CIN, Obstetrics and Gynecology FAQ - Page 44

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Understanding Ovulation and Discharge: Signs of Pregnancy or Cycle?

Ovulation & Secretions Hello, doctor. I would like to ask about having sexual intercourse on October 5th. My menstrual period was from October 27 to November 2. I noticed egg white cervical mucus on November 10 and November 11, and there was also some egg white cervical mucus...


Dr. Zhang Kunmin Reply:
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used for diagnosis. There are many reasons for increased discharge. It is advisable to take a pregnancy test if your period is more than a week late. Thank you! Wishing...

[Read More] Understanding Ovulation and Discharge: Signs of Pregnancy or Cycle?


Understanding Vulvar Itching: When to Seek Medical Advice

Vulvar issues Hello: I have been experiencing itching on the right side of my vulva, especially when it rubs against the right side of my underwear. It also itches when I scratch it, but it's not an unbearable itch. This symptom has been present for a long time. Should I go ...


Dr. Zhang Kunmin Reply:
Hello, based on your symptom description, it is more likely to be contact dermatitis or an infection. 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 reliev...

[Read More] Understanding Vulvar Itching: When to Seek Medical Advice


Understanding Ovulation and Discharge: Signs of Fertility or Pregnancy?

Ovulation & Secretions Hello, doctor. I would like to ask about having sexual intercourse on October 5th. My menstrual period was from October 27 to November 2. I noticed egg white cervical mucus on November 10 and November 11, and there was also a bit of egg white cervical m...


Dr. Zhang Kunmin Reply:
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used for diagnosis. There are many reasons for increased discharge. It is recommended to take a pregnancy test if your period is more than a week late. Thank you! Wishi...

[Read More] Understanding Ovulation and Discharge: Signs of Fertility or Pregnancy?


Understanding Painful Bumps at the Vaginal Opening: Causes and Treatments

Pimple-like lesions at the vaginal opening? Hello, doctor! I have searched online but couldn't find any related questions, so I would like to ask you about my situation. I have a bump at the opening of my vagina (I'm not sure if it's actually a bump, so please corr...


Dr. Lin Lixuan Reply:
Hello: The perineal area contains many follicular glands, and folliculitis (pimples) is a common condition. It is recommended to follow the medication prescribed by your obstetrician-gynecologist to prevent further infection of the wound. Bartholin's glands are located in sp...

[Read More] Understanding Painful Bumps at the Vaginal Opening: Causes and Treatments


Understanding Pregnancy Chances: Safe Period and Symptoms Explained

Probability of Pregnancy Hello, Doctor. My menstrual cycle is 34 days, and my period lasts for 6 days. My last menstruation was from October 16 to October 21. I had unprotected external ejaculation on October 22, November 11, and November 13. I would like to know if these dates f...


Dr. Cao Guotao Reply:
Hello, theoretically it is the safe period, just observe. Wishing you good health.

[Read More] Understanding Pregnancy Chances: Safe Period and Symptoms Explained


Should HPV Vaccination Be Considered for Sexually Inactive Women?

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 engaged in sexual intercourse, and I may not in the future. This March, I was diagnosed with endometriosis after experiencing se...


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] Should HPV Vaccination Be Considered for Sexually Inactive Women?


Understanding Pregnancy Risks and Emergency Contraception Effects

Inquire about pregnancy status? Your girlfriend ovulated on the 12th, and you had sexual intercourse on the 15th. During intercourse, you noticed that the condom broke, but you did not ejaculate, and you stopped the activity. You took emergency contraception within 10 to 20 minut...


Dr. Cao Guotao Reply:
Hello, the probability of pregnancy should be low, but it may cause irregular menstruation. Wishing you good health.

[Read More] Understanding Pregnancy Risks and Emergency Contraception Effects


Understanding Breakthrough Bleeding on Progestin Therapy for Endometrial Cancer

Endometrial cancer stage I with ongoing bleeding despite taking progestins? Hello Doctor, I underwent a hysteroscopic procedure for endometrial hyperplasia in early September, and the subsequent biopsy revealed stage 1 endometrial cancer. I was referred to a gynecologic oncologis...


Dr. Cao Guotao Reply:
Hello, eating Fulu Duo should not cause bleeding. It is recommended to return to your original hospital and discuss the next steps for treatment with your doctor. Wishing you good health.

[Read More] Understanding Breakthrough Bleeding on Progestin Therapy for Endometrial Cancer


Managing Post-Menopausal Pain: Medication and Alternatives Explained

Medication issues? After experiencing dyspareunia (which is suspected to be one of the symptoms of menopause), a consultation led to blood tests confirming menopause. Aside from this, there are no significant menopausal symptoms. During the visit, I asked the doctor how to allevi...


Dr. Cao Guotao Reply:
Hello, you can stop directly. You may consider using lubricant to alleviate discomfort during intercourse. Wishing you good health.

[Read More] Managing Post-Menopausal Pain: Medication and Alternatives Explained


Does Storing Birth Control Near Alcohol Wipes Affect Its Effectiveness?

Storage Issues of Contraceptive Pills Hello, doctor. I would like to ask if placing birth control pills next to an opened alcohol wipe package (which looks like a wet wipe packaging) for a week will affect their efficacy? Thank you for your answer!


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

[Read More] Does Storing Birth Control Near Alcohol Wipes Affect Its Effectiveness?


Effectiveness of Replacing IUD After 3 Hours: Key Considerations

If the Mirena IUD is removed for more than 3 hours and then reinserted, its effectiveness may be compromised. It is recommended to consult a healthcare provider for guidance on contraceptive options and to discuss the need for backup contraception during this time? Currently, I u...


