Can You Safely Combine Emergency Contraceptives with Antidepressants and Sleep Aids?
Is it safe to take pre-exposure prophylaxis (PrEP) along with antidepressants or sleep medications? Hello, Doctor: I am currently taking the emergency contraceptive pill, but I have also been on antidepressants (Reboxetine, Mirtazapine) and sleep aids (Zolpidem, Alprazolam, Clona...
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...[Read More] Can You Safely Combine Emergency Contraceptives with Antidepressants and Sleep Aids?
Does Taking Other Medications Affect Birth Control Pill Effectiveness?
Can taking other medications affect the effectiveness of birth control pills? Due to otitis media, I am taking the following medications: 1. "Hua Hsing" Ibuprofen 20 mg 2. Yong Sheng Yi Wei Tablets 3. Norfloxacin Coated Tablets 1000 mg. I read online that antibiotics ca...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.[Read More] Does Taking Other Medications Affect Birth Control Pill Effectiveness?
Managing Uterine Tumors: Options and Considerations for Women
Uterine fibroids Hello Doctor, I am really confused because there is no one around me with a similar issue. I am 36 years old and have been taking 21-day birth control pills since I was 28. At the beginning of this year, I noticed that my menstrual blood flow has become very ligh...
Dr. Lin Lixuan Reply:
In general, any tumor in the body requires excision and pathological examination (pathology report) to determine whether it is benign or malignant; imaging studies and blood cancer markers are merely indicators for physicians to assess the likelihood of the tumor being benign or ...[Read More] Managing Uterine Tumors: Options and Considerations for Women
Can Toxoplasmosis Be Transmitted Through Contaminated Masks?
I would like to ask about issues related to Toxoplasma? Hello doctor: Today, a bottle of mineral water rolled under the doormat, and later I went to eat hot pot, placing the mineral water on the table. The mask I was wearing came into contact with the spot on the table where the ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, the likelihood of infection is low. If necessary, please consult a physician for further examination. Thank you! Wishing you safety and good health. Dr. Chang[Read More] Can Toxoplasmosis Be Transmitted Through Contaminated Masks?
Is the HPV Vaccine Necessary for HPV Type 53? Understanding Your Options
Is the HPV vaccine necessary? After examination, it was confirmed that the type is HPV 53. The obstetrician-gynecologist suggested that the nine-valent HPV vaccine could be administered for prevention, but is it necessary? I've heard that there is a high probability that HPV...
Dr. Lin Xinwang Reply:
Hello, Ms. Li: 1. The nine-valent HPV vaccine is recommended for individuals aged 12 to 45, with better efficacy in those who have not engaged in sexual activity or have not been infected with HPV. 2. After HPV infection, if the immune system is strong, 70-80% of cases may res...[Read More] Is the HPV Vaccine Necessary for HPV Type 53? Understanding Your Options
Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Pap smear examination 1. I noticed from the records that I had sexual intercourse late Friday night (which is also Saturday) with a condom, and I wiped the vaginal area with tissue. Is it okay for me to have a Pap smear early Tuesday morning? Will it affect the accuracy of the re...
Dr. Huang Yuande Reply:
1. No, because the primary purpose of a Pap smear is to screen for cancer, so it will not be affected. 2. No, the virus is ubiquitous; as long as there is clean sexual activity and good local hygiene, it should be fine. 3. No, those are different viruses.[Read More] Understanding Pap Smear Accuracy and Cervical Cancer Risks for Women
Can You Get Pregnant During Menstruation? Understanding Risks and Timing
Contraception during menstruation? Your girlfriend's menstrual period was from November 12 to November 18, and you had unprotected intercourse on the third day, November 14. Her menstrual cycle has been regular for the past three months, and you estimate ovulation to occur a...
Dr. Zhang Kunmin Reply:
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used to make a determination. There are many causes for bleeding outside of the menstrual period (such as lesions in the reproductive organs, pregnancy, hormonal imbala...[Read More] Can You Get Pregnant During Menstruation? Understanding Risks and Timing
Is It Implantation Bleeding or Prolonged Ovulation Bleeding?
