Understanding Abnormal Bleeding: When to Seek Medical Advice
Intermenstrual bleeding Hello, Doctor. My last menstrual period was from February 3 to February 6. In the first few days, the menstrual flow was similar to usual, gradually decreasing, but on the fourth day in the morning, the flow suddenly increased and I noticed blood clots. By...
Dr. Cao Guotao Reply:
Hello, it is recommended to have a Pap smear done first to ensure there are no issues before getting vaccinated. Wishing you good health.[Read More] Understanding Abnormal Bleeding: When to Seek Medical Advice
Should You Get the 9-Valent HPV Vaccine After 10 Years?
HPV vaccine catch-up? Hello doctor, I would like to ask if a student who received the quadrivalent HPV vaccine before graduating from middle school, and it has been over ten years since then, should consider getting the nine-valent HPV vaccine as a booster? Thank you!
Dr. Cao Guotao Reply:
Hello, it is generally not necessary, but if you do get vaccinated, you should receive three doses. Wishing you good health.[Read More] Should You Get the 9-Valent HPV Vaccine After 10 Years?
Emergency Contraception, HPV Vaccine, and Gynecological Concerns Explained
Emergency contraceptive pills, HPV vaccines, and some gynecological issues inquiries? Hello Dr. Chang, I apologize for bothering you, but I would appreciate your help in answering these questions. My boyfriend and I experienced a condom slip on February 1st, and I took emergency ...
Dr. Zhang Kunmin Reply:
Hello, the questioner: There is a possibility of pregnancy even if ejaculation did not occur during intercourse, as pre-ejaculatory fluid may contain sperm. The effectiveness of emergency contraception is not 100%, with a failure rate of about 3%, but it is still considered a rem...[Read More] Emergency Contraception, HPV Vaccine, and Gynecological Concerns Explained
Can You Get HPV from Urine Splash After Sexual Activity?
HPV infection I would like to ask if I had sexual intercourse in the morning and sustained an injury at the vaginal opening, and then in the afternoon, while using the restroom at McDonald's, I felt urine splashing back onto my genital area. Is it possible to contract genita...
Dr. Cao Guotao Reply:
Hello, generally, it won't happen. Wishing you good health.[Read More] Can You Get HPV from Urine Splash After Sexual Activity?
Understanding HPV, Cervical Dysplasia, and Cervical Cancer Risks
HPV testing, cervical precancerous lesions, cervical cancer issues? Q1. If approximately five years ago, there was sexual intercourse and both parties confirmed that they were inexperienced and it was their first time, is there still a possibility of developing cervical precancer...
Dr. Zhang Kunmin Reply:
Hello, based on your description: 1. The chances are low. 2. Most cases are asymptomatic. 3. This is theoretically true, but various virus types and individual patient conditions may differ. 4. It is best to have a physician arrange for an examination and evaluation. Thank you! W...[Read More] Understanding HPV, Cervical Dysplasia, and Cervical Cancer Risks
Understanding Menstrual Irregularities and Pregnancy Testing Concerns
Menstrual irregularities and pregnancy testing issues? Hello, Doctor! I have always had a very regular menstrual cycle (almost within ±1 day as recorded in my app), but as of today, January 9, I am 4 days late. I have tried various folk remedies such as drinking sesame oil, acupr...
Dr. Chen Zhiyu Reply:
Hello! It is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections, as well as to prevent unintended pregnancies. If there is a delay in your menstrual cycle, you can take a home pregnancy test or visit a gynecologist for confirmation. Thank...[Read More] Understanding Menstrual Irregularities and Pregnancy Testing Concerns
Can Pap Smear and Biopsy Results for Warts Be Misleading?
Is it possible for a cauliflower slice report to be inaccurate? Hello doctor, during my Pap smear examination, the first doctor informed me that I had warts (the biopsy report also indicated this). However, the second doctor I consulted said it was not the case, and the third doc...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is difficult to make a determination. I recommend discussing the report and clinical findings with your treating physician. Thank you! Wishing you peace and health. Dr. Chang[Read More] Can Pap Smear and Biopsy Results for Warts Be Misleading?
Can Oral Sex with HPV Positive Partner Lead to HPV Infection?
