Understanding Neural Tube Defect Risks in Down Syndrome Screening
Down syndrome screening - Neural tube defects Doctor, I apologize for bothering you, but I would like to inquire about the risk value of neural tube defects being 1 in 565. Is this a reference value? Additionally, the fetal alpha-fetoprotein level is 2.12, and the doctor mentione...
Dr. Cao Guotao Reply:
Hello, a blood test is just a preliminary assessment; a high-level ultrasound is necessary to determine if there are any issues. Generally, the likelihood of problems is low. Wishing you good health.[Read More] Understanding Neural Tube Defect Risks in Down Syndrome Screening
Preparing for Pregnancy: Can CoQ10 Supplements Help at 38?
Please ask your questions regarding pregnancy preparation? Hello, Doctor. I am currently 38 years old and unmarried. I am concerned that getting pregnant at an older age may be difficult. I have heard that Coenzyme Q10 (CoQ10) can improve physical condition, and I would like to k...
Dr. Cao Guotao Reply:
Hello, do health supplements really work? Everyone has their own opinions. At 38 years old, it's time to seriously consider trying to conceive; don't wait any longer, as age is a significant factor. Wishing you good health![Read More] Preparing for Pregnancy: Can CoQ10 Supplements Help at 38?
Understanding Age and Allergies for the HPV Vaccine: Key Considerations
How is the age for the cervical cancer vaccine determined? If there were suspected adverse reactions after receiving the hepatitis B vaccine, can the cervical cancer vaccine still be administered? Hello, Doctor: I apologize, but I will be turning 27 next month. Recently, I am con...
Dr. Zhang Kunmin Reply:
Hello, the age definition should be based on the time of the event, but it ultimately depends on the regulations. If someone is allergic to the Hepatitis B vaccine but not to other vaccines, it does not necessarily mean they will be allergic to the HPV vaccine. It is advisable to...[Read More] Understanding Age and Allergies for the HPV Vaccine: Key Considerations
Common Questions About Birth Control Pills and Health Concerns
Questions related to emergency contraceptive pills? Hello! 1. I would like to ask if my mother's hepatitis B will affect my ability to take birth control pills? 2. Are there any side effects from long-term use of birth control pills? 3. How long should I take them before I c...
Dr. Cao Guotao Reply:
Hello, it does not affect the contraceptive pill. Generally, it is taken for a year with a one-month break. The contraceptive pill should be started on the fifth day of menstruation, and if taken consistently, it will be effective for contraception. Wishing you good health.[Read More] Common Questions About Birth Control Pills and Health Concerns
Understanding Hepatitis B Transmission Risks in Breastfeeding Mothers
The amount of hepatitis B virus in breast milk? Hello, doctor. I am a mother who is HBsAg positive. My baby is currently over 2 months old and has received immunoglobulin and vaccinations on schedule. I would like to ask if a breastfeeding mother with hepatitis B can transmit the...
Dr. Zhang Kunmin Reply:
Hello, the mother with both hepatitis B surface antigen and antibody can still breastfeed. However, it is not advisable to apply breast milk to the newborn's wounds or mucous membranes. The first dose of the hepatitis B vaccine provides some level of protection, but it is us...[Read More] Understanding Hepatitis B Transmission Risks in Breastfeeding Mothers
Can Surgery Treat Polycystic Ovary Syndrome? Your Questions Answered
Polycystic Ovary Syndrome (PCOS) I would like to ask the doctor, I was diagnosed with polycystic ovary syndrome (PCOS) last year. Since I started menstruating, my cycles have been consistently every two months. I gained 20 kilograms in just half a month. I also have hepatitis B a...
Dr. Cao Guotao Reply:
Hello, most medications do not cause weight gain. Polycystic ovary syndrome (PCOS) is generally not treated with surgery. It is advisable to consult your obstetrician-gynecologist for further guidance. Wishing you good health.[Read More] Can Surgery Treat Polycystic Ovary Syndrome? Your Questions Answered
Understanding Hepatitis B Transmission and Vaginal Health for Women
Hepatitis B transmission and vaginitis? Hello Dr. Chang, I have some questions I would like to ask you. 1. If I engage in unprotected sexual intercourse with someone who is a carrier of the hepatitis B surface antigen (who has had it since birth and has not developed the diseas...
