Medication, Obstetrics and Gynecology FAQ

Understanding Ovarian Cysts: When Surgery Becomes Necessary

Ovarian cyst Hello doctor, I have discovered an ovarian cyst measuring nearly 7 centimeters (based on abdominal ultrasound). I have not taken any medication, and after six months of follow-up, it has grown to 8.6 centimeters (based on transvaginal ultrasound). Does this mean that...

Dr. Cao Guotao Reply:
Hello, if you are not experiencing any discomfort and do not wish to undergo surgery at this time, you can choose to observe the situation for a while. If there is any further increase, you can consider surgery later. Wishing you good health.

Missed Birth Control Pill on Day 5 of Period: What to Do?

I forgot to take the first birth control pill on the fifth day of my menstrual period? Hello Doctor, I have been taking the contraceptive pill Alesse 21 for 3 years. My last menstrual period was from March 29 to April 4. I was supposed to start a new pack on April 2, but I forgot...

Dr. Zhang Kunmin Reply:
Hello, when you forget to take your medication, you should take it as soon as you remember, and continue taking the next contraceptive pill at the usual time. If you miss taking an effective pill for more than 12 hours, in addition to taking the missed pill, it is advisable to us...

Missed Birth Control Pill on Day 5 of Menstrual Cycle: What to Do?

I forgot to take the first birth control pill on the fifth day of my menstrual period? Hello, doctor. I have been taking the Alesse 21 contraceptive pill for 3 years. My last menstrual period was from March 29 to April 4. I was supposed to start a new pack on April 2, but I forgo...

Dr. Zhang Kunmin Reply:
Hello, when you forget to take your medication, you should take it as soon as you remember, and continue taking the next contraceptive pill at the regular time. If you miss taking an effective pill for more than 12 hours, in addition to taking the missed pill, it is advisable to ...

Missed Birth Control Pill on Day 5 of Menstrual Cycle: What to Do?

I forgot to take the first birth control pill on the fifth day of my period? Hello, doctor. I have been taking the contraceptive pill Alesse 21 for 3 years. My last menstrual period was from March 29 to April 4. I was supposed to start a new pack on April 2, but I forgot to take ...

Safe Medication Use During Early Pregnancy: What You Need to Know

Medications during pregnancy Hello Dr. Chang, I am currently 5-6 weeks pregnant, but I only discovered it after having a severe cold, so I am hesitant to continue taking the cold medication I previously had. I have Povidone-Iodine at home; can I use it as a spray? Additionally, I...

Dr. Zhang Kunmin Reply:
Hello, the questioner: Acetaminophen is classified as a pregnancy category B medication, indicating a lower risk of harm to the fetus. If necessary, please consult with your obstetrician for further advice. Thank you! Wishing you safety and health, Dr. Zhang.

Missed Birth Control Pills: What to Do Next for Effective Prevention

Missed taking birth control pills? Hello, I missed taking my birth control pill (21-pill pack) last Sunday. I took one pill within 12 hours the next day, but I missed the pill for Monday that evening. On Tuesday night, I took two pills (including the one for Tuesday). How many pi...

Dr. Zhang Kunmin Reply:
Hello, if you forget to take your medication one day, it is best to take the missed dose as soon as possible within twelve hours. You should continue to take the originally scheduled pill for that day (taking two pills that day). If more than twelve hours have passed since the mi...

Choosing Between Uterine Fibroid Removal and Hysterectomy: What to Consider

Uterine fibroids inquiry? Hello, doctor. I am 49 years old. Last year, I discovered I had uterine fibroids after seeking medical attention for heavy menstrual bleeding. I took a medication called Danazol for nearly three months, but I found that it significantly affected my mood,...

Dr. Cao Guotao Reply:
Hello, both options are acceptable. The likelihood of recurrence at the age of 49 should be low. Wishing you good health.

Impact of Missed Doses on Efficacy of Etonogestrel in Gynecology

Medication Consultation Hello, I have been taking Epinastine since the end of September last year. Today, when I went to get my prescription, I calculated the number of pills I've taken and realized that I missed two doses (which means I have taken two extra pills). Will thi...

Dr. Cao Guotao Reply:
Hello, two pills should not affect the efficacy of the medication. Wishing you good health.

Understanding Medication Abortion: Timing and Dosage Concerns

Medication abortion Hello, doctor. My girlfriend underwent a medical abortion with the first dose (Mifepristone) at the obstetrics and gynecology department on April 3rd around 1:00 PM. She took the second dose (Misoprostol) at home at 6:00 PM the same day, but later realized tha...

Dr. Cao Guotao Reply:
Hello, the second dose should be taken 48 hours later. You have taken it incorrectly. Please wait 48 hours before taking the remaining medication, and then return to your original clinic for follow-up. Wishing you good health.

Can 18-Year-Olds Legally Access Medication Abortion in Taiwan?

Medication abortion issues According to the revised Civil Code, which lowers the age of adulthood to 18 years, can an individual who is 18 years old independently undergo a medical abortion?

