Infection, Obstetrics and Gynecology FAQ

Understanding Gonorrhea Testing Concerns for Women Trying to Conceive

Gonorrhea testing issues? It has been over two years since I last had sexual intercourse. I have been monitored for HIV and syphilis for two years, and all tests have been negative. My doctor mentioned that I should be screened for gonorrhea or chlamydia due to some symptoms. How...

Dr. Zhang Kunmin Reply:
Hello, based on your description, the likelihood of infection is currently low. If you are still concerned, you may consider getting tested again. Thank you! Wishing you peace and health. Dr. Zhang

Understanding Abnormal Menstrual Bleeding: Causes and Timing

Menstrual irregularities Hello doctor, my menstrual period was from April 1 to April 6 last month, but I also experienced bleeding from April 21 to April 25, and the blood was black. This month, my period has not yet arrived. Q1: Is the bleeding from April 21 to April 25 consid...

Dr. Zhang Kunmin Reply:
Hello, the presence of vaginal bleeding does not necessarily indicate menstruation. There are many factors that can affect the menstrual cycle or cause bleeding outside of the menstrual period, such as age, environment, lifestyle, stress, emotional instability, weight changes, me...

Can Vaginal Infections Delay Your Menstrual Cycle?

Can vaginitis affect the timing of menstruation? Hello doctor, I experienced inflammation in my genital area in March and April, with increased discharge that had a cottage cheese-like appearance. I consulted a doctor and received medication, and my condition improved in March. H...

Dr. Lin Manying Reply:
Hello, Miss: Regarding your inquiry, the timing for the pregnancy test is accurate; the primary reason affecting the menstrual cycle is largely due to stress. The presence of endometriomas may also be related, and it is necessary to follow up every three months. The Hualien Hospi...

Post-Laparoscopic Surgery Concerns: Endometriosis and Fertility Questions

Postoperative issues following laparoscopic surgery? Hello, Doctor. I underwent laparoscopic surgery in April to remove a nearly 15 cm chocolate cyst and underwent adhesiolysis due to endometriosis. During the procedure, there was significant bleeding due to adhesions, and I also...

Dr. Huang Yuande Reply:
1. It is possible to experience some bleeding during the recovery period due to potential irritation of the endometrium; however, urinary tract infection is a separate issue. 2. Menstruation is expected to resume about 1 to 2 months after discontinuing the medication. 3. It is no...

Understanding Skin Peeling in the Genital Area: Causes and When to Seek Help

Peeling-like condition in the genital area? Hello doctor, last night I noticed a large area of off-white material around the urethra after exposing the genital area. I initially thought it was discharge, but it remained after I wiped and showered in the morning. I then attempted ...

Dr. Huang Yuande Reply:
1. It could be a fungal infection, but it may also be localized desquamation; a thorough examination is needed to determine the cause. 2. It should not be. 3. You should consult a gynecologist.

Understanding Abnormal Bleeding: Treatment Options for LSIL and CIN1

Abnormal bleeding concerns? Hello doctor, I am the one who asked you about bleeding after the biopsy a few days ago. Thank you for your previous response. The biopsy report just came out last night, and I went for a consultation. The report indicates LSIL; CIN1. The doctor mentio...

Dr. Huang Yuande Reply:
The primary goal is to prevent deterioration, but the possibility of future infection with the papillomavirus cannot be ruled out.

Can You Have Intercourse on Ovulation Day After Treating a Yeast Infection?

Treatment of infections during the preconception period? Hello Dr. Chen, I would like to ask if during the preconception period, I encounter a fungal infection and the doctor prescribes a 6-day course of suppositories and oral medication, with the 7th day being the ovulation day....

Dr. Chen Zhiyu Reply:
Hello, it is advisable to complete the treatment and confirm recovery before proceeding. Thank you.

Understanding Prolonged Menstrual Bleeding: Causes and Solutions

Prolonged menstrual period? Doctor, I would like to ask you about my situation. My menstrual cycle has not been very regular. After my last period in November 2022, I did not have another period until the week of April 22, 2023. On the 22nd, I visited a gynecologist, and after an...

Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterine or cerv...

Understanding Brown Discharge: Is It Normal or a Sign of Hormonal Imbalance?

Brown discharge Hello Doctor, I would like to inquire about my last menstrual period, which was from April 19 to April 25. I had unprotected intercourse (without ejaculation) during the last three days of my period (April 26 to April 28). My ovulation period started on April 30, ...

Dr. Zhang Kunmin Reply:
Hello, the questioner: There is a possibility of pregnancy even without ejaculation during intercourse, as pre-ejaculatory fluid may contain sperm. Many factors can affect the menstrual cycle or cause bleeding outside of the menstrual period, such as age, environment, lifestyle, ...

Understanding Post-Pill Symptoms: Delayed Period After Ella Use

Four days after the end of menstruation, I had intercourse and took Ella (ulipristal acetate) the next day as emergency contraception? The last menstrual period was from March 27 to April 1, lasting a total of 6 days, with cycles typically around 31-33 days. Intercourse occurred ...

