Hormones, Obstetrics and Gynecology FAQ

Understanding the Impact of Male Hormones on Acne in Women

Androgens can lead to acne? Hello, doctor. I have been experiencing acne for a long time. In the past, I took oral isotretinoin until I reached the maximum dosage, and my doctor said I could stop the medication. However, about a year ago, due to stress, I started breaking out aga...

Dr. Lin Xinwang Reply:
Hello, Ms. Li: Female androgens are secreted in small amounts by the ovaries, while most are derived from the conversion of precursors in the bloodstream, so it is not related to the timing of blood draw.

Understanding the Impact of Male Hormones on Acne in Women

Androgens can lead to acne? Hello, doctor. I have been experiencing persistent acne. In the past, I took oral isotretinoin until I reached the maximum dosage, and my doctor said I could stop the medication. However, about a year ago, due to stress, I started breaking out again, a...

Dr. Lin Xinwang Reply:
Hello Ms. Li: Androgens in females are secreted in only small amounts by the ovaries, with the majority being converted from precursors in the bloodstream, so it is not related to the timing of blood draw.

Understanding Ovulation Pills: Do You Really Need Them with Low Menstrual Flow?

Ovulation medication? Hello, Dr. Chang. I would like to ask about my menstrual cycle. My flow is very light except for the second day, and I hardly need to change my sanitary pads. I consulted a doctor who diagnosed me with polycystic ovaries but stated that I do not have polycys...

Dr. Zhang Kunmin Reply:
Hello, the questioner: Polycystic Ovary Syndrome (PCOS) is characterized by abnormal hormone secretion that leads to irregular ovulation, where follicles that should develop into eggs fail to grow normally. The exact cause is unknown, but it is believed that genetics may play a r...

Understanding Hormonal Influences on Sexual Desire in Women

Is it influenced by hormonal factors? Hello, doctor. I would like to ask you some questions regarding whether the reactions I experience are influenced by hormonal factors. I have no sexual experience, but I often feel a strong desire to engage in sexual activity before and after...

Dr. Cao Guotao Reply:
Hello, what you described is a normal response, so there's no need to worry. Wishing you good health.

Understanding Abnormal Discharge: When to Seek Gynecological Care

Secretions issues? Hello Doctor, I have been consistently taking the contraceptive pill for about ten months now. Recently, I've been experiencing some spotting. I visited a gynecologist, who performed an internal examination and mentioned that I have cervical erosion due to...

Dr. Cao Guotao Reply:
Hello, let's observe for now. If there is still bleeding, we will consult a gynecologist. If it is indeed cervical erosion and it's severe, cryotherapy may be necessary. You might consider trying a different type of contraceptive pill to see if the bleeding issue persis...

Understanding Cervical Erosion and Abnormal Discharge: Key Questions Answered

Secretions issues Hello Doctor, I have been consistently taking the contraceptive pill for about 10 months now. Recently, I have experienced some spotting. I visited a gynecologist, who performed an internal examination and mentioned that I have cervical erosion due to a discharg...

Dr. Cao Guotao Reply:
Hello, let's observe for a few more days. If there is still bleeding, please consult a gynecologist. If the abnormal bleeding persists in the next cycle, you may consider trying a different type of contraceptive pill. As for whether it is cervical erosion, we will need to mo...

Understanding the Effectiveness and Use of Emergency Contraceptive Pills

Effectiveness of Birth Control Pills Hello, Doctor. I would like to ask about the contraceptive pill "Wen Bufen 30" (21+7): 1. Since I took it for the first time on the first day of my period, should I take it again on the first day of my next period? 2. How long does i...

Dr. Zhang Kunmin Reply:
Hello, the 28-day pack of oral contraceptives (with the last 7 pills being placebo) is designed for menstruation to occur during those last 7 days. Therefore, after finishing one pack, you should immediately start the next pack. Combined oral contraceptives (COCs) contain hormone...

Can I Take Traditional Chinese Medicine While Using Menstrual Induction Pills?

Can I take traditional Chinese medicine to regulate my body while using medication to induce menstruation? I need to travel abroad for a long-haul flight on January 28, and my next menstrual period is expected to start on the 28th of this month. Therefore, I visited a Western med...

Dr. Zhang Kunmin Reply:
Hello, based on your description, if the traditional Chinese medicine does not contain any components of female hormones, it should not have any effects. Thank you! Wishing you peace and health. Dr. Zhang

Emergency Contraceptive Pills: Are They Safe After Unprotected Intercourse?

Emergency contraceptive pill Hello doctor, my period started on January 5 and lasted for 5 days. I had intercourse on January 15, and my husband withdrew before ejaculation. However, I felt a slight sensation of semen after putting on my underwear, so I took emergency contracepti...

Dr. Huang Zifei Reply:
Dear Sen Sen, Emergency contraception is recommended to be taken within 72 hours, and the sooner it is taken after sexual intercourse, the more effective it is. However, emergency contraception is not 100% effective. If your period is delayed by a week, it is advisable to take a...

Managing Endometriosis: Effective Pain Relief and Menstrual Delay Options

Endometriosis Hello, doctor. I have been suffering from adenomyosis for over 15 years. Last month, it was found to be about 9 cm in size. During my menstrual pain period, I need to take 4 painkillers a day for about 4 days, which is quite distressing. I would like to know if ther...

Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary response based on your information. Since the known source of the condition originates from the uterus itself, any medication that avoids addressing the underlying issue (such as those that reduce menstrual flow or alleviate menstrual pa...

Understanding Irregular Periods: Treatment Options and Surgical Considerations

Treatment methods for irregular menstrual periods? In the past, my menstrual cycles were normal, but three months ago, after trying to regulate my cycle, I suddenly experienced bleeding that lasted for a month. I visited a local hospital where the physician prescribed hormones to...

Dr. Wu Xianghui Reply:
1. Observation for 2-3 months or performing a hysteroscopy for biopsy. 2. Hormonal therapy without the addition of uterotonics may lead to excessive menstrual bleeding and prolonged menstrual periods.

Managing High Prolactin and Schizophrenia: Can Soy and Flaxseed Help?

Hyperprolactinemia and schizophrenia? Hello doctor, I was diagnosed with schizophrenia at the age of 30. I have been taking four tablets of Seroquel every day since then. A few months ago, during a follow-up appointment, I had my prolactin levels tested, and the doctor said they ...

Dr. Lin Xinwang Reply:
Hello, Yea: 1. If your period is missed, you should first take a pregnancy test to rule out the possibility of pregnancy. 2. Some psychiatric medications can cause elevated prolactin levels; you might consider adjusting your medication. 3. Menstruation should be controlled to occ...

Determining the Most Likely Conception Date: A Guide for Women

Date of conception Hello Dr. Tsao, my menstrual cycle in October was from October 9 to 12, and my previous cycles were about 28 days, occasionally arriving earlier or later. I took emergency contraceptive pills for about 15 days at the end of August and beginning of September (fo...

Dr. Cao Guotao Reply:
Hello, it could be on October 13th or 17th. Wishing you good health.

Transgender Hormone Therapy Coverage Issues in Taiwan: A Patient's Perspective

Transgender women undergoing hormone replacement therapy (HRT) for feminization and health insurance issues? Currently, in Taiwan, for transgender men transitioning to female through hormone replacement therapy (HRT), there are issues regarding health insurance coverage. Is it tr...

Dr. Cao Guotao Reply:
Hello, I'm sorry I haven't encountered this issue before. You might want to ask the National Health Insurance Administration for more clarity. Wishing you good health.

Does Ovarian Cancer Chemotherapy Affect Premenstrual Depression?

Does chemotherapy for ovarian cancer affect premenstrual depression? Hello Doctor, I underwent chemotherapy for ovarian cancer last year and had one ovary removed. Before the chemotherapy, I also received two doses of Lupron (initially misdiagnosed as uterine fibroids). Recently,...

Dr. Cao Guotao Reply:
Hello, depression can be caused by a deficiency in hormones; however, you should not supplement hormones. If you still feel unwell, it is advisable to consult a psychiatrist. Wishing you good health.

Understanding Weight Gain and Edema from Birth Control Pills

Contraceptive pill issues, medication side effects? Hello Doctor: I started taking Esmya (Ulipristal Acetate) in June 2020 and continued until I stopped for a month in April this year, then resumed in May. During this time, I haven't experienced any major issues, but I have ...

Dr. Zhang Kunmin Reply:
Hello, the safety of modern oral contraceptives is quite high; however, there are still some side effects, such as headaches, abdominal pain, nausea, breast tenderness, changes in weight and libido, and mood swings. Generally, these symptoms tend to resolve after a few months. If...

Impact of Endometriosis Medications on Hormone Test Results

Medication Consultation I am currently having regular follow-ups in the neurology department and plan to have blood tests for hormones (ACTH, prolactin, adrenal corticosteroids) at the end of October. I have a history of endometriosis and have been experiencing increasing discomf...

Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

Managing Menopause and Male Pattern Baldness: Can You Safely Combine Medications?

Menopause and Androgenetic Alopecia Medication Consultation Two years ago, I experienced symptoms of hot flashes along with amenorrhea. After undergoing tests, it was confirmed that I had ovarian aging. The doctor mentioned that my age is still relatively young, so I was prescrib...

Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

Effects of Emergency Contraceptive Pills on Libido and Discharge in PCOS Patients

Symptoms after taking emergency contraceptive pills? Hello, Doctor. I have polycystic ovary syndrome (PCOS) and experience irregular menstrual cycles, with my period occurring approximately every 1.5 months after weight loss. On July 1, during sexual intercourse, the condom broke...

Dr. Wu Xianghui Reply:
1. The hormonal status in polycystic ovary syndrome (PCOS) is quite unique and can be easily influenced by high doses of hormones. 2. For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after the last se...

Understanding Menstrual Mood Swings: Causes and Solutions for Emotional Distress

Menstrual depression Hello, doctor. I'm not sure if I can get a response through this channel 😅. This issue has been bothering me for a long time, and I've considered whether I should seek medical help, but I feel like it might not be that serious. During my menstrual p...

Dr. Chen Zhiyu Reply:
Based on your description, it seems that you are experiencing a more severe form of premenstrual syndrome known as Premenstrual Dysphoric Disorder (PMDD). Literature reports that this condition is caused by a rapid decline in cyclical hormones after ovulation, leading to an imbal...

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