Dr. Zhang Kunmin Reply:
Article 9 of the Eugenics Health Care Act stipulates that unmarried minors (under 18 years old) must obtain consent from their legal guardians in order to undergo an abortion. Therefore, a pregnant individual under 18 cannot independently decide to have an abortion. However, they...

Understanding Skin Irritation Near the Urethra Before Menstruation

Genital skin abrasion? In the past few months, I have noticed that a couple of days before my menstrual period, there are small abrasions near the urethral opening (very tiny wounds that are hard to see). I usually have no symptoms, but these small wounds appear just before my pe...

Dr. Zhang Kunmin Reply:
Hello, the physician cannot provide treatment, prescribe medication, or issue a diagnosis without a personal examination. You will need to see a doctor for a proper evaluation and medication treatment. Thank you! Wishing you peace and health. Dr. Zhang

Understanding Vaginal Bleeding After Stopping Emergency Contraceptive Pills

Bleeding after discontinuing medication? The patient has been taking emergency contraceptive pills but stopped due to side effects two days ago. However, the girlfriend experienced vaginal bleeding the day after stopping the medication, with the bleeding volume similar to that of...

Dr. Cao Guotao Reply:
Hello, it should be related to stopping the medication; just monitor the situation. Wishing you good health.

Missed Period: Could I Be Pregnant Despite Negative Tests?

Unsure if pregnant; menstruation has not arrived? Last month, my period was from February 26 to March 6 (which was two days longer than usual). I was supposed to get my period on March 27, but it didn't come. I had unprotected intercourse on March 10 and March 20 (with no ej...

Dr. Cao Guotao Reply:
Hello, it seems that you are not pregnant. After taking the menstrual induction medication, you should expect your period to arrive within a week. Just wait a little longer. Wishing you good health.

Can You Take Accutane with Emergency Contraceptive Pills?

Medication issues Hello, doctor: I would like to ask if it is safe to take A acid (tretinoin) together with the emergency contraceptive pill "Ella" (ulipristal acetate)?

Dr. Zhang Kunmin Reply:
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol, Doxycycline) can reduce the effectiveness of oral contraceptives. When taking these medications, alternative...

Managing Continuous Bleeding While Taking Birth Control Pills

Taking birth control pills to stop menstruation but experiencing continuous bleeding? I only have my period and my body becomes very poor, to the point where I almost die. When I don't have my period, my body feels better, so I need to stop my menstruation. I have been takin...

Dr. Zhang Kunmin Reply:
Hello, the user: During the use of contraceptive pills, if bleeding occurs, there is no need to stop taking the medication; continue to take it as scheduled. Once the body adapts to the contraceptive pills, abnormal bleeding will cease. However, if irregular bleeding persists for...

Is It Menstruation? Understanding Irregular Bleeding After Sexual Activity

Is it menstruation? The menstrual cycle is approximately 31-35 days, with the last menstrual period starting on February 22. On March 25, my boyfriend did not wear protection while I was wearing sweatpants, and he thrust a few times, but he assured me there was no bodily fluid. O...

Dr. Zhang Kunmin Reply:
Hello, the failure rate of correctly using condoms throughout is still over 5%, which is less reliable compared to other methods. Bleeding may be due to hormonal imbalance or an early onset of menstruation; however, bleeding can also occur in the early stages of pregnancy or arou...

Can Estradiol and Micronized Progesterone Work as Emergency Contraception?

Emergency contraceptive pill I would like to ask the doctor if taking Estrade, which contains ESTRADIOL, along with Promone, which contains MICRONIZED PROGESTERONE, can achieve the effect of emergency contraception?

Dr. Cao Guotao Reply:
Hello, it should mainly be a menstrual induction medication, and its contraceptive effect is poor. Wishing you good health.

Is It Possible to Be Pregnant After Irregular Menstrual Cycles?

Is it possible to get pregnant during menstruation? Hello Doctor: I am 36 years old and my menstrual cycle usually starts on the 7th, 8th, 9th, or 10th of each month, lasting about 3 days. For the past six months, I have been trying to conceive (taking ovulation medication and pr...

Dr. Cao Guotao Reply:
Hello, it is possible that you are pregnant. Please continue to follow up at a hospital or clinic. Wishing you good health.

Understanding Irregular Periods: What a Negative Pregnancy Test Means

Menstruation is irregular, and this time it was delayed by 53 days. A pregnancy test showed one line? Hello, I would like to ask the doctor. My menstrual cycle is usually irregular (typically between 30-45 days). My last period was from February 3 to February 9. After my period, ...

Dr. Cao Guotao Reply:
Hello, you can take a pregnancy test 12 days after sexual intercourse. You should not be pregnant, and you may consider taking medication to induce menstruation. Wishing you good health.

Minimal Bleeding and No Pain After Medication Abortion: Is It Successful?

After a medical abortion, there is very little bleeding and no pain? On March 25, I took the first dose of 2 pills, and on March 27, I took the second dose of 3 pills. I waited at the clinic for an hour and a half without feeling anything or seeing any bleeding. The doctor prescr...

Dr. Cao Guotao Reply:
Hello, you currently look good. As for whether everything has cleared up, please continue to follow up at the original clinic. Wishing you good health.

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