Could it be implantation bleeding? Hello Doctor, I would like to ask whether my situation is indicative of early pregnancy implantation bleeding or just prolonged ovulation bleeding. My menstrual cycle in November was from November 1 to November 7. I had my first sexual intercour...
Dr. Zhang Kunmin Reply:
Hello, the failure rate of using condoms for contraception is over 5%, which is less reliable compared to other methods. If sexual activity is frequent, relying solely on condoms for contraception is not recommended. Additionally, it is not possible to determine pregnancy or ovul...[Read More] Is It Implantation Bleeding or Prolonged Ovulation Bleeding?
Understanding Cervical Specimen Quality and Its Impact on HPV Testing
The quality of the specimen collection is acceptable? Hello Director Zhang, I recently received the report for the liquid-based cytology test. The quality of the specimen was only acceptable (reason: absence of endocervical components), and there was inflammation within the norma...
Dr. Zhang Kunmin Reply:
Hello, based on your brief description, if the report does not recommend a repeat Pap smear, then follow the physician's suggested treatment and regular check-ups. It is best to discuss the relevant recommendations with the examining physician based on the complete report of...[Read More] Understanding Cervical Specimen Quality and Its Impact on HPV Testing
Understanding Early Pregnancy Signs: Implantation Bleeding vs. Ovulation
Inquire about symptoms? Hello Doctor, I would like to ask whether my situation is early pregnancy implantation bleeding or just prolonged ovulation bleeding. My menstrual cycle in November was from November 1 to November 7, lasting seven days. I have been taking the contraceptive...
Dr. Cao Guotao Reply:
Hello, if you are taking birth control pills, you should not be ovulating, which means you should not become pregnant. However, if you are still experiencing bleeding, it is advisable to see a gynecologist. Wishing you good health.[Read More] Understanding Early Pregnancy Signs: Implantation Bleeding vs. Ovulation
Managing Nausea from Birth Control Pills: Tips and When to Consult Your Doctor
Nausea after taking pre-exposure prophylaxis (PrEP)? Hello doctor, I have been taking Escitalopram for about a week. Since the second day, I have been experiencing nausea in the mornings or after meals, but it hasn't reached the point of vomiting. Should I finish this month&...
Dr. Cao Guotao Reply:
Hello, it is recommended to take the medication after eating. If there is no improvement, you can go to the hospital to get antiemetic medication. Wishing you good health.[Read More] Managing Nausea from Birth Control Pills: Tips and When to Consult Your Doctor
Should You Get the HPV Vaccine After Recovering from COVID-19?
If you are scheduled to receive the second dose of the HPV vaccine and have been diagnosed with COVID-19, should you proceed with the vaccination as planned? Hello, doctor. I am scheduled to receive the second dose of the nine-valent HPV vaccine on November 20th this week. Howeve...
Dr. Cao Guotao Reply:
Hello, it's okay to extend for 10 days. Wishing you good health.[Read More] Should You Get the HPV Vaccine After Recovering from COVID-19?
Managing Menstrual Issues: Can Endometrial Ablation Help?
Menstrual issues If someone wants to avoid menstruation due to severe premenstrual syndrome affecting their mood and daily life, along with experiencing menstrual cramps two days before their period, and they have no plans for childbirth, can they directly consult a doctor for en...
Dr. Lin Lixuan Reply:
Hello: Premenstrual syndrome (PMS) can be alleviated by supplementing with vitamins or using oral contraceptives and hormonal intrauterine devices (such as Mirena) to stabilize hormone levels in the blood. Endometrial ablation is generally not recommended as it is a more irrevers...[Read More] Managing Menstrual Issues: Can Endometrial Ablation Help?
