Concerns About Medication Use During Early Pregnancy: Seeking Guidance
It is also a medication issue? Dear Dr. Lu, My husband and I were previously advised by a gynecologist that we would need to undergo in vitro fertilization (IVF) to have our own baby, as my husband's sperm count was below 5 million with up to 90% abnormal morphology. After ...
Dr. Lü Lizheng Reply:
Dear Xiaoxuan, Hello, Bory Mycin Pellet primarily affects the development of fetal teeth and bones, but it must be taken during the later stages of pregnancy. You are currently only a few weeks pregnant, and the embryo is still in the stage of a cluster of cells, with no organ d...[Read More] Concerns About Medication Use During Early Pregnancy: Seeking Guidance
Understanding Chlamydia and Mycoplasma Testing During Pregnancy
Pregnancy and Chlamydia, Mycoplasma Doctor: Hello! I am quite confused about the issues regarding Chlamydia and Mycoplasma. I come from mainland China, and when preparing for pregnancy, hospitals there place great importance on preconception screenings, which include tests for Ch...
Dr. Chen Changfu Reply:
The testing and culture of Chlamydia and Mycoplasma are time-consuming and not easy. A positive serological test only indicates a past infection and does not confirm an active infection or the severity of the disease. In Taiwan, prenatal screening for these infections is not incl...[Read More] Understanding Chlamydia and Mycoplasma Testing During Pregnancy
Can You Deliver Naturally with a Nuchal Cord? Risks and Options Explained
Can a baby with a nuchal cord be delivered vaginally? Hello, I would like to ask whether a baby with a nuchal cord (umbilical cord wrapped around the neck) should be delivered vaginally or via cesarean section. Doctors say this is quite common, but if complications arise, the fam...
Dr. Lü Lizheng Reply:
Dear Xiao Yang, Hello. Nuchal cord is merely a phenomenon. The umbilical cord is a flexible tube that contains two arteries, one vein, and some elastic tissue. Therefore, even if the cord is wrapped around the neck, it is just loosely hanging there. The umbilical cord itself is ...[Read More] Can You Deliver Naturally with a Nuchal Cord? Risks and Options Explained
Understanding Alpha Thalassemia: Why It’s Often Overlooked in Prenatal Care
Alpha thalassemia (forwarded from the director's mailbox) Why is it that during prenatal check-ups, both partners have anemia, yet the hospital only tests for beta-thalassemia and informs them that it is merely iron deficiency anemia? As a result, when the mother becomes pre...
Dr. Dong Yuhong Reply:
Hello: Iron deficiency anemia is mostly caused by dietary intake issues or blood loss. Thalassemia is related to genetics; if both parents are carriers of the same type of thalassemia, there is a chance that the fetus may suffer from severe thalassemia. Therefore, during prenatal...[Read More] Understanding Alpha Thalassemia: Why It’s Often Overlooked in Prenatal Care
Understanding Rectovaginal Fistulas: Treatment and Pregnancy Concerns
Fistula issues Hello, I would like to ask again: if there is a rectovaginal fistula issue that needs treatment, should I see an obstetrician-gynecologist or a colorectal surgeon? Additionally, is it possible to address this during delivery (natural birth)? If the fistula issue is...
Dr. Yang Wangjun Reply:
Hello: (1) Rectovaginal fistulas involve both the rectum and the vagina, and can be managed by both obstetricians/gynecologists and colorectal surgeons; however, complex cases may require a multidisciplinary approach. Surgery is typically not performed during pregnancy or labor. ...[Read More] Understanding Rectovaginal Fistulas: Treatment and Pregnancy Concerns
Ensuring Healthy Offspring: Age Considerations for Parents
Having healthy offspring? Hello Dr. Chang! I would like to ask you two questions: 1. I am a 43-year-old male; at what age can I marry a woman to have a healthy offspring? 2. As a 43-year-old older male, if I marry a 42-year-old older female, will we have a risk of having a child ...
Dr. Zhang Kunmin Reply:
Hello, the genetic material of a fetus generally comes from both the father and the mother, and its normality is related to many factors, with age being just one of them. 1. Advanced maternal age: As a mother’s age increases, the likelihood of chromosomal abnormalities in the c...[Read More] Ensuring Healthy Offspring: Age Considerations for Parents
Understanding Menstrual Irregularities and Early Pregnancy Signs
Menstrual issues Hello, Doctor: Here’s the situation... My menstrual cycle dates are March 4, March 31, April 29, May 27, June 24, and July 22 of 1999. I had an encounter with partner A on August 1, but there was no complete penetration; however, I felt some contact. Then, on Aug...
