Understanding Fetal Position and Delivery Options: A Guide for Expecting Mothers
Dr. Lu Dear Dr. Lu, Hello! I am 25 years old, and my due date is November 17, 2005. However, there has been no fetal movement. I had an ultrasound today, and the findings are as follows: fetal biparietal diameter is 94 mm, fetal position is left occipital, fetal heart rate is 13...
Dr. Lü Lizheng Reply:
I would like to inquire about when my baby will be born, whether this situation allows for a vaginal delivery, and what the risks are for the baby. Thank you. [Please conduct a fetal heart rate monitoring and Doppler ultrasound test to check for any signs of fetal distress. If ...[Read More] Understanding Fetal Position and Delivery Options: A Guide for Expecting Mothers
Managing Heavy Menstrual Bleeding: Seeking Effective Solutions for Relief
Menorrhagia Dear Dr. Lu, I have three children, all delivered via cesarean section. Over the past year, my menstrual blood flow has increased each month, lasting eight to ten days. This has also led to recurrent yeast infections. I have sought treatment at your hospital due to p...
Dr. Lü Lizheng Reply:
For heavy menstrual bleeding, consider the use of uterotonics and hemostatic agents. Progesterone therapy can also be attempted. Additionally, minor surgical procedures such as endometrial ablation, curettage, or electrosurgery may be options. Hysterectomy can also be considered....[Read More] Managing Heavy Menstrual Bleeding: Seeking Effective Solutions for Relief
Pregnancy with Uterine Fibroids: Risks, Changes, and Management Options
Pregnancy with Uterine Fibroids Hello: Previously, my wife was diagnosed with a 10x7 cm uterine fibroid growing towards the back of the uterus. Some doctors suggested that she should undergo surgery to remove it before trying to conceive, while others believed that there is a ris...
Dr. Li Guanghan Reply:
Hello: 1. There is a 1/3 chance that the fibroid will increase in size, a 1/3 chance that it will remain the same size, and a 1/3 chance that it will decrease in size. 2. There is no significant risk to life; most cases can be delivered vaginally, and only a small number may requ...[Read More] Pregnancy with Uterine Fibroids: Risks, Changes, and Management Options
Post-Cesarean Recovery: Understanding Lochia and Future Pregnancy Timing
Question I had a cesarean section on September 30, and I still haven't completely passed the lochia. It seemed like I was close to finishing two weeks postpartum, but in the last three days, it has increased again and the color has turned dark red. Is it normal for lochia to...
Dr. Jian Hongmou Reply:
1. The duration of postpartum lochia can vary; it is recommended to visit an obstetrics and gynecology clinic to check for issues such as poor uterine contraction or inflammation. 2. After a cesarean section, it is advised to wait at least six months before attempting to conceive...[Read More] Post-Cesarean Recovery: Understanding Lochia and Future Pregnancy Timing
Managing Irregular Menstrual Cycles After Childbirth: A Guide
Irregular menstruation? Since giving birth to my two children (I had a cesarean section), my menstrual cycle has been irregular. I have seen a doctor and have been taking birth control pills for over six months, but I still experience spotting for 15 to 20 days, and my menstrual ...
Dr. Li Guanghan Reply:
Hello: Please come for a consultation to undergo an ultrasound examination, pelvic examination, and Pap smear. If necessary, we will arrange for blood tests and hysteroscopy to determine the cause of your symptoms (such as whether it is adenomyosis, endometrial polyps, fibroids, ...[Read More] Managing Irregular Menstrual Cycles After Childbirth: A Guide
Post-Cesarean Pain and Delayed Menstruation: What to Know
Seven months after a cesarean section, the incision still hurts, and menstruation has not yet returned? Hello, I underwent a cesarean section at your hospital on January 21 of this year. The incision site still experiences pain, and although I am not breastfeeding, my menstruatio...
