Hormones, Obstetrics and Gynecology FAQ

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. I've considered seeking medical help, but I feel like it might not be that serious. During my menstrual period, I often fin...

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...

Understanding Prolonged Menstrual Bleeding: Causes and Next Steps

Menstrual blood retention? Hello Doctor, I had my period on July 12, and today is July 22, making it the 11th day. For the past four days, the bleeding has not been heavy. I am 31 years old, and my two children are both two years old. This is the first time my period has lasted t...

Dr. Wu Xianghui Reply:
1. The medication does not have the side effects you mentioned. 2. As a non-psychological counselor, I cannot provide accurate answers. 3. Please ask your attending physician during your next appointment or seek a second opinion from another medical institution.

Understanding Premenstrual Arrhythmia: Causes and Solutions

Premenstrual arrhythmia Hello doctor, I experience irregular heartbeats, palpitations, chest tightness, and shortness of breath from about 10 days before my menstrual period until the middle of my period. I have visited the emergency room once, but my hemoglobin levels were norma...

Dr. Chen Zhiyu Reply:
Regarding your concerns, the scientific reports on arrhythmias caused by hormonal changes during menstruation are still rare. It is advisable to consult a cardiologist to determine the underlying cause to avoid any delay in diagnosis. Thank you for your inquiry, and I wish you he...

Will Taking Norethindrone for Menstrual Issues Cause Weight Gain?

Will taking menstrual regulation medication cause weight gain? My menstrual flow is very light each time. After seeing a doctor and having blood tests, it was found that I do not have polycystic ovary syndrome (PCOS), but my LH is higher than my FSH, although it does not meet the...

Dr. Wu Xianghui Reply:
Long-term use of hormones can lead to edema, but it typically returns to normal after discontinuation for a period of time.

Managing PMDD with Vitex: Dosage Guidance and Family Considerations

Chaste Tree Berry (Vitex) Hello Doctor, I have been experiencing premenstrual tension (PMT, PMDD) since I started menstruating at the age of 12. When I was 18, I visited a specialized clinic at Chang Gung Memorial Hospital for premenstrual tension. I have thyroid nodules, which h...

Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary response: Generally, abnormal thyroid hormone levels can affect menstrual flow. However, your condition seems to be more related to the thyroid gland itself rather than thyroid hormones. It is recommended that you be evaluated by a metab...

Understanding Acne, Weight Gain, and Abnormal Menstrual Blood Color

Acne, weight gain, and abnormal menstrual blood color? Hello, Doctor! In the past six months to a year, I suddenly experienced severe acne on my face, rapid weight gain, and my menstrual blood color has often been abnormal (sometimes brown or dark red). I feel easily fatigued and...

Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary of the response: Your description seems to be related to hormonal imbalances in the body. Consulting an endocrinologist can provide a comprehensive assessment of any hormonal imbalances. On the other hand, obstetrics and gynecology typic...

Managing Congenital Adrenal Hyperplasia: Hormonal Treatment and Concerns

Adrenal hyperplasia, male hormone issues? Hello, Doctor. I apologize for bothering you. I was diagnosed with congenital adrenal hyperplasia during kindergarten, which is related to enzyme deficiency. This condition seems to require control of male hormones. Currently, I am taking...

Dr. Cao Guotao Reply:
Hello, please consult with other endocrinologists. Wishing you good health.

Self-Care Strategies for Postmenopausal Women: Sleep, Hormones, and More

Self-Care Issues After Menopause Dear Dr. Chang, I have two concerns I would like to consult you about: 1. Sleep and tinnitus, 2. Hormones. I often wake up at 3 AM and find it difficult to fall back asleep. If I do manage to sleep again, it is usually brief and filled with dream...

Dr. Zhang Kunmin Reply:
Hello, if you have experienced improvement in your symptoms after using Veenina tablets and sedatives, but are not suitable for hormone replacement therapy due to the risk of thrombosis, you may try the methods you mentioned to see if they are effective. However, if your symptoms...

Self-Care Strategies for Post-Menopausal Women: Addressing Sleep and Hormonal Issues

Self-care issues after menopause? Hello Dr. Chang, I have two concerns I would like to consult you about: 1. Sleep and tinnitus, 2. Hormones. I wake up at 3 AM and find it difficult to fall back asleep. If I do manage to sleep again, it is only for a short time and filled with d...

Understanding Delayed Menstruation: Questions About Hormonal Treatments

Menstruation is delayed? Hello, Doctor. The last time I had my period was on Christmas last year, and it has been four months since then. I visited a doctor in mid-March, confirmed that I was not pregnant, and the ultrasound showed no abnormalities. At that time, the doctor admin...

Dr. Huang Zifei Reply:
Dear NN, 1. If the simulated normal endocrine medication for one month involves taking estrogen followed by progesterone, typically for inducing menstruation over five days to a week, most of the medications are taken together. If you are unclear, I truly recommend discussing th...