Dr. Lü Lizheng Reply:
Hello, based on the information you provided: 1. On November 10, at the medical center, the ultrasound of the neck translucency and abdominal ultrasound showed a Crown-Rump Length (CRL) of 6.33 cm, corresponding to a Gestational Age (GA) of 12 weeks and 5 days. Generally, the g...[Read More] Understanding Menstrual Irregularities and Early Pregnancy Signs
Is It Safe to Choose a C-Section at 38 or 40 Weeks?
Is it possible to choose a cesarean section at 38 weeks or 40 weeks? Dear Doctor, Hello! I am currently pregnant with my second child. Since my first delivery was via cesarean section, will I need to have another cesarean for this pregnancy, which is two years later? Additional...
Dr. Dong Yuhong Reply:
Hello: Generally, if the first delivery is via cesarean section, the second delivery will also be a cesarean. The timing for a cesarean delivery is usually around 38 to 39 weeks of gestation. The choice of delivery time or whether a trial of labor for the second baby is possible ...[Read More] Is It Safe to Choose a C-Section at 38 or 40 Weeks?
Is It Safe to Use Kairui Medicinal Shampoo During Pregnancy?
Kare Shampoo Hello Dr. Yang, I recently found out that I am pregnant. I am currently using a medicated shampoo called Keri. I would like to ask if it is safe to continue using it. Thank you.
Dr. Yang Wangjun Reply:
Hello: Kele shampoo contains 2% ketoconazole. This medication is classified as Category C by the U.S. Food and Drug Administration (FDA) in terms of pregnancy safety, which means (1) animal studies have shown adverse effects on the fetus, but there are no well-controlled studies ...[Read More] Is It Safe to Use Kairui Medicinal Shampoo During Pregnancy?
Understanding Fetal Lung Adenomatosis: Risks and Management Options
Possible fetal pulmonary adenoma? Hello, doctor. My sister-in-law is from mainland China, 36 years old, and currently with my brother in Shanghai, China. She is 24 weeks pregnant. During a recent prenatal check-up, it was found that "mid-pregnancy screening can detect some f...
Dr. Dong Yuhong Reply:
Hello: Some fetal lung deformities may be detected during prenatal examinations, and pulmonary sequestration is one of these deformities. If abnormalities are found during the prenatal check-up, it is advisable to cooperate with the obstetrician for further monitoring and differe...[Read More] Understanding Fetal Lung Adenomatosis: Risks and Management Options
Is It Safe to Take Cold Medicine During Late Pregnancy?
Is it safe to take cold medicine? I am currently nine months pregnant and have a bit of a cold. I want to see a doctor, but since I am close to my due date, I am concerned about whether taking cold medication will affect the fetus.
Dr. Lü Lizheng Reply:
Dear Ruby: Most cold medications are safe, so there is no need to worry. If you are still concerned, you can consult an obstetrician for a prescription. Wishing you safety and health. Sincerely, Dr. Li-Cheng Lu, Chief of Obstetrics and Gynecology, Taoyuan General Hospital, Depart...[Read More] Is It Safe to Take Cold Medicine During Late Pregnancy?
Pregnancy Concerns After Accidental Xanax Use: What You Need to Know
Accidentally ingested 0.25g of Xanax during pregnancy? My last menstrual period was on January 15. Due to work stress, I had trouble sleeping and took Xanax 0.25 mg before bed on February 17 and 18. On February 20, I bought a pregnancy test, which showed that I was pregnant. I we...
Dr. Zhang Kunmin Reply:
Hello Jun-Ning: This medication is classified as Category C to D in terms of pharmacological classification during pregnancy. However, if used for a short duration or as a single dose, and as long as the dosage is not high, avoiding long-term use generally does not increase the r...[Read More] Pregnancy Concerns After Accidental Xanax Use: What You Need to Know
Early Pregnancy Concerns: Symptoms, Medications, and Nutrition Tips
Early pregnancy-related issues? Hello Dr. Chen: My last menstrual period was on December 18th, and since it has been over 18 days without menstruation, accompanied by a small amount of dark brown discharge, I bought a pregnancy test and found out I am pregnant. I have several que...
Dr. Chen Changfu Reply:
1. Occasional light bleeding in early pregnancy is often harmless implantation bleeding, occurring in 70-80% of cases, as long as subsequent prenatal examinations show no abnormalities. 2. Chlorpheniramine Maleate 4mg is an antihistamine with no clinical reports indicating tera...[Read More] Early Pregnancy Concerns: Symptoms, Medications, and Nutrition Tips
Does Pregnancy from a Broken Condom Affect Fetal Health?
