Understanding Genital Warts vs. Hemorrhoids: A Guide for Women
A difficult-to-discuss issue..? Last month, I had my first Pap smear at a private clinic, and the doctor informed me that there are several protrusions (similar to granulation tissue) located between my vulva and anus, which are suspected to be genital warts (they have been incre...
Dr. Chen Fuhao Reply:
Hello, based on your symptom description, it is inferred that you may have a sexually transmitted infection caused by the human papillomavirus (HPV), commonly known as genital warts (because they resemble cauliflower). This condition is not uncommon in Taiwan and can affect both ...[Read More] Understanding Genital Warts vs. Hemorrhoids: A Guide for Women
Understanding Puerperal Fever: Symptoms, Causes, and Risks After C-Section
What is puerperal fever? I had a cesarean section on April 3rd, which was my third C-section. After the delivery, the surface of the incision had completely healed, and there was no discharge or pus. However, I experienced significant pain in the deeper layers of the wound, and i...
Dr. Dai Qihan Reply:
Hello Wen-Chung: Puerperal fever is a fever that occurs after childbirth, typically occurring between 24 hours and 10 days postpartum. A mother may experience a fever 24 hours after delivery; if her temperature rises above 38°C (100.4°F), it may indicate puerperal fever. There ar...[Read More] Understanding Puerperal Fever: Symptoms, Causes, and Risks After C-Section
Understanding Right Lower Abdominal Pain: Causes and Next Steps
Right lower abdominal pain? Hello Dr. Jan: I previously visited the Veterans General Hospital and Chang Gung Memorial Hospital due to pain in my lower right abdomen (sometimes on the left side, but less frequently) and underwent gynecological examinations. However, the ultrasound...
Dr. Zhan Deqin Reply:
1. Ultrasound is not万能; it cannot detect all conditions. 2. If you have undergone abdominal surgery (such as appendectomy, cesarean section, tubal ligation, or others) or have experienced severe pelvic inflammatory disease, you are more likely to develop adhesions that can cause ...[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps
Understanding the Risks and Costs of Abortion Procedures
Surgical abortion Is there any risk associated with undergoing an abortion procedure? Which type of abortion procedure is considered safer? What is the approximate cost?
Dr. Chen Fuhao Reply:
Hello, Miss Hsiao-Hui: I apologize for the delayed response as I was abroad for further studies. Regarding the issues you mentioned, here is a summary: Artificial abortion, commonly referred to as abortion, is the medical procedure used to terminate an unwanted pregnancy for va...[Read More] Understanding the Risks and Costs of Abortion Procedures
Understanding White Discoloration at the Nipple-Areola Junction: Causes and Concerns
The area where the nipple connects to the areola appears white (similar to being soaked in water for too long)? Hello: I am 30 years old, married, and have two children, both delivered by cesarean section. I breastfed my second child from May 1999 to March 2000. Even now, if I sq...
Dr. Zhan Deqin Reply:
1. If there is a change in breast color along with a hard lump, it is advisable to consult a breast surgeon or consider undergoing a breast ultrasound examination. 2. If there is still breast milk present, a blood test to check prolactin levels should be performed to determine ...[Read More] Understanding White Discoloration at the Nipple-Areola Junction: Causes and Concerns
Understanding C-Section Risks for Keloid-Prone Patients: What to Know
Cesarean section and keloid? Hello: I have decided to undergo a cesarean section, but I have a predisposition to keloids. I have a keloid scar on my chest that is approximately 6 cm long, 3 cm wide, and 0.3 cm thick. I have previously treated it with cryotherapy and steroid injec...
Dr. Zhan Deqin Reply:
1. If you have this type of constitution, there is a possibility of developing keloids after a cesarean section. Applying silicone sheets immediately after surgery and using them for more than six months may help improve the condition. 2. Natural vaginal delivery can also lead ...[Read More] Understanding C-Section Risks for Keloid-Prone Patients: What to Know
Persistent Inflammation in Pap Smear: Next Steps for Treatment and Testing
The results of the Pap smear showed inflammation. After treatment, the Pap smear results still indicate inflammation? The results of the Pap smear showed inflammation. After a week of treatment, I had another Pap smear three months later, and the inflammation was still present. S...
