Understanding Polycystic Ovary Syndrome: Treatment, Risks, and Prevention Tips
Polycystic Ovary Syndrome (PCOS) Hello, Doctor. I would like to ask about polycystic ovary syndrome (PCOS). I have had irregular menstrual cycles for a long time, and during an ultrasound examination at the obstetrics and gynecology clinic, the doctor informed me that I have PCOS...
Dr. Li Guanghan Reply:
Hello: This is a common syndrome among young women, and there is no need to worry excessively. If your menstrual period occurs every three months, you may choose to monitor it without medication. If your period is absent for more than three months and you wish to conceive, you ma...[Read More] Understanding Polycystic Ovary Syndrome: Treatment, Risks, and Prevention Tips
Optimal Dosage of Progesterone for Managing Menstrual Irregularities
Dosage of progesterone? I am 49 years old and for the past two and a half years, I have been experiencing endometrial hyperplasia, with menstruation lasting for several months whenever it starts. I have undergone three dilation and curettage (D&C) procedures, and the biopsy r...
Dr. Li Guanghan Reply:
Hello: Endometrial hyperplasia should first undergo a dilation and curettage (D&C) for pathological diagnosis to rule out the possibility of endometrial lesions. If it is diagnosed as simple hyperplasia, it is recommended to use Provera at a dosage of 10 mg per day for 10-14 ...[Read More] Optimal Dosage of Progesterone for Managing Menstrual Irregularities
Understanding Menstrual Blood Clots: When to Seek Medical Advice
Menstrual blood clots Hello, doctor. In the past 3 to 4 months, during the second day of my menstrual period, I experience a sudden surge of heavy bleeding accompanied by large blood clots. It feels like the blood is continuously flowing out, and during these episodes, there is a...
Dr. Li Guanghan Reply:
Hello: There are many possible causes for increased menstrual flow, such as fibroids, adenomyosis, and endometrial hyperplasia, but they are less likely related to warts. Please seek medical attention promptly. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Menstrual Blood Clots: When to Seek Medical Advice
Understanding Irregular Menstrual Cycles and Unusual Discharge in Women
Menstruation Dear Doctor: My menstrual cycle is irregular; sometimes it comes every two months, and other times every three months. Each time it occurs, I pass out a substance that is about 0.5 to 1 centimeter thick, which does not resemble blood clots but rather looks like flesh...
Dr. Liang Yinpan Reply:
Ms. Apple: Your menstrual cycle occurring every 2-3 months is due to hormonal imbalance, which leads to irregular ovulation. When menstruation occurs, there may be clotted tissue, which is the shed endometrial lining. Many women with normal menstrual cycles also experience this; ...[Read More] Understanding Irregular Menstrual Cycles and Unusual Discharge in Women
Understanding Menstrual Retention Inflammation: Symptoms and Risks
Menstrual retention inflammation? Dear Dr. Lu: What is menstrual retention inflammation, and what are its symptoms? Are there any potential complications? Thank you!
Dr. Lü Lizheng Reply:
Menstrual retention and inflammation are two different disease diagnoses. Menstrual retention is often caused by anovulation, hormonal imbalance, and endometrial hyperplasia, which prevents the shedding of the endometrium, leading to retention within the uterus. Hormonal therapy ...[Read More] Understanding Menstrual Retention Inflammation: Symptoms and Risks
Persistent Bleeding After IUD Insertion: Causes and Concerns
Uncontrollable bleeding Hello Doctor: I had an intrauterine device (IUD) inserted on September 21, and I have been experiencing bleeding since then. I returned to the hospital for a follow-up appointment on October 5, where the IUD was removed (as it had slightly fallen out, whic...
Dr. Wu Zongcheng Reply:
Director Wu Zongcheng of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, replies to Ah-Hui: 1. After the insertion of the intrauterine device (IUD), taking uterine contraction medication for 1 to 2 days after its removal should help...[Read More] Persistent Bleeding After IUD Insertion: Causes and Concerns
Understanding Endometrial Biopsy: What to Expect and Treatment Options
Biopsy examination Hello Doctor: A few months ago, I experienced irregular menstruation and frequent bleeding. After examination, I was found to have a thickened endometrium and was advised to undergo a uterine biopsy due to a 2 cm tumor. What kind of examination is this? How sho...
