Dysmenorrhea, Obstetrics and Gynecology FAQ

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Understanding Vaginal Discomfort Before Menstruation: When to Seek Help

Before menstruation, there is a sensation of acidity in the vagina? Hello Dr. Liu, I experience a subtle feeling of soreness in my lower abdomen and vagina (not painful) before my menstrual period. This condition has persisted for a very long time. However, in the past two days (...


Dr. Liu Fuping Reply:
Hello, if you experience discomfort or dull pain in the lower abdomen during the week around your menstrual period, it is advisable to visit a gynecology clinic to investigate the cause of the dysmenorrhea. It is normal for women to experience mild uterine contractions and discom...

[Read More] Understanding Vaginal Discomfort Before Menstruation: When to Seek Help


Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods

Endometrial ablation Due to dysmenorrhea, every second feels unbearable, sitting on the toilet while vomiting and having diarrhea, my face turns not pale but green after the pain. Currently, painkillers are effective, but it takes half an hour for them to take effect, and even th...


Dr. Chen Zhiyu Reply:
Endometrial ablation is only effective for primary dysmenorrhea. It is not effective for pain caused by endometriosis, pelvic adhesions, or other conditions. Please seek medical attention to clarify the cause of the pain and discuss treatment options with your physician. Thank yo...

[Read More] Understanding Endometrial Ablation: Benefits, Risks, and Alternatives for Painful Periods


Heavy Bleeding After Starting Qilian: Should I Continue Treatment?

After taking Prilactone for the first month, there was heavy menstrual bleeding? Doctor, I would like to ask about my condition. I have adenomyosis, and I am experiencing heavy menstrual bleeding and dysmenorrhea. Last month (March 9), I started taking Kylian on the third day of ...


Dr. Cao Guotao Reply:
Hello, if there is still a significant amount, it is recommended to first consult with an obstetrician-gynecologist for an examination. If everything is fine, then you can proceed as per the original physician's instructions. Wishing you good health.

[Read More] Heavy Bleeding After Starting Qilian: Should I Continue Treatment?


Understanding Endometriosis: Risks of Untreated Symptoms

Untreated endometriosis? Hello, doctor. I was recently diagnosed with endometriosis (adenomyosis). The doctor prescribed "Danazol," but I am afraid of the side effects. If I do not undergo treatment, will my condition worsen? Currently, my only symptom is dysmenorrhea, ...


Dr. Cao Guotao Reply:
Hello, since your symptoms have improved, continue taking the medication. Wishing you good health.

[Read More] Understanding Endometriosis: Risks of Untreated Symptoms


Understanding Menstrual Pain: Causes, Symptoms, and Relief Strategies

Menstrual pain-related issues? Hello, Doctor: I am someone who easily experiences cold hands and feet. Since high school, I have had menstrual pain. Although my cycle has been quite regular, I often experience severe pain on the first day, sometimes accompanied by vomiting. After...


Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only cramping pain in the lower abdomen during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. Each individual's s...

[Read More] Understanding Menstrual Pain: Causes, Symptoms, and Relief Strategies


Understanding Menopause Symptoms: Irregular Periods and Ovarian Cysts

Menopausal discharge Since I turned 40, my menstrual flow has gradually decreased. Now, at nearly 43, on the heaviest days, I only use about 1 to 1.5 sanitary pads. I experience dysmenorrhea on the first and second days, and on the other days, the menstrual blood is very light, n...


Dr. Chen Zhiyu Reply:
It is recommended that you visit the obstetrics and gynecology outpatient clinic for evaluation and consultation. If you have any concerns, please consult the physician in person. Thank you.

[Read More] Understanding Menopause Symptoms: Irregular Periods and Ovarian Cysts


Understanding Uterine Fibroids: Surgery vs. Pregnancy Risks

Uterine fibroids Hello Dr. Tsao, I have been experiencing occasional abdominal pain after my menstrual period, and upon examination, it was discovered that I have a uterine fibroid measuring approximately 8x6x6 cm. However, three years ago, when I was checked at another clinic d...


