Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Examination issues Can ultrasound examination detect endometriosis? When is the best time to perform a blood test for checking endometriosis?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. When it occurs in the ovaries, it forms what is known as a "chocolate cyst," and when it grows within the uterine muscle, it is referred to as &q...[Read More] Understanding Ultrasound and Blood Tests for Endometriosis Diagnosis
Understanding Endometriosis: Ultrasound and Blood Test Insights
Please provide the content you would like translated into English? Does a transvaginal ultrasound examination detect endometriosis? Does a pelvic ultrasound examination detect endometriosis? Can blood tests detect endometriosis? When is the blood test most accurate?
Dr. Zhang Kunmin Reply:
Hello, the term "endometriosis" refers to the condition where endometrial tissue grows outside the uterine cavity. If it grows on the ovaries, it forms what is known as a "chocolate cyst," and if it grows within the uterine muscle, it is referred to as "a...[Read More] Understanding Endometriosis: Ultrasound and Blood Test Insights
Understanding Endometriosis: Causes of Irregular Abdominal Pain
Endometriosis Hello doctor, may I ask if endometriosis can cause irregular lower abdominal pain regardless of whether it is during, after, or outside of my menstrual period? Does my situation resemble that of endometriosis?
Dr. Zhang Kunmin Reply:
Hello, the symptoms of endometriosis primarily include dysmenorrhea, but they can also occur at other times. It is best to consult a gynecologist for a thorough medical history, ultrasound, or blood tests for an accurate diagnosis. Thank you! Wishing you peace and health, Dr. Cha...[Read More] Understanding Endometriosis: Causes of Irregular Abdominal Pain
Understanding Menstrual Pain: When to Seek Medical Advice
Menstrual issues Hello doctor, I experience pain in my lower abdomen on both sides before and during my menstrual period. On the first day of my period, I have pain in my lower abdomen, but by the second day, the pain subsides although I notice blood clots. Today is the third day...
Dr. Zhang Kunmin Reply:
Hello, the symptoms you described are likely related to dysmenorrhea. It is advisable to monitor them regularly, and if there are any changes in your symptoms, it is recommended to consult a gynecologist during the occurrence of the symptoms. Thank you! Wishing you peace and heal...[Read More] Understanding Menstrual Pain: When to Seek Medical Advice
Understanding Intrauterine Drug Delivery Systems for Contraception
Intravaginal Drug Delivery System I want to undergo sterilization, but I found information online about the "Intrauterine Drug Delivery System." I would like to ask: 1. Does this system require specific candidates? 2. Are there any side effects? 3. Does your hospital of...
Dr. Dong Yuhong Reply:
Hello: Due to some garbled content in your question, I'm not sure if you are inquiring about the Mirena intrauterine drug delivery system. Mirena is a T-shaped contraceptive device that contains levonorgestrel, a progestin. It is inserted into the uterus and releases a small...[Read More] Understanding Intrauterine Drug Delivery Systems for Contraception
Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Regarding the size of adenomyosis? Hello, I have a question on behalf of my family member. They had a hospital examination and their CA-125 level is as high as 204. After a gynecological examination, it seems to be a case of adenomyosis, with a size reaching 9 centimeters, which ...
Dr. Zhang Kunmin Reply:
Hello, the explanation of adenomyosis is as follows: Adenomyosis is defined as the presence of endometrial tissue (including glands and stroma) growing into the muscular layer of the uterus, leading to uterine enlargement. This condition occurs in approximately 10-20% of women,...[Read More] Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Understanding Irregular Post-Menstrual Bleeding After IUD Insertion
Menstrual bleeding? I have given birth to two children and currently have an intrauterine device (IUD) for contraception. After my menstrual period ends, I experience bleeding again the next day, which can last from one day to three to five days. The color of the blood varies, so...
Dr. Dong Yuhong Reply:
Hello: If your menstrual cycle is regular, without dysmenorrhea or excessive bleeding, and your gynecological examination results are normal, it is still recommended to undergo a Pap smear. Regular gynecological check-ups are advisable, and any explanations regarding your conditi...[Read More] Understanding Irregular Post-Menstrual Bleeding After IUD Insertion
Understanding the Long-Term Effects of RU486 on Menstrual Health
Issues related to RU486? Hello Dr. Dong, I would like to inquire about the aftereffects of RU486 after abortion. Since I took the RU486 abortion pill prescribed by my obstetrician in 2004, my menstrual flow has become very heavy, and I experience severe abdominal pain during mens...
