Is It Normal for a 4th Grader to Start Menstruating at 160 cm and 45 kg?
Menstrual period Is it normal for a fourth-grade student to start menstruating? She is 160 cm tall and weighs 45 kg.
Dr. Zhang Kunmin Reply:
Dear Ms. Jiang, The age at which menstruation begins, known as menarche, varies significantly among individuals, ranging from as early as 9 years to as late as 18 years. Most individuals experience menarche between the ages of 12 and 14. Numerous factors influence the onset of m...[Read More] Is It Normal for a 4th Grader to Start Menstruating at 160 cm and 45 kg?
Concerns About Early Menstruation and Height Growth in Young Girls
My daughter has started her period, and I'm worried that starting so early might affect her growth? I would like to ask about my daughter, who is in the fourth grade and has started menstruating. Friends say that girls who get their period early will not grow taller than 10 ...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Tainan Hospital, Department of Obstetrics and Gynecology, Hello. The onset of menstruation in girls aged 9 and 10 is considered precocious puberty, whereas it is typically expected to begin in the 5th or 6th grade of elementary school or in the 1s...[Read More] Concerns About Early Menstruation and Height Growth in Young Girls
Understanding Irregular Menstrual Cycles: Causes and When to Seek Help
Irregular menstrual cycle? Hello Dr. Li: My menstrual cycle has always been regular, occurring approximately every 23 to 25 days, with a normal blood flow lasting about 5 days and no menstrual cramps. However, the last two cycles have shown some unusual changes. In the past two m...
Dr. Li Guanghan Reply:
You have irregularities in your menstrual cycle, as well as abnormalities in menstrual flow and sensations. It is advisable to come in for an examination, preferably after your period ends. Thank you![Read More] Understanding Irregular Menstrual Cycles: Causes and When to Seek Help
Understanding Tubal Obstruction: Treatment Options for Infertility
Infertility (Fallopian Tube Obstruction) Doctor: I have something I would like to ask you. My right fallopian tube is blocked, and the left side has some swelling and partial blockage. What treatment options do you recommend, or what should I do?
Dr. Yang Wangjun Reply:
Hello: 1. Most cases of fallopian tube obstruction are caused by infections that lead to adhesions within the lumen. If the adhesions are not severe, some have used a method to clear the fallopian tubes by using a saline solution infused with antibiotics, enzymes, and adrenal h...[Read More] Understanding Tubal Obstruction: Treatment Options for Infertility
Understanding the Difference: Taking Birth Control on Day 1 vs Day 5
Day one and day five? Is there a difference between taking birth control pills on the fifth day versus the first day?
Dr. Lü Lizheng Reply:
Dear Ya: Hello, if you start taking the contraceptive pill on the first day, the components within the pill, which contain female hormones, may interfere with your menstruation and potentially prolong the duration of your period. Therefore, it is recommended to wait until the fif...[Read More] Understanding the Difference: Taking Birth Control on Day 1 vs Day 5
Understanding Post-Pill Bleeding: What to Expect After Emergency Contraception
Regarding bleeding? Using emergency contraception during the fertile window does not guarantee that you will experience withdrawal bleeding. While some women may experience bleeding after taking the pill, it is not a definitive outcome for everyone. The absence of withdrawal blee...
Dr. Zhong Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your questions and provide the following suggestions: 1. Emergency contraceptive pills can interfere with your own hormone secretion and are influenced by your natural hormones. Theoretically, they may induce a...[Read More] Understanding Post-Pill Bleeding: What to Expect After Emergency Contraception
Do Hormonal Supplements Affect Uterine Fibroids and Cysts?
The relationship between uterine fibroids and hormones? Hello Doctor: I would like to ask if patients with uterine fibroids or cysts should avoid taking dietary supplements that contain growth hormones or hormones, such as royal jelly, pollen, or bee larvae. If they do take these...
