During pregnancy, Obstetrics and Gynecology FAQ

Managing Hyperthyroidism and Gestational Diabetes During Pregnancy

Hyperthyroidism and gestational diabetes? Before pregnancy, I had hyperthyroidism and I am currently taking 100 mg of PTU daily. Now at 28 weeks of pregnancy, I have been diagnosed with gestational diabetes. Does having both conditions increase the risk of problems for the baby? ...

Dr. Li Guanghan Reply:
Hello: 1. Both of these conditions can cause fetal abnormalities, but if well-managed, the impact can be minimized. 2. Regular movement is more like the vibrations from your own abdominal aorta pulsating, which can stimulate the uterus. Hsinchu City Hospital, Department of Obstet...

Choosing the Right Path: Pregnancy Concerns After Weight Gain

How should I choose? Hello Doctor: Since I gave birth, I have been unable to lose weight. My child is now 2 years old, and I would like to have another child, but I am currently overweight and worried that having another baby might affect my fertility. If I were to get pregnant n...

Dr. Xu Junzheng Reply:
If the starting weight during pregnancy is higher, it is generally sufficient to monitor weight gain during the pregnancy, as this typically does not affect the mother or the fetus. Thank you!

Difficulty Urinating During Pregnancy: Causes and Solutions

During pregnancy, experiencing difficulty urinating or having to wait a long time to urinate can occur? I am currently about 12 weeks pregnant, and recently I've been having difficulty urinating. It takes a long time for me to be able to urinate, and I'm not sure what t...

Dr. Li Guanghan Reply:
Hello: Whether the difficulty in urination is due to the pressure of the pregnant uterus on the urethra or caused by a urinary tract infection can be determined by checking for the presence of white blood cells or bacteria in the urine during a clinic visit; of course, there are ...

Concerns About X-rays During Pregnancy: Risks and Precautions

Pregnancy issues Hello Doctor: I am two months pregnant, but I recently had a chest X-ray, and I am really worried about whether it will affect my baby. What kind of complications could arise? What should I pay attention to during prenatal check-ups? Are there any remedial measur...

Dr. Li Guanghan Reply:
Hello: 1. Excessive exposure to radiation can indeed lead to teratogenic effects or miscarriage. 2. The radiation dose from a chest X-ray is not too high, so there is no need to worry excessively; continue with regular prenatal check-ups. In the future, avoid unnecessary X-ray ex...

Safe Vitamin A Intake for Pregnant Women: Guidelines and Risks

Nutritional supplements for pregnant women? Hello: I would like to ask about the recommended daily limit for vitamin A in prenatal supplements. Is it true, as reported in recent newspapers and magazines, that prenatal supplements should not contain vitamin A? What are the potenti...

Dr. Li Guanghan Reply:
Hello: If your diet is balanced during pregnancy, there is really no need to take any supplements; however, if you feel more secure taking something and are concerned about vitamin overdose, it is recommended to take "Shin Po Na Duo" once a day, as it has been used for ...

Understanding Ovarian Cysts During Early Pregnancy: Key Questions Answered

Ovarian teratoma Dear Dr. Lu, My last menstrual period was on September 20. Since I was trying to conceive, my period did not come in October, so I took a home pregnancy test, which came back positive. The next day, I went to the obstetrics and gynecology department for an exami...

Dr. Lü Lizheng Reply:
1. Could this be a false pregnancy? Why can't we see the embryo yet, but there are symptoms of morning sickness? [The embryo at six weeks is still too small; abdominal ultrasound may not be able to detect it. A transvaginal ultrasound can be used, and it can usually be seen ...

Is It Safe to Use Capsaicin Patches During Pregnancy for Swollen Feet?

Is it safe to use chili pepper bamboo vinegar patches during pregnancy? My sister is over four months pregnant and has been using a capsaicin patch on the soles of her feet to relieve swelling and discomfort caused by edema. However, after consulting with pharmacists at a drugsto...