Dr. Liang Yinpan Reply:
Hello Ms. Kai, The Pap smear test is conducted to detect cervical cell abnormalities early, with the aim of early detection and treatment to prevent the occurrence of cervical cancer. If the Pap smear results indicate inflammation, it is generally still considered a normal resu...[Read More] Persistent Inflammation in Pap Smear: Next Steps for Treatment and Testing
Understanding Pre-Menstrual Abdominal Pain: Causes and Solutions
Abdominal pain occurs 1 to 2 weeks before menstruation? Dear Dr. Wei, Hello, I am married and have had two children (both via cesarean section). Recently, I have been experiencing abdominal pain about 1 to 2 weeks before my menstrual period. The pain is located in the lower abdo...
Dr. Wei Fumao Reply:
Sometimes it is ovulation that causes cramping. Please continue to monitor the situation, and if the pain becomes severe, you may take medication.[Read More] Understanding Pre-Menstrual Abdominal Pain: Causes and Solutions
Post-Cesarean Menstrual Cycle: When to Expect Your Period?
Not yet arrived? I had a cesarean section at the end of August this year, but I still haven't gotten my period. How long does it usually take for menstruation to return after giving birth? Is this normal? How long should I wait before seeking further evaluation? Thank you.
Dr. Zhan Deqin Reply:
1. If you are not breastfeeding, your period will likely return in about two months, but if you are breastfeeding, it may not be as predictable. 2. If it doesn't come in two weeks, you should consider getting it checked out![Read More] Post-Cesarean Menstrual Cycle: When to Expect Your Period?
Key Questions on RU486 and Medical Procedures in Obstetrics and Gynecology
Please ask your question? 1. Can women who have had a cesarean section take RU486? Does taking RU486 pose a risk of causing bowel perforation? 2. Can a doctor perform a puncture to extract fluid from a patient's colon in a general ward? 3. Does a perforation of the colon...
Dr. Zhan Deqin Reply:
Hello: One possible method that would not cause a perforation of the colon. Two, is it possible to use a puncture technique to aspirate fluid from the colon? You may have misunderstood or misheard! Three, since I do not know what type of puncture or what kind of surgery is being ...[Read More] Key Questions on RU486 and Medical Procedures in Obstetrics and Gynecology
Understanding Dysmenorrhea: Treatment Options and Surgical Insights
Dysmenorrhea Hello doctor, I am 29 years old and have given birth to one child via cesarean section. Over the past year or two, I have been experiencing menstrual pain (which I did not have before). I have been taking medication for nearly a year, including a treatment called The...
Dr. Zhan Deqin Reply:
Severe endometriosis often causes dysmenorrhea, and uterine artery embolization may sometimes provide limited relief. Pharmacological treatments, whether injectable or oral, only temporarily suppress symptoms and do not provide a cure. It is advisable not to rely on the same pain...[Read More] Understanding Dysmenorrhea: Treatment Options and Surgical Insights
Understanding Placental Calcification: Concerns and Solutions for Expecting Mothers
The issue of placental calcification? Hello, I am 34 weeks pregnant, and my baby's weight is 2346 grams with a normal fetal heart rate. During today's check-up, the doctor mentioned that I have placental calcification and advised me to monitor the situation. I have a fe...
Dr. Li Guanghan Reply:
Placental calcification generally occurs when the fetus reaches a mature stage. Mild calcification at 34 weeks is considered a normal phenomenon. Placental calcification cannot be prevented or treated, and only severe calcification may affect the blood exchange between the fetus ...[Read More] Understanding Placental Calcification: Concerns and Solutions for Expecting Mothers
Understanding Low Placenta: Risks and Precautions for Expecting Mothers
What is "placenta previa"? In late April, during a routine prenatal check-up at the hospital (at 24 weeks gestation), the doctor mentioned: "low-lying placenta." What does this mean, what should I pay attention to, and is there any risk involved?
Dr. Zhan Deqin Reply:
1. When the placenta is positioned too close to the cervical opening, it is referred to as placenta previa. There are several types of this condition; if the placenta is low enough to cover the cervical opening, it is specifically called complete placenta previa. This condition c...[Read More] Understanding Low Placenta: Risks and Precautions for Expecting Mothers
Is Epidural Labor Pain Relief Really Pain-Free? Exploring Myths and Costs
Painless childbirth Is painless delivery really painless? If it's so good, why do so few people use it? It seems that others only ask whether you want a natural birth or a cesarean section. Why is painless delivery rarely mentioned? Are there any side effects or risks associ...
