Understanding Heavy Menstrual Bleeding: Causes and Concerns
Excessive menstrual bleeding? Hello doctor! About three to four months ago, I started experiencing heavy menstrual bleeding. Usually, the first three days have the heaviest flow, which is significantly more than what I used to have. Then, on the fourth day, the flow starts to dec...
Dr. Zhang Kunmin Reply:
Hello, the possible reasons for heavy menstrual bleeding may include hormonal imbalance, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding...[Read More] Understanding Heavy Menstrual Bleeding: Causes and Concerns
Understanding the Connection Between Uterine Fibroids and Abnormal Pap Smears
RE: Regarding the previous question Hello, doctor. First, thank you for your response. Last year, I underwent a dilation and curettage (D&C) procedure to address endometrial hyperplasia, and the biopsy results were normal. However, in January of this year, I discovered a 3 cm...
Dr. Cao Guotao Reply:
Hello, fibroids and Pap smears (4) are unrelated; they can be monitored and managed separately. Wishing you good health.[Read More] Understanding the Connection Between Uterine Fibroids and Abnormal Pap Smears
Understanding Emergency Contraceptive Pills and Their Effects on Menstrual Cycle
Emergency contraceptive pill, withdrawal method without a condom? Hello, doctor. I would like to ask about the issue of pre-exposure prophylaxis: I took the medication for the first time on December 1, during the fifth day of my menstrual period, and I took it consistently every ...
Dr. Zhang Kunmin Reply:
Hello, The contraceptive pill has the effect of suppressing endometrial hyperplasia (making it more difficult for a fertilized egg to implant). As the source of menstrual flow decreases, the menstrual volume naturally reduces, rather than being retained in the body. Combined or...[Read More] Understanding Emergency Contraceptive Pills and Their Effects on Menstrual Cycle
Is Heavy Menstrual Flow After Pregnancy Normal? Understanding Postpartum Changes
Heavy menstrual bleeding postpartum? Hello doctor, I would like to ask if it is normal for the menstrual flow after childbirth to be heavier than before pregnancy. I need to change a pad every 2-3 hours, and even on the fourth day, it feels like the bleeding hasn't decreased...
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out the presence of uterine tumors, endometrial hyperplasia, cervical lesions, vaginal lesions, and so on. If the ble...[Read More] Is Heavy Menstrual Flow After Pregnancy Normal? Understanding Postpartum Changes
Understanding Atypical Endometrial Hyperplasia and Treatment Options
Use of atypical progesterone in endometrial conditions? Hello, doctor. Due to abnormal bleeding outside of my menstrual period and thickened endometrium, a dilation and curettage (D&C) was performed, which revealed atypical cells at 8%. The doctor recommended removing my uter...
Dr. Wu Xianghui Reply:
1. Do not panic excessively; simply return for follow-up appointments as scheduled. Whether there is a pathological change must be diagnosed through the results of a biopsy. 2. Early lesions that are not cancerous can also be treated with a hysterectomy using hysteroscopic techni...[Read More] Understanding Atypical Endometrial Hyperplasia and Treatment Options
Understanding Endometrial Cancer: Symptoms, Treatment, and Concerns
Endometrial cancer issues? Hello, Dr. Huang. Here’s the situation: In May, I went to the hospital because I had prolonged menstrual bleeding for over a week. At the end of May, an ultrasound revealed endometrial hyperplasia. On June 1, I underwent a dilation and curettage (D&...
Dr. Huang Yuande Reply:
1. Generally, when using high doses of progesterone, menstruation does not occur. However, if it has been taken for many days and there is still some spotting, it may be considered to stop the medication to allow for menstruation. 2. Progesterone use may cause dizziness, which is...[Read More] Understanding Endometrial Cancer: Symptoms, Treatment, and Concerns
Does Masturbation Increase the Risk of Gynecological Issues?
Does masturbation lead to gynecological diseases? Hello, I have a habit of masturbation. I am 19 years old and initially did not know this was masturbation. I have been doing it almost two to three times a day for about four years. I have not had any penetrative sexual experience...
