Understanding Menstrual Pain: Symptoms and When to Seek Help
Dysmenorrhea Hello Doctor: In the past, on the first or second day of my menstrual period, I would experience a feeling of heaviness in my lower abdomen, lower back pain, and diarrhea, along with pain on the left side of my chest. This year, every time my period comes, I have all...
Dr. Zhou Dali Reply:
It is recommended that you visit a nearby gynecology clinic for an initial examination, and then follow the subsequent treatment based on the gynecologist's advice.[Read More] Understanding Menstrual Pain: Symptoms and When to Seek Help
Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Questions about uterine fibroids? Dear Doctor, Yesterday, I went to a small clinic for a Pap smear and a vaginal ultrasound. The doctor informed me that I have uterine leiomyomas (fibroids). He mentioned that surgery is not necessary, as the fibroid is somewhat large and located...
Dr. Li Guanghan Reply:
Hello: Most uterine fibroids are asymptomatic. The symptoms you found online are potential symptoms of fibroids, not definitive ones; conversely, the absence of these symptoms does not necessarily mean that fibroids are not present. You are welcome to visit us at the Hsinchu City...[Read More] Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Postpartum Hair Loss and Menstrual Pain: What to Expect After Delivery
Question? It is common for women to experience significant hair loss after giving birth, a condition known as postpartum hair loss. This typically occurs due to hormonal changes in the body following delivery and can last for several months. Regarding your menstrual pain, it is...
Dr. Li Guanghan Reply:
Hello: 1. Abnormal hair loss cannot be considered normal; you should consult a dermatologist. If there are no abnormalities, then it may be suspected as postpartum physiological hair loss. 2. It is recommended that you observe for two more cycles; if you still experience menstrua...[Read More] Postpartum Hair Loss and Menstrual Pain: What to Expect After Delivery
Understanding Abnormal Menstrual Bleeding: Causes and Treatments
Abnormal menstruation (heavy bleeding) Yesterday, I accompanied my mom to the obstetrics and gynecology clinic (this was her second visit!). Today, on December 11, she said she feels very unwell, with general weakness, nausea, and her heart feels like it's racing. However, a...
Dr. Lin Zhaopei Reply:
Ergometrine is effective for controlling significant bleeding; however, some individuals may experience discomfort if they also have dysmenorrhea after taking it. Additionally, some people may experience nausea, visual disturbances, and peripheral neuropathy when using Spal. Epil...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Treatments
Managing Primary Dysmenorrhea: Effective Strategies and Risks of Painkillers
Primary dysmenorrhea Hello Doctor: I have been experiencing menstrual pain for the past couple of years, so I have been visiting the gynecologist every month. The cause of my dysmenorrhea remains undetermined, and so far, all ultrasound examinations have been normal. I cannot und...
Dr. Li Guanghan Reply:
Hello: Please come for a rectal examination and ultrasound to determine if there is endometriosis. If it is indeed primary dysmenorrhea, pain relief medications can often alleviate the symptoms. If you feel that the current treatment is ineffective, you are welcome to visit us. H...[Read More] Managing Primary Dysmenorrhea: Effective Strategies and Risks of Painkillers
Can Women with Fibroadenomas Take Evening Primrose Oil Safely?
Can I take evening primrose oil if I have a breast fibroma and fibrocystic breast changes? Can I take evening primrose oil if I have breast fibromas and fibrocystic breast disease? I previously had an examination at Chang Gung Memorial Hospital, and the doctor advised me to retur...
Dr. Li Guanghan Reply:
Hello: 1. For breast tumor issues, please consult a breast surgeon. 2. If you have long-term menstrual pain, please come in for an examination to determine whether it is primary dysmenorrhea or secondary dysmenorrhea caused by conditions such as endometriosis. After that, we can ...[Read More] Can Women with Fibroadenomas Take Evening Primrose Oil Safely?
Understanding Abnormal Bleeding: Causes and Concerns for Women
Abnormal bleeding Hello, I had a preconception check-up at the hospital on November 4th, which coincided with the first day of my menstrual period. During my follow-up appointment on the 21st to review the results, the doctor also performed a Pap smear and a vaginal ultrasound. T...
