CIN, Obstetrics and Gynecology FAQ

Can Vaccines Accelerate Menopause? Understanding Early Ovarian Aging

Early menopause? How to delay it? 1. If the ovaries are already in early failure, could receiving the COVID-19 and HPV vaccines at the age of 41 potentially lead to an earlier onset of menopause? I have noticed a decrease in menstrual flow, but due to a cervical biopsy showing CI...

Dr. Huang Yuande Reply:
1. The HPV vaccine is unrelated to the timing of menopause. 2. Both the cysts and fibroids are small, and it is acceptable to supplement with DHEA; moderate intake of soy isoflavones should also be beneficial. 3. Generally, it is not common; cysts are often related to hormones, s...

One Year with Mirena: Understanding Changes and Concerns

Using Mierina for one year? After using Mirena for a year, I noticed that my menstrual flow decreased to just a few days of dark brown spotting that required only wiping, lasting about 2-4 days. By the fourth month, I have effectively been in a state of amenorrhea with no menstru...

Dr. Cao Guotao Reply:
Hello, it may be related to the Mirena. You might consider switching to a copper IUD to see if your acne improves. Wishing you good health.

Understanding Antibiotics: Side Effects and Safe Usage in Women's Health

Medication Consultation: Antibiotics A few days ago, I was prescribed CURAM 1000 for influenza A, and after taking it for two days, I started experiencing bleeding in my private area, with three days left until ovulation. Could this be due to the medication or ovulation bleeding?...

Dr. Cao Guotao Reply:
Hello, it should not be related to taking antibiotics; it could be ovulation bleeding. Complete the course of antibiotics to ensure full treatment. Wishing you good health.

Understanding CIN2: Symptoms, Treatment Options, and Recurrence Risks

Cervical intraepithelial neoplasia grade 2 (CIN 2) Hello Doctor, I was diagnosed with CIN2 last month. The physician gave me the option of 1. electrosurgery or 2. conization, and I chose to undergo conservative treatment with electrosurgery first. The procedure was on May 10, and...

Dr. Zhang Kunmin Reply:
Hello, the progression of this condition varies for each individual. It is recommended to follow up with your physician at the suggested intervals. If you experience severe symptoms or have any concerns, you may return for an evaluation. Thank you! Wishing you peace and health. D...

Understanding Menstrual Induction Medications and Their Side Effects

What are the side effects of menstrual induction medications? Hello doctor, it has been a month since sexual intercourse (exactly 31 days). I have done a home pregnancy test and visited an obstetrician twice for ultrasound examinations, all of which indicated that I am not pregna...

Dr. Cao Guotao Reply:
Hello, it is likely that your menstrual period is approaching, and you probably are not pregnant. Just monitor the situation. Wishing you good health.

Understanding Medication Abortion: Signs of Pregnancy or Retained Tissue?

Medication abortion issues After taking the medication, I started experiencing heavy bleeding from April 17, which stopped on April 24. I had intercourse in early May, and my period still hasn't arrived. On June 10, I took a pregnancy test, and it showed two very dark lines....

Dr. Zhang Kunmin Reply:
Hello, based on your description, both possibilities could be valid. It is recommended that you consult a physician for evaluation. Thank you! Wishing you peace and health. Dr. Chang

Understanding Fertility: Can You Get Pregnant After Taking Preconception Pills?

Sixth day of taking pre-exposure prophylaxis (PrEP)? Hello doctor, I am a patient with polycystic ovary syndrome (PCOS). I have been taking traditional Chinese medicine for regulation. My last menstrual period started on May 11, and this month it also started on the 11th. I took ...

Dr. Zhang Kunmin Reply:
Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle. If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of pill use....

Understanding Contraceptive Pills: Risks of Pregnancy After Six Days

Understanding Irregular Bleeding After IUD Use: Common Causes Explained

I would like to inquire about the intrauterine device (IUD)? Your girlfriend has been using an intrauterine device (IUD) for a while and is considering taking a break for a month. However, her menstrual cycle has passed, and she is still experiencing light bleeding, which can be ...

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, uterine or cerv...

Understanding Irregular Bleeding After IUD Use: Common Causes Explained

Understanding Irregular Bleeding After IUD Use: Causes and Concerns

I would like to inquire about the intrauterine device (IUD)? Your girlfriend has been using an intrauterine device (IUD) for a while and is considering taking a break for a month. However, her menstrual cycle has already passed, and she is still experiencing ongoing light bleedin...

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 contraception, diet, polycystic ovary syndrome, uterine or cervical l...

Can I Get the HPV Vaccine While Taking Menstrual Delay Medication?