Dr. Li Guanghan Reply:
Hello: Pregnancy edema is often caused by the compression of the inferior vena cava by the uterus, and it typically resolves after delivery. Before giving birth, you can promote venous return by placing a small pillow under your feet while sleeping and wearing compression stockin...

Pregnancy with Uterine Fibroids: Risks, Changes, and Management Options

Pregnancy with Uterine Fibroids Hello: Previously, my wife was diagnosed with a 10x7 cm uterine fibroid growing towards the back of the uterus. Some doctors suggested that she should undergo surgery to remove it before trying to conceive, while others believed that there is a ris...

Dr. Li Guanghan Reply:
Hello: 1. There is a 1/3 chance that the fibroid will increase in size, a 1/3 chance that it will remain the same size, and a 1/3 chance that it will decrease in size. 2. There is no significant risk to life; most cases can be delivered vaginally, and only a small number may requ...

Can I Determine Pregnancy After Having Unprotected Sex?

I would like to ask if it is possible to determine pregnancy based on this information? Question: I had intercourse during the last week of August (August 22, 23, 24, 25, 26, 29), and then my period unexpectedly arrived on September 4. I had another period on October 5. Can a pre...

Dr. Wei Fumao Reply:
Some people may experience light bleeding during pregnancy, which can be mistaken for menstruation. However, if the bleeding is heavy and there are blood clots on the second or third day, it is likely menstruation. It is important to note that miscarriage can also present with bl...

Understanding Beta-HCG Levels: Implications for Pregnancy and Testing

Beta chorion Hello, I would like to ask what is beta-hCG (beta human chorionic gonadotropin)? Is a high level related to pregnancy? If the level is elevated, should I return to the hospital for a recheck, and will I need to undergo a blood test?

Dr. Chen Changfu Reply:
Your inquiry likely pertains to the "free beta-human chorionic gonadotropin" test, which is one of the screening tests for Down syndrome in maternal serum during pregnancy weeks 15 to 20. If the screening value is elevated (>2.5 MoM), the risk of Down syndrome increa...

Can My Wife Get Pregnant After Treating Tuberculosis?

Can I get pregnant? Hello Doctor: My wife was diagnosed with tuberculosis in March of this year, and by the end of September, the doctor said she has been treated successfully and needs to be monitored for another year. She will need to have an X-ray every three months. Can my wi...

Dr. Li Guanghan Reply:
Hello: If your pulmonologist has stated that you are cured, there is no reason to insist on a specific waiting period before trying to conceive. During pregnancy, if your pulmonologist believes that a chest X-ray follow-up is necessary, it should be performed. Please ensure that ...

Why Can't Taiwan Test for Natural Killer Cells in Fertility Cases?

Why is it that NK testing is not available in Taiwan (even for self-payment)? (Forwarded from the Director's mailbox) Why can't we find hospitals in Taiwan that test for NK cells to prevent the following conditions? This has become a common examination in the United Sta...

Dr. Li Guanghan Reply:
Hello: Recurrent miscarriage is defined as having three consecutive miscarriages. It is generally recommended that both partners undergo blood tests for chromosomal analysis. If the results are normal, the female partner should be tested for potential autoimmune diseases. If any ...

Understanding Placenta Previa: Risks and Concerns During Pregnancy

Hello? Hello, I am 4 months pregnant. The doctor said I have placenta previa. I am very worried about excessive bleeding during surgery. Is there still a risk since my belly is small?

Dr. Dai Qihan Reply:
1. Please trust your current physician and discuss your concerns with them. 2. If you are still worried, feel free to come in for an examination.

Understanding Neural Tube Defects: Risks and Ultrasound Insights During Pregnancy

Neural tube defects Hello, I underwent maternal blood screening for Down syndrome when I was 17 weeks pregnant. The doctor mentioned that the test primarily checks for two conditions: one is Down syndrome, and the other assesses whether the baby may have neural abnormalities. The...