Dr. Chen Changfu Reply:
Dear netizen: Hello! Physiologically, a woman's normal menstrual blood is influenced by the secretion of estrogen and progesterone during the ovarian cyclic ovulation process, which affects the endometrium, leading to a cyclical pattern of endometrial proliferation, glandula...[Read More] Understanding Endometrial Biopsy: What to Expect and Treatment Options
Should I Get Checked? Understanding Irregular Menstrual Cycles
Should I get checked? Hello Doctor: I have been experiencing irregular menstrual cycles since I first got my period. In high school, my flow was heavy and painful, but it has gradually decreased since college. My periods have always been irregular, sometimes arriving on time, but...
Dr. Chen Changfu Reply:
Dear readers, 1. The menstrual period in women is due to the cyclical ovulation process of the ovaries, which involves the secretion of estrogen and progesterone that affect the endometrium, leading to periodic bleeding. Many women may experience irregular menstrual cycles due t...[Read More] Should I Get Checked? Understanding Irregular Menstrual Cycles
Understanding Prolonged Menstrual Periods During Menopause
Prolonged menstrual periods during menopause? Hello Doctor: My mother is 50 years old, and her menstrual cycle has been irregular since the end of last year. Previously, it was always very regular. However, upon reflection, it seems to be within a reasonable range, so we didn...
Dr. Wei Fumao Reply:
Please consult a nearby obstetrician-gynecologist for assistance. Heavy and prolonged menstrual bleeding during menopause may be due to previous infrequent periods or missed cycles, leading to endometrial hyperplasia.[Read More] Understanding Prolonged Menstrual Periods During Menopause
Understanding Irregular Menstruation After Five Years: What to Do?
Menstrual issues Dr. Liang: Hello!!! I have a question to ask you!!! I have not had my period for over 5 years!! But today I noticed a little bit of bleeding!!! It's light red!!! What should I do now??? Thank you in advance!!
Dr. Liang Yinpan Reply:
Dear Ms. Tan, The possible causes of postmenopausal vaginal bleeding are as follows: 1. Atrophic vaginitis combined with infection or trauma, leading to injury and bleeding of the vaginal mucosa. 2. Administration or injection of female hormones, which stimulates endometrial ...[Read More] Understanding Irregular Menstruation After Five Years: What to Do?
Understanding Prolonged Menstrual Bleeding: Causes and Concerns
Menstruation lasting continuously for over twenty days? My mother once had her menstrual period for over twenty days with heavy flow. She went to see a gynecologist, and the initial Pap smear results were normal. However, she did not proceed with further tests because she couldn&...
Dr. Lin Zhaopei Reply:
Having menstruation for over 20 days is certainly an abnormal phenomenon. Since the cervical smear test results are normal, the issue likely lies within the uterus. Further examination may require taking time off work, as the physician may recommend a hysteroscopy or endometrial ...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Concerns
Understanding Menstrual Cramps and Seeking Support During Pregnancy
Please ask your question? I experience blood clots every time I have my period, and I also feel cramps and fatigue before my menstruation. Is there something wrong with my body? Additionally, I've heard that if I become pregnant, I need a parent to accompany me (I just turne...
Dr. Lin Zhaopei Reply:
1. If there is excessive menstrual bleeding or the presence of blood clots, it is necessary to visit a gynecologist to investigate the cause, such as endometrial hyperplasia, polyps, fibroids, or endometriosis. 2. Discomfort before menstruation is likely due to premenstrual syndr...[Read More] Understanding Menstrual Cramps and Seeking Support During Pregnancy
Understanding Danazol Side Effects and Long-Term Use for Endometrial Hyperplasia
Side effects of using danazol? Dr. Zheng: Hello. I have endometrial hyperplasia and am taking danazol. Aside from weight gain, what are the other side effects of this medication? Is it suitable for long-term use? What are the other better treatment options for endometrial hyperpl...
Dr. Li Guanghan Reply:
Long-term use of danazol can lead to weight gain and hoarseness, and after discontinuation, there may still be issues with endometrial hyperplasia. Endometrial hyperplasia can be treated with procedures such as endometrial ablation, endometrial balloon therapy, and endometrial th...[Read More] Understanding Danazol Side Effects and Long-Term Use for Endometrial Hyperplasia
Understanding Irregular Menstrual Cycles: Causes and Solutions
Menorrhagia Hello Dr. Chen, I experience my menstrual period every month, but the intervals are less than ten days. My cycles have been irregular, and for the past two months, I have been experiencing continuous bleeding, although the flow is not heavy. What should I do? I am m...
