Medication, Obstetrics and Gynecology FAQ

Post-Surgery Swelling in the Vulvar Area After Chocolate Cyst Removal

Swelling of the vulva after chocolate cyst surgery? Hello, doctor. I recently underwent laparoscopic removal of a left ovarian chocolate cyst. On the evening of the seventh day post-surgery, I went out for a walk to buy some things while wearing a waist support and not lifting an...

Dr. Huang Yuande Reply:
1. This situation is generally uncommon; it may be due to adhesions or some side effects caused by electrocautery. 2. Anti-adhesion agents typically get absorbed within a certain period, so it is recommended to monitor the situation further.

Should You Take a Break from Birth Control Pills for Conception?

Oral contraceptives I have been taking Diane for over five years, and I have not stopped taking it except during my menstrual period. If the primary purpose is contraception, is there a need to temporarily stop the medication for a few months, or can I continue taking it until ab...

Dr. Cao Guotao Reply:
Hello, generally, one works for a year and takes a month off. Wishing you good health.

Understanding Early Menstruation While on Birth Control Pills

Oral contraceptives Hello doctor, I have been taking the Yaz contraceptive pill for almost a year. This time, my period unexpectedly arrived early on the 21st pill. I would like to know if this is normal or if there could be any reasons affecting it. Should I be concerned? Could ...

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

Understanding Emergency Contraception: Concerns and Symptoms Explained

Emergency contraceptive pill Hello, doctor. On February 27th, around 21:40, I had intercourse (without a condom and no ejaculation, the process lasted about 1-2 minutes before withdrawal). I was concerned that the male partner's secretions might contain a small amount of spe...

Dr. Cao Guotao Reply:
Hello, emergency contraceptive pills can sometimes cause irregular menstruation; just monitor the situation, and it should not result in pregnancy. Wishing you good health.

Drug Interactions: Does Emergency Contraceptive Affect Cataflam and Solaxin?

Drug interactions Hello, doctor. I would like to inquire whether the medication Yuezhi will interact with Cataflam and Solaxin. Thank you.

Dr. Cao Guotao Reply:
Hello, generally it won't happen. Wishing you good health.

Should I Continue My Pregnancy After Taking Immunomodulatory Drugs?

Took Category X medications before pregnancy? Hello Doctor, my last menstrual period was on January 18, 2023. Normally, I would expect my next period around February 20, but it was delayed by about 2-3 days, so I took a pregnancy test and got two lines. On March 1, I went to the ...

Dr. Cao Guotao Reply:
Hello, since you stopped the medication before becoming pregnant, it should not have any impact. Wishing you good health.

Understanding Heavy Menstrual Flow and Acne After Birth Control

Contraceptive pill issues? Hello Doctor: I have been taking Aijie for six months and stopped for one month. I started taking it again this month, but my period has lasted for seven days with a heavy flow, filling the center of a 19 cm pad completely, and the blood is still bright...

Dr. Cao Guotao Reply:
Hello, if it still hasn't stopped, I recommend seeing a gynecologist. Generally, acne and birth control pills are not necessarily related. Wishing you good health.

Post-Medication Abortion: Concerns About Sexual Activity and Pregnancy Risks

Sexual intercourse after a medical abortion? I would like to inquire about my situation. On February 2nd, an ultrasound showed an embryo approximately 1 week and 5 days old. I took the first dose of RU486 on February 2nd, and started bleeding on February 3rd, although it wasn...

Dr. Zhang Kunmin Reply:
Hello, based on the situation you described, I recommend that you consult a physician to examine and address the issue of this miscarriage, in order to prevent complications such as bleeding or infection. Thank you! Wishing you safety and good health. Dr. Chang

Can You Get Pregnant After Taking Emergency Contraceptive Pills?

Emergency contraceptive pill I would like to ask if I had unprotected ejaculation for the first time and took emergency contraception afterwards, but then a few minutes later had unprotected ejaculation again without taking any more medication afterwards. Could this lead to pregn...

Dr. Zhang Kunmin Reply:
Hello, the effectiveness of emergency contraceptive pills is not 100%, with a failure rate of about 3%. The effectiveness of emergency contraception varies depending on the time of administration after unprotected intercourse: taking it within 24 hours provides a 95% effectivenes...

Can Dienogest and Mirena IUD Be Used Together for Birth Control?

Drug interactions Hello, I would like to ask if it is possible to use the Mirena IUD for contraception while currently taking Dienogest for the treatment of endometriosis-related chocolate cysts. Thank you.

