Understanding Birth Control Pills: Timing and Effectiveness Explained
Questions about contraceptive pills? Hello Dr. Lin: "Due to the prevalence of low-dose contraceptive pills, the initiation of contraceptive pill use has been advanced from the fifth day of menstruation to the first day of menstruation. After finishing each pack (21 pills), o...
Dr. Lin Zhaopei Reply:
The primary mechanisms of action of contraceptive pills are based on their hormonal components: (1) they inhibit ovarian ovulation, and (2) they reduce the maturity of the endometrium, making it unsuitable for implantation. During menstruation, the body's hormone levels reac...[Read More] Understanding Birth Control Pills: Timing and Effectiveness Explained
Understanding Severe Menstrual Pain: Causes and Solutions
Menstrual pain issues? Hello, doctor. Sometimes, on the first day of my menstrual period, I experience severe pain—so intense that I feel weak in my limbs, dizzy, and cold. After a few days, the pain subsides. I'm not sure why this happens, and I would appreciate your help i...
Dr. Liang Yinpan Reply:
Hello Ms. Miano: During menstruation, women experience pain known as dysmenorrhea due to the shedding of the endometrial lining and uterine contractions, which expel menstrual blood or cause blood clots to fill the enlarged uterus. Most women do not find this pain significantly d...[Read More] Understanding Severe Menstrual Pain: Causes and Solutions
Understanding Menstrual Pain: Solutions for Retrograde Menstruation and Uterine Position Issues
Gynecology Hello, I have been experiencing dysmenorrhea, and after examination, my doctor diagnosed me with retrograde menstruation. He mentioned that my uterus may be tilted or retroflexed. How can I address this condition? What are the possible causes of acquired uterine retrov...
Dr. Wei Fumao Reply:
The knee-chest position cannot improve uterine retroversion. One of the causes of endometriosis is retrograde menstruation, but it is not the sole factor. In some cases of dysmenorrhea, a laparoscopy can reveal that endometriosis is the cause. Please consult a medical center for ...[Read More] Understanding Menstrual Pain: Solutions for Retrograde Menstruation and Uterine Position Issues
Managing Uterine Fibroids: Treatment Options for Large and Small Tumors
Uterine fibroids The largest fibroid measures 7.1 x 6.8 cm and another measures 3.4 x 3.2 cm, with numerous smaller ones present. What would be the recommended management for this condition? Thank you.
Dr. Wei Fumao Reply:
Assess whether the menstrual flow is excessive, or if there are symptoms of pressure (such as frequent urination or a sensation of needing to defecate), or if there is dysmenorrhea. Please consult a nearby obstetrician-gynecologist for further evaluation.[Read More] Managing Uterine Fibroids: Treatment Options for Large and Small Tumors
Understanding Polycystic Ovary Syndrome: Symptoms and Next Steps
Polycystic Ovary Syndrome (PCOS) Hello Doctor, I would like to ask a question regarding polycystic ovary syndrome (PCOS). I recently visited a doctor due to severe menstrual pain that caused vomiting (which I had never experienced before). During the ultrasound, the doctor mentio...
Dr. Li Guanghan Reply:
Dysmenorrhea does not seem to have any correlation with polycystic ovary syndrome (PCOS). The ultrasound shows numerous unovulated follicles of varying sizes, which can initially suggest a diagnosis of PCOS. Blood tests measuring follicle-stimulating hormone (FSH) and luteinizing...[Read More] Understanding Polycystic Ovary Syndrome: Symptoms and Next Steps
Understanding Birth Control Pills for Irregular Menstrual Cycles
Issues related to contraceptive pills? Dear Dr. Lin, My menstrual cycle typically ranges from 33 to 49 days, averaging about 37 days over the course of a year. Is this considered normal? I experience menstrual cramps occasionally, and I currently do not plan to conceive (I have ...
Dr. Lin Zhaopei Reply:
Irregular menstrual cycles can be regulated by taking contraceptive pills (if taken consistently). Additionally, the progestin component can help reduce dysmenorrhea. However, contraceptive pills may sometimes cause side effects such as nausea, abdominal pain, and vomiting, which...[Read More] Understanding Birth Control Pills for Irregular Menstrual Cycles
Understanding Menstrual Pain: Tips for Regulating Your Cycle
MC always arrives late..? I have recently experienced my last two menstrual cycles with significant pain, and the most recent one was delayed by 11 days. Is there any way to regulate my cycle and reduce the pain? I've heard that eating chocolate can help with the pain, but i...
Dr. Zhan Deqin Reply:
Menstrual pain (dysmenorrhea) is not necessarily an indication of poor health; it is important to conduct a thorough examination to check for conditions such as endometriosis. However, in many cases, no specific cause can be identified. Symptoms often improve after marriage and c...[Read More] Understanding Menstrual Pain: Tips for Regulating Your Cycle
Understanding Menstrual Pain: Causes, Diagnosis, and Treatment Options
Dysmenorrhea Hello: I did not often experience menstrual pain in the past, only occasionally, until high school when I began to have pain almost every time, although the intensity varied. The pain lasted for two to three days. After examination, the doctor said I had retrograde m...
Dr. Zhan Deqin Reply:
1. Most cases of dysmenorrhea have no identifiable cause. 2. An ultrasound can help determine if there is endometriosis or other issues. 3. Symptoms often improve after marriage and childbirth, so please try not to worry. If you have concerns, please visit a gynecology clinic.[Read More] Understanding Menstrual Pain: Causes, Diagnosis, and Treatment Options
Managing Uterine Fibroids and Endometriosis: What You Need to Know
Uterine fibroids, endometriosis? Four years ago, I underwent laparoscopic surgery for endometriosis due to habitual menstrual pain. Recently, the menstrual pain has recurred, and a vaginal ultrasound revealed a 4 cm fibroid in the uterus. I am considering artificial insemination ...
Dr. Wei Fumao Reply:
I apologize for the delay due to a computer malfunction. Endometriosis can lead to dysmenorrhea and infertility, while uterine fibroids, if large enough to severely compress the uterine cavity, can also cause infertility. If pregnancy is not desired, it is advisable to monitor wh...[Read More] Managing Uterine Fibroids and Endometriosis: What You Need to Know
Understanding Adenomas: Causes, Symptoms, and When to Seek Further Testing
Adenoma Hello, Doctor: I would like to ask you about the causes of adenoma formation. Recently, I experienced urethritis and abdominal pain during urination. The doctor performed an ultrasound and found an approximately 2 cm adenoma. The doctor told me it is not a concern and tha...
Dr. Wang Jionglang Reply:
The cause of an adenomyoma is due to the invasion and hyperplasia of the endometrium into the myometrium. If severe, symptoms may include dysmenorrhea and menorrhagia. Your condition appears to be approximately 2 cm; if there are no severe symptoms, it is advisable to continue mo...[Read More] Understanding Adenomas: Causes, Symptoms, and When to Seek Further Testing