Dr. Cai Yonglong Reply:
Hello, this is not a problem. This is okay.[Read More] Does Masturbation Increase the Risk of Gynecological Issues?
Understanding Abnormal Bleeding After First Sexual Experience
Abnormal bleeding after sexual intercourse? Hello Dr. Chang, 1) I would like to ask about the possible causes of abnormal bleeding after the first sexual intercourse, occurring about a week before the menstrual cycle. Since I have had intercourse, I am not sure if the bleeding i...
Dr. Zhang Kunmin Reply:
Hello, the factors for bleeding are numerous, and it is important to examine the uterus or cervical lesions, infections, ovulation, and other causes. I recommend that if your symptoms persist or worsen, you should consult a gynecologist for an examination. In addition to difficul...[Read More] Understanding Abnormal Bleeding After First Sexual Experience
Understanding Abnormal Bleeding After Intimate Contact: Causes and Concerns
Abnormal bleeding In mid-March, I had a Pap smear and HPV test. The Pap smear report indicated vaginal inflammation, so I was prescribed a suppository to use for 6 days. However, after having non-invasive sexual activity with my boyfriend on April 4th (just clitoral stimulation a...
Dr. Zhang Kunmin Reply:
Hello, the causes of post-coital bleeding may include hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding persists, it ...[Read More] Understanding Abnormal Bleeding After Intimate Contact: Causes and Concerns
Understanding Atypical Endometrial Hyperplasia: Surgical and Non-Surgical Options
Atypical endometrial hyperplasia I went to the hospital for an examination, and the doctor said it is atypical endometrial hyperplasia, with a benign probability of 1 in 3. The doctor recommended that it would be better to remove the uterus, ovaries, and cervix. I would like to a...
Dr. Cao Guotao Reply:
Hello, since you have reached menopause, it is advisable to follow your doctor's instructions. If you really do not want to undergo surgery, you can start with progesterone treatment for a period of time, and then have an endometrial biopsy to see if there is any improvement...[Read More] Understanding Atypical Endometrial Hyperplasia: Surgical and Non-Surgical Options
Understanding Post-Intercourse Bleeding: Causes and Concerns
Postcoital bleeding Doctor, I would like to ask about a situation. During my third sexual intercourse with my boyfriend, I experienced bleeding, which was more than the previous two times—about six to seven drops, and it stopped after a while. The first two times there was only l...
Dr. Zhang Kunmin Reply:
Hello, the causes of vaginal bleeding may include hormonal imbalance, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding persists, it is ad...[Read More] Understanding Post-Intercourse Bleeding: Causes and Concerns
Proving Misdiagnosis: Seeking Expert Opinions on Uterine Conditions
How to prove that it is not symptom A but symptom B? Please provide a new assessment from the doctor? Hello, I have experienced varying menstrual blood flow in the past, and at times, the heavier flow has affected my daily life. Due to this, I consulted multiple hospitals and und...
Dr. Huang Yuande Reply:
Your question is not easy to define. Before any surgical diagnosis or treatment, Doctors A, B, and C can only make diagnoses based on their examination findings. Endometriosis is typically managed surgically through dilation and curettage (D&C) of the endometrium. Generally, ...[Read More] Proving Misdiagnosis: Seeking Expert Opinions on Uterine Conditions
Understanding Elevated FSH Levels: A Guide for Women’s Health Concerns
Health check-up Hello, doctor. I had an FSH level of 23.6 on January 7, 19.1 on January 10, and 60.1 on September 4. Is it concerning that my levels have increased so dramatically in just eight months? I have not had a menstrual period for over a year, occasionally experiencing s...
Dr. Zhang Kunmin Reply:
Hello, based on your blood test report, it indicates that you have reached menopause. Common causes of postmenopausal vaginal bleeding may include: 1. Benign tumors: including cervical or endometrial polyps; precancerous conditions such as cervical dysplasia or endometrial hyperp...[Read More] Understanding Elevated FSH Levels: A Guide for Women’s Health Concerns
Do You Need Emergency Contraception After Taking Provera?