Dr. Zhang Kunmin Reply:
Hello, based on your description, there may be considerations regarding medication concentration. It is recommended to discuss and decide with your treating physician. Thank you! Wishing you peace and health. Dr. Chang

Does Amoxicillin 500mg Affect the Effectiveness of Birth Control Pills?

Taking amoxicillin 500 mg? Hello, I would like to ask if during my doctor's visit, I informed them that I am taking the oral contraceptive pill (Yaz), and later when they prescribed medication, they reassured me that it would not affect the efficacy of Yaz. However, I just f...

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

Understanding Irregular Periods: Can You Get Pregnant?

Menstruation is irregular? I would like to ask about my current situation regarding pregnancy planning. I had a normal menstrual period on November 27 of last year, but I did not have another period until I received a menstrual induction injection in early January, which led to a...

Dr. Cao Guotao Reply:
Hello, your menstrual cycle is irregular. It is recommended to go to the hospital for a blood test to check if your hormone levels are normal. Wishing you good health.

Can Stopping Diane Early Adjust Your Menstrual Cycle?

Is it possible to stop taking Diane early to adjust the menstrual cycle? Hello, doctor. I have polycystic ovary syndrome and am currently taking Diane. My current cycle is from March 5 to March 25, with my expected menstrual period from March 30 to April 5. Since I will be travel...

Dr. Huang Yuande Reply:
1. The original medication can still be used, and it can be taken early from March 2 to March 22, allowing for an earlier arrival. 2. That is acceptable.

Can You Get Pregnant After 17 Days on Birth Control Pills?

Took medication for 17 days without using protection during intercourse? Hello doctor, I have been experiencing irregular menstrual cycles, so I started taking birth control pills to regulate my cycle. I first went to the gynecology department and took medication to induce my per...

Dr. Cao Guotao Reply:
Hello, taking medication can provide contraceptive effects. Wishing you good health.

Concerns About Vaginal Suppository Use After Recent Miscarriage

Vaginal suppository issues? Hello Doctor: I have been experiencing a simultaneous infection of urinary tract infection and vaginitis these past few days. After taking medication, my urine has turned very yellow. When I inserted the vaginal suppository, I think I didn't push ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended to use the suppository correctly. If the symptoms persist or do not improve, please consult a physician for evaluation and treatment. Thank you! Wishing you peace and health. Dr. Zhang

Can I Continue Taking Birth Control Pills to Delay My Period?

Can I continue taking the contraceptive pill? I have been continuously taking Yaz (28 tablets, 24 active + 4 inactive). Since I usually buy it on weekends, it's inconvenient when I go out, and I want to postpone my entire menstrual period. I would like to ask: 1. Can I finis...

Dr. Cao Guotao Reply:
Hello, continue taking the next pack. Start taking the next pack of contraceptive pills on the fifth day after your period begins following the cessation of the medication. Wishing you good health.

Missed Birth Control Pills: Understanding Breakthrough Bleeding

Breakthrough bleeding after missing a dose of emergency contraception? Hello, doctor. I missed my medication on February 21 and 22, and I took two pills on February 23 and 24 to make up for it. However, on the 24th, I experienced brown spotting that continued until the 26th. Is t...

Dr. Cao Guotao Reply:
Hello, the bleeding may be related to missed doses. Just observe it, as missing two days can reduce the effectiveness of contraception, so please be more cautious. Wishing you good health.

Understanding Pregnancy Chances with Irregular Menstrual Cycles: Your Concerns Addressed

Probability of Pregnancy Hello, Doctor. My menstrual cycle averages 38 days, and it has now been 48 days without my period. My cycle is usually irregular, occurring approximately every 30 to 40 days, and lasts about 7 to 9 days. My last period was from January 6 to January 13. I ...

Dr. Zhang Kunmin Reply:
Hello, the factors affecting the menstrual cycle are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnanc...

Can You Get Pregnant During Your Period? Understanding Menstrual Changes

Can you get pregnant while on your period? Hello doctor, I would like to ask: if I took emergency contraception within 8 hours after unprotected intercourse, and then my period came 12 days later (5 days early), but the flow on the first day was very light while the second day wa...

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%, with a failure rate of about 3%. If you are unsure whether the bleeding is a normal peri...

Understanding Absence of Withdrawal Bleeding After Birth Control Pills

Yuezi does not have withdrawal bleeding? Hello Doctor: I am the questioner of #192809. After taking the last pink pill on 2/18, today (2/22) is the last inactive pill, but my period still hasn't arrived. Previously, my menstrual cycle was not very regular, usually ranging fr...

Dr. Cao Guotao Reply:
Hello, start taking the contraceptive pill on the fifth day of your menstrual period; it’s fine not to take the placebo pills. Wishing you good health!

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