Dr. Cao Guotao Reply:
Hello, after removing a normal contraceptive ring, menstruation should occur within a week. This period is considered a safe period, and you can wait for your period to start before inserting a new contraceptive ring. Wishing you good health.

[Read More] Effectiveness of Replacing IUD After 3 Hours: Key Considerations


Could My Girlfriend Still Be Pregnant After Negative Tests?

I don't know if my girlfriend is pregnant or not? Hello doctor, my girlfriend's last menstrual period was on September 30, and the last time we had unprotected intercourse was on October 20. Her period has been delayed, and on November 7, she visited a gynecologist who ...


Dr. Cao Guotao Reply:
Hello, a negative pregnancy test 12 days after sexual intercourse suggests that you are likely not pregnant. It is advisable to monitor the situation for now. Your period should arrive within a week after taking the menstrual induction medication. Wishing you good health.

[Read More] Could My Girlfriend Still Be Pregnant After Negative Tests?


Understanding Ovarian Cysts: Pregnancy Concerns and Menstrual Cycle Impact

Ovarian cystadenoma Hello, doctor. I would like to ask a couple of questions. I had my last sexual intercourse on October 20, but it lasted less than 10 thrusts (no ejaculation). I went to the gynecologist on October 25 and was found to have two cysts (1 cm and 1.5 cm). My normal...


Dr. Zhang Kunmin Reply:
Hello, the questioner: There is a possibility of pregnancy even if ejaculation has not occurred, as pre-ejaculatory fluid may contain sperm. It is advisable to check for pregnancy if your period is more than a week late. The menstrual cycle, ovulation timing, and hormone secretio...

[Read More] Understanding Ovarian Cysts: Pregnancy Concerns and Menstrual Cycle Impact


Understanding Abnormal Bleeding: Causes and Concerns for Women

Intermenstrual bleeding Hello Doctor, my last menstrual period was on October 24th, and on November 5th, I experienced non-menstrual bleeding that was similar in volume to my period and bright red in color. The next occurrence was on November 6th, but the volume was significantly...


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...

[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women


Understanding Abnormal Bleeding: Causes and Concerns for Women

Intermenstrual bleeding Hello Doctor, my last menstrual period was on October 24. On November 5, I experienced non-menstrual bleeding, with the amount similar to my period and bright red in color. The next occurrence was on November 6, but the amount was noticeably less and brown...


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

[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women


Understanding Pregnancy Risks and Menstrual Irregularities: Key Insights

Pregnancy test questions? On November 2nd, I had intercourse with my boyfriend using a condom. After he cleaned up, we had intercourse again without a condom. I took emergency contraception afterward. On November 7th, I visited a traditional Chinese medicine practitioner who ment...


Dr. Zhang Kunmin Reply:
Hello, the effectiveness of emergency contraception is not 100%, with a failure rate of about 3%. There are many factors that can influence the menstrual cycle or cause irregular bleeding, such as age, environment, lifestyle, stress, emotional instability, weight changes, medicat...

[Read More] Understanding Pregnancy Risks and Menstrual Irregularities: Key Insights


Understanding Right Lower Abdominal Pain: When to Consult a Gynecologist

Could you please provide more details regarding the issue of right lower abdominal pain? Hello, Doctor: I have been experiencing irregular menstrual cycles for about 2 to 3 years now, sometimes my period only comes every two months. However, I have not reached menopause yet; it j...


Dr. Cao Guotao Reply:
Hello, I have pain in the lower right abdomen. The gynecological ultrasound did not reveal any significant findings or tumors, and I have also seen a gastroenterologist, who found no major issues. The general treatment approach would primarily involve conservative supportive ther...

[Read More] Understanding Right Lower Abdominal Pain: When to Consult a Gynecologist


Safe Interval Between HPV Vaccine and G-CSF: Interaction Insights

The interaction between the HPV nine-valent vaccine and G-CSF (filgrastim) and the recommended interval for administration? Due to a recent car accident that resulted in intracranial hemorrhage, I received a treatment of 300 mcg of G-CSF. The time for the second dose of the nine-...


Dr. Cao Guotao Reply:
Hello, obstetricians and gynecologists are generally not familiar with neurosurgical medications. It is advisable to consider a timeframe of about 1-2 weeks, or you may consult other specialists. Wishing you good health.

[Read More] Safe Interval Between HPV Vaccine and G-CSF: Interaction Insights


Understanding HPV: Transmission, Family History, and Vaccination Concerns

Human Papillomavirus (HPV) Hello Doctor: 1. I was diagnosed with HPV type 31 at a major hospital, and after a biopsy and outpatient treatment, I would like to ask if this virus is truly 100% caused by sexual activity? 2. There have been cases of endometrial cancer in my famil...


Dr. Cai Yonglong Reply:
(1) HPV virus is commonly found in the environment and on the surface of human skin. Sexual activity can more easily transfer the virus to the surface of the cervix, but it is not the only cause of cervical HPV infection. (2) Some patients with endometrial cancer have a genetic p...

[Read More] Understanding HPV: Transmission, Family History, and Vaccination Concerns


Thyroid Issues and Menstrual Irregularities: What You Need to Know

Menstrual Thyroid Issues Hello, Doctor! I was diagnosed with hyperthyroidism in February, which transitioned to hypothyroidism by April. Recently, my treatment has been stabilizing, and my values are normal! The endocrinologist has advised me to have regular follow-ups for manage...


Dr. Cai Yonglong Reply:
Hypothyroidism is one of the common causes of amenorrhea, but it typically does not cause lower back pain, lower abdominal pain, or increased discharge. It is advisable to consider the possibility of a gynecological infection and to seek a complete evaluation and treatment at a n...

[Read More] Thyroid Issues and Menstrual Irregularities: What You Need to Know


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