Understanding Breakthrough Bleeding on Birth Control Pills: Your Questions Answered
Questions about contraceptive pills? Hello Dr. Chang, this is my first time using oral contraceptives. I am currently taking "Yaz": 1. I started experiencing bleeding after taking the 19th pill; is this normal menstruation? 2. When should I start taking the next pack of...
Dr. Zhang Kunmin Reply:
Hello, the user: During the use of contraceptive pills, there is no need to stop taking them if menstruation occurs or if there is any bleeding; continue to take them as scheduled. Once the body adapts to the contraceptive pills, abnormal bleeding will typically cease. However, i...[Read More] Understanding Breakthrough Bleeding on Birth Control Pills: Your Questions Answered
Understanding Clitoral Itching: Causes, Treatments, and When to Seek Help
Genital itching This week, I've been experiencing itching around the clitoris, and I've scratched it to the point of breaking the skin. I often wake up at night due to the itching. I applied some medication that my sister used for her itching, which helped a little. Tod...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is difficult to determine the type of infection. Vaginal infections are not necessarily related to sexual activity. If symptoms persist, it is advisable to consult with your treating physician for further evaluation. Thank you! Wishing you pea...[Read More] Understanding Clitoral Itching: Causes, Treatments, and When to Seek Help
Do These Three Medications Affect the Effectiveness of Birth Control?
Will these three medications affect the effectiveness of preemptive contraception? Hello, I am currently taking these three medications: Microgynon 30, Clonazepam 0.5 mg, and Paroxetine. The first one is my oral contraceptive, and the second one is labeled as an anticonvulsant, b...
Dr. Zhang Kunmin Reply:
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives. ...[Read More] Do These Three Medications Affect the Effectiveness of Birth Control?
Understanding Post-Pill Bleeding: Is It Your Period?
Post-coital bleeding Hello doctor, my expected menstrual period is at the end of January. After taking the emergency contraceptive pill on January 1, I had bleeding from January 8 to January 12, and I am currently experiencing light bleeding. Should this be considered my menstrua...
Dr. Cao Guotao Reply:
Hello, it is likely that you are not pregnant; the bleeding is probably related to the emergency contraceptive pill. Wishing you good health.[Read More] Understanding Post-Pill Bleeding: Is It Your Period?
Understanding Cervical Irritation During Pregnancy: What You Need to Know
Cervical laceration during pregnancy? Hello, I am currently 17 weeks pregnant. During my 17-week prenatal check-up, I noticed some brown and pink discharge (not much, it doesn't stain my underwear, only noticeable when wiping). The ultrasound and cervix were normal, and afte...
Dr. Cao Guotao Reply:
Hello, if there is no bleeding, you may not need to use a tampon; observation should be sufficient. Wishing you good health.[Read More] Understanding Cervical Irritation During Pregnancy: What You Need to Know
Understanding Cervical Health: Do You Need Pap Smears After Sexual Activity?
Pap smear If I go for regular gynecological check-ups every year and previously only had abdominal ultrasounds when I didn't have a boyfriend, but now that I have a boyfriend who has used his fingers and rubbed his penis against my vulva (without full penetration), does this...
Dr. Cao Guotao Reply:
Hello, this does not count as actual sexual intercourse, so a Pap smear may not be necessary. The likelihood of having multiple sexual partners is higher. Wishing you good health.[Read More] Understanding Cervical Health: Do You Need Pap Smears After Sexual Activity?
Understanding Cervical Cancer Risks and Pap Smear Necessity for Young Women
Pap smear test Hello, doctor. I would like to ask if my boyfriend's finger penetration and friction with his penis against my genital area count as sexual intercourse. Should I have a Pap smear every year? Previously, when I didn't have a boyfriend, a gynecologist near ...
Dr. Zhang Kunmin Reply:
Hello, after engaging in sexual intercourse, it is advisable to undergo a Pap smear. However, it is important to note that HPV infection can occur immediately after sexual contact. Therefore, regular examinations of the vulva are recommended. The risk of cervical cancer is associ...[Read More] Understanding Cervical Cancer Risks and Pap Smear Necessity for Young Women
Understanding Pregnancy Chances After Protected Intercourse: Key Insights
Pregnancy probability Hello doctor, my girlfriend and I had sexual intercourse on January 31st. We used a condom throughout the entire act and withdrew before ejaculation. Afterward, we did not test the condom for leaks. Two days later, my girlfriend mentioned that her period cam...
Dr. Cao Guotao Reply:
Hello, you should not be pregnant. Wishing you good health.[Read More] Understanding Pregnancy Chances After Protected Intercourse: Key Insights
Understanding Pregnancy Chances: When to Trust Home Pregnancy Tests
Probability of Pregnancy Dear Doctor, I had sexual intercourse with my girlfriend on December 25. My last menstrual period started on December 3, and I was supposed to get my period on January 3, but it hasn't arrived yet. However, I am experiencing abdominal pain that is ...
Dr. Cao Guotao Reply:
Hello, it seems that you are not pregnant. If your period does not arrive after another week, it is advisable to see a gynecologist. Wishing you good health.[Read More] Understanding Pregnancy Chances: When to Trust Home Pregnancy Tests
Is It Normal for a 14-Year-Old to Miss Menstruation for Over Six Months?
Menstruation has not occurred for a long time? Hello doctor, I am 14 years old and I haven't had my period for over six months. I previously researched online and found that it is common for some individuals during puberty to experience similar situations where their periods...
Dr. Chen Zhiyu Reply:
It is recommended to visit a gynecology clinic for evaluation if you are experiencing irregular menstrual cycles. Thank you.[Read More] Is It Normal for a 14-Year-Old to Miss Menstruation for Over Six Months?