Dr. Zhang Kunmin Reply:
Hello, the likelihood of being infected is very low if antibodies are still present. There is no evidence supporting the efficacy of health supplements, and the conditions across various brands are quite similar. If you are experiencing symptoms of vaginitis, it is advisable to c...[Read More] Understanding Hepatitis B Transmission and Vaginal Health for Women
Can I Take Cold Medicine After Abortion Pills? Safety Concerns Explained
Medication issues Hello, I took oral abortion medication on June 4th, and I have a follow-up appointment on June 6th. However, on June 4th, I already had symptoms of a cold, including a sore throat, cough, and runny nose, and I took the abortion medication before taking any cold ...
Dr. Zhang Kunmin Reply:
Hello, the patient should return for a follow-up appointment 36 to 48 hours after taking the abortion medication. After taking prostaglandin orally during the follow-up, the patient can go home. If there are any discomforts, hospitalization for observation may be necessary. The p...[Read More] Can I Take Cold Medicine After Abortion Pills? Safety Concerns Explained
Impact of Long-term Hepatitis B Medication on Fetal Health During Pregnancy
Medication Use During Pregnancy Hello, doctor. I have been taking Hepatitis B medication, ETV (Entecavir), for a long time. I recently found out that I am six weeks pregnant, and my hepatologist advised me to continue the medication. Could you please tell me if long-term use of t...
Dr. Zhang Kunmin Reply:
Hello, the medication Huileto (Rilpivirine) is classified as Category B for use during pregnancy. This means that animal studies have shown no adverse effects on the fetus, but there is currently a lack of rigorous human trial data. It should only be used by pregnant women when a...[Read More] Impact of Long-term Hepatitis B Medication on Fetal Health During Pregnancy
Can You Get Pregnant After Hepatitis B Vaccination? Key Insights
Hepatitis B vaccine during pregnancy? Hello, I would like to ask: I have already completed two doses of the Hepatitis B vaccine and am about to receive the third dose! Since I am planning to get pregnant, is there a contraindication for pregnancy for a few months after receiving ...
Dr. Lin Wenbin Reply:
No impact.[Read More] Can You Get Pregnant After Hepatitis B Vaccination? Key Insights
Pregnant After Hepatitis B Vaccination: What You Need to Know
Vaccination Hello Doctor: I received the hepatitis B vaccine last week, but I found out I am pregnant this week. What should I do? Will it be harmful to the baby? Should I continue with the vaccination? Thank you.
Dr. Lin Wenbin Reply:
Inactivated vaccines or toxoid vaccines can be administered during pregnancy. The hepatitis B vaccine is classified as an inactivated vaccine (non-live), so it is safe to receive during pregnancy. The hepatitis B vaccine series consists of three doses (administered at 0, 1, and 6...[Read More] Pregnant After Hepatitis B Vaccination: What You Need to Know
Can Pregnant Women with Hepatitis C Have a Cesarean Section?
Cesarean section If a pregnant woman has hepatitis C, can she have a cesarean section? Thank you.
Dr. Liu Yuhong Reply:
Pregnant women with chronic hepatitis B or C do not have their mode of delivery (vaginal birth or cesarean section) affected by their condition. As for pregnant women with chronic hepatitis C who choose cesarean delivery, current medical research has not reached a definitive conc...[Read More] Can Pregnant Women with Hepatitis C Have a Cesarean Section?
Can Hepatitis C Be Transmitted to My Wife and Child?
I have contracted hepatitis C. My wife is healthy and wants me to have a child with her? I have contracted hepatitis C. My wife is healthy and wants me to have a child with her. Will this transmit to my wife and the child?
Dr. Chen Changfu Reply:
According to research reports, Hepatitis C is transmitted through blood, similar to Hepatitis B; there is almost no risk of contracting Hepatitis C through breastfeeding or normal sexual intercourse between spouses. Normal sexual intercourse does not need to be altered if one par...[Read More] Can Hepatitis C Be Transmitted to My Wife and Child?
Impact of Hepatitis B on Pregnancy: What You Need to Know
Pregnancy effects Hello... I am two months pregnant, but my husband has issues related to hepatitis B. He has been taking Hepa-Merz for 1.2 years, but in the past six months, he switched to Baraclude. Will this have any impact on my pregnancy? Thank you...