Viral infection If I perform oral sex on my boyfriend who has HPV (with the virus present on his penis), will I be infected with the HPV virus? Thank you, doctor.
Dr. Cao Guotao Reply:
Hello, as long as your immune system is strong, there's no need to worry. Wishing you good health![Read More] Can Oral Sex with HPV Positive Partner Lead to HPV Infection?
Impact of Antibiotic Injections on the Efficacy of the 9-Valent HPV Vaccine
The efficacy of the nine-valent cervical cancer vaccine? 1. Can I receive an anti-inflammatory injection 7 hours after getting the second dose of the nine-valent HPV vaccine? 2. Will it affect the efficacy of the nine-valent HPV vaccine? (On the day of vaccination, I visited a gy...
Dr. Zhang Kunmin Reply:
Hello, the questioner: In clinical studies, 11.9%, 9.5%, 6.9%, and 4.3% of individuals used analgesics, anti-inflammatory drugs, antibiotics, and vitamin supplements, respectively. The preventive efficacy, immunogenicity, and safety of the vaccine were not affected by the use of ...[Read More] Impact of Antibiotic Injections on the Efficacy of the 9-Valent HPV Vaccine
Understanding CIN1 Diagnosis Without HPV: Implications and Risks
Lesion present but no virus detected? A few months ago, a Pap smear showed CIN 1. After four months of follow-up, the Pap smear indicated inflammation, and the HPV test result was negative, but the biopsy still showed CIN 1. Why is there CIN 1 without the presence of the virus? C...
Dr. Huang Yuande Reply:
1. During the viral sampling process, it is possible that the virus may not be detected, resulting in a false negative or the detection of a less common HPV type. 2. Vaccination still provides protective benefits, and CIN-1 has a high likelihood of resolving on its own; therefore...[Read More] Understanding CIN1 Diagnosis Without HPV: Implications and Risks
Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Questions about lesions? HPV virus test negative for infection, but biopsy shows CIN 1, and Pap smear indicates inflammation. How does this compare in severity to typical HPV-infected CIN 1? What is the risk of progression to cancer? What are the chances of spontaneous clearance?...
Dr. Zhang Kunmin Reply:
Hello, the situation you described cannot be compared. If there is no HPV virus, the risk is generally lower. There is no evidence that the vaccine prevents worsening, and the lesions are not related to general inflammation. It is recommended to follow the management principles f...[Read More] Understanding CIN1: HPV Negativity, Risks, and Treatment Options
Dizziness After Cervical Biopsy: Causes and Concerns for Women
Dizziness after a cervical biopsy? Abnormal Pap smear result code 6, CIN 1, revealed atypical squamous cells. To confirm further, a biopsy was performed on December 9. Since then, I have been experiencing severe dizziness every day, along with a slight aching and stabbing sensati...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is difficult to determine the underlying cause. I recommend that you consult your physician, who can assess your condition and decide whether to arrange for relevant examinations to address your pain. Thank you! Wishing you peace and health. D...[Read More] Dizziness After Cervical Biopsy: Causes and Concerns for Women
Should You Delay Your HPV Vaccine After Testing Positive for COVID-19?
Regarding HPV vaccination issues? Hello doctor, I received my first dose of the HPV nine-valent vaccine on October 21, and I plan to receive the second dose on December 21. However, I tested positive for COVID-19 on December 9. Should I postpone the second dose of the HPV vaccine...
Dr. Cao Guotao Reply:
Hello, you can extend the appointment for another week. Wishing you good health.[Read More] Should You Delay Your HPV Vaccine After Testing Positive for COVID-19?
Understanding HPV and Vaccination Concerns in Women's Health
Viral infection issues? 1. Does getting the COVID-19 vaccine weaken the immune system? I've heard that many people feel unwell after receiving it. 2. Last year, my HPV screening result was negative, but the Pap smear showed inflammation. Can HPV infection turn into cancer ...