Concerns About Infection After Vaginal Ultrasound Without Condom
The nurse did not use a condom during the vaginal ultrasound? Urgent‼️‼️‼️ Yesterday, I went for a routine gynecological examination, which was actually my first follow-up visit. It was my first time undergoing a transvaginal ultrasound, and I suspect the nurse may have forgotten...
Dr. Zhang Kunmin Reply:
Hello, based on your description, instruments are usually disinfected before use on patients, so infection is not necessarily a concern. Suppositories are generally used to treat vaginal infections. If you have any further questions, please consult your physician. Thank you! Wish...[Read More] Concerns About Infection After Vaginal Ultrasound Without Condom
Do Grapefruit and Smoking Affect Birth Control Effectiveness?
Interactions of Emergency Contraceptive Pills Does pomelo, grapefruit, smoking, or psychiatric medications reduce the effectiveness of contraception or increase the risk of thrombosis? Thank you.
Dr. Zhang Kunmin Reply:
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the intestinal flora that aids in absorption, thereby decreasing the effectiveness of contracep...[Read More] Do Grapefruit and Smoking Affect Birth Control Effectiveness?
Can a Pelvic Exam Be Done Without Sexual Experience for Abnormal Discharge?
Is it possible to perform a pelvic examination for abnormal discharge in someone with no sexual experience? Hello Doctor, for many years, I have been experiencing recurrent light yellow, translucent discharge (sometimes yellow-green) that typically starts about two weeks before m...
Dr. Cao Guotao Reply:
Hello, it is likely inflammation. Generally, there is no need for a pelvic examination unless the patient strongly requests it. Wishing you good health.[Read More] Can a Pelvic Exam Be Done Without Sexual Experience for Abnormal Discharge?
Should You Get a Blood Test After Inconsistent Pregnancy Test Results?
If a pregnancy test shows positive one day and negative the next, should I get a blood test? Last month, my period started on December 21. This week, I've been experiencing a sensation of something stuck in my throat and occasional mild stomach pain, along with lower back pa...
Dr. Cao Guotao Reply:
Hello, you should take a pregnancy test if your period is late. Wishing you good health.[Read More] Should You Get a Blood Test After Inconsistent Pregnancy Test Results?
Understanding Irregular Menstrual Cycles: Causes and When to Seek Help
Menstrual irregularities Hello, doctor. In August, I had a pelvic ultrasound (since I am a virgin, I did not have a transvaginal ultrasound), and the doctor said my uterus is very healthy and the endometrium is normal. I mentioned that I have experienced intermenstrual bleeding, ...
Dr. Cao Guotao Reply:
Hello, you can visit the obstetrics and gynecology department for menstrual regulation. Wishing you good health.[Read More] Understanding Irregular Menstrual Cycles: Causes and When to Seek Help
Can the Hymen Regenerate After Being Torn? Understanding Your Concerns
The hymen does not typically grow back after it has been torn or stretched. However, the tissue may heal and appear different over time, but it will not return to its original state? I had intercourse with my boyfriend and I'm not sure if I accidentally broke my hymen. I...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended to consult a gynecologist for evaluation. Thank you! Wishing you safety and health. Dr. Chang[Read More] Can the Hymen Regenerate After Being Torn? Understanding Your Concerns
Understanding Lower Abdominal Pain and Vaginal Discomfort in Women
Vagina, lower abdomen The symptoms you are describing include lower abdominal bloating and pain, a sensation of a foreign body in the vagina during urination, and persistent urgency to urinate. Recently, you have noticed a round protrusion inside the vagina that causes increased ...
Dr. Chen Zhiyu Reply:
It is recommended that you promptly visit a gynecology or urology outpatient clinic for evaluation. Thank you.[Read More] Understanding Lower Abdominal Pain and Vaginal Discomfort in Women
Understanding Emergency Contraceptive Pills: Your Questions Answered
Emergency contraceptive pill Your girlfriend's menstrual period was from December 17 to December 22, and her cycle is irregular, so it's uncertain when ovulation occurred. You had unprotected intercourse with her at midnight on December 29, lasting over a minute without...
Dr. Cao Guotao Reply:
Hello, the bleeding is likely related to the emergency contraceptive pill, and the chances of pregnancy should be low. Wishing you good health.[Read More] Understanding Emergency Contraceptive Pills: Your Questions Answered
Do Oral Nystatin and Emergency Contraceptives Interact?
The interaction between emergency contraceptive pills and oral nystatin? Due to a Candida infection, the obstetrician prescribed oral nystatin and vaginal nystatin suppositories. Since oral nystatin is an antifungal medication, I would like to know if it interacts with the Yaz bi...
Dr. Cao Guotao Reply:
Hello, there should be no mutual influence, so pregnancy is unlikely. Wishing you good health.[Read More] Do Oral Nystatin and Emergency Contraceptives Interact?
Post-Surgery Travel Guidelines for Chocolate Cyst Patients
How long after surgery for a chocolate cyst can one travel abroad? Dear Director Cao, About ten days ago, I underwent surgery due to a ruptured right ovarian chocolate cyst, during which the left chocolate cyst and uterine fibroids were also addressed via laparoscopic surgery. O...
Dr. Cao Guotao Reply:
Hello, if you are not experiencing any discomfort, it should be fine to travel abroad. If you have received the Depo-Provera injection, your menstrual period may not occur. Gradual exercise should not be an issue. Wishing you good health![Read More] Post-Surgery Travel Guidelines for Chocolate Cyst Patients