Dr. Dong Yuhong Reply:
Hello: Your husband has issues related to hepatitis B and is currently undergoing treatment. As you are pregnant, it is important for you to not only take care of your husband's health but also to pay close attention to your own health. Make sure to attend your prenatal chec...[Read More] Impact of Hepatitis B on Pregnancy: What You Need to Know
Impact of Husband's Medications on Pregnancy: What to Know
Pregnancy I have a question... My husband has onychomycosis and has been taking medication (Griseofulvin) for 2 months. He also received the first dose of the hepatitis B vaccine. My last menstrual period was on March 21, and I haven't gotten my period this month, so I check...
Dr. Lü Lizheng Reply:
Dear Hsiu-O: Basically, the medication and vaccination that your husband received do not have any impact. Even if there were an effect, it would only affect his sperm; if the sperm were indeed affected, it would not be able to fertilize the egg, and pregnancy would not occur. T...[Read More] Impact of Husband's Medications on Pregnancy: What to Know
Managing Menopause Symptoms: Insights and Dietary Recommendations
Menopausal symptoms Hello Dr. Tsai, My mother is 60 years old and has been menopausal. She presents with the following complaints: 1) Poor sleep quality, easily waking up, feeling thirsty and urinating frequently at night. 2) Blurred vision in both eyes. 3) Bilateral migraines. ...
Dr. Cai Yonglong Reply:
Dear Ping, 1. These symptoms are related to menopause (is the increased thirst and urination indicative of diabetes?). 2. Hormone replacement therapy should be continued for about five years. 3. Soy isoflavones (propolis, evening primrose oil, soybeans, yellow soybeans) can subs...[Read More] Managing Menopause Symptoms: Insights and Dietary Recommendations
Essential Preconception Health Checkups for Future Parents
Preconception Health Checkup Hello, doctor: I would like to inquire about the "preconception health checkup." What are the "essential" items that need to be included? Most hospitals offer "pre-marital checkups," which do not meet my needs, and I am n...
Dr. Zhang Yongxuan Reply:
The items you listed are almost all included, such as gonorrhea, hepatitis B, and chest X-ray. However, semen analysis is not part of the tests. Generally, infertility evaluations are more necessary after one year of marriage. It is certainly advisable to conduct tests if needed....[Read More] Essential Preconception Health Checkups for Future Parents
Can I Breastfeed with These Virus Levels? Expert Advice Needed
Is it safe to breastfeed with this level of viral load? Based on your viral load results, with HBsAg at 5773 and HBeAg at 11.58 indicating a positive status for both, it is important to consider the implications for breastfeeding. Your SGOT (AST) is 22 and SGPT (ALT) is 21, which...
Dr. Huang Jianxun Reply:
Dear Ms. Huang: In principle, if a baby is born to a mother who is HBsAg and HBeAg positive, administering immunoglobulin within 24 hours of birth allows for breastfeeding. As for whether your HBsAg and HBeAg positivity requires treatment and how to maintain your health, it is ad...[Read More] Can I Breastfeed with These Virus Levels? Expert Advice Needed
Understanding Ovulation and Abnormal Bleeding: When to Consult Your Gynecologist
What does a gynecologist say about the ovulation period? Hello Doctor, last month (July) my menstrual period was from July 22 to July 26. Around August 5, I noticed some light bleeding when I wiped after using the restroom, which continued until my next period started on August 2...
Dr. Li Guanghan Reply:
Hello! It could be ovulation bleeding or luteal phase bleeding after ovulation. However, please make some time to come in for a consultation for peace of mind. Thank you! Wishing you safety and good health.[Read More] Understanding Ovulation and Abnormal Bleeding: When to Consult Your Gynecologist
Should Pregnant Women with Hepatitis B Get Immunoglobulin for Newborns?
Should I pay out of pocket for the injection of hepatitis B immunoglobulin? Hello Doctor: I am a pregnant woman who is a carrier of hepatitis B (surface antigen HBsAg is +...1330; e antigen HBeAg is -...0.25). Will there be a risk of vertical transmission to the fetus? Is it nece...
Dr. Li Guanghan Reply:
Hello: It is recommended to get vaccinated. However, online Q&A is for reference only; please discuss with your attending physician before making a decision. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Should Pregnant Women with Hepatitis B Get Immunoglobulin for Newborns?