Concerns About Pregnancy After Medication Abortion and Hormonal Treatment
Three weeks after medical abortion, ejaculation outside the body? I apologize for the inquiry. On August 9, I had a RU (medical abortion), and on August 11, I took the second dose. During my follow-up on August 17, there was a small amount of blood. The doctor prescribed some hor...
Dr. Cao Guotao Reply:
Hello, it is still advisable to take contraceptive measures for safety. If ejaculation occurs inside, it is recommended to take emergency contraception. If it is external, it should be fine. You can consider getting an intrauterine device (IUD) after your period, once you confirm...[Read More] Concerns About Pregnancy After Medication Abortion and Hormonal Treatment
Impact of Birth Control Pills on Lipid Levels in Women with PCOS
The impact of contraceptive pills on lipid levels? Hello Doctor: (1) I have been diagnosed with polycystic ovary syndrome and have had a long-standing issue with elevated low-density lipoprotein cholesterol, which was later controlled with lipid-lowering medication. For the past ...
Dr. Zhang Kunmin Reply:
Hello, the estrogen in oral contraceptives can lead to increased blood pressure, LDL cholesterol, and triglycerides. The progestin in intrauterine devices (IUDs) has a lesser impact, and it is also possible to use non-hormonal IUDs for contraception. Thank you! Wishing you peace ...[Read More] Impact of Birth Control Pills on Lipid Levels in Women with PCOS
Impact of Incorrect IUD Insertion Timing on Menstrual Cycle and Contraceptive Effectiveness
Incorrect timing for the insertion of an intrauterine device (IUD)? Hello, doctor. I have been using an intrauterine device (IUD) for six months, and my menstrual cycle has been regular with no other issues. However, last month (June), I decided to give my body a break, so I remo...
Dr. Cai Yonglong Reply:
It is recommended to remove the contraceptive device first and check for any signs of pregnancy. If menstruation continues to be absent, it is advised to visit a gynecologist for an examination.[Read More] Impact of Incorrect IUD Insertion Timing on Menstrual Cycle and Contraceptive Effectiveness
Can I Use Mirena IUD While Taking Metformin for PCOS?
Can women with polycystic ovary syndrome (PCOS) use an intrauterine device (IUD) for contraception? In early July, I went to the hospital for blood tests and an ultrasound examination. The doctor confirmed that I have polycystic ovary syndrome (PCOS) and prescribed Metformin to b...
Dr. Zhang Kunmin Reply:
Hello, based on your description, I recommend discussing with your treating physician whether there are alternative treatment plans before deciding on the use of an intrauterine device (IUD). Thank you! Wishing you peace and health. Dr. Chang[Read More] Can I Use Mirena IUD While Taking Metformin for PCOS?
Unanswered Questions After Gynecological Visits: Seeking Clarity
After the consultation, there are still no answers? Hello, I would like to describe the process from feeling unwell to now... On July 11, I noticed that my period started while using the restroom. After that, I didn't see any blood during subsequent bathroom visits, so I tho...
Dr. Lin Manying Reply:
Hello, based on your inquiry, here are the responses: 1. Causes of abdominal pain: 1. Possible incomplete recovery from urethritis. 2. Dysmenorrhea caused by irregular menstruation. 3. Incomplete recovery from pelvic inflammatory disease. 2. Regarding the issue of...[Read More] Unanswered Questions After Gynecological Visits: Seeking Clarity
Managing Uterine Fibroids: Oral Contraceptives vs. IUDs
Treatment of Uterine Fibroids I have a 6.5 cm uterine fibroid and a 3 cm ovarian cyst, with an Hct of 9.6. Other cancer markers and biopsies are normal. Can I use oral contraceptives to reduce menstrual bleeding, or should I use an IUD? Is it possible to avoid surgery for now? Ca...
Dr. Cao Guotao Reply:
Hello, if you prefer not to undergo surgery, conservative treatment methods are available, including hormonal contraceptives, oral symptom management medications, and the Mirena intrauterine device, among others. You can discuss these options with your obstetrician-gynecologist a...[Read More] Managing Uterine Fibroids: Oral Contraceptives vs. IUDs
Understanding Irregular Menstrual Cycles and Pregnancy Concerns
Menstruation Doctor, my girlfriend was supposed to get her period on the 14th, but it started on the 13th. However, her menstrual flow was brown and light. Then, yesterday, the 21st, her flow suddenly increased, but it was still brown. We had sexual intercourse on the 7th, using ...
