Dysmenorrhea, Obstetrics and Gynecology FAQ - Page 3

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Understanding Menstrual Irregularities: Causes and Treatment Options

Issues related to menstrual induction medications and injections? I'm not a doctor, but it sounds like you may be experiencing a range of symptoms that could be related to hormonal imbalances, potential pregnancy complications, or other gynecological issues. The fatigue and ...


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 factors that can influence the menstrual cycle or cause intermenstrual bleeding, such as age, environment, lifestyle, stres...

[Read More] Understanding Menstrual Irregularities: Causes and Treatment Options


Understanding Light Bleeding and Discharge After Exercise: What You Need to Know

The issue of experiencing a small amount of menstrual blood and discharge after exercise? Hello, doctor. I have a question that’s bothering me: I usually don’t exercise much, but I plan to start developing an exercise habit, so I’ve been doing jogging, HIIT, and even took a tramp...


Dr. Wu Xianghui Reply:
1. Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to consult a gynecologist for evaluation. 2. A Pap smear cannot assist in diagnosing the cause of dysmenorrhea, and for individuals under 30, the Pap smear does not meet the cri...

[Read More] Understanding Light Bleeding and Discharge After Exercise: What You Need to Know


Post-Surgery Menstrual Pain: What to Expect After Fibroid and Cyst Removal

Post-operative issues: Dysmenorrhea? Hello, doctor: I underwent traditional laparoscopic surgery in early January this year to remove a 5 cm fibroid and two chocolate cysts. My surgery was on January 2nd, and my first menstrual period after the surgery started on January 5th. My ...


Dr. Cai Yonglong Reply:
Endometriosis and chocolate cysts require postoperative medication; this is essential for treating endometriosis. Pain is expected to improve significantly after about 3 to 6 months. Please visit the gynecology outpatient clinic.

[Read More] Post-Surgery Menstrual Pain: What to Expect After Fibroid and Cyst Removal


Understanding Vaginal Bleeding After Bowel Movements: Causes and Concerns

Vaginal bleeding after defecation? I have been abroad for the past six months and due to language barriers, I am asking my question here. Thank you, doctor, for taking the time to respond. After my menstrual period ended last month, I had a day without bleeding, but then for the ...


Dr. Chen Liqin Reply:
Hello, if the endometrium is unstable, it may cause slight shedding and bleeding during exertion. There are many reasons for endometrial instability, so it is advisable to visit a hospital for a more detailed examination and evaluation. Thank you.

[Read More] Understanding Vaginal Bleeding After Bowel Movements: Causes and Concerns


Understanding Endometriosis and the Use of Elagolix for Heavy Menstrual Bleeding

Endometriosis and Danazol? Hello Doctor, the patient is 48 years old and has endometriosis with polycystic ovary syndrome, along with two fibroids measuring approximately 2 cm and 4.9 cm, and a 2 cm cyst. Symptoms include no dysmenorrhea, but heavy menstrual bleeding occurs each ...


Dr. Huang Jianzhong Reply:
The patient is 48 years old and has endometriosis with polycystic ovary syndrome, along with two fibroids measuring approximately 2 cm and 4.9 cm, and one cyst measuring 2 cm. Symptoms include heavy menstrual bleeding without dysmenorrhea. The patient visited a gynecologist due t...

[Read More] Understanding Endometriosis and the Use of Elagolix for Heavy Menstrual Bleeding


Is It Menopause? Understanding Irregular Periods at 48

Am I in menopause? My last menstrual period started on August 23. Prior to that, my menstrual cycle has consistently ranged between 26 to 28 days. However, this month, I am already a week late with no signs of menstruation. During the period from September 3 to September 7 (the o...


Dr. Huang Yiwen Reply:
Hello, Miss Anonymous: The average age for women in Taiwan to reach menopause is around 51 years. In the two to four years prior to this, if there are common menopausal symptoms such as hot flashes, palpitations, night sweats, or menstrual irregularities, it is referred to as per...

[Read More] Is It Menopause? Understanding Irregular Periods at 48


Understanding Menstrual Changes in PCOS: Is Pregnancy Still a Concern?

I'm sorry, but I cannot assist with that? Polycystic ovary syndrome (PCOS) with a menstrual period that is two weeks late, accompanied by symptoms such as breast pain and abdominal distension, which resolve either before or after the bleeding starts, suggests that the sympto...


Dr. Huang Jianzhong Reply:
Polycystic ovary syndrome (PCOS) can cause a delay in menstruation by two weeks. Symptoms such as breast pain and abdominal distension typically resolve either before or after the bleeding starts. The duration, flow, and color of the menstrual blood are consistent with previous n...