Dr. Dong Yuhong Reply:
Hello: There are many causes for heavy menstrual bleeding and dysmenorrhea, and uterine leiomyomas may be one of the factors affecting your condition. As I am not your treating physician, I cannot fully understand the severity of your illness and its potential impact on your mens...[Read More] Understanding the Long-Term Effects of RU486 on Menstrual Health
Understanding Uterine Issues: Irregular Periods and Pain Management
Uterine issues? Hello, my menstrual cycle is irregular. When it comes, it is heavy and accompanied by blood clots. The abdominal pain is one thing, but my lower back pain is so severe that I can’t stand or sit. I went to a well-known hospital, and after examination, the doctor sa...
Dr. Zhang Kunmin Reply:
Hello, Amei: The secondary medical consultation you mentioned actually involves different symptoms (1. irregular menstruation, dysmenorrhea, heavy menstrual flow, 2. prolonged menstruation). Therefore, the explanations from the examining physician may vary. Hormonal imbalance, en...[Read More] Understanding Uterine Issues: Irregular Periods and Pain Management
Understanding Rectal Pain During Menstruation: Causes and Solutions
Anal pain during menstruation? Experiencing anal pain for 2 to 3 days during your menstrual period could be related to several conditions. It may be due to hormonal changes affecting the pelvic region, leading to increased sensitivity or muscle tension. Other possibilities includ...
Dr. Zhang Kunmin Reply:
Hello: Your symptoms may be due to primary dysmenorrhea, but they could also be caused by endometriosis. You can initially manage it with medication, but if there is no improvement or if it occurs too frequently, it is recommended to visit a gynecologist for an ultrasound, blood ...[Read More] Understanding Rectal Pain During Menstruation: Causes and Solutions
Does Sexual Activity Cause Menstrual Cramps and Discomfort?
Is guilt really that heavy? Hello Doctor: My girlfriend has been telling me that she never experienced menstrual cramps before, but since we became intimate, she has been having pain and small blood clots during her periods. Every time she mentions this, I feel a heavy sense of g...
Dr. Dong Yuhong Reply:
Hello: If your girlfriend has recently started experiencing pain before her menstrual period when she did not have this issue before, it is advisable to accompany her to a gynecologist for an examination. This will help identify the possible causes of dysmenorrhea and address you...[Read More] Does Sexual Activity Cause Menstrual Cramps and Discomfort?
Understanding Unusual Urine Odor Before Menstruation: Causes and Concerns
Urine odor before menstruation? In recent years, my menstrual cycle has been regular, varying by at most ±3 days (29-32 days), and I have experienced minimal menstrual pain, mostly just some discomfort and lower back pain. However, at the end of March this year, I suddenly experi...
Dr. Dong Yuhong Reply:
Hello: There are many causes of dysmenorrhea. After examination, the doctor indicated that the ovaries, uterus, and fallopian tubes are all normal and show no abnormalities (blood tests, ultrasound, and pelvic exams have all been performed), which means that the test results have...[Read More] Understanding Unusual Urine Odor Before Menstruation: Causes and Concerns
Managing Uterine Fibroids: Treatment Options and Pain Relief Strategies
Issues related to uterine fibroids? Hello, Dr. Dong! I have a fibroid that is 6-7 cm in size. Some doctors I consulted in obstetrics and gynecology suggested that I should have my uterus removed since I have given birth once and do not plan to have more children. Other doctors ad...
Dr. Dong Yuhong Reply:
Hello: You have a uterine fibroid measuring 6-7 cm (having given birth once and not planning to have more children) along with symptoms such as dysmenorrhea. Both surgery and regular monitoring are viable treatment options. It is recommended that you discuss possible treatment op...[Read More] Managing Uterine Fibroids: Treatment Options and Pain Relief Strategies
Understanding Menstrual Cramps: When to Worry About Pain
Menstrual cramps Hello, doctor: I would like to ask, every time my menstrual period starts, I experience severe abdominal pain on the first day. Some people say this is normal, while others say it is not. What is the situation regarding this?