Dr. Cao Guotao Reply:
Hello, you may consider surgery. The general risks are low, and you can start trying to conceive 6 months after the procedure. Wishing you good health.

[Read More] Understanding Uterine Fibroids: Surgery vs. Pregnancy Risks


Understanding the Effectiveness of Menopause Injections for Uterine Fibroids

Uterine fibroids and menopause injection? Hello, Director: Last year, a submucosal fibroid measuring approximately 2.6 cm was discovered. Despite treatment with oral medication, I experienced episodes of heavy bleeding, with hemoglobin levels dropping to 6. I was hospitalized for...


Dr. Cao Guotao Reply:
Hello, generally, we focus on clinical symptoms. It seems to be improving, so observation is sufficient. Wishing you good health.

[Read More] Understanding the Effectiveness of Menopause Injections for Uterine Fibroids


Managing Dizziness and Headaches Before and After Menstruation

Dizziness before and after menstruation? Hello, doctor. I often experience dizziness and headaches before and after my menstrual period. The dizziness worsens after my period starts, to the point where I sometimes need to lie in bed all day and can't do anything. Occasionall...


Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only lower abdominal cramps during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. The onset of symptoms may occur 1-2 ...

[Read More] Managing Dizziness and Headaches Before and After Menstruation


Can Vaginal Administration of Painkillers Help Alleviate Menstrual Cramps?

Routes of absorption for analgesics? Hello doctor, I have primary dysmenorrhea and have been taking painkillers for many years to relieve the menstrual pain. During each menstrual period, I take about 6 to 8 painkillers. A more troublesome issue is that I often experience gastroi...


Dr. Cao Guotao Reply:
Hello, it seems that there are currently no analgesic suppositories available. Theoretically, it should be possible, but they are not yet on the market. Wishing you good health.

[Read More] Can Vaginal Administration of Painkillers Help Alleviate Menstrual Cramps?


Understanding Adenomyosis: Symptoms, Treatment, and Management Tips

Adenomyosis Hello, Doctor: I have adenomyosis and previously took a medication called Yuli for six months, which had good effects but also some side effects, so I stopped using it. Over the past two years, my dysmenorrhea and menstrual flow have become increasingly severe, and I ...


Dr. Lin Xinwang Reply:
Hello: In cases of adenomyosis, if medical treatment or the use of Mirena does not resolve abnormal bleeding, an endometrial biopsy is recommended to rule out other endometrial issues.

[Read More] Understanding Adenomyosis: Symptoms, Treatment, and Management Tips


Understanding Pregnancy Chances While on Menstrual Regulation Medications

Pregnancy Probability / Menstrual Regulation Medications Hello Doctor, I have been taking menstrual regulation medication due to dysmenorrhea, and my menstrual cycle is regular. I had sexual intercourse around the end of October, and my menstruation has been normal for the past f...


Dr. Zhang Kunmin Reply:
Hello, based on your description, menstrual regulation medication may reduce menstrual flow without adverse effects. After pregnancy, menstruation will cease, and any bleeding may be a complication of pregnancy rather than menstruation. Additionally, menstrual regulation medicati...

[Read More] Understanding Pregnancy Chances While on Menstrual Regulation Medications


Post-Myomectomy Concerns: Abdominal Changes, Menstrual Irregularities, and Discharge

Postoperative care after uterine fibroid surgery? Hello Doctor: I underwent a traditional abdominal myomectomy in mid-September due to a 13 cm fibroid located at the back of the uterus, which was compressing my kidney and causing hydronephrosis, along with five other smaller fibr...


Dr. Cao Guotao Reply:
Hello, regarding the wound issue, it is advisable to consult the original surgeon for more accurate information. After surgery, menstruation can sometimes be irregular, so it's best to observe for a while. If the discharge remains excessive, it is recommended to see a gyneco...

