Understanding Amenorrhea: Causes, Effects, and Treatment Options
Amenorrhea Since my menstruation started on July 15, 2015, I have not had a period until I took traditional Chinese medicine on December 4, 2015, after which my menstruation resumed. I then took Western medicine and had my period on May 18, 2016. I have had blood tests and ultras...
Dr. Lü Lizheng Reply:
The absence of menstruation for an extended period may have several underlying causes. If you are unable to find answers, consider consulting a large teaching hospital for further evaluation. Prolonged amenorrhea raises concerns about potential endometrial disorders, such as endo...[Read More] Understanding Amenorrhea: Causes, Effects, and Treatment Options
Should You See a Doctor for Unusual Discharge After Menopause?
Secretions, thank you? Yesterday, after urinating and wiping with toilet paper, I noticed a light brown color that seemed slightly darker than yellow, but it only happened once. Should I see a doctor for an examination immediately? I am currently in menopause. Thank you.
Dr. Zhang Kunmin Reply:
Hello, the causes of postmenopausal bleeding in women must exclude the presence of uterine tumors, endometrial hyperplasia, cervical lesions, vaginal lesions, and infections of the reproductive or urinary tracts, among others. It is advisable to consult a physician for further ev...[Read More] Should You See a Doctor for Unusual Discharge After Menopause?
Post-Sexual Activity Bleeding: Causes and Concerns for Women
Postcoital bleeding After sexual intercourse, my boyfriend noticed a small amount of blood on the condom, but the color was very light, similar to the end of a menstrual period. However, there was no bleeding from the vagina, and this only occurs during intercourse. This has not ...
Dr. Yang Wangjun Reply:
Hello: Postcoital bleeding can primarily occur in two areas. (1) Bleeding from microvascular rupture of the cervix and cervical erosion, which can be caused by cervical infections, cervical ectropion, or precancerous lesions of the cervix, all of which can lead to fragile microva...[Read More] Post-Sexual Activity Bleeding: Causes and Concerns for Women
Understanding Birth Control Pill Breaks and Effectiveness: Key Questions Answered
Time to discontinue oral contraceptives? Hello Doctor, I would like to ask some questions regarding oral contraceptives. 1. I have been taking "Yaz" for a while now (about 4 packs). Is it necessary to take a break for one month after six months, or should I take a bre...
Dr. Zhang Kunmin Reply:
You need not medical consultation but rather a refresher on sexual health knowledge. For such inquiries, it is recommended to refer to the National Health Service's "Sexual Happiness e-Learning" or the Obstetrics and Gynecology Society's "Adolescent Contr...[Read More] Understanding Birth Control Pill Breaks and Effectiveness: Key Questions Answered
Understanding Blood Clots in Endometrial Thickening After Breast Cancer Treatment
Tamoxifen for breast cancer Hello, my mother was diagnosed with early-stage breast cancer two years ago and has undergone surgery and radiation therapy. She is currently receiving hormone therapy. During her ongoing gynecological check-ups, she has been experiencing side effects ...
Dr. Cao Guotao Reply:
Hello, if the endometrium is thicker than normal, a further endometrial biopsy should be performed. As for the hematoma, I'm sorry, but I'm not very clear about what you are referring to. I recommend consulting your obstetrician-gynecologist. Wishing you good health.[Read More] Understanding Blood Clots in Endometrial Thickening After Breast Cancer Treatment
Long-Term Birth Control Pills: Should You Stop and What to Expect?
Long-term contraceptive issues? Hello doctor, I have been taking birth control pills (Yaz) for over two years. Do I need to stop taking them? Additionally, I would like to ask if taking birth control pills affects the amount of menstrual flow. I have noticeably experienced a decr...
Dr. Zhang Kunmin Reply:
Hello, your inquiry is answered as follows: 1. After long-term use of contraceptive pills, there may be a temporary impact on the ability to conceive. This is because the components of contraceptive pills suppress ovulation to achieve contraceptive effects. When the ovaries are...[Read More] Long-Term Birth Control Pills: Should You Stop and What to Expect?
Understanding Irregular Periods and Heavy Bleeding in PCOS Patients
Polycystic Ovary Syndrome (PCOS) I have no sexual experience and have polycystic ovary syndrome (PCOS). My menstrual cycle has been irregular for a long time, often taking over six months to a year to come, and the flow is light. Over two years ago, I had an ovarian tumor removed...
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and more. 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 Irregular Periods and Heavy Bleeding in PCOS Patients
Managing Birth Control During Time Zone Changes: Key Considerations
Preoperative medication discontinuation? Due to the upcoming trip to Taiwan and the 12-hour time difference, I am currently taking ineffective pills (from April 25 to May 1, my menstrual period started on April 25 and 26 with very light flow, and normal flow on April 27, 28, and ...
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. If there is a...[Read More] Managing Birth Control During Time Zone Changes: Key Considerations
Understanding Irregular Menstrual Cycles: Black Blood and Short Duration
Menstrual period lasting only one day for two consecutive months with dark blood? Hello: I have been taking birth control pills consistently, and my menstrual cycle has always been regular, lasting about three days with normal color and flow. However, last month and this month, m...
Dr. Zhang Kunmin Reply:
Hello, the use of contraceptive pills 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, and it is not due to retention of blood in th...[Read More] Understanding Irregular Menstrual Cycles: Black Blood and Short Duration
Understanding Medroxyprogesterone Acetate: Side Effects and Concerns
Progesterone Consultation Hello Dr. Tsao: I have been prescribed M51 10mg/tab MedroxyPROGESTERone acetate for endometrial hyperplasia on April 8. 1. I would like to ask if it is normal to have bleeding similar to the third day of my menstrual cycle from April 16 until now, with o...
