Cesarean section, Obstetrics and Gynecology FAQ

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Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods

Endometrial ablation Due to dysmenorrhea, every second feels unbearable, sitting on the toilet while vomiting and having diarrhea, my face turns not pale but green after the pain. Currently, painkillers are effective, but it takes half an hour for them to take effect, and even th...


Dr. Chen Zhiyu Reply:
Endometrial ablation is only effective for primary dysmenorrhea. It is not effective for pain caused by endometriosis, pelvic adhesions, or other conditions. Please seek medical attention to clarify the cause of the pain and discuss treatment options with your physician. Thank yo...

[Read More] Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods


Do Antibiotics Affect Test Results for Group B Strep and Gonorrhea?

Does medication affect the report? Hello doctor, I underwent a cesarean section before delivery and was tested for Group B Streptococcus and gonorrhea. However, I completed a course of antibiotics on March 12 and stopped taking them until March 22. Will the short interval of 10 d...


Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

[Read More] Do Antibiotics Affect Test Results for Group B Strep and Gonorrhea?


Postpartum Bleeding: Is It Related to Cervical Inflammation or Breastfeeding?

Bleeding during lactation? Hello Doctor: I have been experiencing bleeding for about two months after my cesarean section on December 9th. I visited a clinic for examination, took hemostatic medication, and had a Pap smear that showed cervical inflammation. The bleeding stopped f...


Dr. Lin Manying Reply:
Hello: During breastfeeding, most women experience an anovulatory state, which may lead to irregular bleeding. If the bleeding is heavy and lasts for an extended period, please seek medical attention for evaluation. The Hualien Hospital of the Ministry of Health and Welfare cares...

[Read More] Postpartum Bleeding: Is It Related to Cervical Inflammation or Breastfeeding?


Understanding Gonorrhea Testing During Pregnancy: What You Need to Know

Testing issues Doctor, I am a 33-week pregnant woman and have been going to a large hospital for my prenatal check-ups. Recently, due to a urinary tract infection, I thought about getting tested for gonorrhea. I asked the doctor, and they mentioned that testing for secretions is ...


Dr. Cao Guotao Reply:
Hello, there should be no infection. After a cesarean section, the newborn will be checked for any signs of infection. Wishing you good health.

[Read More] Understanding Gonorrhea Testing During Pregnancy: What You Need to Know


Understanding Positive Test Results in Obstetrics: Key Concerns for Expecting Mothers

Testing issues Doctor, I am continuing from <a href="https://adoctor.tw/article/206121">#206121</a>. I have tested positive for discharge for the third time and need treatment. Is it possible to have a cesarean section at 37 weeks to allow for treatment? The...


Dr. Cao Guotao Reply:
Hello, it should be treatable. Please discuss it in detail with your obstetrician-gynecologist. Wishing you good health.

[Read More] Understanding Positive Test Results in Obstetrics: Key Concerns for Expecting Mothers


Understanding Gonorrhea Testing During Pregnancy: Urine vs. Swab Results

Testing Inquiry Doctor, I had a urine test for gonorrhea using chocolate agar culture before my prenatal check-up, which came back negative at 22 weeks of pregnancy. The gonorrhea urine PCR was also negative at 32 weeks of pregnancy. I am currently waiting for the report on the g...


Dr. Cao Guotao Reply:
Hello, it seems that gonorrhea is not a condition for a cesarean section. Wishing you good health.

[Read More] Understanding Gonorrhea Testing During Pregnancy: Urine vs. Swab Results


Can I Get Pregnant with a History of Genital Herpes?

Can I have children? Hello, doctor. I was infected with type 2 genital herpes 10 years ago, with the infection located around the vulva. I have been asymptomatic for about 3 years and have not had any recurrences. This year, I would like to get pregnant, but I am concerned about ...


Dr. Cao Guotao Reply:
Hello, it should not have an impact. In principle, you should be able to have a natural delivery. Wishing you good health.

[Read More] Can I Get Pregnant with a History of Genital Herpes?


Preparing for a Second Pregnancy: Weight Loss vs. Recovery Time

Pregnancy issues Doctor, I had a cesarean section on July 13 and gave birth to my baby. Before pregnancy, I weighed 75 kg, during pregnancy I reached 90 kg, and now my weight is 81 kg. If I want to have a second child, should I wait until I lose weight before trying to conceive, ...


Dr. Cao Guotao Reply:
Hello, it should be fine in about six months. Wishing you good health.

[Read More] Preparing for a Second Pregnancy: Weight Loss vs. Recovery Time


Impact of Multiple Abortions on Future Fertility: A Medical Inquiry

Multiple induced abortions Hello, I would like to ask the doctor about my medical history. I underwent a surgical abortion in February 2020, had a cesarean section to deliver my next child in March 2021, and took RU486 in February 2023. I have been consistently following up with ...


Dr. Cao Guotao Reply:
Hello, it generally does not cause infertility, but it is still recommended to avoid it as much as possible. Wishing you good health.

[Read More] Impact of Multiple Abortions on Future Fertility: A Medical Inquiry


Understanding Brown Discharge: Is It Menopause or Ovulation?

Menopause? My menstrual period started on September 5th, and around September 14th or 15th, I noticed some brownish discharge when I went to the bathroom, which lasted for about half a day. Starting on September 14th, I also felt an increase in vaginal discharge. My menstrual cyc...


Dr. Cao Guotao Reply:
Hello, it could be related to ovulation; just observe it. Wishing you good health.

[Read More] Understanding Brown Discharge: Is It Menopause or Ovulation?


Addressing Common Concerns for Expecting Mothers: Fetal Growth and Positioning

Production issues Hello, Doctor: I am an expectant mother and I have three questions to ask. 1. My due date is in November, and my baby is expected to be born soon. I have been attending regular prenatal check-ups, but my baby seems to have a very good absorption capacity, and ...