Dr. Huang Zifei Reply:
Dear Ah-Chen, Regarding pregnancy issues, I generally recommend taking a pregnancy test to confirm that you are not pregnant before proceeding to a gynecological examination, where the physician can provide appropriate treatment. If you are not planning to conceive in the near f...[Read More] Understanding Irregular Menstrual Cycles and Pregnancy Concerns
Understanding Menstrual Cramps: Is Abdominal Pain Normal?
During menstruation, applying pressure to the lower abdomen can cause pain? Hello Dr. Wu: I have given birth to two children, aged 12 and 16. Two months ago, I had my intrauterine device (IUD) removed, which I had for eight years. I have always experienced heavy menstrual bleedin...
Dr. Wu Xianghui Reply:
1. "Vaginal infections" can cause abnormal discharge, perineal itching, unusual odor, burning sensation during urination, frequent urination, and bleeding. In more severe cases, it may lead to abdominal pain or fever. "Treatment methods" vary depending on the ...[Read More] Understanding Menstrual Cramps: Is Abdominal Pain Normal?
Understanding Pregnancy Risk After Unprotected Intercourse: Key Insights
Probability of Pregnancy Hello Doctor: On May 9th, I had unprotected sexual intercourse with my girlfriend. Before the intercourse, she performed oral sex on me briefly, just to provide lubrication for easier penetration. During the sexual act, I did not feel the urge to ejaculat...
Dr. Huang Zifei Reply:
Dear Anonymous, We apologize for not being able to answer your question immediately. If no protective measures (such as emergency contraception, condoms, or intrauterine devices) were taken, there is a possibility of pregnancy. Therefore, if you are concerned, it is advisable to...[Read More] Understanding Pregnancy Risk After Unprotected Intercourse: Key Insights
Emergency Contraception and IUD: What You Need to Know
Emergency contraceptive pills / Intrauterine device (IUD) Hello, Doctor. I had sexual intercourse with my partner on May 10 and only used the so-called "fertility awareness method" for contraception. I also took emergency contraception on May 11, and as of today (May 12...
Dr. Zhang Kunmin Reply:
Hello, the effects of emergency contraceptive pills on menstruation can vary; they may cause your period to come earlier or later. Additionally, their contraceptive effectiveness is not 100%. It is recommended to start using them in the next cycle. Thank you! Wishing you peace an...[Read More] Emergency Contraception and IUD: What You Need to Know
Can I Get Pregnant After IUD Insertion During Ovulation?
Using an intrauterine device (IUD) during ovulation and having intercourse? I had an intrauterine device (IUD) inserted on March 7, which was the fourth day of my menstrual period. The doctor mentioned that it would take about a week to achieve effective contraception. On March 2...
Dr. Cai Yonglong Reply:
The effectiveness of birth control pills is 99%, meaning they are highly effective in preventing pregnancy. However, if your period is overdue, you should still visit a gynecologist.[Read More] Can I Get Pregnant After IUD Insertion During Ovulation?
Understanding IUD Removal Timing and Pregnancy Risks
Timing of IUD Removal and Possibility of Pregnancy Hello, my girlfriend had a Mirena IUD inserted in the early hours of March 9, during her fourth and fifth days of menstruation. According to the instructions, we were advised to wait seven days before engaging in unprotected inte...
Dr. Cao Guotao Reply:
Hello, if you have been using an intrauterine device (IUD), you should not be at risk of pregnancy, and it is safe to ejaculate inside. Wishing you good health.[Read More] Understanding IUD Removal Timing and Pregnancy Risks
Understanding Copper IUD: Is Prolonged Bleeding and Pain Normal?
Intrauterine device (IUD) - Copper T? Hello, Doctor. After having a copper intrauterine device (IUD) inserted, I have been experiencing continuous bleeding for about two weeks. A few days ago, I returned for a follow-up and received medication to help with the bleeding, but after...
Dr. Lin Xinwang Reply:
Hello: After the insertion of an intrauterine device (IUD), occasional infections or bleeding may occur. If symptoms improve after treatment, there is no cause for concern. However, if bleeding or infection persists, it may be necessary to remove the IUD. If there is no improveme...[Read More] Understanding Copper IUD: Is Prolonged Bleeding and Pain Normal?