Dr. Li Guanghan Reply:
Hello: 1. Qualified health supplements should not contain growth hormones or female hormones; otherwise, they should be classified as pharmaceuticals. 2. Female hormones can stimulate the growth of uterine fibroids, so fibroids in premenopausal women generally tend to grow. 3. If...[Read More] Do Hormonal Supplements Affect Uterine Fibroids and Cysts?
Managing Irregular Menstruation After Ovarian Surgery: A Guide
Menstrual irregularities Hello, I would like to ask a question. I previously had surgery for a teratoma, but the doctor said that my uterus and ovaries were preserved. However, I am not getting my period even with menstrual induction injections, and I have taken progesterone as w...
Dr. Chen Changfu Reply:
Women with endocrine disorders and higher levels of body fat are more likely to experience irregular ovulation due to abnormal secretion of pituitary hormones that stimulate ovarian function, leading to irregular menstrual cycles. It is recommended that you focus on weight loss a...[Read More] Managing Irregular Menstruation After Ovarian Surgery: A Guide
Understanding Abnormal Bleeding After Menstruation: Causes and Guidance
Abnormal bleeding On Sunday, the day after my period ended, my boyfriend and I had intercourse with a condom, and since Tuesday, I've been experiencing abnormal bleeding (mostly a reddish watery discharge). It is now Thursday, and it is still occurring. What could be the cau...
Dr. Yang Wangjun Reply:
Hello: The sites of post-coital bleeding are primarily the hymen, vagina, cervix, and endometrium. (1) Hymen: A hymenal opening that is too small or vigorous sexual activity can cause laceration and bleeding even in non-virgins. (2) Vagina: Similar to the hymen, vigorous sexual a...[Read More] Understanding Abnormal Bleeding After Menstruation: Causes and Guidance
Pregnant but No Baby on Ultrasound: Understanding the Concerns
I am pregnant, but I can't see the baby? Hello, Doctor! I would like to ask about my situation. Last week, I went to the obstetrics and gynecology department for an examination. The urine test showed two lines, but one line was faint. The doctor told me that I was pregnant a...
Dr. Dong Yuhong Reply:
Hello: I have seen your questions and would like to explain the following points for your understanding. 1: A pregnancy test showing two lines indicates a positive result for pregnancy. 2: If you go for an ultrasound a week later and see a pregnancy within the uterus, the doctor ...[Read More] Pregnant but No Baby on Ultrasound: Understanding the Concerns
Post-Hysterectomy Care: Nutrition, Hormones, and Health Monitoring
Post-hysterectomy care? Hello Dr. Dong, I would like to ask you about my situation. I had a hysterectomy in January 2008, but my ovaries were preserved. It has been over a year since then. 1. What kind of nutritional supplements should I focus on for maintenance after the surge...
Dr. Dong Yuhong Reply:
1. Should I pay attention to any nutritional supplements for maintenance in the future? After the age of 30-40, women should consider taking a multivitamin and increase their intake of fruits and vegetables. Of course, if you have any underlying medical conditions, it is advisabl...[Read More] Post-Hysterectomy Care: Nutrition, Hormones, and Health Monitoring
Missed Period for a Month: Should You See a Doctor?
excuse me? Doctor Lu, may I ask: Is it concerning that I haven't come in for a month and only returned on November 13? What could be the reason for this? Do I need to see a doctor?
Dr. Lü Lizheng Reply:
Hello: When menstruation is delayed, the first consideration should be whether pregnancy has occurred. If there has been no sexual intercourse recently, or if menstruation has clearly started later, pregnancy can be ruled out. Otherwise, if there is only irregular or light bleedi...[Read More] Missed Period for a Month: Should You See a Doctor?
Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Irregular menstrual cycle? Hello, I haven't had my period for over two months, and I have not engaged in any sexual activity. I have had many instances of this irregularity in the past. Should I get checked? Why is my menstrual cycle consistently abnormal? I'm already 2...
