Understanding Ovarian Health: Addressing Irregular Periods and Thin Endometrium
Ovarian issues Hello, doctor. Thank you for taking the time to respond to my questions. I had a cesarean section on April 15 and had my menstrual periods on June 7 and July 6. However, as of August 18, my period has not come. I went to see a doctor, and they said my endometrium i...
Dr. Huang Jianxun Reply:
At the age of 26, the likelihood of ovarian function decline is very low. In the first six months postpartum, hormonal adjustments can sometimes lead to menstrual irregularities. Factors such as sleep, diet, emotional state, and stress can all influence this.[Read More] Understanding Ovarian Health: Addressing Irregular Periods and Thin Endometrium
Understanding Post-Cesarean Scar Issues: Causes and When to Seek Help
Issues related to cesarean section incisions? Hello, Dr. Huang: I had cesarean sections in January 2001 and August 2002, and the incisions healed well without any issues. However, recently, I have noticed a hard area on the original incision that feels slightly painful and itchy....
Dr. Huang Jianxun Reply:
Hello, it is possible that you have developed a keloid, and it is advisable to schedule an appointment with a dermatologist. Wishing you safety and health. Sincerely, Dr. Huang Chia-Yen, Attending Physician, Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of H...[Read More] Understanding Post-Cesarean Scar Issues: Causes and When to Seek Help
Understanding Postpartum Discharge: What to Expect After a C-Section
Lochia postpartum Hello, doctor. I had a cesarean section on April 15. About two weeks later, my lochia turned brown and watery. Sometimes the discharge resembles normal vaginal discharge. Occasionally, I experience one or two days of light blood-tinged fluid. As of May 15 and 16...
Dr. Huang Jianxun Reply:
Dear Xiao Xiao: I agree with your opinion that it should not be menstruation. I recommend that you return for a follow-up to check if the uterine cavity is clear of any residual tissue and to assess for any signs of infection. If everything is fine, it may be a case of recovery-r...[Read More] Understanding Postpartum Discharge: What to Expect After a C-Section
Should Women or Men Get Sterilized After Delivery? Expert Insights
Which is better, female sterilization or male sterilization? Hello Doctor: I am currently 7 months pregnant and planning for a cesarean section. Should I consider getting a tubal ligation at the same time, or should my husband get a vasectomy instead? I've heard that tubal l...
Dr. Yang Wangjun Reply:
Hello: (1) In academic literature, there are few reports of side effects associated with female sterilization; however, in clinical practice, there are indeed reactions related to ovarian dysfunction, including premature menopause, menstrual irregularities, and psychological dist...[Read More] Should Women or Men Get Sterilized After Delivery? Expert Insights
Understanding Vaginal Tightening Surgery: Risks and Recovery Insights
Questions about cosmetic surgery for reduction? Hello, Doctor. My husband and I have been married for nearly four years, and he is significantly younger than I am. Our sexual relationship is very harmonious, and I often experience orgasms thanks to him. However, I wonder if we ar...
Dr. Cai Yonglong Reply:
Dear Sir/Madam, Dr. Tsai Yong-long, Director of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, respectfully responds: Vaginal (including labia minora and perineum) reconstruction carries minimal risks associated with anesthesia an...[Read More] Understanding Vaginal Tightening Surgery: Risks and Recovery Insights
Understanding HPV During Pregnancy: Risks and Treatment Options
Pregnancy and genital warts? Hello Dr. Chuang, I would like to ask a question. I am currently six months pregnant and last week I discovered two small white lesions at the vaginal opening. I went to see an obstetrician who mentioned two possibilities: folliculitis or genital wart...
Dr. Zhuang Zhijian Reply:
Hello, thank you for your question. I would like to address your concern and provide some advice: If you unfortunately come into contact with condylomata acuminata (genital warts) associated with syphilis, there is a possibility of infection, such as in public restrooms. If there...[Read More] Understanding HPV During Pregnancy: Risks and Treatment Options
Optimal Timing for Scheduled C-Section: When to Deliver Your Baby?