Am I Pregnant? Understanding Risks After Protected Intercourse
Can I get pregnant? Hello, doctor. I would like to ask about the chances of pregnancy. I had sexual intercourse around the time of ovulation, but we used condoms throughout and practiced withdrawal. Before the second sexual encounter, I cleaned up, but I accidentally put the cond...
Dr. Cao Guotao Reply:
Hello, the chances of pregnancy should be low, but you can take a pregnancy test to check. Wishing you good health.[Read More] Am I Pregnant? Understanding Risks After Protected Intercourse
Is It Safe to Get Novavax COVID Vaccine Before Embryo Transfer?
Fertility preparation issues Hello Doctor: I have completed the egg retrieval process and am now preparing for embryo transfer. Is it currently appropriate for me to receive the Novavax COVID-19 vaccine? Thank you.
Dr. Cao Guotao Reply:
Hello, if you have already received three doses of the vaccine, there is no rush to get another one. If you choose to get vaccinated, it is advisable to wait until your pregnancy is stable. Wishing you good health.[Read More] Is It Safe to Get Novavax COVID Vaccine Before Embryo Transfer?
Am I Pregnant? Understanding Irregular Cycles and Symptoms
Are you pregnant? Hello, Doctor. My menstrual cycle is about 28-30 days, but it can be irregular, sometimes arriving early or late. My last period started on October 15. During this time, I tested positive for COVID-19 on October 18 and took Qingguo No. 1 (though I didn't ta...
Dr. Cao Guotao Reply:
Hello, a negative pregnancy test indicates that you are likely not pregnant. You can simply monitor the situation. Wishing you good health.[Read More] Am I Pregnant? Understanding Irregular Cycles and Symptoms
Could I Be Pregnant? Understanding Discharge and Ovulation Signs
Can I get pregnant? And there is a lot of discharge? Hello, doctor. I would like to ask about my last menstrual period, which was from October 25 to 31, with a cycle of approximately 34 days. I had sexual intercourse on November 4 (we used a condom, but since it was our first tim...
Dr. Cao Guotao Reply:
Hello, it should be related to ovulation; just observe it. Wishing you good health.[Read More] Could I Be Pregnant? Understanding Discharge and Ovulation Signs
Understanding the Interaction Between Birth Control Pills and Antibiotics
Birth control pills and antibiotics? Hello, doctor. I would like to ask about adjusting my menstrual cycle with birth control pills. I originally planned to delay my period for about two months, so I took the first pack of 24 active pills and skipped the 4 placebo pills to start ...
Dr. Cao Guotao Reply:
Hello, you should start taking the next pack of birth control pills on the fifth day after your menstrual period begins. Wishing you good health![Read More] Understanding the Interaction Between Birth Control Pills and Antibiotics
Understanding Frequent Urination After Yeast Infection: Causes and Solutions
Frequent urination after a yeast infection in the genital area? Hello, I would like to ask about a situation. Since last week, I have been experiencing intense itching in my intimate area, and it feels dry and painful when I wipe. I went to see a doctor who diagnosed me with a Ca...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is possible that you have a urinary tract infection. I recommend that you consult with a gynecologist who can assess your condition and determine whether to arrange for relevant tests (such as a urinalysis, etc.) to address your symptoms. Than...[Read More] Understanding Frequent Urination After Yeast Infection: Causes and Solutions
Is the HPV Vaccine Necessary for 44-Year-Old Women with No Sexual Experience?
The necessity of receiving the nine-valent vaccine for elderly individuals with no sexual experience? Hello Dr. Zhang, I am 44 years old and have never had sexual intercourse, and I may not have it in the future. In March of this year, I was diagnosed with endometriosis after exp...
Dr. Zhang Kunmin Reply:
Hello, based on your description, the cervical cancer vaccine not only prevents cervical cancer but also provides protection against HPV-related cancers such as vaginal cancer, vulvar cancer, penile cancer, anal cancer, and genital warts. HPV can cause lesions beyond cervical can...[Read More] Is the HPV Vaccine Necessary for 44-Year-Old Women with No Sexual Experience?