Does pregnancy resulting from a condom rupture have any effects on the fetus? Hello, doctor: I would like to ask if a pregnancy resulting from a condom breaking during intercourse would have any effects on the fetus. Since condoms often contain spermicide, I am wondering if a pre...
Dr. Dong Yuhong Reply:
Hello: A broken condom can lead to the possibility of pregnancy. Additionally, there are condoms that do not contain spermicide, while those that do contain a lower dosage of spermicide. There is still a lack of research regarding the effects on the fetus. Thank you.[Read More] Does Pregnancy from a Broken Condom Affect Fetal Health?
Understanding Itchy Rashes During Pregnancy: Causes and Concerns
Itchy rashes on the abdomen during pregnancy? Dear Doctor, I am currently five months pregnant with my second child. Since the fourth month, I have been experiencing itching on my abdomen, and now there are many red rashes on my belly that are very itchy. The more I scratch, the ...
Dr. Dong Yuhong Reply:
Hello: During pregnancy, some women may experience skin itching, with the most common condition being pruritic urticarial papules and plaques of pregnancy (PUPPP), which typically appears on the abdomen, thighs, and other areas. The causes are varied and related to hormonal chang...[Read More] Understanding Itchy Rashes During Pregnancy: Causes and Concerns
High-Risk Pregnancy After C-Section and Ectopic Surgery: Key Concerns
After a cesarean section, shortly after, there was an ectopic pregnancy, and then I became pregnant again..? Hello, Director Chen: I am an older expectant mother. After struggling to conceive for several years without any assisted reproductive technologies or dietary changes, I f...
Dr. Chen Changfu Reply:
Due to an ectopic pregnancy, laparoscopic surgery was performed to remove the right fallopian tube. This has no adverse effects or negative impact on future intrauterine pregnancies. Additionally, this pregnancy is nearly a year apart from the previous cesarean delivery, so pleas...[Read More] High-Risk Pregnancy After C-Section and Ectopic Surgery: Key Concerns
Concerns About Unusual Discharge During Early Pregnancy: What to Know
Approximately 5 to 6 weeks into pregnancy, shortly after straining during a bowel movement, there was a presence of wet, foul-smelling discharge on the underwear? Hello Doctor: I underwent an embryo transfer on January 7, and my pregnancy test on January 21 was positive, marking ...
Dr. Lü Lizheng Reply:
Dear YY: Hello, the discharge you are experiencing has a fishy odor, which is likely indicative of vaginitis. It is recommended that you seek medical attention. Wishing you safety and health. Sincerely, Dr. Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology, Tao...[Read More] Concerns About Unusual Discharge During Early Pregnancy: What to Know
Concerns About Alcohol Consumption During Early Pregnancy
Pregnancy Hello, doctor. I would like to ask: My last menstrual period was on November 13. I went to the obstetrics and gynecology department on December 26 and confirmed that I was 6 weeks pregnant. On January 9, during my second prenatal check-up, the fetus was normal and had a...
Dr. Lü Lizheng Reply:
Dear Vivian: Hello, a small glass of red wine contains a low alcohol content and should not have a significant impact, so please do not worry too much. Wishing you peace and health. Sincerely, Dr. Lu Li-Cheng, Director of the Department of Obstetrics and Gynecology, Taoyuan Gener...[Read More] Concerns About Alcohol Consumption During Early Pregnancy
Understanding Newborn Death: Causes and Implications in Obstetrics
Neonatal death Hello Doctor, I previously inquired about delivery issues. I experienced pain from the 12th to the 18th, but the newborn was immediately admitted to the neonatal intensive care unit upon birth and unfortunately passed away on the 20th due to meconium aspiration. Co...
Dr. Lü Lizheng Reply:
I am very saddened to hear the unfortunate news about your child. Since I was not involved in the medical process at that time, I do not fully understand the various circumstances. Although you have provided some information, there are still many situations and changes that can o...[Read More] Understanding Newborn Death: Causes and Implications in Obstetrics
Unexpected Pregnancy After Using Nail Fungus Treatment: Risks and Concerns
Unexpected pregnancy after medication use? A pregnancy test taken three days after menopause indicated an unexpected pregnancy. However, prior to this, Loceryl (amorolfine) nail lacquer was applied weekly for 32 weeks. What impact could this have on the pregnancy? Is there a risk...
Dr. Lü Lizheng Reply:
Hello, 1. There are reports in the literature regarding this medication that may lead to adverse effects on the fetus; however, please do not worry excessively. 2. Topical medications are absorbed into the body in very small amounts, so there is no need for excessive concern. ...[Read More] Unexpected Pregnancy After Using Nail Fungus Treatment: Risks and Concerns