What is the optimal week for a cesarean section? Hello Doctor: I am currently over 7 months pregnant. Since my first child was delivered via cesarean section, I plan to have a cesarean for this pregnancy as well. I would like to ask the doctor when approximately I can schedule th...
Dr. Zhong Wenzhen Reply:
Hello, Miss Ching: Assessing whether a fetus is suitable for delivery involves more than just considering the gestational age; a comprehensive evaluation is crucial: 1. Is the fetal growth curve normal? 2. Is the fetal weight adequate? Generally, a weight of 2500 grams is conside...[Read More] Optimal Timing for Scheduled C-Section: When to Deliver Your Baby?
Choosing the Right Time for Scheduled C-Section: A Guide for Parents
Timing of Cesarean Section Dear Doctor, Hello. My wife's due date is in late March. She has a double uterus and double cervix. The baby is currently in a breech position with some malpresentation, and there is also a slight deficiency in amniotic fluid. The doctor has recom...
Dr. Zhuang Zhijian Reply:
Based on your description, a cesarean section would be more ideal. Generally, the procedure is performed after the fetus reaches full term (at least 37 weeks). If a scheduled time is arranged and all preparations are in place, it is considered safer. In contrast, performing an em...[Read More] Choosing the Right Time for Scheduled C-Section: A Guide for Parents
Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Ovarian tumor After the ultrasound examination, the doctor mentioned that there is a 2.9 cm tumor on the right ovary, which is likely a teratoma. A blood test for CA-125 has been done, and the results will be available in a week. Can blood tests definitively determine whether the...
Dr. Zheng Chengjie Reply:
Dear Apple users, hello: CA-125 can serve as a reference indicator for chocolate cysts and ovarian cancer, but it is not absolutely accurate and must be interpreted alongside ultrasound images for a proper diagnosis. If it is a teratoma, surgical removal is recommended; if it is ...[Read More] Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Post-Hysterectomy Abdominal Distension: Causes and Treatment Options
What should be the subsequent treatment? Hello Doctor: Last time I asked you about the issue of abdominal bloating after a hysterectomy, and you provided a detailed answer. Thank you! Regarding your response, there are two possibilities: 1. There may be a hematoma in the abdomina...
Dr. Lin Zhaopei Reply:
1. The resolution of a hematoma varies depending on the situation, averaging between 3 to 6 weeks. If there are any concerns, one should see a doctor immediately. A binder is one option. 2. Intestinal adhesions can be diagnosed based on symptoms and abdominal X-rays. If symptom...[Read More] Post-Hysterectomy Abdominal Distension: Causes and Treatment Options
Optimal Management of Prolonged Fetal Heart Rate Deceleration During Labor
Production Process (Forwarded from the Director's Mailbox) In the case of prolonged fetal heart rate deceleration during labor, is it better to accelerate labor with artificial rupture of membranes, or is it preferable to perform a cesarean section to expedite the delivery o...
Dr. Huang Jianxun Reply:
Hello: 1. It depends on various circumstances at the time. 2. Whether there is fetal heart distress. 3. How the labor is progressing, etc. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and Gynecology.[Read More] Optimal Management of Prolonged Fetal Heart Rate Deceleration During Labor
Postpartum Sterilization: Addressing Prolonged Lochia and Surgical Options
Postpartum sterilization Hello, Doctor: Two years ago in March, I had a cesarean section, and my postpartum lochia lasted for three months without stopping. When I consulted a doctor, they only mentioned poor uterine contraction and advised me to get injections and take medicatio...
Dr. Huang Jianxun Reply:
Hello: There is no need to worry excessively about a hysterectomy; tubal ligation is not related to the duration of lochia. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and Gynecology.[Read More] Postpartum Sterilization: Addressing Prolonged Lochia and Surgical Options
Should I Opt for a C-Section? Weighing Risks for My Third Pregnancy
Should surgery be performed? I am 36 years old and pregnant with my third child. My first child was delivered via emergency cesarean section due to cord entanglement, and my second child was also delivered via emergency cesarean section due to placenta previa and complete cervica...