Dr. Cao Guotao Reply:
Hello, are you still taking progesterone on April 16? If you are still taking it, it indicates that your period may come early, and it is advisable to consult your original obstetrician-gynecologist. Experiencing tenderness around the breasts while taking this medication is norma...[Read More] Understanding Medroxyprogesterone Acetate: Side Effects and Concerns
Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects
Prolonged menstrual period? I would like to ask if it is normal to have only a small amount of dark-colored blood during the first week of my menstrual period? However, in the second week, the flow becomes normal (so the total duration is almost two weeks). My second question is ...
Dr. Yang Wangjun Reply:
Hello: (1) When there is abnormal vaginal bleeding, the first step is to check if the bleeding is caused by pregnancy. Next, it is important to investigate whether there are any lesions causing the bleeding, such as endometrial hyperplasia, cervical polyps, or uterine fibroids. I...[Read More] Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects
Understanding Irregular Periods After Birth Control: Causes and Concerns
Menstrual irregularities after taking contraceptive pills? Hello, Doctor. I have been taking birth control pills for three years. Initially, I was prescribed the Wanbujin 28 sugar-coated tablets by a clinic. After a long period of use, I experienced a slight reduction in menstrua...
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. After switchi...[Read More] Understanding Irregular Periods After Birth Control: Causes and Concerns
Is Your Menstrual Cycle Normal? Understanding Irregularities and Concerns
Is this menstrual cycle normal? Hello, doctor. My menstrual period has always lasted 7 days with a cycle of 28-32 days. I usually have a relatively heavy flow and do not experience significant menstrual pain. On average, I use about 8 pads a day, especially during the first 4 day...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal menstrual bleeding in middle-aged women may include hormonal imbalances, emotional factors, diet, and age, among others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesi...[Read More] Is Your Menstrual Cycle Normal? Understanding Irregularities and Concerns
Is It Normal to Have Light Periods on Birth Control with Negative Pregnancy Test?
Is this considered normal? It is normal for menstrual flow to become lighter when taking birth control pills, and a negative pregnancy test indicates that you are not pregnant. However, if you have concerns about your menstrual cycle or the effects of the birth control pills, it ...
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; it is not due to blood retention in the body. Thank y...[Read More] Is It Normal to Have Light Periods on Birth Control with Negative Pregnancy Test?
Understanding PCOS: Challenges in Menstruation and Fertility
Polycystic Ovary Syndrome (PCOS) Hello, doctor. After my first menstrual period, I had my second one about a year later. I thought it was normal, but when the third period was delayed, I went to the hospital for consultation. After 1-2 years of examinations and changing doctors, ...
Dr. Zhang Kunmin Reply:
Hello, the treatment for Polycystic Ovary Syndrome (PCOS) is summarized as follows: For patients who do not wish to become pregnant: Regular administration of progesterone (every 45 to 60 days) can be used to induce menstruation and reduce the risk of endometrial cancer. Altern...[Read More] Understanding PCOS: Challenges in Menstruation and Fertility
Understanding Heavy Menstrual Flow After Intercourse: Causes and Concerns
Menorrhagia Having sexual intercourse the day before your period starts, and then experiencing a heavier flow on the first day than usual, can be attributed to several factors. It is possible that the sexual activity may have stimulated the uterus, leading to increased menstrual ...
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in middle-aged women 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 ...[Read More] Understanding Heavy Menstrual Flow After Intercourse: Causes and Concerns
Heavy Menstrual Bleeding: When to See a Gynecologist?
Menorrhagia On March 19, I suspected that the condom broke, so I took emergency contraception. My period started on March 23 and has been very heavy every day since, with many large blood clots. Is there a problem with my uterus? Can I see a gynecologist while I am on my period? ...
Dr. Zhang Kunmin Reply:
Hello, the reasons for heavy menstrual bleeding in women may include hormonal imbalances, emotional factors, diet, age, and more. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding ...[Read More] Heavy Menstrual Bleeding: When to See a Gynecologist?
Understanding Abnormal Bleeding: Causes and When to Seek Help
Abnormal bleeding Hello Doctor, my last menstrual period was from February 27 to March 2, with an average cycle of about 35 days. My periods were particularly long from September to December last year, but they have returned to a regular pattern now. My question is, I had interco...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal bleeding outside of menstruation in women 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....[Read More] Understanding Abnormal Bleeding: Causes and When to Seek Help
Understanding Brown Discharge After Intercourse: What You Need to Know
Vaginal spotting? Hello, doctor. Recently, after engaging in sexual activity (specifically, non-penetrative intercourse with a virgin), I noticed blood coming from my lower region, and there are persistent dark brown streaks when I wipe. I have experienced this before, but it res...
Dr. Zhang Kunmin Reply:
Hello, the causes of abnormal bleeding outside of menstruation in women 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....[Read More] Understanding Brown Discharge After Intercourse: What You Need to Know
Understanding Endometriosis: Symptoms, Diagnosis, and Treatment Options
Endometriosis Hello! After a doctor's examination, it is estimated that I have endometriosis. Seven years ago, I had a cervical ring inserted to help reduce menstrual flow and cramps, which initially worked well. However, after five years, when I replaced the ring, the new o...
Dr. Lin Manying Reply:
1. Endometriosis is not endometrial hyperplasia. 2. It is unclear whether the contraceptive you are using is Mireua; please consult your original physician.[Read More] Understanding Endometriosis: Symptoms, Diagnosis, and Treatment Options