CIN, Obstetrics and Gynecology FAQ

Understanding HPV Infection and Pap Smear Results After Treatment

Pap Smear Test & HPV Infection Hello, doctor. In September 2021, I was diagnosed with CIN 2, and in October, I underwent a cone biopsy. Post-operative follow-up was normal. In June 2022, I completed the nine-valent HPV vaccine, and subsequent follow-up in September 2022 showe...

Dr. Lin Manying Reply:
Hello: 1. Cone biopsy surgery has an inflammation rate of approximately 0.3%-0.4%. Vaccination may lead to concerns about reinfection; vaccines are not intended to eliminate the virus but to provide prevention. It is also possible that a previous infection was not completely clea...

Understanding Uterine Fibroids, Endometriosis, and Pelvic Adhesions: Treatment Options Explained

Uterine fibroids, endometriosis, pelvic adhesions? At 30 years old and unmarried, I am seeking to become pregnant. I am experiencing painful intercourse and lower abdominal pain a week before my menstrual period. Currently, I have two fibroids, each over 3.5 cm but not reaching 4...

Dr. Lin Xinwang Reply:
Hello, Fang: After laparoscopic surgery, it is recommended to take medication to reduce pain symptoms and recurrence. Long-term use of Danazol may lead to abnormal uterine bleeding.

Severe Menstrual Pain and Heavy Bleeding After Childbirth: What to Do?

Severe menstrual pain and heavy menstrual bleeding both during and after pregnancy? Hello Doctor, I usually experience significant pain and blood clots during my menstrual periods. I've heard that menstrual pain may improve after childbirth, but I gave birth to my fourth chi...

Dr. Cao Guotao Reply:
Hello, it is recommended to see an obstetrician-gynecologist for an ultrasound examination. Wishing you good health.

Can You Take Supplements with Fibroadenomas and Uterine Fibroids?

Can I take these dietary supplements if I have a breast fibroadenoma and uterine fibroids? I have a breast fibroadenoma and uterine fibroids. Currently, I am taking probiotics, fish oil, collagen, UC♊️, glucosamine, Centrum, vitamins B, C, D3, and cholesterol-lowering medications...

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

Understanding Abnormal Menstrual Symptoms: When to Seek Medical Advice

Menstrual irregularities Hello, doctor. I would like to ask about an issue I experienced. In May, on a certain day, I noticed a faint pinkish blood streak when I wiped after urinating, which occurred intermittently. A few days later, my menstrual period started. This continued fo...

Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, lesions of the ...

First-Time Use of Emergency Contraceptive Pills: Key Questions Answered

First time taking emergency contraceptive pills #Ella 24+4? Hello Doctor, Due to the long-distance meeting, I will be going to the United States for 32 days starting from December 14th. I would like to ask the following questions: 1. My expected menstrual period is December 1...

Dr. Cao Guotao Reply:
Hello, you should start taking the contraceptive pill on the fifth day of your menstrual period. If you want to delay it further, you can continue taking another pack of contraceptive pills after finishing the first one, and then stop taking the pills once you get home. Wishing y...

Understanding Ovulation Spotting: Causes and When to See a Doctor

Ovulation bleeding My period started on October 20 and ended on October 23. (My menstrual cycle is usually quite regular, lasting about five days, with heavier flow on the second and third days, and lighter flow on the first, fourth, and fifth days, resembling brown discharge wit...

Dr. Cao Guotao Reply:
Hello, it could be ovulatory bleeding; just monitor it. Wishing you good health.

Understanding HPV Transmission and Prevention in Shared Spaces

Routes and Methods of HPV Infection Hello doctor, I am concerned about the possibility of HPV infection due to the presence of many couples in my living environment. I would like to understand if an HPV carrier uses the restroom (without washing their hands properly) and then dir...

Dr. Cao Guotao Reply:
Hello, transmission typically does not occur through hand contact. It takes three doses of the vaccine to be effective. Wishing you good health.

Understanding Hemostatic Medications: Managing Abnormal Uterine Bleeding

I would like to inquire about hemostatic agents? My menstrual period started on October 15 and has been continuous. Initially, it felt like a regular period, but later it turned into bright red bleeding. I had a transvaginal ultrasound, which revealed a 2 cm fibroid in the muscul...

Dr. Cao Guotao Reply:
Hello, bleeding may be related to stopping medication. If the bleeding is significant, consider it as your menstrual period and observe for a few more days to see if it stops. If it doesn't, you should consult a gynecologist. Wishing you good health.

How to Prevent Genital Herpes Infection from Roommate in Shared Bathrooms

What should I do if my roommate with a shared bathroom has genital herpes? 1. Can it be transmitted through physical contact or saliva? 2. How can I effectively avoid transmission? 3. What is the difference between herpes and warts? 4. I currently have no symptoms; should I...

