Managing Endometriosis: Hormonal Treatments and Breast Concerns
Endometriosis Hello, doctor. Since February of this year, I have been diagnosed with endometriosis and started taking Visanne (2mg). After taking it for more than six months, I experienced emotional lows, frequent anger, and chest tightness due to menopause symptoms. On November ...
Dr. Cao Guotao Reply:
Hello, could you please consult your obstetrician-gynecologist to see if it's possible to discontinue one of the two medications? Wishing you good health.[Read More] Managing Endometriosis: Hormonal Treatments and Breast Concerns
Understanding Pregnancy Risks: Can You Conceive During Your Period?
I still want to clarify? I am case #190286. I apologize for bothering the doctor. Today, on 12/24, I visited a traditional Chinese medicine practitioner due to persistent lower back pain. I also inquired about the situation on 12/17. The practitioner said it is almost impossible ...
Dr. Cao Guotao Reply:
Hello, theoretically it is the safe period, so pregnancy is unlikely. Wishing you good health.[Read More] Understanding Pregnancy Risks: Can You Conceive During Your Period?
Understanding Pregnancy Risks: Can You Conceive During Menstruation?
I still want to clarify? I am case #190286. I apologize for bothering the doctor. Today, 12/24, I visited a Traditional Chinese Medicine practitioner due to persistent lower back pain. I also inquired about the situation on 12/17. The practitioner mentioned that it is almost impo...
Dr. Cao Guotao Reply:
Hello, theoretically, it is safe during the fertile period not to get pregnant. Wishing you good health.[Read More] Understanding Pregnancy Risks: Can You Conceive During Menstruation?
Understanding Yellow Discharge with Odor and Back Pain: Possible Causes
Yellow discharge with a foul odor and a sour smell, accompanied by lower back pain? Menstruation occurred from November 19 to November 27. On November 27, there was unprotected sexual intercourse without ejaculation. Following that, there was light bleeding for four consecutive d...
Dr. Cao Guotao Reply:
Hello, experiencing a sour taste may indicate inflammation. It is recommended to consult a gynecologist. Wishing you good health.[Read More] Understanding Yellow Discharge with Odor and Back Pain: Possible Causes
Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Questions about lesions? HPV virus test negative for infection, but biopsy shows CIN 1, and Pap smear indicates inflammation. How does this compare in severity to typical HPV-infected CIN 1? What is the risk of progression to cancer? What are the chances of spontaneous clearance?...
Dr. Zhang Kunmin Reply:
Hello, the situation you described cannot be compared. If there is no HPV virus, the risk is generally lower. There is no evidence that the vaccine prevents worsening, and the lesions are not related to general inflammation. It is recommended to follow the management principles f...[Read More] Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Is White Powdery Discharge Normal After Taking Menstrual Medication?
White powdery discharge after taking erectile dysfunction medication? Doctor, I am planning to go to a hot spring next week, and I expect my period to start around December 27. Last night, I visited the gynecologist to get medication and also had a Pap smear done. I started takin...
Dr. Zhang Kunmin Reply:
Hello, based on your description of symptoms, it is advisable to monitor the situation. If the symptoms persist or worsen, please consult a physician for diagnosis and treatment. Thank you! Wishing you safety and good health. Dr. Chang[Read More] Is White Powdery Discharge Normal After Taking Menstrual Medication?
Understanding Post-Coital Bleeding: Is It Menstruation or Something Else?
Postpartum hemorrhage Hello, my last menstrual period was from October 27 to November 2, and this month it was from December 6 to December 11. On the 11th, I had unprotected intercourse without ejaculation, and about an hour later, I took emergency contraception. On the 17th, I e...
Dr. Zhang Kunmin Reply:
Hello, the bleeding you are experiencing cannot be determined whether it is caused by the emergency contraceptive pill or other reasons. Additionally, the effectiveness of emergency contraception is not 100%, with a failure rate of about 3%. It is recommended that if your period ...[Read More] Understanding Post-Coital Bleeding: Is It Menstruation or Something Else?
Can I Take Qingguan No. 1 After Medical Abortion and COVID Diagnosis?
After a medical abortion, is it safe to take Qingguan No. 1? Hello Doctor, I took the first dose of medication for medical abortion on December 21, but unfortunately, I tested positive that evening. Can I take Qingguan No. 1 or other antiviral medications? Today, I will have a fa...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.[Read More] Can I Take Qingguan No. 1 After Medical Abortion and COVID Diagnosis?
Do Pain Relievers Affect Birth Control Effectiveness? Key Insights
Emergency contraceptive pills and Paracetamol drug interactions? Hello, doctor. I am currently taking the oral contraceptive pill (Mirelle). I would like to ask if taking Panadol Extra will affect the effectiveness of my birth control. Do I need to take any additional contracepti...
Dr. Zhang Kunmin Reply:
Hello, the following medications can interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) may reduce the effectiveness of oral contraceptives. When taking these medications, alternative...[Read More] Do Pain Relievers Affect Birth Control Effectiveness? Key Insights
Can You Get Vaccinated During Medical Abortion? Addressing Common Concerns
Is it safe to receive a vaccine during a medical abortion, and what should be done if one catches a cold during this period? Dear Doctor: I went to the obstetrics and gynecology department on Monday and found out that I am five weeks pregnant. I have informed the doctor that I wa...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.[Read More] Can You Get Vaccinated During Medical Abortion? Addressing Common Concerns
Understanding the Interaction Between Birth Control Pills and COVID-19 Vaccines
Regarding emergency contraceptive pills and the COVID-19 vaccine? Hello Doctor, I am currently taking the oral contraceptive pill - Aivee (24+4 formulation), and I have some questions: 1. I have a cold, and based on my previous research, I found that some medications that inter...
