Understanding Pap Smear Results and Ovarian Health Checkups
Pap smear examination and treatment methods? If the Pap smear results indicate high-grade squamous intraepithelial lesion (HSIL) and the HPV results are normal, treatment options may include close monitoring, repeat Pap tests, or a colposcopy for further evaluation. To check th...
Dr. Zhang Kunmin Reply:
Hello, the results of the report you provided can be followed up with a Pap smear examination after 12 months, according to the 2011 guidelines from the National Institutes of Health. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Understanding Pap Smear Results and Ovarian Health Checkups
Handling Medical Disputes in Obstetrics: A Case Study
Medical disputes On May 20, I visited a gynecology clinic in Taichung due to cleanliness issues. The female doctor diagnosed me with bleeding caused by a vaginal discharge infection. She immediately performed a treatment with medication insertion and determined that the infection...
Dr. Zhang Kunmin Reply:
Hello, the questioner: I suggest that when you return to Clinic A to review your report, you discuss with your physician whether the examination results may be affected by your menstrual cycle. Additionally, based solely on your description, it is not possible to determine the st...[Read More] Handling Medical Disputes in Obstetrics: A Case Study
Understanding Common Gynecological Concerns: Pain, Infections, and Treatment Options
Distressing questions? Hello doctor, 1. Every time I engage in sexual intercourse with my boyfriend, I experience intense pain inside my vagina at the beginning, as if I am being cut by a knife. After a while, the pain subsides. Even with lubrication and my boyfriend being very...
Dr. Lin Wenbin Reply:
1. The body's naturally secreted lubricant is a natural vaginal protectant that helps prevent friction injuries during intercourse. However, infections, endocrine disorders, or insufficient foreplay can reduce the production of this lubricant. A medical examination is necess...[Read More] Understanding Common Gynecological Concerns: Pain, Infections, and Treatment Options
Essential Questions About HPV Vaccination: Testing, Types, and Clinics
Questions about receiving the HPV vaccine? 1. Are there any tests that need to be conducted before vaccination? Do any tests affect the efficacy of the vaccination afterwards? 2. What is the difference between trivalent and quadrivalent vaccines? Which one has better efficacy? 3....
Dr. Zhang Kunmin Reply:
Hello, Here are the responses to your inquiries: 1. If you have had sexual experience and have not undergone a Pap smear in the past year, it is recommended to have a Pap smear. Generally, this will not affect its efficacy. 2. Currently, there are bivalent and quadrivalent...[Read More] Essential Questions About HPV Vaccination: Testing, Types, and Clinics
Is It Necessary to Get the Cervical Cancer Vaccine After HPV Treatment?
Is it necessary? Hello Dr. Lin, During my gynecological examination, I unexpectedly learned that I have been infected with genital warts. I have already undergone surgical treatment once and my recovery is going well. I would like to ask if I still need to receive the cervical ...
Dr. Lin Wenbin Reply:
The quadrivalent cervical vaccine primarily protects against four types of human papillomavirus (HPV): 6, 11, 16, and 18. However, having genital warts does not necessarily indicate an infection with HPV types 16 or 18, so the vaccine still holds significance in the prevention of...[Read More] Is It Necessary to Get the Cervical Cancer Vaccine After HPV Treatment?
Do You Still Need HPV Testing After Pap Smear? Expert Insights
HPV Virus and Pap Smear Test Doctor, if I have already had a Pap smear, do I still need to have regular HPV testing? Thank you very much!
Dr. Lin Wenbin Reply:
The significance of a Pap smear is different from that of an HPV test. A Pap smear examines cervical cells for any abnormalities, using a microscope to analyze the stained cell morphology. This test is typically performed annually, and if there are signs of inflammation, it may n...[Read More] Do You Still Need HPV Testing After Pap Smear? Expert Insights
Should Women with HPV Opt for C-Section to Prevent Transmission?
Which method? Doctor, if someone has a history of human papillomavirus (HPV) infection, is a cesarean section necessary during delivery to prevent transmission to the fetus? Additionally, is there a possibility that the medication Lerdapres will be included in health insurance co...