Dr. Li Guanghan Reply:
Hello: A Pap smear involves scraping the surface of the cervix with a wooden spatula. It is common to experience slight bleeding after the procedure. However, if the bleeding persists for more than five days, you should come in for an examination to check for any other issues. Hs...[Read More] Understanding Abnormal Bleeding: Causes and Concerns for Women
Understanding Adenomyosis: Is Hysterectomy the Right Solution?
Question Hello Doctor: I have three children, but I experience heavy menstrual bleeding that lasts 14 to 20 days. After examination, it was found that I have adenomyosis, which causes this phenomenon. My hemoglobin levels are consistently low, and I often take iron supplements or...
Dr. Li Guanghan Reply:
Hello: Adenomyosis can initially be managed with medication (such as progestins) to alleviate dysmenorrhea and reduce menstrual bleeding; surgery is considered only when medical treatment is ineffective. You are welcome to visit us at Hsinchu City Hospital, Department of Obstetri...[Read More] Understanding Adenomyosis: Is Hysterectomy the Right Solution?
Understanding Uterine Rupture and Managing Gynecological Health Issues
Could you please provide more context or specify your question? 1. What is uterine rupture? If a uterine rupture occurs, what are the potential consequences (for example, is there an increased risk of infection or inflammation)? 2. How can vaginal infections and inflammation be...
Dr. Lü Lizheng Reply:
Hello: 1. The cervical laceration may be caused by a local infection or could result from cervical eversion during childbirth. 2. It is important to maintain vaginal oxygenation (avoid wearing tight clothing), keep the vagina dry (avoid soaking in baths or douching), and strength...[Read More] Understanding Uterine Rupture and Managing Gynecological Health Issues
Understanding Endometriosis: Symptoms and Management Tips
Endometriosis I experience lower back pain and lower abdominal pain just before my period, but it's not very severe. However, the first day of my period is very painful, and I have a lot of blood clots. Could this indicate an issue with endometriosis? How can I improve this ...
Dr. Zhong Wenzhen Reply:
Hello: Whether it is primary dysmenorrhea or dysmenorrhea caused by endometriosis, it is important to seek medical treatment actively. Especially in the case of endometriosis, if left untreated, it can lead to severe complications such as intestinal adhesions, perforation, ureter...[Read More] Understanding Endometriosis: Symptoms and Management Tips
Managing Severe Premenstrual Discomfort: Tips for Relief
Premenstrual discomfort Hello Doctor: I have a history of dysmenorrhea, and recently it has worsened. I started feeling very uncomfortable several days before my period, and I have been uncomfortable for four to five days now, but my menstruation has not yet arrived. The discomfo...
Dr. Li Guanghan Reply:
Hello: If your period is late, the first step is to take a pregnancy test. If the test is negative and you experience lower abdominal pain and lower back discomfort, an ultrasound should be performed (and a pelvic exam should be added if there has been sexual intercourse) to chec...[Read More] Managing Severe Premenstrual Discomfort: Tips for Relief
Understanding Brown Discharge Before Menstruation: Is It Normal?
Presence of unusual discharge? Hello Doctor: My last two menstrual cycles were quite normal, but I have been staying up late recently. My period, which was supposed to arrive in early October, has not come yet. A few days ago, I started noticing brown discharge, occasionally with...
Dr. Lü Lizheng Reply:
The response should be irregular menstrual bleeding caused by dysmenorrhea. Sincerely, Lu Lizheng.[Read More] Understanding Brown Discharge Before Menstruation: Is It Normal?
Understanding Sudden Menstrual Pain: Causes and Treatment Options
Sudden menstrual cramps? Hello Doctor: I started experiencing menstrual pain in the third year after my first period, and it has been five years now. This year, there was a period when it improved, but this month the pain has returned severely. An ultrasound last year showed no i...
Dr. Li Guanghan Reply:
Hello: Please come in for an ultrasound and a pelvic examination (if there has been no sexual activity, a rectal examination will be performed). If there are no abnormalities found, this menstrual pain is more likely to be primary dysmenorrhea, which is associated with being youn...[Read More] Understanding Sudden Menstrual Pain: Causes and Treatment Options
Understanding Premenstrual Symptoms: When to Seek Medical Advice
Premenstrual symptoms? Hello doctor, my girlfriend experiences breast tenderness and abdominal discomfort, sometimes resembling menstrual cramps, about a week before her period starts. Is this considered an abnormal premenstrual symptom?