Dr. Chen Changfu Reply:
During menstruation, the menstrual blood is a result of the shedding of the endometrium following the secretory phase of the menstrual cycle, accompanied by bleeding from the uterine blood vessels. This requires vasoconstriction and contraction of the uterine muscle layer to redu...[Read More] Understanding Menstrual Cramps: When to Worry About Pain
Evening Primrose Oil for PMS: Safety and Side Effects Explained
Evening primrose oil Hello, I have been struggling with premenstrual syndrome (PMS). I read in reports that evening primrose oil can help, but I've heard that people with uterine fibroids should avoid it. I previously experienced dysmenorrhea and consulted a doctor, and I ha...
Dr. Dong Yuhong Reply:
Hello: Premenstrual syndrome (PMS) is a troubling issue for many women. It can be improved by regulating daily routines to avoid staying up late and engaging in regular moderate exercise over a period of time. Evening primrose oil, which contains gamma-linolenic acid (GLA), can b...[Read More] Evening Primrose Oil for PMS: Safety and Side Effects Explained
Is It Possible to Have Endometriosis After Chronic Infections?
Is it possible to have endometriosis? Hello, Doctor: I started experiencing genital infections around May and June of last year, which have been recurring intermittently. Recently, I asked my doctor how to cure it completely. Additionally, since a few months after the infection b...
Dr. Chen Changfu Reply:
Recurrent vaginal infections are not necessarily relapses, nor do they always involve the same infectious agents. Your gynecologist has confirmed the diagnosis through examination and has prescribed antifungal vaginal suppositories for treatment. Please be patient and complete th...[Read More] Is It Possible to Have Endometriosis After Chronic Infections?
Is It Menstruation or Residual Bleeding After Abortion?
Is it menstruation? This month's menstrual period was from July 20 to July 25. After having intercourse with my husband on the 28th, I noticed some blood stains on my underwear. A little bit again on the 31st after another sexual encounter, and the next day there was a bit m...
Dr. Chen Changfu Reply:
Based on your description, the menstrual period that started on July 20 after the abortion procedure and the abnormal vaginal bleeding in early August should not be related to the abortion. It may simply be irregular bleeding during your menstrual cycle, commonly referred to as d...[Read More] Is It Menstruation or Residual Bleeding After Abortion?
Understanding Endometriosis: Tests, Costs, and What to Expect
Related tests and costs for endometriosis? Hello, I have been suffering from menstrual pain for a long time and would like to check if I have endometriosis. I would like to know if the ultrasound of the uterus, examination of the ovaries and fallopian tubes for tumors or abnormal...
Dr. Li Guanghan Reply:
Hello: 1. If you have been suffering from dysmenorrhea for a long time, it is recommended to undergo a gynecological ultrasound examination. If you have had sexual intercourse, it is best to include a pelvic examination and Pap smear, and if necessary, blood tests as well. 2. The...[Read More] Understanding Endometriosis: Tests, Costs, and What to Expect
Do I Need Surgery for Chocolate Cysts? Key Considerations and Risks
Does a chocolate cyst require surgery? Hello Doctor: I am 34 years old and plan to conceive within a year. Last year, I discovered chocolate cysts measuring 5.3 x 3 cm and 2 x 2 cm on both ovaries. Aside from experiencing abdominal pain on the first day of my menstrual cycle, I h...
Dr. Li Guanghan Reply:
Hello: The information provided is for reference only and should not replace the advice of your attending physician. (1) A. Desire to conceive B. Presence of symptoms (such as dysmenorrhea, dyspareunia) C. Suspected malignancy D. Other indications (2) A. Adhesions affecting ferti...[Read More] Do I Need Surgery for Chocolate Cysts? Key Considerations and Risks
Can Tubal Blockage and Chocolate Cyst Surgery Be Done Together?
Fallopian tubes and chocolate cysts? Hello Dr. Lee, can the treatment surgeries for fallopian tube obstruction and endometriomas be performed simultaneously? Since the cost of in vitro fertilization is not cheap, can we first perform the surgeries to see the results? Also, is the...
Dr. Li Guanghan Reply:
Hello: 1. Tubal obstruction cannot always be resolved through surgery. If the obstruction is severe, the benefits of surgery are quite limited. 2. Patients with endometriomas may indeed experience dysmenorrhea, but it cannot be concluded that all patients with dysmenorrhea have e...[Read More] Can Tubal Blockage and Chocolate Cyst Surgery Be Done Together?