CIN, Obstetrics and Gynecology FAQ

Understanding Clomiphene: Why Am I Experiencing Pre-Menstrual Bleeding?

Bleeding before the next menstrual period after taking Clomiphene? Hello, Doctor. I have been taking Clomiphene, starting on the third day of my menstrual cycle, taking 2 pills at bedtime for five days. I have taken it twice, but since I haven't become pregnant, I noticed th...

Dr. Cao Guotao Reply:
Hello, theoretically it should not have any impact, and you can just observe. Wishing you good health.

Understanding Post-Sexual Activity Pain: When to Seek Medical Advice

Low back pain and lower abdominal pain one week after sexual intercourse? Hello Doctor: On March 24-25, I had genital friction with my partner; I was wearing pants, but my partner was not. On March 30, I had sexual intercourse for the first time, with one instance of unprotected ...

Dr. Cao Guotao Reply:
Hello, the probability of pregnancy should be low, so observation is sufficient. If you have had sexual experience, you may consider getting a Pap smear, which is a simple and convenient test. Wishing you good health.

Could I Be Pregnant? Understanding Ovulation and Emergency Contraception

Can I get pregnant? It seems that your ovulation period was around March 21 to March 23, and your last menstrual period started on March 9. You had unprotected intercourse briefly on March 25 and then used a condom. The following day, on March 26, you had unprotected intercourse ...

Dr. Cao Guotao Reply:
Hello, the chances of pregnancy should be low. It's advisable to wait another one to two weeks to see if your period arrives. If it doesn't, I recommend consulting a gynecologist. Wishing you good health.

Understanding Ovarian Cysts: Treatment Options and Fertility Concerns

Ovarian cyst Hello, doctor. I have a few questions regarding my situation as a 36-year-old who has never been pregnant. 1. I have a left ovarian cyst measuring 8.6 x 7 cm. Is surgery the only option available? Medications or injections have not been effective in reducing its si...

Dr. Huang Yuande Reply:
1. Generally, if the size is greater than 7 centimeters, surgery can be considered. If clinical examination shows no signs of malignancy, observation may be an option. However, if there is severe pain or persistent bleeding, a physician's evaluation is necessary. 2. Yes. ...

Understanding Ovarian Cysts: When Surgery Becomes Necessary

Ovarian cyst Hello doctor, I have discovered an ovarian cyst measuring nearly 7 centimeters (based on abdominal ultrasound). I have not taken any medication, and after six months of follow-up, it has grown to 8.6 centimeters (based on transvaginal ultrasound). Does this mean that...

Dr. Cao Guotao Reply:
Hello, if you are not experiencing any discomfort and do not wish to undergo surgery at this time, you can choose to observe the situation for a while. If there is any further increase, you can consider surgery later. Wishing you good health.

Understanding and Managing Vulvar Itching: Causes and Solutions

Genital itching Recently, I was consistently drinking 2000cc of water daily, but I feel a bit swollen after reducing my intake slightly [it's just a sensation, not something I specifically checked]. The area around my clitoris is extremely itchy, especially at night, making ...

Dr. Zhang Kunmin Reply:
Hello, based on your symptom description, it is possible that you have contact dermatitis. It is recommended to maintain a light diet, have a regular daily routine, and keep the perineal area clean and dry. Avoid wearing tight clothing. You may soak in a bath to relieve symptoms....

Could You Be Pregnant? Understanding Unusual Symptoms and Timing

Is it possible to be pregnant? Your last menstrual period started on February 6. You had sexual intercourse during your menstrual period and experienced brown discharge for about a week starting on March 15, but no red menstrual flow (it's unclear if this counts as a period)...

Dr. Cao Guotao Reply:
Hello, the chances of pregnancy should be low. If you're still concerned, you can take a pregnancy test. Wishing you good health.

Blood After Wiping: Understanding Possible Causes in Women

There is blood after wiping following urination? There is blood after wiping following urination, sometimes there is blood and sometimes there isn't, and there is no pain. The blood is pink in color. I have seen a gastroenterologist and had an ultrasound that came back norma...

Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend that you consult with an obstetrician-gynecologist or a urologist to determine whether the bleeding is from the vagina or the urethra for proper diagnosis and treatment. Thank you! Wishing you peace and health. Dr. Zhang

Can You Take Accutane with Emergency Contraceptive Pills?

Medication issues Hello, doctor: I would like to ask if it is safe to take A acid (tretinoin) together with the emergency contraceptive pill "Ella" (ulipristal acetate)?

Dr. Zhang Kunmin Reply:
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) can reduce the effectiveness of oral contraceptives. When taking these medications, alternative...

Managing Continuous Bleeding While Taking Birth Control Pills

Taking birth control pills to stop menstruation but experiencing continuous bleeding? I only have my period and my body becomes very poor, to the point where I almost die. When I don't have my period, my body feels better, so I need to stop my menstruation. I have been takin...

Dr. Zhang Kunmin Reply:
Hello, the user: During the use of contraceptive pills, if bleeding occurs, there is no need to stop taking the medication; continue to take it as scheduled. Once the body adapts to the contraceptive pills, abnormal bleeding will cease. However, if irregular bleeding persists for...