[Read More] Post-Myomectomy Concerns: Abdominal Changes, Menstrual Irregularities, and Discharge


Understanding Severe Menstrual Pain: Possible Causes and Solutions

Dysmenorrhea with severe pain in the right lower abdomen? Hello Doctor: I started my menstruation around the age of 15. Initially, there was no pain, but it became more severe over the years. Around the age of 17, I visited a gynecology clinic, and the doctor prescribed me Danazo...


Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend scheduling a follow-up appointment for relevant examinations to assess any changes. In the meantime, we can manage your symptoms with medication. Thank you! Wishing you peace and health. Dr. Chang

[Read More] Understanding Severe Menstrual Pain: Possible Causes and Solutions


Understanding Severe Menstrual Pain: Symptoms and Concerns

Dysmenorrhea with severe pain in the right abdomen? Hello Doctor: I started my menstrual period around the age of 15. Initially, there was no pain, but it became more severe over the years. Around the age of 17, I visited a gynecology clinic, and the doctor prescribed me Danazol....


Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend scheduling a follow-up appointment for relevant examinations to assess any changes. In the meantime, medication can be used to alleviate symptoms. Thank you! Wishing you peace and health. Dr. Chang

[Read More] Understanding Severe Menstrual Pain: Symptoms and Concerns


Managing Adenomyosis: Navigating Symptoms and Treatment Options

Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take it seriously until this year. After getting vaccinated and testing positive for COVID-19, my menstrual cycle became irregular. I didn't have my period from January to February, had it fo...


Dr. Lin Xinwang Reply:
Hello: If menstruation occurs, you may stop the medication and observe. If there is abnormal bleeding, you should see a doctor to determine the issue. Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommende...

[Read More] Managing Adenomyosis: Navigating Symptoms and Treatment Options


Managing Adenomyosis: Navigating Symptoms and Treatment Options

Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take treatment seriously before. This year, after getting vaccinated and testing positive for COVID-19, my menstrual cycle became irregular. I didn't have my period from January to February, ...


Dr. Lin Xinwang Reply:
Hello: If menstruation occurs, you can stop the medication and observe. If there is abnormal bleeding, you should see a doctor to determine the issue. Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommende...

[Read More] Managing Adenomyosis: Navigating Symptoms and Treatment Options


Managing Adenomyosis: Treatment Options and Menstrual Cycle Concerns

Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take it seriously until this year when I started getting vaccinated. After being diagnosed, my menstrual cycle became irregular. I didn't have my period from January to February, had it for h...


Dr. Lin Xinwang Reply:
Hello: If menstruation occurs, you can stop the medication and observe. If there is abnormal bleeding, you should see a doctor to determine the issue. Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommende...

[Read More] Managing Adenomyosis: Treatment Options and Menstrual Cycle Concerns


Managing Adenomyosis: Navigating Symptoms and Treatment Options

Adenomyosis I have been diagnosed with adenomyosis for two years, and I didn't take it seriously until this year. After getting vaccinated and testing positive for COVID-19, my menstrual cycle became irregular. I didn't have my period from January to February, had it fo...


Dr. Lin Xinwang Reply:
Hello, An Baobei: Adenomyosis can lead to heavy menstrual bleeding, dysmenorrhea, and lower abdominal pain without causing anemia. It is recommended to take estrogen (E) and progesterone (P) during the first week after menstruation, and then take progesterone from day 14 to day 2...

[Read More] Managing Adenomyosis: Navigating Symptoms and Treatment Options


Unanswered Questions After Gynecological Visits: Seeking Clarity

After the consultation, there are still no answers? Hello, I would like to describe the process from feeling unwell to now... On July 11, I noticed that my period started while using the restroom. After that, I didn't see any blood during subsequent bathroom visits, so I tho...


Dr. Lin Manying Reply:
Hello, based on your inquiry, here are the responses: 1. Causes of abdominal pain: 1. Possible incomplete recovery from urethritis. 2. Dysmenorrhea caused by irregular menstruation. 3. Incomplete recovery from pelvic inflammatory disease. 2. Regarding the issue of...

[Read More] Unanswered Questions After Gynecological Visits: Seeking Clarity


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