Dr. Lin Wenbin Reply:
Unless there is a widespread viral infection (such as condyloma), the National Health Insurance does not cover cesarean sections performed due to human papillomavirus (HPV) infection. As for when the National Health Insurance will cover the medication Ledezma, there is currently ...[Read More] Should Women with HPV Opt for C-Section to Prevent Transmission?
Understanding Abnormal Menstrual Cycles and Cervical Screening for Women Over 40
Irregular menstrual periods and cervical cytology? Hello Dr. Lin, I have a few questions I would like to ask you: 1. If I am over 40 years old, unmarried, and have no sexual experience, do I still need to have a Pap smear? 2. I have been experiencing irregular menstrual cyc...
Dr. Lin Wenbin Reply:
1. Cervical cancer is associated with human papillomavirus (HPV). If infected with high-risk types of the virus, it is important to be cautious about the possibility of cervical lesions. If one is unwilling to undergo a Pap smear, a small cotton swab can be used to collect vagina...[Read More] Understanding Abnormal Menstrual Cycles and Cervical Screening for Women Over 40
Do Women Need Pre-Vaccination Checks Before HPV Shots?
Regarding cervical cancer screening and HPV vaccination for women? Hello, doctor. I would like to ask about my experience in March this year when I received the HPV vaccine at a gynecology clinic in Beitou, Taipei. Upon entering, I informed the receptionist that I was there for t...
Dr. Dong Yuhong Reply:
Hello: The National Health Bureau website has a lot of information regarding the HPV vaccine. Here are some key points for reference regarding precautions during vaccination: (1) Before vaccination, individuals should inform their physician and seek evaluation if they have any of...[Read More] Do Women Need Pre-Vaccination Checks Before HPV Shots?
Understanding Growths: Are They Just Skin Tags or Something More?
Developed many skin tags? Hello, I previously noticed that I had several growths that looked like skin tags, but since they haven't changed much over the past few months, I didn't pay much attention to them. However, recently my irregular lifestyle seems to have caused ...
Dr. Zhang Kunmin Reply:
Hello, the appearance of genital warts (commonly known as "cauliflower") caused by human papillomavirus (HPV) infection consists of numerous small, pointed projections, often accompanied by itching. However, a confirmed diagnosis must be evaluated by a specialist and co...[Read More] Understanding Growths: Are They Just Skin Tags or Something More?
Can I Have Sex During HPV Treatment? Risks and Precautions Explained
Cauliflower problem Hello Doctor, I was diagnosed with genital warts (HPV DNA test showed virus types HPV 51/74/90) in early August and had them removed through electrocautery. I am currently taking antiviral medication "Yimau." I would like to ask if it is safe to enga...
Dr. Liu Yuhong Reply:
Some medical findings: 1. Within six months after treatment, 40-70% of patients may experience a recurrence of warts, so follow-up is necessary for 3 to 6 months post-treatment. 2. The primary mode of transmission for HPV is sexual intercourse, but other routes are also possible,...[Read More] Can I Have Sex During HPV Treatment? Risks and Precautions Explained
Understanding Small Bumps on the Vulva: Causes and Concerns
Small lumps on the vulva? When I was showering, I noticed small, grain-like bumps on both sides of the outer labia when I opened them for rinsing. Is this a normal phenomenon? There is a bump on the vulva that resembles a pimple (which can be squeezed to release a white substance...
Dr. Liu Yuhong Reply:
1. "There are small, grain-like structures on both sides of the outer labia." The vulva, located on the inner side of the labia minora at the vaginal opening, may have a condition known as vulvar papillomatosis, which occurs in a small percentage of individuals (about 1...[Read More] Understanding Small Bumps on the Vulva: Causes and Concerns
Understanding Normal Variations in Vulvar Anatomy: What Are Those Bumps?
Genital issues When I was showering and opened my labia to rinse, I noticed small, grain-like bumps on both sides of the outer labia. Is this a normal occurrence?
Dr. Liu Yuhong Reply:
"...there are small, grain-like structures on both sides of the outer labia..." The vulva, located on the inner side of the labia minora at the vaginal opening, may have a condition known as vulvar papillomatosis, which occurs in a small percentage of individuals (about...[Read More] Understanding Normal Variations in Vulvar Anatomy: What Are Those Bumps?