Dr. Zhan Deqin Reply:
1. Truly painless. 2. Because it is not covered by health insurance. 3. It is not completely without risk. 4. The cost ranges from approximately 5,000 to 6,000 NT dollars, varying by hospital.[Read More] Is Epidural Labor Pain Relief Really Pain-Free? Exploring Myths and Costs
Postpartum Back Pain: Is It Related to Anesthesia?
Postpartum lower back pain? Hello Dr. Lin: I have an aunt who, four to five years ago, experienced pregnancy and underwent a spinal anesthesia. Since then, she has been experiencing persistent lower back pain on both sides of her spine. She has been undergoing rehabilitation for ...
Dr. Lin Zhaopei Reply:
Generally, spinal anesthesia (also known as regional anesthesia) is commonly used in procedures such as appendectomy, orthopedic surgeries, and cesarean sections. However, it is often reported that patients experience lower back discomfort after cesarean delivery. In fact, during...[Read More] Postpartum Back Pain: Is It Related to Anesthesia?
Understanding Ovulation: When to Seek Help for Pregnancy Concerns
Want to conceive? Hello Dr. Cheng, I have a question to ask you. I gave birth to my first child via cesarean section on July 1, 1999, and I have been using special contraception since then, but I have not had a second child. My menstrual cycle is regular, occurring on the 1st o...
Dr. Li Guanghan Reply:
You should measure your basal body temperature to check for ovulation. The calculation for the ovulation period is 14 days before the start of your next menstrual period.[Read More] Understanding Ovulation: When to Seek Help for Pregnancy Concerns
Post-Cesarean Recovery: When Is It Safe to Resume Intimacy?
Cesarean section I had a cesarean section in mid-October, and I am still experiencing intermittent vaginal bleeding, with the color changing from dark red to brown and even green. Two days ago, it turned yellow. During this time, I consulted with an obstetrician who mentioned mil...
Dr. Wei Fumao Reply:
The duration of lochia after a cesarean section is not necessarily longer than that after a vaginal delivery. It is advisable to consult a physician who specializes in cesarean deliveries for an examination. If there is bleeding after intercourse, it may indicate that menstruatio...[Read More] Post-Cesarean Recovery: When Is It Safe to Resume Intimacy?
Post-Cesarean Bloating: Causes and Relief Strategies for New Moms
Bloating It has been over a year since I gave birth to my second child via cesarean section, and I often experience abdominal bloating. Is this due to the cesarean delivery? How can I alleviate the symptoms?
Dr. Lin Zhaopei Reply:
Common complications of cesarean delivery include significant bleeding, abdominal wall hematoma, wound infection, bladder injury, adhesions, and anesthesia-related injuries. Adhesions often lead to symptoms such as abdominal pain, bloating, and constipation. For long-term bloatin...[Read More] Post-Cesarean Bloating: Causes and Relief Strategies for New Moms
Understanding Fistulas: Causes, Symptoms, and When to Seek Help
What is a fistula? Hello Dr. Jan! I have read about "fistulas" in newspapers and magazines, and I feel that my situation is quite similar. I gave birth to my first child naturally in 1990, underwent a myomectomy in 1993 (my first surgery), then had a cesarean section fo...
Dr. Zhan Deqin Reply:
It could be a vaginal-rectal fistula, but a thorough examination is necessary to confirm. If left untreated, there is a possibility that stool may enter the vagina, leading to an increased risk of infection. It is advisable to consult a gynecologist to prevent the condition from ...[Read More] Understanding Fistulas: Causes, Symptoms, and When to Seek Help
Is Fetal Head and Pelvis Asymmetry Caused by Malposition?
Is the asymmetry between the fetal head and the pelvis caused by an abnormal fetal position? Is the asymmetry between the fetal head and the pelvis caused by abnormal fetal positioning? What causes pelvic asymmetry? Is it a congenital developmental issue or a problem during pregn...
Dr. Wang Hanzhou Reply:
Cephalopelvic disproportion (CPD) refers to a condition where the fetal head is too large or the pelvis is too narrow. A small pelvis may be due to congenital factors, short stature, pelvic fractures, or conditions such as poliomyelitis. CPD can lead to abnormal fetal positioning...[Read More] Is Fetal Head and Pelvis Asymmetry Caused by Malposition?