Understanding IUD Tail Length and Risk of Fungal Infections
Issues with IUD tail strings and fungal infections? Hello, doctor. I would like to ask if it is normal for the tail string of the IUD to be about 2-3 centimeters outside the vaginal opening? Could this increase the risk of infection? Since I had the IUD inserted, I've experi...
Dr. Wu Xianghui Reply:
1. The placement of an intrauterine device (IUD) itself increases the likelihood of inflammation in the female reproductive organs, such as vaginitis and pelvic inflammatory disease. 2. The length of the IUD's retrieval strings is only related to the comfort of the male part...[Read More] Understanding IUD Tail Length and Risk of Fungal Infections
Should You Stop Birth Control Before Surgery for Adenoma?
Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal, and the patient is currently using an intrauterine device (IUD), is it necessary to discontinue the medication? If discontinuation is required, should the new c...
Dr. Huang Yuande Reply:
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...[Read More] Should You Stop Birth Control Before Surgery for Adenoma?
Managing IUD Use Before Surgery: What You Need to Know
Surgical removal of an intrauterine device (IUD)? Since the adenoma has grown to a size that requires surgical removal and the patient is currently using an intrauterine device (IUD), is there a need to discontinue the medication? If so, should the new cycle be recalculated start...
Dr. Huang Yuande Reply:
If you are using an intrauterine device (IUD), there is no need to use birth control pills. However, medications used to treat adenomyosis are intended to suppress endometriosis (adenomyosis) and should be taken as directed by your physician, as they are unrelated to contraceptio...[Read More] Managing IUD Use Before Surgery: What You Need to Know
First-Time IUD Insertion: Timing, Effectiveness, and FAQs
First-time use of an intrauterine device (IUD)? Hello! I would like to ask the doctor a few questions. 1. Is it necessary to insert the intrauterine device (IUD) during menstruation for the first time, or can it be inserted at any time and then calculate when the next period sh...
Dr. Cao Guotao Reply:
Hello, the insertion of an intrauterine device (IUD) is typically done between the fifth and eighth day of the menstrual cycle. It is important to avoid sexual intercourse before the insertion, and you can resume sexual activity three days after the procedure. Wishing you good he...[Read More] First-Time IUD Insertion: Timing, Effectiveness, and FAQs
Does Accutane Affect the Effectiveness of Birth Control Devices?
Drug interactions and contraception? I would like to ask if taking oral isotretinoin (Roaccutane) will affect the contraceptive effectiveness of an intrauterine device (IUD).
Dr. Zhang Kunmin Reply:
Hello, The medications that commonly interact with oral contraceptives include: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol). Doxycycline can reduce the effectiveness of oral contraceptives, so alternative contraceptive met...[Read More] Does Accutane Affect the Effectiveness of Birth Control Devices?
Understanding Menstrual Pain: Is It Normal to Experience Delayed Discomfort?
Inquiry about menstrual pain-related issues? Hello, doctor. I am 24 years old, and I have experienced menstrual cramps since I started my period over 10 years ago. Typically, I have cramps during the first 1-2 days of my menstrual cycle, and I usually take pain relievers on the f...
Dr. Zhang Kunmin Reply:
Hello, the estimated 80-90% of women experience symptoms of dysmenorrhea, with varying degrees of severity, which can often impact work or academic performance. Therefore, accurate diagnosis and treatment can help improve quality of life and work efficiency. Dysmenorrhea can gene...[Read More] Understanding Menstrual Pain: Is It Normal to Experience Delayed Discomfort?
Understanding Pregnancy Risks and Fertility Signs After Intercourse
Prostatic fluid The last menstrual period was on February 3rd, with a regular cycle of about 27 days. Sexual intercourse occurred on February 14th (which is presumed to be a fertile period). The first sexual encounter involved dry humping without a condom, and there was no contac...
Dr. Huang Zifei Reply:
Dear U, 1. The situation you described still presents a possibility of pregnancy. Although the sperm count in pre-ejaculate fluid is not high (it's challenging to provide an exact number, as some studies have encountered difficulties in collecting pre-ejaculate fluid, such ...[Read More] Understanding Pregnancy Risks and Fertility Signs After Intercourse