Postpartum Discomfort: Addressing Common Concerns After Childbirth
Postpartum discomfort? Hello, doctor. I just gave birth on October 26, 2006. I am currently breastfeeding, and my postpartum check-up showed that I am normal with no issues. However, I am experiencing the following abnormalities and would like your assistance: 1. I experience se...
Dr. Lin Zhaopei Reply:
1. If it is a natural vaginal delivery, inflammation of the sutures can lead to the formation of granulation tissue or inclusion cysts, which may cause dyspareunia. Additionally, if the cervix is more prolapsed, there may be increased discomfort during intercourse due to impact. ...[Read More] Postpartum Discomfort: Addressing Common Concerns After Childbirth
Understanding Cervical Smear Tests and Painful First Sexual Experiences
I'm sorry, but I need the content you would like me to translate? Hello, I would like to ask... Is it necessary to have sexual intercourse in order to undergo a Pap smear? What is the definition of sexual intercourse? If a male's genitalia is inserted into a female'...
Dr. Li Guanghan Reply:
Hello: Your description qualifies as sexual intercourse. It is recommended to have your first Pap smear within three years of your first sexual activity. If the results are normal, you should have a Pap smear annually thereafter. The correlation between uterine fibroids and dyspa...[Read More] Understanding Cervical Smear Tests and Painful First Sexual Experiences
Understanding Non-Menstrual Abdominal Pain: Causes and Pregnancy Concerns
Non-cyclical abdominal pain Hello Dr. Lin, I am 37 years old, and my daughter is 5. Recently, I have been experiencing lower abdominal pain outside of my menstrual period, similar to menstrual cramps. I am unsure of the cause. I still wish to conceive for a second child, but I h...
Dr. Lin Zhaopei Reply:
1. In addition to inflammation, endometriosis may also be a possibility. Its symptoms include dysmenorrhea (which can occur even outside of menstruation when severe), infertility, and dyspareunia. Of course, inflammation is also one of the causes. 2. Three consecutive spontaneo...[Read More] Understanding Non-Menstrual Abdominal Pain: Causes and Pregnancy Concerns
Understanding Low Libido and Related Symptoms in Women: A Guide for Couples
"Sexual interest deficiency!" Dear Dr. Lin, I have a few questions I would like to ask you: 1. I am 34 years old, married, and have two children. About three years ago, I started to lose interest in sex. Initially, I would avoid my husband, but now I straightforwardly...
Dr. Lin Zhaopei Reply:
1. Hypoactive sexual desire disorder can be primary, meaning it is due to psychological factors, or secondary, such as rejection due to abnormal bleeding, abdominal pain, or other factors. 2. Postcoital bleeding with a normal Pap smear is most likely due to endometrial instabil...[Read More] Understanding Low Libido and Related Symptoms in Women: A Guide for Couples
Understanding Inflammation from Pap Smear: Treatment and Next Steps
The smear test results indicate "inflammation." How should it be treated? In February, I had a Pap smear, and while previous reports were normal, this time it indicated "inflammation," which has made me very worried. However, the clinic doctor only advised me ...
Dr. Lin Zhaopei Reply:
Generally, the female reproductive system is susceptible to ascending infections, which means that inflammation can start from the vagina, progress to the cervix, then to the uterus, and subsequently affect the fallopian tubes and ovaries. If not effectively treated, symptoms may...[Read More] Understanding Inflammation from Pap Smear: Treatment and Next Steps
Understanding Pain During Intimacy: Causes and When to Seek Help
I'm sorry, but I cannot provide a translation without the content you would like me to translate. Please provide the My girlfriend told me that she feels some pain during intercourse, but it doesn't happen every time. What could be the reason for this? She had a Pap sme...
Dr. Zhong Wenzhen Reply:
Hello: The causes of dyspareunia can range from psychological to physiological factors, including 1. Psychological rejection leading to spasmodic contractions and pain in the lower abdomen. 2. Stinging pain caused by external genital stimulation. 3. Pain due to uterine contractio...[Read More] Understanding Pain During Intimacy: Causes and When to Seek Help
Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Examination During my last routine ultrasound examination, the doctor mentioned that there were no issues with my uterus or ovaries. 1) I would like to ask if a routine ultrasound can detect the presence of endometriomas (chocolate cysts)? For the past year, I have experienced ch...
Dr. Lin Zhaopei Reply:
1. Chocolate cysts are not related to chocolate secretions. When endometriosis leads to the formation of cysts on the ovaries, these are referred to as chocolate cysts. The symptoms include 1. dysmenorrhea, 2. infertility, and 3. dyspareunia. 2. The timing of ultrasound examinati...[Read More] Understanding Chocolate Cysts: Symptoms, Diagnosis, and Fertility Concerns
Is There a Connection Between Endometriosis and Pelvic Adhesions?
Is there a connection between endometriosis and pelvic adhesions? Is there a relationship between endometriosis and pelvic adhesions? If a person has both conditions simultaneously, what symptoms might arise (such as dysmenorrhea)? Is there a necessity for surgical intervention?
Dr. Lü Lizheng Reply:
Hello! 1. Yes, both conditions often coexist, and it is generally believed that the inflammation caused by endometriosis leads to adhesions. 2. Symptoms include dysmenorrhea, dyspareunia, intermittent unexplained lower abdominal pain, and gastrointestinal discomfort (such as bloa...[Read More] Is There a Connection Between Endometriosis and Pelvic Adhesions?
Understanding Recurring Pelvic Inflammatory Disease Symptoms and Fertility Issues
If there is a recurrence of pelvic inflammatory disease (PID), the symptoms may include: 1. Lower abdominal pain or pelvic pain 2. Abnormal vaginal discharge, which may have an unpleasant odor 3. Fever and chills 4. Pain during intercourse 5. Irregular menstrual bleeding 6. Pain...
Dr. Peng Yiguo Reply:
Pelvic inflammatory disease can lead to the formation of abscesses, which are indeed prone to recurrence. If infections occur repeatedly, they can ultimately result in adhesions and infertility. Patients often experience lower abdominal discomfort, dyspareunia, and even abdominal...[Read More] Understanding Recurring Pelvic Inflammatory Disease Symptoms and Fertility Issues
Understanding Uterine Adenomyosis: Pain Management and Pregnancy Concerns
Uterine adenomyosis Hello Dr. Chen, I started experiencing menstrual cramps when I got my first period at the age of 12. By the time I was 25, the pain became unbearable, and I began receiving monthly pain relief injections at the obstetrics and gynecology department. In May of ...
Dr. Chen Fuhao Reply:
Hello Ms. JJ: Your question can be summarized as follows: A chocolate cyst, also known as endometriosis, is a diagnosis often given to women experiencing dysmenorrhea or infertility. Normally, the endometrium exists only within the uterine cavity, but when it is found in abnormal...[Read More] Understanding Uterine Adenomyosis: Pain Management and Pregnancy Concerns
Understanding Pelvic Pain: When to See a Specialist
Please provide the content you would like me to translate? 1. Occasionally, I experience a feeling of heaviness in the anal area, accompanied by abdominal pain. 2. I am unsure if this is related, but during intercourse with my husband, I often feel pain around the lower abdomen, ...
Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Tainan Hospital, Department of Health, Executive Yuan, regarding dyspareunia and a sensation of pelvic pressure. Please consult a gynecologist to examine the primary causes, which may include: 1. Gynecological tumors, such as cervical tumors and endom...[Read More] Understanding Pelvic Pain: When to See a Specialist