Dr. Cao Guotao Reply:
Hello, it generally does not have any impact, so you can continue taking the contraceptive pills as usual. Wishing you good health.[Read More] Understanding the Interaction Between Birth Control Pills and COVID-19 Vaccines
Understanding Drug Interactions: Birth Control and Antibiotics
Drug interactions Hello Doctor, I would like to inquire about my current use of the contraceptive pill Dailian to regulate my menstrual cycle. Recently, I visited a dermatologist and was prescribed the antibiotic Cephanmycin. Will there be any interactions between the two? Thank ...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.[Read More] Understanding Drug Interactions: Birth Control and Antibiotics
Concerns About Receiving Expired Cervical Cancer Vaccine: What to Know
Cervical cancer vaccine consultation? Recently, I received a dose of the cervical cancer vaccine (Gardasil) that was two days past its expiration date. The clinic has sincerely apologized, but I am still a bit worried. I would like to ask the doctor if this will have any adverse ...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. The timing for vaccination is approximately fine, and it can also be done a little earlier. Wishing you good health![Read More] Concerns About Receiving Expired Cervical Cancer Vaccine: What to Know
Pregnant and Concerned: Risks of Drinking Water with Ants
Hello, doctor... I would like to ask about infectious diseases! Hello Doctor: I am currently over five months pregnant. I accidentally drank some water that had two live ants in it without noticing. Could this lead to any infectious diseases? Will it have any impact on my pregnan...
Dr. Cao Guotao Reply:
Hello, generally it won't happen. Wishing you good health.[Read More] Pregnant and Concerned: Risks of Drinking Water with Ants
Understanding the Timing for Removing and Replacing IUDs
Regarding the removal interval of the Mirena IUD? Hello, the instruction manual for the long-term stable use of an intrauterine device (IUD) states that it can be removed during intercourse and reinserted within three hours without affecting its contraceptive effectiveness. I wou...
Dr. Zhang Kunmin Reply:
Hello, if there are no discomforts, it is actually not necessary to remove it. If the ring is out of the vagina for more than three hours during the first or second week, the contraceptive effectiveness may be reduced. However, if it is out for more than three hours during the th...[Read More] Understanding the Timing for Removing and Replacing IUDs
Understanding Vaginal Inflammation and Bleeding After Treatment
Vaginal inflammation with bleeding? Hello doctor, I started having sexual intercourse for the first time in October. Both parties were clean before engaging in sexual activity, but I have been experiencing recurrent vaginitis. I suspect it might be due to my busy academic schedul...
Dr. Cao Guotao Reply:
Hello, regarding your issue, the general physician would advise the patient to observe the bleeding temporarily. If it does not stop, it is necessary to see a gynecologist. Wishing you good health.[Read More] Understanding Vaginal Inflammation and Bleeding After Treatment
Dizziness After Cervical Biopsy: Causes and Concerns for Women
Dizziness after a cervical biopsy? Abnormal Pap smear result code 6, CIN 1, revealed atypical squamous cells. To confirm further, a biopsy was performed on December 9. Since then, I have been experiencing severe dizziness every day, along with a slight aching and stabbing sensati...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is difficult to determine the underlying cause. I recommend that you consult your physician, who can assess your condition and decide whether to arrange for relevant examinations to address your pain. Thank you! Wishing you peace and health. D...[Read More] Dizziness After Cervical Biopsy: Causes and Concerns for Women
Should You Delay Your HPV Vaccine After Testing Positive for COVID-19?
Regarding HPV vaccination issues? Hello doctor, I received my first dose of the HPV nine-valent vaccine on October 21, and I plan to receive the second dose on December 21. However, I tested positive for COVID-19 on December 9. Should I postpone the second dose of the HPV vaccine...
Dr. Cao Guotao Reply:
Hello, you can extend the appointment for another week. Wishing you good health.[Read More] Should You Delay Your HPV Vaccine After Testing Positive for COVID-19?
Understanding Treatment Options for Metastatic Cervical Cancer
Please provide information on the treatment for metastatic cervical cancer? Dear Doctor: My mother was diagnosed with stage IIB cervical cancer in September 2017 and underwent chemotherapy (cisplatin) and radiation therapy (both internal and external). In March 2020, after discov...
Dr. Lin Xinwang Reply:
Hello, Feng: 1. First of all, imaging studies have their limitations; positron emission tomography (PET) may not detect very small metastatic cancer cells, and the same applies to computed tomography (CT). Therefore, clinical assessment is usually still necessary. Based on your...[Read More] Understanding Treatment Options for Metastatic Cervical Cancer
Understanding Breakthrough Bleeding on Birth Control Pills: What to Do?
Pre-menstrual bleeding I am currently taking Diane, and I started my first pack on November 13. During the course of taking it, I experienced continuous bleeding. I consulted a doctor, who advised me to continue taking the medication. After stopping for 7 days, my menstrual perio...
Dr. Zhang Kunmin Reply:
Hello, the user: During the use of the medication, if menstruation occurs or bleeding happens, there is no need to stop taking the medication; continue to take it as scheduled. Once the body adjusts to the contraceptive, abnormal bleeding should cease. However, if irregular bleed...[Read More] Understanding Breakthrough Bleeding on Birth Control Pills: What to Do?