Dr. Li Guanghan Reply:
Hello: If the maternal blood screening indicates a higher probability of neural tube defects, an amniocentesis or a high-level ultrasound examination should be performed. If further testing shows no abnormalities, there is no need for excessive concern. Hsinchu Hospital, Departme...

Managing Eczema During Pregnancy: Safety of Betaderm Cream

Topical ointments for eczema Hello Doctor: I am nearly 9 weeks pregnant and have eczema on my forehead and cheeks, with three areas each about 2 cm in size. A dermatologist prescribed Betaderm cream, advising me to apply it thinly to the affected areas twice daily, and that it wo...

Dr. Li Guanghan Reply:
Hello: If you are concerned about the safety of using steroid ointments during pregnancy, you may discuss this further with your dermatologist and inquire whether you can first use a non-steroidal ointment for treatment, and then make a decision based on the observed changes. Hsi...

Dark Stool During Pregnancy: What to Know at 19 Weeks

At 19 weeks of pregnancy, the stool appears dark, almost black? Dr. Zhong: Hello, I am currently 19 weeks pregnant, but I have recently noticed that my stool has been dark, almost black in color. What could be the reason for this? Is it abnormal? Should I go to the hospital for f...

Dr. Zhong Wenzhen Reply:
Hello Ms. VIVI: 1. Black, tarry stools may be a symptom of upper gastrointestinal bleeding, but in your case, it could be due to another reason. 2. You are currently using iron supplements. Since the absorption rate of dietary supplements is only about 15%, most of it is excreted...

Safe Skincare Ingredients During Pregnancy: What You Need to Know

Confusion Regarding the Use of Prenatal Supplements Hello Doctor: I would like to ask if it is safe to use skincare products containing the following ingredients during pregnancy: green clay, aloe vera, chamomile extract, witch hazel, green tea extract, vitamin E, rosewood essent...

Dr. Li Guanghan Reply:
Hello: 1. The Crown-Rump Length (CRL) of 17 mm corresponds to an average gestational age of 8 weeks and 4 days, which indicates you are above the average. 2. Please provide the scientific name in English for further inquiry. Hsinchu City Hospital, Department of Obstetrics and Gyn...

Managing Bartholin Gland Cyst During Pregnancy: Best Practices for You and Your Baby

I am currently 23 weeks pregnant and have undergone Bartholin gland cyst marsupialization procedures on August 6 and August 17? I am currently 23 weeks pregnant and have undergone Bartholin gland cyst marsupialization on August 6 and August 17. The doctor diagnosed it as an Esche...

Dr. Li Guanghan Reply:
Hello: Please follow the doctor's instructions for your visit, as it is the best approach; generally speaking, consideration should be given to performing a pouch procedure. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Safe Medication Use During Pregnancy: Addressing Ear Infections

Medications during pregnancy Hello Doctor: I am six weeks pregnant and visited an otolaryngologist today, who diagnosed me with a fungal infection in my left ear. The doctor prescribed KLARGIN SOL. This ear solution is to be used twice a day, with three drops each time, for a dur...

Dr. Lü Lizheng Reply:
The dosage of general ear drops that is absorbed into systemic circulation is very small, so the impact on the fetus is minimal. Regarding the medication "klargin," I couldn't find it in the available pharmacopoeia, and our hospital pharmacist was also unable to lo...

Is Using a Vibrator Safe During Pregnancy? Concerns About Electromagnetic Waves

Pregnant women using a vibrator for masturbation? Hello, I am currently over four months pregnant, almost five months. For more than four months, I have been using a vibrator for masturbation every week. Today, I suddenly thought about whether the vibrator emits electromagnetic w...

Dr. Li Guanghan Reply:
Hello: The electrical appliances around you emit electromagnetic waves, so there is no need to worry excessively. The key point is to avoid excessive strain that could lead to preterm labor; if you experience bleeding, abdominal pain, or abnormal discharge, you should stop immedi...

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