Understanding Delayed Menstruation After Emergency Contraceptive Use

Take the emergency contraceptive pill as directed? Hello Doctor, I would like to ask about my girlfriend's situation. Her last menstrual period was around February 14 to February 28. We had unprotected intercourse during that time, and she took the emergency contraceptive pi...

Dr. Cao Guotao Reply:
Hello, if you are still experiencing discomfort, you can first consult a gynecologist, and they may consider inducing menstruation. Wishing you good health.

Is It Possible to Be Pregnant After Irregular Menstrual Cycles?

Is it possible to get pregnant during menstruation? Hello Doctor: I am 36 years old and my menstrual cycle usually starts on the 7th, 8th, 9th, or 10th of each month, lasting about 3 days. For the past six months, I have been trying to conceive (taking ovulation medication and pr...

Dr. Cao Guotao Reply:
Hello, it is possible that you are pregnant. Please continue to follow up at a hospital or clinic. Wishing you good health.

Understanding Bleeding with IUD Use: What You Need to Know

Bleeding with an intrauterine device (IUD)? I inserted a contraceptive ring on February 25 and removed it on March 11, exceeding 12 hours. I bought a new ring and reinserted it today (March 28). I am experiencing bleeding but I'm not sure if it's a normal menstrual peri...

Dr. Cao Guotao Reply:
Hello, if you are experiencing heavy bleeding similar to menstruation, it is advisable to remove the contraceptive device. If the bleeding is not significant, you can observe it for the time being. Generally, this does not affect pregnancy tests. Wishing you good health.

Managing Side Effects of Emergency Contraceptive Pills: Tips and Alternatives

Side effects of emergency contraceptive pills? Your girlfriend has recently taken the emergency contraceptive pill and is experiencing symptoms such as headaches, abdominal bloating, and nausea. Are there any relief methods? Should she stop taking the emergency contraceptive or s...

Dr. Cao Guotao Reply:
Hello, try taking Panadol first to see if it helps relieve the symptoms. If not, stop the medication and switch to a different brand of contraceptive pill on the fifth day of your period. Wishing you good health.

Is Pregnancy Possible After Unprotected Sex? Understanding Your Cycle

Last day of menstruation: January 17? Hello doctor, today is March 20, and my period has not arrived yet. My last period ended on January 17. I did not have a period in February, but I had sexual intercourse on February 4. We did not use a condom during the process, but we did us...

Dr. Lin Xinwang Reply:
Hello: 1. If you are concerned about pregnancy and your period is late, please take a pregnancy test or consult a doctor. 2. Endocrine disorders can also affect the menstrual cycle, such as high work-related stress, among other factors.

Understanding Delayed Periods After Emergency Contraceptive Use

Take the emergency contraceptive pill as directed? Hello doctor, I would like to ask about my girlfriend's situation. Her last menstrual period was around February 14 to February 28. We had unprotected intercourse during that time, and she took Plan B (emergency contraceptio...

Dr. Cao Guotao Reply:
Hello, it is likely that you are not pregnant. If you still feel unwell, you should see a doctor. If you feel better, you can wait another week. If your period still does not arrive, it is advisable to consult a gynecologist. Wishing you good health.

Understanding Ovulation Irregularities: Causes and Concerns

Abnormal Ovulation Period Hello doctor, my menstrual period in February was from February 16 to February 23. I had sexual intercourse with a condom on February 26. My predicted menstrual date for March is March 18, but on March 18, I noticed discharge that resembles ovulation dis...

Dr. Lin Manying Reply:
Hello, it is recommended that you first visit an obstetrician-gynecologist for a pregnancy test and examination. Additionally, significant emotional fluctuations may also lead to abnormalities. Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Understanding Irregular Menstrual Bleeding After Taking Delay Pills

Issues with menstrual regulation medications? If you took one dose of emergency contraception and then your menstrual cycle started, but you stopped taking it, and now you are experiencing intermittent light red discharge with an unusual odor for two weeks, is this normal? Thank ...

Dr. Huang Yuande Reply:
This is likely abnormal bleeding due to ovulation, rather than a result of a single dose of emergency contraception. If it persists, it is advisable to consult a physician for further evaluation.

Can Minors Receive Menstrual Induction Injections? Understanding the Risks

Can minors receive menstrual induction injections? Hello, doctor. I am fifteen years old and have had sexual intercourse using a condom. Afterward, I checked the condom and it was not broken. My period is currently delayed by 10 days. I went to the pharmacy to buy a medication to...

Dr. Cao Guotao Reply:
Hello, your period should come within a week after taking the menstrual induction medication. If it doesn't arrive after that time, please consult a gynecologist. Wishing you good health.

Understanding Drug Interactions: Birth Control and Antibiotics

Drug interactions Hello, I am currently taking the oral contraceptive pill Diane-35 and have completed two packs. On the seventh day of my seven-day break, I started taking doxycycline (two pills a day) prescribed by my clinic due to a cold. I plan to return to the ENT specialist...

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