Dr. Cao Guotao Reply:
Hello, if the fetus is too large, it is better to induce labor after 37 weeks. You may want to discuss this with your obstetrician. Generally, sleeping position does not have an impact, and by 7 months, the fetal position should ideally be head down. Wishing you good health.

[Read More] Addressing Common Concerns for Expecting Mothers: Fetal Growth and Positioning


Post-Cesarean Pain and Unusual Bleeding: When to Seek Medical Advice

Abdominal incision pain with vaginal bleeding? It has been eleven months since my cesarean section, and I am experiencing pain at the incision site. Occasionally, I notice dark red, sticky blood coming from my vaginal area, rather than a watery discharge. The pain is not constant...


Dr. Chen Zhiyu Reply:
It is recommended to visit the obstetrics and gynecology outpatient clinic for evaluation. Thank you.

[Read More] Post-Cesarean Pain and Unusual Bleeding: When to Seek Medical Advice


How to Address Post-Injection Lumps After Cesarean Section?

Injection site lump Hello, doctor. I had a cesarean section three years ago, during which I received an injection of pain medication and other recovery agents in my lower back. Since then, there has been a hard lump approximately 2 centimeters in size at the injection site. How c...


Dr. Zhang Kunmin Reply:
Hello, based on the situation you described, it is not possible to determine the issue. I recommend that you consult a physician for evaluation and confirmation. Thank you! Wishing you peace and health. Dr. Chang

[Read More] How to Address Post-Injection Lumps After Cesarean Section?


Understanding Changes in Menstrual Cycle After Childbirth: What to Know

It seems that my menstrual period has become shorter? In the past, the menstrual flow would significantly decrease around the fifth day, but now the first two days have a heavy flow, and then it suddenly becomes much lighter on the third day. There isn't necessarily blood in...


Dr. Lin Xinwang Reply:
Hello, Xiangxiang; 1. A normal menstrual period lasts between 2 to 7 days, with a blood volume of less than 80CC, which is considered normal. 2. If there is menstrual pain, it could be due to conditions such as fibroids or endometriosis. If the pain is severe, it is recommended t...

[Read More] Understanding Changes in Menstrual Cycle After Childbirth: What to Know


Can Fetal Position Change During Labor? Insights for First-Time Moms

Production issues If the fetal position was previously abnormal but has corrected itself by the time of delivery, and you are already four centimeters dilated when you arrive at the hospital, is there still a possibility that the fetal position could change? I'm curious if t...


Dr. Cao Guotao Reply:
Hello, it is possible for the fetal position to be abnormal yesterday and then correct itself by today's check-up, although the likelihood is low. Wishing you good health.

[Read More] Can Fetal Position Change During Labor? Insights for First-Time Moms


Chronic Lower Back Pain After Gynecological Surgery: Causes and Solutions

Long-term lower back pain after gynecological surgery? Hello Doctor, I have a history of uterine fibroids, chocolate cysts, endometriosis, adenomyosis, and uterine fibrosis, and I have undergone about five surgeries (one of which was a cesarean section). Approximately five years ...


Dr. Huang Yuande Reply:
There are many causes of lower back pain, and it is quite possible that it could be a complication from surgical adhesions. Additionally, endometriomas may also occur, so it is advisable to consult your obstetrician-gynecologist for an evaluation.

[Read More] Chronic Lower Back Pain After Gynecological Surgery: Causes and Solutions


Understanding Postpartum Pain: Causes and Concerns After C-Section

Postpartum issues Hello, doctor. I am currently three months postpartum after a cesarean section. My menstrual cycles have been regular for both periods, with no cramps during the first one, but experiencing cramps for about two days during the second. Now that I am in my ovulati...


Dr. Huang Yuande Reply:
It should not be related to holding a child, but the contraction pain is likely a short-term phenomenon. Symptomatic treatment and observation can be considered.

[Read More] Understanding Postpartum Pain: Causes and Concerns After C-Section


Effectiveness of Emergency Contraceptive Pills After Unprotected Intercourse

Emergency contraceptive pill issues Doctor, I have a question: My husband and I had unprotected intercourse, and 5 hours later, I took Plan B (emergency contraceptive pill). My period app indicated that day had a high probability of pregnancy and ovulation. What is the success ra...


Dr. Zhang Kunmin Reply:
Hello, the failure rate of emergency contraceptive pills is about 3%. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and health. Dr. Zhang

[Read More] Effectiveness of Emergency Contraceptive Pills After Unprotected Intercourse


Postpartum Concerns: When to Consider Trying for Another Baby?

Postpartum Issues Hello Doctor, I would like to ask a question. Throughout my second pregnancy, all prenatal check-ups and blood tests (including NIPT) were normal until recently when I went to the hospital at 38 weeks due to bleeding, but unfortunately, the baby had no heartbeat...


Dr. Cao Guotao Reply:
Hello, after six months, all the tests you needed will be completed. This time it was just an accident, and it couldn't have been anticipated. Wishing you good health.

[Read More] Postpartum Concerns: When to Consider Trying for Another Baby?


Post-Cesarean Menstrual Changes: When to Seek Medical Advice?

After a cesarean section, the menstrual period may become longer? After the cesarean section, my menstrual period has become longer. Initially, I had a bacterial infection that required the stitches to be removed and the infection was cleaned, with the infection index dropping to...


Dr. Cao Guotao Reply:
Hello, let's observe for 1-2 months. If there is still no improvement, I recommend seeing a gynecologist. Wishing you good health.

[Read More] Post-Cesarean Menstrual Changes: When to Seek Medical Advice?


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