Dr. Li Guanghan Reply:
Hello: 1. There is no specific timeframe for postoperative pain resolution, as individual recovery varies. It is also possible for pain to develop into a chronic condition, so please consult a gynecologist for an examination. 2. It is unreasonable to have milk secretion when prol...[Read More] Post-Cesarean Pain and Delayed Menstruation: What to Know
Understanding Infertility: Testing, Causes, and Concerns for Couples
Infertility Is it possible to undergo infertility testing at any time (same-day clinic visit), or is it necessary to schedule an appointment? Is adenomyosis caused by congenital factors or acquired factors that are uncertain? I have been pregnant before, but due to certain circum...
Dr. Li Guanghan Reply:
Hello: 1. First come to the outpatient clinic, then we will arrange a time. 2. It mostly occurs in women who have undergone surgery on the uterus (such as abortion or cesarean section). 3. If a woman has not conceived for over a year without contraception since her last pregnancy...[Read More] Understanding Infertility: Testing, Causes, and Concerns for Couples
Addressing Concerns About Cesarean Delivery During Pregnancy
Prenatal Questions I am currently about 31 weeks pregnant and considering a cesarean section; however, my elders are not very supportive, and even my doctor is not keen on me having a cesarean. I have a strong fear of natural childbirth, as many of my friends have experienced uri...
Dr. Li Guanghan Reply:
Hello: Any medical procedure has its benefits and drawbacks. Urinary incontinence is a potential complication of vaginal delivery, while cesarean delivery carries risks such as allergic reactions to anesthesia, bleeding, postoperative adhesions, and incomplete expansion of the fe...[Read More] Addressing Concerns About Cesarean Delivery During Pregnancy
Understanding Severe Headaches Before and After Menstruation
Headaches before and after menstruation? Hello doctor, I would like to ask about experiencing severe headaches one to two days before or after my menstrual period. I used to endure the pain, but now I rely on painkillers. This situation has been ongoing for about two years. Could...
Dr. Shi Chengyang Reply:
Hello, you may be experiencing premenstrual syndrome (PMS). Please visit the outpatient clinic for a consultation. Thank you![Read More] Understanding Severe Headaches Before and After Menstruation
Understanding Menstrual Changes After Childbirth: Headaches and Clots
Menstrual period Hello, after giving birth in October 2001, I have experienced headaches and breast tenderness every month during my menstrual period. Additionally, I pass large blood clots during my period, sometimes as big as a fist. I never experienced this before having child...
Dr. Li Guanghan Reply:
Hello: Generally, after a natural delivery, menstrual cramps tend to be less painful and menstrual flow may decrease. However, if you experience increased menstrual pain and heavier bleeding after a cesarean section, it could be due to adenomyosis. Please come to the Department o...[Read More] Understanding Menstrual Changes After Childbirth: Headaches and Clots
Is a C-Section Necessary If Labor Doesn't Start on Its Own?
Do I need a cesarean section? I am currently pregnant and my due date was on March 27, but there have been no signs of labor. The doctor has advised me to be hospitalized on March 30 to receive induction medication, and if there are still no signs of labor, a cesarean section wil...
Dr. Li Guanghan Reply:
Hello: If there are no abnormalities during prenatal check-ups, daily fetal movements are normal, and the nonstress test (NST) at 40 weeks (due date) is reactive, it is generally acceptable to wait until 41 weeks to induce labor. However, you should closely monitor fetal movement...[Read More] Is a C-Section Necessary If Labor Doesn't Start on Its Own?
Concerns After C-Section: Pain and Irregular Menstrual Cycle Explained
Concerns after cesarean delivery? I gave birth via cesarean section on November 26, 2004. On the third day, I experienced significant pain at both ends of the incision (I received a postpartum pain relief injection during the surgery). After returning home, the symptoms persisted...