Dr. Huang Yuande Reply:
1. This is not the case; only a small number of individuals with特殊體質 may experience allergic reactions, but the likelihood is extremely low. 2. No, even if infected with HPV, it takes 5 to 10 years for it to potentially develop into cancer. 3. This is an unnecessary worry. 4. ...[Read More] Understanding HPV and Vaccination Concerns in Women's Health
Understanding HPV-90: High-Risk Infection Concerns and Vaccination Insights
Recently diagnosed with HPV type 90 infection? I would like to ask the doctor about my recent report indicating that I am infected with HPV type 90, which is classified as a high-risk type. I couldn't find much information online about what it means to be infected with this ...
Dr. Cao Guotao Reply:
Hello, I also found that a score of 90 is considered high risk. Having an infection with human papillomavirus (HPV) does not mean one will develop cervical cancer; it only increases the risk. Therefore, a Pap smear is essential. Wishing you good health.[Read More] Understanding HPV-90: High-Risk Infection Concerns and Vaccination Insights
Understanding HPV: Recurrence Risks and Treatment Options for Women
Is cauliflower recovering? Hello Doctor: In August 2018, I was diagnosed with HPV types 11 and 16, and I had visible warts. After undergoing two rounds of electrosurgery, they did not recur. In 2020, I was tested again and found to be negative for HPV 11, but HPV 16 was still pre...
Dr. Cao Guotao Reply:
Hello, it has been 3 years, so it is unlikely to recur. If you are still concerned, you can visit another obstetrician-gynecologist for an examination to confirm if there are any issues. The treatment for candidiasis primarily involves the use of suppositories. If there are any p...[Read More] Understanding HPV: Recurrence Risks and Treatment Options for Women
Understanding HPV Screening: Discrepancies Between Virus Types and Lesions
The HPV screening results show a discrepancy between the viral type and the lesion? In July of this year, I discovered a protrusion on my vulva. After consulting a doctor, it was suspected to be genital warts, and I was prescribed Aldara (imiquimod) to apply. Within a week, it di...
Dr. Zhang Kunmin Reply:
Hello, based on your description, you can have another HPV test and confirm the biopsy report with your treating physician. If HPV is still present, there is a possibility of transmission through intimate contact. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Understanding HPV Screening: Discrepancies Between Virus Types and Lesions
Understanding HPV: Concerns About Recurrence and Treatment Options
Regarding cauliflower recovery? Hello Doctor: In August 2018, I was diagnosed with HPV types 11 and 16, and I had visible warts. After undergoing two rounds of electrosurgery, they did not recur. In 2020, I was tested again and HPV type 11 was negative, but HPV type 16 was still ...
Dr. Zhang Kunmin Reply:
Hello, the HPV that primarily causes genital warts is mostly type 6 and type 11. The high-risk HPV types associated with cervical cancer are types 16, 18, 31, 33, 35, 45, 52, and 58. Glands generally refer to structures that secrete vaginal lubrication. Sexually transmitted infec...[Read More] Understanding HPV: Concerns About Recurrence and Treatment Options
Understanding Pap Smear Results After C-Section: What New Moms Should Know
Is that really the case? Two months after a cesarean section, I had a Pap smear, and the result was 4 ASCUS. I also had a HPV test, which was negative. The doctor advised me to have a Pap smear every year since the HPV result was negative. The doctor mentioned that hormonal chang...
Dr. Huang Yuande Reply:
1. It is safe to perform a Pap smear again after six months, as postpartum changes can indeed affect cell morphology and make interpretation difficult. 2. Normal hygiene practices and a strong immune system undoubtedly contribute to the suppression of viruses![Read More] Understanding Pap Smear Results After C-Section: What New Moms Should Know
Understanding HPV16: Risks, Relationships, and Recovery After 4 Years
HPV infection for 4 years? Hello Doctor: I was diagnosed with HPV type 16 in August 2018. I have tested positive for HPV 16 again in October 2020 and October 2022. My Pap smear showed a grade 2 Candida infection. My lifestyle and functioning have been maintained, but I am still p...
Dr. Chen Zhiyu Reply:
Hello! Currently, there are no specific medications available to treat HPV infections. HPV types 16 and 18 are the most common high-risk human papillomaviruses associated with precancerous lesions of the cervix, cervical cancer, and cancers of the external genitalia. Men can also...[Read More] Understanding HPV16: Risks, Relationships, and Recovery After 4 Years