[Read More] Understanding Menstrual Changes in PCOS: Is Pregnancy Still a Concern?


Post-Oophorectomy Medication Choices: Managing Menstrual Symptoms

Medication consultation Last year, I underwent a bilateral oophorectomy and salpingectomy due to a bacterial infection, so I should no longer have menstruation, right? After the surgery, my attending physician did not conduct any additional tests and only mentioned two medication...


Dr. Huang Yuande Reply:
After bilateral salpingo-oophorectomy, menstruation will cease; however, if female hormones are supplemented, the endometrium may still proliferate due to stimulation, resulting in menstrual-like bleeding, which is normal. Nonetheless, the medication may also stimulate abnormal e...

[Read More] Post-Oophorectomy Medication Choices: Managing Menstrual Symptoms


Managing Adenomyosis: Can I Take Fish Oil Lutein and Soy Milk?

Adenomyosis Hello Doctor: I have adenomyosis and am currently under continuous monitoring. I experience severe pain during menstruation that requires complete reliance on painkillers. I previously underwent laparoscopic surgery for an endometrioma. I would like to ask if it is sa...


Dr. Zhang Kunmin Reply:
Hello, the patient with adenomyosis should avoid foods containing estrogen, which is a female hormone. It is also advisable to limit the intake of barbecued, fried, spicy, and irritating foods. Additionally, consuming ice products, cold drinks, and cooling fruits can lead to poor...

[Read More] Managing Adenomyosis: Can I Take Fish Oil Lutein and Soy Milk?


Long-Term Use of Birth Control Pills: Key Questions Answered

Questions related to contraceptive pills? Hello, doctor. I am currently experiencing menstrual pain due to endometriosis and am managing my symptoms with Dailian and pain relievers. I would like to ask: 1. Can Dailian be taken long-term? (I have been taking it for nearly a year n...


Dr. Huang Jianzhong Reply:
Due to dysmenorrhea caused by endometriosis, I am currently taking Diane and painkillers to manage the symptoms. I would like to ask: 1. Can Diane be taken long-term? (I have been taking it for almost a year) Or how long should I take it before needing to take a break? Answer: It...

[Read More] Long-Term Use of Birth Control Pills: Key Questions Answered


Understanding Breakthrough Bleeding with Yaz Birth Control Pills

Bleeding issues with Yaz birth control pills? Hello Doctor: On the fifth day of my menstrual period, I started taking the first pill of Yaz after a consultation with my gynecologist. Seven days later, I experienced dark blood clots and symptoms of dysmenorrhea. Since my last mens...


Dr. Huang Jianzhong Reply:
On the fifth day of the menstrual period, after a consultation with a gynecologist, I started taking the first pill of Yaz. Seven days later, I experienced dark blood clots and symptoms of dysmenorrhea. Since my last menstrual flow was light, could this be the actual menstrual pe...

[Read More] Understanding Breakthrough Bleeding with Yaz Birth Control Pills


Yasmin Interactions: Can Ginger Duck and Pain Medications Affect Its Efficacy?

Yasmin interactions Good evening, doctor. Previously, I took Synna and experienced severe swelling. Later, I went to another hospital where the doctor suggested I switch to Yasmin, following the 21-7-21-7 cycle. Yesterday, my menstrual period started, and I took the first pill. T...


Dr. Huang Jianzhong Reply:
Previously, I experienced significant swelling while taking Synna. Later, I visited another hospital where the physician recommended switching to Yasmin, and I started taking it following the 21-7-21-7 cycle. My menstrual period started yesterday, and I took the first pill. Today...

[Read More] Yasmin Interactions: Can Ginger Duck and Pain Medications Affect Its Efficacy?


Understanding Fertility Concerns: When to Seek Medical Advice

Fertility concerns? Hello doctor, I started trying to conceive in May. My menstrual period in May was from May 22 to May 25, during which I had intercourse on May 9, May 12, and May 19. My period in June was delayed and occurred from July 5 to July 9, with intercourse on May 28, ...


Dr. Huang Jianzhong Reply:
I started trying to conceive in May, with my menstrual period from May 22 to May 25. During this time, I had intercourse on May 9, May 12, and May 19. My period in June was delayed, occurring from July 5 to July 9, with intercourse on May 28, May 31, June 7, June 9, June 16, June...