Dr. Zhang Kunmin Reply:
There is no vaccine for genital herpes, so the only way to prevent infection is to avoid it. It is recommended to use condoms throughout sexual contact, such as oral, anal, or vaginal intercourse, with non-monogamous partners. In public places like hot springs or swimming pools, ...

Common Questions About Pre-Conception Pill Usage and Effects

Questions related to the timing of taking emergency contraceptive pills? Hello Doctor: I previously took Diane for over a year, but I stopped the medication for about 5-6 months due to experiencing low mood. Later, my doctor mentioned a recurrence of polycystic ovary syndrome, so...

Dr. Zhang Kunmin Reply:
Hello, inquirer: This type of contraceptive pill should be taken daily at a fixed time according to the instructions on the packaging, with one tablet swallowed with an adequate amount of liquid for 21 consecutive days. After a 7-day break, you should start the next pack. During ...

Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations

Consultation on Sleep Medication for Breastfeeding Mothers Hello, Director Zhang! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night for feedings, making it increasingly difficult for me to fall asl...

Dr. Zhang Kunmin Reply:
Hello, the medication you inquired about is generally not recommended for long-term use while breastfeeding. It is advisable to discuss with a psychiatrist whether there are alternative medications available. Thank you! Wishing you peace and health. Dr. Zhang

Understanding the Interaction Between Cinna and Grapefruit Juice in Contraceptive Use

Interactions between Hina and grapefruit juice? Hello, doctor. I previously obtained the medication Ella (ulipristal acetate) from the obstetrics and gynecology department. Today is the fifth day of my menstrual period, and I am about to take the first pill from the first pack, w...

Dr. Cao Guotao Reply:
Hello, if you take the contraceptive pill as directed, it will be effective for contraception, and grapefruit juice does not have an impact on it. Wishing you good health.

Understanding Pregnancy Testing and Menstrual Irregularities: Key Insights

Pregnancy Testing Related Hello doctor, my menstrual cycle is approximately 29 to 31 days, lasting about seven days. The first day of my period in September was September 15. I had sexual intercourse with my boyfriend on September 30, using a condom and he did not ejaculate. Acco...

Dr. Cao Guotao Reply:
Hello, your period has arrived, so you should not be pregnant. Wishing you good health.

Stopping Birth Control Pills: Side Effects and Irregularities Explained

Discontinuation of contraceptive pills? Hello doctor, I started taking the contraceptive pill "Yueji" on October 9th to delay my period for my travel dates (November 9th to November 19th). My period is expected to arrive in the next few days, but due to the side effects...

Dr. Zhang Kunmin Reply:
Hello, the user: After discontinuing birth control pills, it is possible to experience irregular menstrual cycles. This can vary depending on the duration of use, type of contraceptive, age, lifestyle habits, and individual constitution. If necessary, it is advisable to consult a...

Stopping Birth Control Pills: Side Effects and Irregular Period Risks

Discontinuation of contraceptive pills? Hello Doctor, I started taking the oral contraceptive pill "Yueji" on October 9th to delay my period for my travel dates (November 9th to November 19th). My period is expected to arrive in the next few days, but I would like to st...

Medication Consultation for Breastfeeding Moms: Sleep Aids and Safety

Consultation on the use of sleep medications during breastfeeding? Hello, Director Cao! I am a breastfeeding mother, and my child is currently 14 months old. Recently, the frequency of my child waking up at night for milk has increased, making it difficult for me to fall asleep a...

Dr. Cao Guotao Reply:
Hello, the amount of medication that is secreted into breast milk after taking it is generally very small. If you really cannot sleep, it may be necessary to take it; otherwise, taking care of your child could become an issue. Wishing you good health.

Understanding Induced Abortion: Costs and Resources for Support

Induction of labor surgery After the divorce, I am facing financial difficulties while raising my two children alone. The father keeps saying he will provide money, but then disappears when it's time to deliver. This situation has been going back and forth, and now I am over...

Dr. Cao Guotao Reply:
Hello, you are quite far along in your pregnancy, so it's important to address this quickly. Some clinics or hospitals are willing to help, but you should check with your regular obstetrician-gynecologist. Wishing you good health.

Understanding Interactions of Emergency Contraceptives and Antibiotics

Interactions of Emergency Contraceptive Pills I have already taken the fifth pack from June 30 to July 20, the first pack from July 28 to August 17, the second pack from August 25 to September 14, the third pack from September 22 to October 12, and the fourth pack starting Octobe...

Dr. Cao Guotao Reply:
Hello, antibiotics do not affect the effectiveness of birth control pills, so if you are taking contraceptives, you should not become pregnant. Wishing you good health.

Understanding Prolonged Menstrual Periods: When to Seek Medical Advice

The duration of the menstrual period has suddenly increased, and it feels like menstruation is still ongoing? Hello, doctor. My menstrual period has usually lasted for a normal 7 days, and by the 5th or 6th day, it would start to turn into a small amount of brownish color, simila...

Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy or prolonged menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and more. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If ...

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