Do I need to use emergency contraception after taking Povir tablet? Hello, I have not had my menstrual period for a long time, so I have been seeing a gynecologist for almost a year. The first doctor found a polyp in my uterus, which needed to be removed. After the removal, my me...
Dr. Cao Guotao Reply:
Hello, the chances of pregnancy should be low. If you're still concerned, you might consider taking emergency contraception. Wishing you good health.[Read More] Do You Need Emergency Contraception After Taking Provera?
Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Endometriosis adenomyosis Hello, my mother recently had a gynecological examination because she was diagnosed with an adenoma a long time ago. She has been experiencing heavy bleeding and severe pain during her menstrual periods, but she has not received any treatment, only dieta...
Dr. Huang Yuande Reply:
For a 48-year-old woman, whether surgery is needed for endometriosis or adenomyosis depends on the severity of the symptoms, as the likelihood of malignant transformation is low. However, based solely on your description, it is difficult to provide accurate recommendations. Furth...[Read More] Understanding Endometriosis and Adenomyosis: A Guide for Concerned Families
Understanding Endometrial Hyperplasia: Timeline to Cancer and Symptoms
Endometrial hyperplasia Hello doctor, I would like to ask how long it typically takes for a normal endometrium to progress to atypical hyperplasia and then develop into endometrial cancer? Additionally, at what stage do bleeding symptoms usually begin to appear? Thank you.
Dr. Wu Xianghui Reply:
Abnormal bleeding and endometrial hyperplasia can have various underlying causes. It is recommended to consult a gynecologist for evaluation in an outpatient setting.[Read More] Understanding Endometrial Hyperplasia: Timeline to Cancer and Symptoms
Understanding Endometrial Hyperplasia: Risks and Differences from Adenomyosis
Endometrial hyperplasia Hello Doctor, I was diagnosed with adenomyosis about a year ago during an ultrasound (approximately 9.6 cm including the uterus itself). A few months ago, I experienced abnormal bleeding (only that one time), which led me to undergo a hysteroscopy today. T...
Dr. Cao Guotao Reply:
Hello, adenomyosis is a form of endometriosis and is completely different from endometrial hyperplasia. Endometrial hyperplasia is a precursor to endometrial cancer and is generally manageable with medication. If you have further questions, you can consult your healthcare provide...[Read More] Understanding Endometrial Hyperplasia: Risks and Differences from Adenomyosis
Understanding Endometrial Hyperplasia: Risks and Concerns for Women
RE: Endometrial Hyperplasia Hello, doctor. I am the one who asked earlier (today, a hysteroscopy revealed endometrial hyperplasia). I have also researched related literature, which mentions the probability of endometrial hyperplasia evolving into malignant tumors: (1) Simple cyst...
Dr. Cao Guotao Reply:
Hello, you are overthinking it. In the early stages, it is not cancer. Wishing you good health.[Read More] Understanding Endometrial Hyperplasia: Risks and Concerns for Women
Do I Really Need to Take Progesterone After Menopause?
Do I need to take progesterone? Hello Dr. Huang: I have been menopausal for a year and a half. Last December, when I wiped after using the restroom, I noticed slight bleeding and a little bit of blood streaks. The next day, I visited a gynecologist and had an abdominal ultrasound...
Dr. Huang Yiwen Reply:
Hello Ms. Liu: Normally, if there has been no menstruation for over a year and there is no hormone replacement therapy, any subsequent uterine bleeding must be carefully evaluated for the possibility of endometrial hyperplasia or even endometrial malignancy. Although the ultrasou...[Read More] Do I Really Need to Take Progesterone After Menopause?
Vaginal Bleeding After Exercise and Masturbation: When to Seek Help?
Vaginal bleeding after exercise and masturbation? For the past month or two, after masturbation (with the use of a device), I do not experience immediate bleeding, but within about half a day, I notice bright red blood in my discharge when I go to the bathroom (the amount saturat...
Dr. Zhang Kunmin Reply:
Hello, the factors affecting intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, post-coital contraceptives, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, p...[Read More] Vaginal Bleeding After Exercise and Masturbation: When to Seek Help?