Are Bumps on the Labia Normal? Understanding Vulvar Health Concerns
Genital issues..? Is it normal to feel small, bumpy areas on the inner sides of the labia majora, which are the outer sides of the labia minora?
Dr. Liu Yuhong Reply:
"The inner sides of the labia majora feel bumpy..." On the inner surface of the labia minora at the vaginal opening, a small percentage of individuals (about 1%) are born with vulvar papillomatosis, which is normal. However, not all bumpy appearances in the vulvar area ...[Read More] Are Bumps on the Labia Normal? Understanding Vulvar Health Concerns
Does Being Diagnosed with Warts Change Treatment Options?
Does having cauliflower (genital warts) affect the treatment approach? Last week, I visited a gynecologist at a small clinic, and the doctor diagnosed me with genital warts. At that time, I was only given a pack of topical medication (out-of-pocket) and a three-day supply of medi...
Dr. Dong Yuhong Reply:
Hello: The timing of your two consultations was different, and you were also on medication during that period, so the physician may observe different conditions during the examination. Disease treatment is provided based on a clear diagnosis to ensure appropriate care. If you hav...[Read More] Does Being Diagnosed with Warts Change Treatment Options?
Understanding the 4-Valent HPV Vaccine: Efficacy and Eligibility for Women
Quadrivalent HPV vaccine Hello, doctor. I would like to inquire about the quadrivalent HPV vaccine: 1- I am 37 years old and have no sexual experience. Am I suitable for this vaccine? (The clinical trials only included participants up to 26 years old, so I'm unsure about the...
Dr. Lin Wenbin Reply:
Hello, 1. Clinical trials only included participants up to 26 years of age because individuals without sexual experience (or those who have not been exposed to genital secretions from infected patients) generally show better efficacy. Therefore, it is recommended to prioritize yo...[Read More] Understanding the 4-Valent HPV Vaccine: Efficacy and Eligibility for Women
Understanding Hereditary Conditions in Obstetrics and Gynecology
Genetics What diseases are hereditary? Thank you.
Dr. Lin Wenbin Reply:
This is a significant issue; genetic factors can lead to diseases, which are known as hereditary diseases. However, modern science increasingly understands that both "genetics" and "environment" are major factors and causes of disease development. Some individ...[Read More] Understanding Hereditary Conditions in Obstetrics and Gynecology
Understanding Abnormal Pap Smear Results: CIN 1 and HPV Treatment Options
Abnormal Pap smear? Hello doctor, I recently had a Pap smear that showed CIN 1, and I also tested positive for HPV (specifically HPV 53 and HPV 90). What are the treatment options? Is there a possibility of natural resolution?
Dr. Dong Yuhong Reply:
Hello: Your smear report is abnormal, and you should seek medical attention from an obstetrician-gynecologist. Your physician will discuss your report and the examination findings during your visit, as well as the arrangements for further testing and subsequent follow-up treatmen...[Read More] Understanding Abnormal Pap Smear Results: CIN 1 and HPV Treatment Options
Can Regular Gynecological Exams Detect HPV Warts?
Examination issues Regular pelvic examinations can help determine the presence of genital warts (also known as condylomata acuminata).
Dr. Zhang Kunmin Reply:
Hello, the examiner: A possible lesion can be identified through a pelvic examination, but the definitive diagnosis is determined by the pathology report from a biopsy. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Can Regular Gynecological Exams Detect HPV Warts?
Is It Safe to Have Sex After Receiving the HPV Vaccine?
Is it necessary to abstain from sexual intercourse for a period of time after receiving the cervical cancer vaccine? Hello Dr. Chen, my girlfriend recently received the cervical cancer vaccine (she just completed her second dose on March 1, 2012). I would like to ask: (1) Is it a...
Dr. Chen Changfu Reply:
Sexual activity does not affect the efficacy of the cervical cancer vaccine. It is important to complete all three doses of the cervical cancer vaccine on schedule.[Read More] Is It Safe to Have Sex After Receiving the HPV Vaccine?