Dr. Lü Lizheng Reply:
Dear Ms. Yu, To achieve a stable menstrual cycle, it is essential to regulate the female hormones and body composition involved in menstruation. The control of these hormones is managed by the hypothalamus and pituitary gland in the brain. To maintain the normal functioning of t...[Read More] Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Essential Gynecological Questions for Spinal Injury Patients
Consult a physician? First point: I am a spinal cord injury patient. Sometimes my menstrual cycle is regular, and sometimes it is not, but I have it every month. Do I need to see a gynecologist? Second point: Is there a method to test my future fertility? Third point: My chil...
Dr. Yang Wangjun Reply:
1. The menstrual cycle primarily involves the hypothalamus → pituitary gland (which secretes follicle-stimulating hormone and luteinizing hormone) → ovaries (which secrete female hormones and progesterone) → endometrium (which forms the menstrual lining). This axis is primarily c...[Read More] Essential Gynecological Questions for Spinal Injury Patients
Do I Need Surgery for Uterine Fibroids? Exploring Medication Options
Do uterine fibroids require surgery? Is there a medication treatment available? I am 45 years old this year. Last year, an ultrasound examination revealed that I had a uterine fibroid measuring about 3 cm. This year, during a follow-up examination, it has grown to 6 cm. My doctor...
Dr. Dong Yuhong Reply:
Whether a 6 cm uterine fibroid requires surgery depends on a comprehensive evaluation of multiple factors, such as the location of the fibroid, its impact on menstrual flow, whether it causes anemia, proximity to menopause, and the risks associated with surgery. It is advisable f...[Read More] Do I Need Surgery for Uterine Fibroids? Exploring Medication Options
Understanding Post-Pill Bleeding: What to Expect After Emergency Contraception
Birth control pills If bleeding occurs five days after taking the emergency contraceptive pill, but the amount is not heavy, is that normal? How long might this bleeding last, and will the menstrual cycle return to normal afterward?
Dr. Lü Lizheng Reply:
The active ingredient in emergency contraceptive pills is a high dose of progestin, and some formulations may also include a high dose of estrogen. These added hormones alter ovarian ovulation and change the state of the endometrium to achieve the effect of emergency contraceptio...[Read More] Understanding Post-Pill Bleeding: What to Expect After Emergency Contraception
Can Cranberries Help with Uterine Fibroids and Excess Discharge?
Can women with uterine fibroids consume cranberries? Hello, doctor: I have uterine fibroids and generally cannot use traditional Chinese medicine for supplementation. However, I have excessive discharge and would like to take cranberry to improve this condition, but I also have a...
Dr. Li Guanghan Reply:
Hello: Female hormones can stimulate the growth of uterine fibroids. If you want to know whether any dietary supplements you are using contain female hormone components, it is recommended to consult the manufacturer. Thank you! Wishing you peace and health.[Read More] Can Cranberries Help with Uterine Fibroids and Excess Discharge?
Is Ovarian Removal Necessary with Uterine Fibroids?
Hysterectomy with bilateral salpingo-oophorectomy? Hello Dr. Lee, my mother (currently 51 years old and postmenopausal) is experiencing issues with uterine fibroids, which are approximately 7 to 8 centimeters in size. Recently, she has been suffering from frequent abdominal pain,...
Dr. Li Guanghan Reply:
Hello: For postmenopausal women, removing the ovaries can prevent ovarian cancer; however, some scholars advocate for their preservation, arguing that they can still secrete small amounts of hormones. Currently, both approaches have their proponents among physicians. Wishing you ...[Read More] Is Ovarian Removal Necessary with Uterine Fibroids?
Can You Consult a Gynecologist for Breast Enhancement?
Breast augmentation If someone is interested in breast augmentation, is it appropriate to consult a gynecologist?
Dr. Yang Wangjun Reply:
Hello: Currently, there is no comprehensive discussion on breast enhancement, leading to a variety of opinions and methods available, such as dietary therapies, infrared bras, and massage therapies. As long as there are no significant side effects, it may be worth trying. Regardi...[Read More] Can You Consult a Gynecologist for Breast Enhancement?
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