Dr. Chen Fuhao Reply:
Ms. Yang: Hello, your question is a common issue in general gynecological outpatient clinics, with about one-quarter of women experiencing similar concerns. Modern women face pressures from heavy academic workloads, careers, and household responsibilities, leading to irregular me...[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions
Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women Over 40
Abnormal heavy bleeding? Hello, I would like to ask about my mother, who is approaching 49 years old this year. Recently, she experienced uterine bleeding that lasted for about a month. After being prescribed medication by a doctor, her condition improved, but once she stopped th...
Dr. Xu Junzheng Reply:
Uterine fibroids, endometrial hyperplasia, cervical cancer, and endometrial cancer can all cause heavy bleeding. A thorough examination is necessary to confirm the diagnosis, as it cannot be determined solely based on symptoms. Thank you.[Read More] Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women Over 40
Understanding Brown Discharge Before Menstruation: Causes and Concerns
Brown discharge before menstruation? Why do I have a few days of brown discharge before my period starts? I am 33 years old and have not given birth yet, and this has only been happening for the past year. I consulted a doctor who mentioned it might be due to luteal phase deficie...
Dr. Zhan Deqin Reply:
1. Hormonal abnormalities can sometimes occur. 2. More common causes include adenomyosis, uterine fibroids, and endometrial hyperplasia, and sometimes uterine enlargement can be caused by other factors. 3. It is recommended to first undergo an ultrasound examination to determine ...[Read More] Understanding Brown Discharge Before Menstruation: Causes and Concerns
Understanding Abnormal Pap Smears: Risks and Next Steps for Women
Cervical smear test failed? My mother is 52 years old and has gone through menopause. She has also undergone a dilation and curettage (D&C) for endometrial hyperplasia. She has had Pap smears done at two different clinics, both of which were abnormal, and she experiences irre...
Dr. Wei Fumao Reply:
As stated above, the meaning is unclear. Please consult the physician who performed the smear test.[Read More] Understanding Abnormal Pap Smears: Risks and Next Steps for Women
Understanding Menopause: Irregular Bleeding Concerns at 54
Menopause Hello, my mother is 54 years old and she stopped menstruating about a year and a half ago. During her menopause, she was taking hormone medication, but in the past two months, she has experienced menstrual bleeding again, which lasts about two weeks. Should we be concer...
Dr. Wei Fumao Reply:
Bleeding may be caused by hormonal factors (poor drug absorption can lead to bleeding). Please consult the physician who prescribed the hormones. Additionally, if the cervix is severely eroded, bleeding may occur during sexual intercourse. Furthermore, excessive endometrial hyper...[Read More] Understanding Menopause: Irregular Bleeding Concerns at 54
Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Menstrual irregularities This month, when my period was about to start, I noticed a little bit of light blood (not like my usual menstrual flow). I thought I would wait a few days to see if my period would actually come, but it has been a week and I am still experiencing a little...
Dr. Wu Zongcheng Reply:
Irregular menstruation (spotting) can be considered from three aspects: (1) Uterine and ovarian pathologies: such as uterine fibroids, polyps, endometrial hyperplasia, or ovarian tumors. (2) Functional causes: Hormonal imbalances in the ovaries can disrupt the menstrual cycle. Lu...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Understanding Miscarriage Risks in Women with Polycystic Ovary Syndrome
Is polycystic ovary syndrome (PCOS) associated with an increased risk of miscarriage? Last June, I conceived naturally but unfortunately miscarried at 12 weeks. The doctor mentioned that polycystic ovary syndrome (PCOS) increases the risk of miscarriage (the embryo pathology show...
Dr. Wang Hanzhou Reply:
Polycystic ovary syndrome (PCOS) does not make it that difficult to conceive. If there are 2-3 instances of fetal demise or miscarriage, both partners' chromosomes can be examined. As for whether to take Utrogestan, please closely consult with your physician.[Read More] Understanding Miscarriage Risks in Women with Polycystic Ovary Syndrome