Understanding Drug Interactions: Norina Tablets and Endometriosis Treatment

Menstrual regulation drugs, drug interactions? The last menstrual period was from March 6 to March 10, with a cycle of approximately 28 days, so the next period is expected on April 2. If I start taking Norina Tablets 5mg from March 29, following the pharmacist's instruction...

Dr. Cao Guotao Reply:
Hello, if you take the medication to delay your period and your menstruation starts in the middle of the treatment, you should stop taking the medication. If your period does not come, continue taking the medication until it arrives. The medication for endometriosis is not the sa...

Is Ectopic Pregnancy Possible? Understanding Symptoms and Testing

Is it possible to have an ectopic pregnancy? Hello, Doctor. I apologize for interrupting you during your busy schedule. I would like to ask about my recent menstrual cycle, which was from March 1 to March 7. I had unprotected intercourse on the 10th, and on the afternoon of the 1...

Dr. Wu Xianghui Reply:
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. If the pregnancy test is positive and accompanied by abdominal pain, it is recommended to go to the hospital for a blood test and a transv...

Can Unmarried Women Check Their Fertility Potential Early?

If you are unmarried and want to know about your fertility, can you get tested in advance? Hello, doctor. I am 23 years old and have been in a stable relationship with my boyfriend for two years. We have been using contraception and have never been pregnant. Since we plan to get ...

Dr. Cao Guotao Reply:
Hello, infertility is defined as not achieving pregnancy after one year of regular sexual intercourse. Further evaluation is needed if this criterion is met. If menstrual cycles are regular, there should not be any issues. Of course, the tests you mentioned can be considered. Wis...

Can Royal Jelly Affect the Effectiveness of Birth Control Pills?

Is it safe to take royal jelly while on the contraceptive pill, Yaz? Hello, doctor. I usually take the 21-day oral contraceptive pill (Yueji). I would like to ask if taking royal jelly (Healthy Care) will affect the effectiveness of the contraceptive pill. Also, should I take the...

Dr. Zhang Kunmin Reply:
Hello, Medications that may interact with oral contraceptives include: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - These may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contracep...

Understanding Menstrual Irregularities: Insights on Hormone Testing and PCOS

Menstrual issues 1. Hello, doctor. A few days ago, I had blood tests for AMH, LH, E2, and FSH. The doctor mentioned that it is not necessary to have the blood drawn on the third day of my menstrual cycle. What period do they use to make their assessments? Is this correct? 2. I ...

Dr. Zhang Kunmin Reply:
Hello, the diagnostic criteria for Polycystic Ovary Syndrome (PCOS) primarily include the following items: (1) reduced or absent ovulation; (2) signs of elevated male hormones either externally or in the blood; (3) ultrasound findings of polycystic ovaries; and the exclusion of o...

Understanding Menstrual Induction and Emergency Contraception Risks

Postponing menstruation medication, followed by taking emergency contraception after stopping the medication? On January 30, I got my period. On February 6, I had intercourse with my boyfriend (withdrawal method). My period was due on February 22, but I experienced breast tendern...

Dr. Wu Xianghui Reply:
11. For pregnancy concerns, please perform a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. Frequent use of hormones (such as menstrual induction, menstrual delay, and contraceptive pills, etc.) can lead to menstrual irregular...

Emergency Contraception: Effectiveness and Cycle Impact Explained

Emergency contraceptive pill Hello Doctor, I would like to ask: I had sexual intercourse on the morning of February 25th, around 8 AM, using a condom. At the end, I pulled out while the penis was still erect, but some white fluid came out with it. I was concerned that the condom ...

Dr. Huang Zifei Reply:
Dear Anonymous, 1. Emergency contraception is recommended to be taken within 72 hours after intercourse; of course, the sooner it is taken, the better the effectiveness. 2. Not necessarily; it may be related to your hormone secretion, as there tends to be more discharge around t...

Is It Safe to Resume Taking Yuezhi After a Break?

Reinitiation of medication for Yuezhi? Hello, I have been taking Yaz for one year and ten months. Due to a decrease in menstrual flow, I stopped taking the medication for three months. During this time, my periods were regular and heavy, and I started to develop acne. Is it advis...

Dr. Wu Xianghui Reply:
Yes, Yuezhi has an effect of inhibiting male hormones.

Can You Get Pregnant After Medication Abortion and Intercourse?

Is there a high chance of pregnancy if there was unprotected intercourse 10 days after a medical abortion? On January 7, I received the first dose, and on January 9, I started bleeding, which lasted until around January 16 or 17. On January 19, my husband ejaculated inside me, bu...

Dr. Cao Guotao Reply:
Hello, if you are pregnant again, please follow up with your original obstetrician. Wishing you good health.

Managing Hormone Therapy During Menopause: Key Questions and Considerations

Hormone Replacement Therapy for Menopause Currently, I have just turned 50 years old and have not yet reached menopause, but my blood test shows an estrogen E2 level of only 28. The doctor said I have entered menopause. Due to severe long-term insomnia, I am experiencing anxiety ...

Dr. Cao Guotao Reply:
Hello, you can continue taking the medication and gradually adjust to it. Please return for a follow-up appointment after finishing the medication. Wishing you good health.

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