Dr. Chen Nengjin Reply:
Thank you for your message. Your description is insufficient for a diagnosis. Essentially, if the surgeon believes there is no issue, then observation is the next step. If you still have concerns, you may return for a follow-up appointment. This issue needs to be assessed in pers...[Read More] Concerns After C-Section: Pain and Irregular Menstrual Cycle Explained
Understanding Chronic Abdominal Pain After Gynecological Surgeries
Regarding the perplexities of abdominal pain..? I experienced menopause at the age of 51, had an ectopic pregnancy in 1976, underwent a cesarean section in 1977, and had another ectopic pregnancy. After three surgeries, I had lower abdominal pain for a year or two, and doctors di...
Dr. Mao Yikun Reply:
1. Please visit the outpatient clinic for an examination. 2. Pain relievers can help alleviate pain.[Read More] Understanding Chronic Abdominal Pain After Gynecological Surgeries
Severe Shoulder and Chest Pain in Pregnant Women: Causes and Solutions
Severe pain in the shoulder blades and chest during the 36th week of pregnancy? My wife has been experiencing back pain since about the 34th week of her pregnancy. Starting this Wednesday (1/18), the discomfort has intensified, making it painful to sit, lie down, or perform tasks...
Dr. Lü Lizheng Reply:
The response may indicate that the enlarged uterus is pressing upward against the diaphragm and ribs, causing chest pain, which in turn may compress the thoracic and lumbar spine, leading to pain in the chest, lower back, and shoulder blades. It is also important to consider pote...[Read More] Severe Shoulder and Chest Pain in Pregnant Women: Causes and Solutions
How Soon Can You Start Jogging After a C-Section?
How long after a cesarean section can one start jogging? Hello, Doctor Shi: How long after a cesarean section can I start jogging? Thank you!
Dr. Shi Chengyang Reply:
It is recommended that after three months, a typical wound heals in about a week, but the underlying muscles and other tissues may take up to three months to fully recover. Generally, normal daily activities can be resumed about a week after the procedure. Regarding weight gain d...[Read More] How Soon Can You Start Jogging After a C-Section?
Understanding Chronic Pelvic Inflammation After C-Section and Sterilization
Chronic pelvic inflammatory disease (PID) I had a cesarean section for my second child and underwent a tubal ligation on June 5, 2004. Since then, I have been experiencing recurrent uterine inflammation for the past three months. I would like to know if this is related to the ces...
Dr. Huang Jianxun Reply:
It is difficult to determine the relationship based solely on this description; it is better to have a physician's examination before drawing conclusions.[Read More] Understanding Chronic Pelvic Inflammation After C-Section and Sterilization
Impact of Water Breaking on Fetal Cord Issues and Emergency C-Section Timing
I would like to inquire about "water breaking" (rupture of membranes)..? Hello Dr. Lyu: I would like to ask you whether "rupture of membranes" will affect a fetus with "nuchal cord." Regarding the issue of "emergency cesarean section"—how l...
Dr. Lü Lizheng Reply:
In most cases, "rupture of membranes" does not adversely affect the fetus due to "nuchal cord." However, there are a few patients for whom the situation may vary, and an emergency cesarean section is determined based on the urgency of the circumstances, with n...[Read More] Impact of Water Breaking on Fetal Cord Issues and Emergency C-Section Timing
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
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 Placenta Previa: Risks, Management, and Fetal Growth Concerns
Placenta previa Hello Doctor: I am currently 27 weeks and 5 days pregnant (with intermittent brown discharge). Four days ago, I visited an obstetrician due to a cold, and the doctor informed me that I have a condition called placenta previa. He advised me to be cautious and menti...
Dr. Zhan Deqin Reply:
At 28 weeks of pregnancy, the average weight of a male fetus is approximately 1380 grams, while a female fetus averages around 1200 grams. Therefore, your fetus is not considered too small. In the late stages of pregnancy, the fetus typically gains about 100 grams per week, and b...[Read More] Understanding Placenta Previa: Risks, Management, and Fetal Growth Concerns