Dr. Li Guanghan Reply:
Hello: In our country, if the first two pregnancies are delivered via cesarean section, the third pregnancy will mostly also be delivered by cesarean section, although some may opt for a vaginal delivery. Each method has its own advantages and risks; you should discuss this in de...[Read More] Should I Opt for a C-Section? Weighing Risks for My Third Pregnancy
Cesarean vs. Natural Birth: Safety Considerations for Your Second Pregnancy
Cesarean section or vaginal delivery? Hello Doctor: I gave birth to my first child, a daughter weighing 3400 grams (now almost 2 years old), but I experienced postpartum hemorrhage. I later underwent emergency measures to stop the bleeding, avoiding a hysterectomy. Now I am pregn...
Dr. Zhuang Zhijian Reply:
I am not sure when the hemorrhage you mentioned occurred—was it during delivery, postpartum, or due to some other reason? However, regardless of the type of bleeding, it should not be related to the next pregnancy or delivery, and a cesarean section is not necessarily required. I...[Read More] Cesarean vs. Natural Birth: Safety Considerations for Your Second Pregnancy
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
Concerns About Irregular Menstrual Cycles and Abdominal Discomfort
Worry Dear Doctor: I experienced brown discharge a few days before my period in February, and it was still not close to my expected menstrual date. After examination, the doctor diagnosed me with irregular menstrual cycles and administered a menstrual induction injection along wi...
Dr. Chen Nengjin Reply:
Your issue requires an in-person examination at the hospital to confirm the diagnosis. Please visit the nearest gynecology outpatient clinic for evaluation. Thank you.[Read More] Concerns About Irregular Menstrual Cycles and Abdominal Discomfort
Natural Birth vs. Cesarean: Making the Right Choice for Your Delivery
Vaginal delivery or cesarean section? Hello, I am currently 34 weeks pregnant! During my prenatal check-up on Saturday (March 4), the fetal position was normal! For my first child, I had a cesarean section in 2000 due to abnormal fetal positioning. After receiving anesthesia, I b...
Dr. Huang Jianxun Reply:
Hello: There are risks associated with vaginal delivery after a cesarean section. Please respect the opinions of your attending physician. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and Gynecology.[Read More] Natural Birth vs. Cesarean: Making the Right Choice for Your Delivery
Understanding Hemorrhoids and Natural Birth: Key Concerns for Expecting Mothers
Hemorrhoids and Natural Childbirth Hello, Doctor: During my pregnancy, I experienced constipation and strained too much, resulting in external hemorrhoids. Is there a relationship between hemorrhoids and vaginal delivery? Will I need a cesarean section? This is my second pregnanc...
Dr. Zhuang Zhijian Reply:
Although you have hemorrhoids, it shouldn't require medication. As for cold medicine, if it is prescribed by an obstetrician, they would consider the issues related to the fetus. When you go for your prenatal check-up, you can ask the doctor about the baby's development...[Read More] Understanding Hemorrhoids and Natural Birth: Key Concerns for Expecting Mothers
Post-Cesarean Concerns: Low Milk Supply and Unusual Discharge
After a cesarean section It has been four months since my cesarean section, and I have very little breast milk, feeding a maximum of three times a day. However, my menstrual period has not returned yet. I have a lot of discharge that is yellow and sometimes has blood streaks. I h...
Dr. Lin Zhaopei Reply:
Breastfeeding not only promotes uterine contractions but also increases lactation hormones, which can lead to the absence of menstruation. If it has been four months since a cesarean section and there are still red-yellow discharge along with abdominal pain, it may indicate endom...[Read More] Post-Cesarean Concerns: Low Milk Supply and Unusual Discharge
Understanding Complete Placenta Previa: Risks and Delivery Options
Please provide your questions regarding placenta previa? Hello, I am currently 24 weeks and 5 days pregnant with my third child. The fetus is healthy and has grown to 26 weeks. My first two pregnancies were natural and full-term. However, I have been diagnosed with complete place...
Dr. Li Guanghan Reply:
Hello: The placenta may have the opportunity to move upward as the pregnancy progresses, but this is not guaranteed. Therefore, if the placenta remains low and obstructs the pathway for natural delivery by the time of full term, it is referred to as placenta previa, which necessi...[Read More] Understanding Complete Placenta Previa: Risks and Delivery Options