Dr. Chen Zhiyu Reply:
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections, while also preventing unintended pregnancies. Please monitor your menstrual cycle, and if there is a delay, you can take a home pregnancy test or visit an obstetrics and gyn...

Addressing Campus Restroom Infections: Women's Health Concerns

Infection Issues in School Restrooms Hello, doctor. Today, while wiping my private area in a public restroom, the toilet paper tore, causing my fingers to directly touch my intimate area (near the labia and vagina). I have recently experienced a "candidiasis infection" ...

Dr. Lin Manying Reply:
Hello Lin: Q1: The probability is very low. Q2: 4 to 6 weeks. Q3: You can use a genital cleanser for washing. Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Understanding Vaginal Hemangiomas: Causes, Treatment, and Prevention

Vaginal varicosity Hello doctor, I recently discovered a vascular lesion near the vaginal opening that looks very much like a black mole. I would like to know if this is due to a congenital condition, as I have been experiencing a vaginal infection. When I visited the doctor, I f...

Dr. Chen Zhiyu Reply:
Hello, it is recommended to visit a gynecology outpatient clinic for evaluation. Thank you.

Could I Be Pregnant? Understanding Ovulation and Delayed Periods

Can I get pregnant? Hello, my last menstrual period was on March 24, with a cycle of about 31 days. I had unprotected intercourse on April 4, but there was no ejaculation. Is there a chance of pregnancy? For the past two weeks, I had brown discharge that lasted for about a week. ...

Understanding Fetal Weeks and Conception Dates: A Guide for Expecting Mothers

Fetal gestational age and conception date? I hope the doctor can help me clarify the following questions. I experienced vaginal inflammation and a Candida infection in August and September of 2022. I am unsure if my physical condition affected this. By mid-October, I had not gott...

Dr. Cao Guotao Reply:
Hello, it is possible to estimate the date of conception using ultrasound; however, it is not possible to determine the exact day around September 30th. Wishing you good health.

Understanding Menstrual Issues: Causes and Solutions for Irregular Periods

Menopause management issues? The following is the doctor's previous response, but I originally wanted to ask about menstruation, not other causes of bleeding. Let's focus on menstruation first. Isn't menstruation something that should occur regularly? Aside from no...

Dr. Zhang Kunmin Reply:
Hello, the method of drug-induced menopause is not suitable for long-term use as it may have side effects. If there are related medical conditions, please consult a physician for examination and advice. Thank you! Wishing you peace and health. Dr. Zhang

Post-Abortion Complications: Understanding Pain and Bleeding Issues

Post-abortion issues Hello! I visited the doctor on February 22 and was found to be about 4 weeks pregnant, so I opted for medication to induce a miscarriage. I took the first dose on February 24 and the second dose on February 26 (neither were taken in a hospital). After that, I...

Dr. Huang Yuande Reply:
1. The pain may be associated with inflammation or infection, and there could be incomplete expulsion of contents. 2. A physician should be consulted for an examination to determine whether treatment is necessary or if monitoring is sufficient. 3. This depends on whether the unde...

Can Candida Infection Delay Your Period? Understanding the Connection

Candida Infection and Menstruation Hello, Doctor. Thank you once again for taking the time to read my message! Last Thursday, I visited a gynecologist who diagnosed me with a yeast infection and prescribed antibiotics and vaginal suppositories. My last menstrual period was from M...

Dr. Cao Guotao Reply:
Hello, it is likely that you are not pregnant, and it is unrelated to a Candida infection. Please wait another one to two weeks, and if your period still does not arrive, it is advisable to see a gynecologist. Wishing you good health.

Can I Get the HPV Vaccine If I Have a Fungal Infection?

Is it safe to receive the HPV vaccine if there is a fungal infection? I recently noticed white, curd-like discharge in my underwear. I visited a gynecologist who advised me to get more sleep, avoid staying up late, drink more water, and prescribed some medication and ointment. I ...

Dr. Lin Manying Reply:
Hello, you can still receive the HPV vaccine even if you have a fungal issue! Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Understanding Vaginal Infections: What to Do About New Symptoms

Vaginal infection issues? Hello doctor, I have already seen a gynecologist and am currently taking antibiotics, antifungal medication, and applying an ointment for what seems to be a Candida infection. However, yesterday while applying the ointment, I noticed a black bump next to...

Dr. Lin Manying Reply:
Hello Ms. Hsieh: It could be folliculitis. If the condition persists after the treatment for candidiasis, it is recommended to seek medical attention. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Understanding Yellow Discharge After Nystatin Treatment for Vaginal Infection

Vaginal suppository with yellow discharge the next day? Hello Doctor, I recently had a vaginal candidiasis infection, and on April 12, the doctor prescribed me Nystatin suppositories. I used them for 7 days, and during this time, I noticed yellow discharge every other day. (Addit...

Dr. Cao Guotao Reply:
Hello, it is possible that there is still inflammation. I recommend returning to the obstetrics and gynecology department for an examination. Wishing you good health.

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