[Read More] Understanding Fertility Concerns: When to Seek Medical Advice


Understanding Irregular Menstrual Cycles and Hormonal Treatment Concerns

Menstrual issues Hello Doctor: My menstrual cycle has always been irregular; previously, I would only get my period every 2 to 3 months, and I often experienced dysmenorrhea. Recently, my cycle has become more regular, but the flow is so light that I only need to use panty liners...


Dr. Lin Manying Reply:
Hello Ms. Yan: Regarding your question, (1) if the ultrasound shows no structural issues, it is likely a functional problem (related to ovulation). Please consult an obstetrician-gynecologist for treatment. (2) Not necessarily. The Hualien Hospital of the Ministry of Health and W...

[Read More] Understanding Irregular Menstrual Cycles and Hormonal Treatment Concerns


Is It Ovulation Bleeding? Understanding Your Menstrual Cycle Changes

Is it ovulation bleeding? Doctor, I apologize. My menstrual period last month was from July 2 to July 6, and this month it started early on August 5 and lasted until August 10. The flow, duration, and color are very similar to my previous periods, and I also experienced dysmenorr...


Dr. Huang Jianzhong Reply:
Last month, my period was from July 2 to July 6, and this month it started early, from August 5 to August 10. The flow, duration, and color were very similar to my previous periods, and I also experienced dysmenorrhea and lower back pain. I took one dose of acetaminophen for the ...

[Read More] Is It Ovulation Bleeding? Understanding Your Menstrual Cycle Changes


Understanding Severe Menstrual Pain: When to Seek Medical Help

Menstrual pain has persisted for a long time? Hello, doctor. I have a gynecological issue I would like to consult you about. This time, my menstrual period has caused severe pain in my lower abdomen, ranging from above the pubic area to around the navel. The pain has persisted th...


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. The onset of symptoms ca...

[Read More] Understanding Severe Menstrual Pain: When to Seek Medical Help


Understanding Menstrual Changes: Impact of High Platelet Count

Menstrual issues Since March of this year, my menstrual flow has been decreasing each month (with a cycle of about 28-29 days), almost more than half of what it used to be, accompanied by blood clots and abdominal pain. In March, a health check revealed an abnormally high platele...


Dr. Lin Manying Reply:
Hello, Miss: It is recommended that you visit the obstetrics and gynecology department at the hospital. The amount of menstrual flow and dysmenorrhea require ultrasound examination, pelvic examination, hormone tests, and blood tests, among others, to assist in diagnosing your con...

[Read More] Understanding Menstrual Changes: Impact of High Platelet Count


Understanding Irregular Menstruation: When to See a Gynecologist

Irregular menstruation? I am 19 years old and had my first menstrual period around the age of 16. Since then, my periods have not been regular, occurring every 2 to 3 months, with the longest gap being almost 5 months. The amount of menstrual blood is generally normal, but I expe...


Dr. Huang Jianzhong Reply:
Menarche occurred around the age of 16, and since then, menstruation has not been regular, occurring every 2 to 3 months, with the longest interval being nearly 5 months. The menstrual flow is considered normal, but there are many blood clots, and there is no dysmenorrhea. In the...

[Read More] Understanding Irregular Menstruation: When to See a Gynecologist


Managing Yaz Use: Delaying Menstruation and Stopping Birth Control Safely

Regarding the use and discontinuation of Yaz? Hello Doctor: I have been taking Yaz for over a year, and my menstrual cycle has been stable, with my previous menstrual pain resolved. However, I just realized that my period will coincide with my upcoming trip from January 26 to Feb...


Dr. Huang Jianzhong Reply:
I have been taking Yaz for over a year, and my menstrual cycle has stabilized, with my previous dysmenorrhea issues resolved. However, I just realized that my period will coincide with my travel dates from January 26 to February 1 (I started my period on December 30, so I expect ...

[Read More] Managing Yaz Use: Delaying Menstruation and Stopping Birth Control Safely


Understanding Menstrual Changes After Leuprolide Injection

Menstrual changes after receiving the Lybrel injection? Hello, doctor. I would like to ask about my condition after undergoing surgery for endometriosis. I received my first dose of short-acting leuprolide on August 2 and the second dose on September 5. Recently, I have been expe...


Dr. Huang Jianzhong Reply:
After undergoing surgery for endometriosis, I received the first dose of short-acting leuprolide on August 2, followed by the second dose on September 5. Recently, I have been experiencing dull abdominal pain and episodes of diarrhea during my menstrual period (I had dysmenorrhea...

[Read More] Understanding Menstrual Changes After Leuprolide Injection


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