Is it safe to take menstrual pain medication when receiving the HPV vaccine? Hello, I would like to inquire about my appointment for the third dose of the 9-valent HPV vaccine in two days. However, due to travel plans, I have started taking medication for extended travel. Will ta...

Dr. Cao Guotao Reply:
Hello, the two do not affect each other. Wishing you good health.

Understanding Pregnancy Chances with PCOS: A Temperature Guide

Probability of pregnancy? I have polycystic ovary syndrome and am currently being treated at a reproductive center. On June 2nd, I received an ovulation trigger shot and had intercourse. I started using the ovulation predictor kit (OPK) on June 9th, but my temperature readings ar...

Dr. Cao Guotao Reply:
Hello, if you suspect you might be pregnant, it's advisable to monitor your situation. If your period is late, it's recommended to take a pregnancy test. Wishing you good health.

Post-Endometrial Cancer Surgery: Common Concerns and FAQs

Postoperative care for endometrial cancer? Hello Doctor, I had surgery for endometrial cancer about two months ago, during which my uterus and part of my lymph nodes were removed (ovaries retained). The pathology report indicated stage 1a, so the doctor said I only need to follow...

Dr. Lin Xinwang Reply:
Hello, Apple: 1. If the ovaries still have function and ovulation is ongoing, estrogen levels will remain high, so close monitoring is necessary. 2. The vagina and surrounding areas still have glands that produce secretions; if there are secretions without symptoms, it is normal....

Post-Intercourse Discomfort and Menstrual Cycle Concerns Explained

Experiencing discomfort after eating and issues with the menstrual cycle? Hello Doctor: My last menstrual period started on May 13, and my cycle averages between 27 to 32 days. I had intercourse with my boyfriend on June 5, and the condom broke, but there was no ejaculation. The ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, if the symptoms persist or worsen, you should seek medical attention. The effects of emergency contraception on menstruation can vary; it may not necessarily cause your period to come early or late. Additionally, its contraceptive effectiveness i...

Can You Get a Cervical Cancer Vaccine Boost After 10 Years?

Questions about the cervical cancer vaccine? Hello, doctor. I would like to inquire about the administration of the cervical cancer vaccine. I received the bivalent cervical cancer vaccine in 2008, and since it has been over ten years, is it possible to receive a booster dose of ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, there are no clinical recommendations. However, if considering protection against other types of viruses, it is also possible to receive a multivalent vaccine. Thank you! Wishing you peace and health. Dr. Zhang

Managing Ovarian Cysts: Can Supplements Help with Early Ovarian Failure?

Ovarian cyst At 42 years old, experiencing symptoms of premature ovarian failure, including discomfort such as vaginal dryness and susceptibility to inflammation, and having had an early onset of menstruation with concerns about early menopause, you are considering supplementing ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended to consult with a physician to evaluate whether supplementation is appropriate, considering factors such as the type, size, and characteristics of the cyst. Thank you! Wishing you peace and health. Dr. Zhang

HPV Vaccine Injection Concerns: When to Seek Medical Advice?

Vaccine injection issues Hello doctor, I received the first dose of the HPV vaccine on June 1st. I had no discomfort at the time, but on June 8th, I experienced soreness, swelling, and a small lump at the injection site. It has not improved up to now. Is this normal? Should I jus...

Dr. Cao Guotao Reply:
Hello, please start with a warm compress. If there is no improvement, it is recommended to return to your original unit for further evaluation. Wishing you good health.

Understanding Itchy Genitalia: Causes, Treatments, and Relief Strategies

Genital itching and accompanying therapies? Hello, doctor. I have been experiencing recurrent candidiasis and have been undergoing treatment at the clinic for about two weeks with non-steroidal oral medication and topical ointment. I am currently on day 9 of the treatment. I woul...

Dr. Cao Guotao Reply:
Hello, stress can sometimes lead to a decrease in immune function, which may cause itching, although this is less common. It is still advisable to consult a gynecologist for treatment. Wishing you good health.

Understanding Emergency Contraceptive Pills: Timing, Usage, and Interactions

Emergency contraceptive pill issues? Hello, doctor. I would like to ask about taking the contraceptive pill (Yaz) for the first time, which comes in a pack of 21. I have read many articles suggesting to start taking it on the first day of my period or the fifth day. However, I ac...

Dr. Cao Guotao Reply:
Hello, start taking the contraceptive pill on the fifth day of your menstrual cycle. Taking it on the sixth day may slightly affect its contraceptive effectiveness. If you're concerned, you can use additional contraceptive methods. Generally, you can take the contraceptive p...

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