, and Concerns