Dr. Lin Zhaopei Reply:
Premenstrual Syndrome (PMS) refers to symptoms such as dizziness, abdominal bloating, and breast tenderness that occur before menstruation, commonly affecting young women. Its causes are similar to those of primary dysmenorrhea, as both are triggered by hormonal responses. If the...[Read More] Understanding Premenstrual Symptoms: When to Seek Medical Advice
Understanding Chocolate Cysts: Impact on Fertility and Health Choices
Chocolate cyst Hello, Doctor. I am 31 years old, unmarried, and in a stable relationship with my boyfriend. During a recent health check, I discovered that I have chocolate cysts approximately 3 cm in size on both ovaries, and my CA-125 level is 53. I originally planned to study ...
Dr. Li Guanghan Reply:
Hello: 1. One or two trusted physicians are sufficient; there should be no waste of healthcare resources. 2. Endometriosis can cause adhesions in the surrounding tissues, and if the fallopian tubes are affected, it can indeed impact future fertility chances. 3. No. Hsinchu City H...[Read More] Understanding Chocolate Cysts: Impact on Fertility and Health Choices
Is Hysterectomy the Solution for Chronic Back Pain During Menstruation?
Is a hysterectomy appropriate? Hello: About 6 to 7 years ago, I underwent surgery for a herniated disc. The most significant aftereffect I experience is severe lower back pain every time I have my menstrual period, which does not seem to be classified as dysmenorrhea. I have to t...
Dr. Li Guanghan Reply:
Hello: 1. You need to consider whether you still wish to have children and if you can psychologically accept a hysterectomy. 2. It is unrelated to hormones, but there is a certain probability of adhesions after the surgery. 3. It cannot be answered without a medical examination. ...[Read More] Is Hysterectomy the Solution for Chronic Back Pain During Menstruation?
Understanding the Link Between PCOS and Diabetes: Is Testing Necessary?
Do we really need to do this examination? A few days ago, I went to the hospital for an examination and was diagnosed with polycystic ovary syndrome (PCOS). The doctor mentioned that I need to have more blood tests because there is a possibility of developing diabetes after middl...
Dr. Lin Zhaopei Reply:
Polycystic ovary syndrome (PCOS) is associated with increased body fat and obesity in women, which can hinder the conversion of androgens to estrogens. In addition to infertility and irregular menstruation, some women may exhibit male characteristics. There is also a higher risk ...[Read More] Understanding the Link Between PCOS and Diabetes: Is Testing Necessary?
Understanding Irregular Menstrual Cycles: Causes and Concerns
My menstrual cycle has become irregular..? Doctor: I got my period on April 9th, and then again on April 29th. My previous cycles were very regular, occurring every 35 days. I started menstruating at age 11, and my periods have always been very regular since then. I have not had ...
Dr. Li Guanghan Reply:
Hello: Please seek medical attention promptly. If ultrasound examination and blood tests for hormones, along with a rectal examination, show no abnormalities, a diagnosis of simple menstrual irregularities and primary dysmenorrhea can be made. Taking a single-dose contraceptive p...[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns
Managing Side Effects of Birth Control Pills for Uterine Fibroids
Took birth control pills? Dear Dr. Liang, I have a question for you. I was diagnosed with uterine fibroids, and my doctor recommended that I take birth control pills. After nearly two months of taking them, I started experiencing severe itching in my breasts (I am currently in m...
Dr. Liang Yinpan Reply:
Hello! Uterine fibroids are benign tumors that grow from the uterine muscle and are one of the most common tumors in women. If asymptomatic, they are often difficult to detect and typically do not require treatment. Generally, they are managed as part of internal medicine, focusi...[Read More] Managing Side Effects of Birth Control Pills for Uterine Fibroids
Are Hormonal Side Effects Normal During Menstrual Treatment?
What are the side effects of hormones? Doctor: I took medroxyprogesterone during my ovulation period last month to treat dysmenorrhea, but after taking the medication, my menstrual flow increased. This month, the discharge during my ovulation period is brown, which was not the ca...
Dr. Li Guanghan Reply:
Hello: After taking progesterone, your menstrual flow should decrease. Please inform your doctor for further evaluation at the Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Are Hormonal Side Effects Normal During Menstrual Treatment?