Medication, Obstetrics and Gynecology FAQ

Continued Bleeding on Dienogest: Should I Keep Taking It?

I am still experiencing bleeding despite taking Etoposide? Hello doctor, I am currently taking Danazol for the treatment of adenomyosis. I have been on it for four months, but I am still experiencing menstruation, which does not align with the expected effects of the medication, ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended to continue the medication without interruption. There are various methods to improve the bleeding condition. It is advisable to return for a follow-up consultation with your physician for assistance in managing the bleeding. Th...

Understanding Metina: Is It an Effective Contraceptive?

Contraceptive delay medication I visited a gynecologist who prescribed me a medication called Metina (the doctor mentioned it is a contraceptive pill, one white and one orange) to take from April 21 to May 4. During this period, I had sexual intercourse on the morning of May 5, w...

Dr. Cao Guotao Reply:
Hello, it is just a menstrual regulation medication and does not have contraceptive effects. It is recommended to take emergency contraception just in case. Wishing you good health.

Understanding Irregular Menstrual Cycles: Could It Be Implantation Bleeding?

Menstrual irregularities Hello Doctor, my last menstrual period started on April 4th, with an average cycle of 26-28 days and lasting for 5 days, ending completely on April 12th. I had sexual intercourse on April 19th and April 26th, and only used a condom afterward. My period st...

Dr. Cao Guotao Reply:
Hello, it should be your menstrual period. If you're unsure, you can take a pregnancy test. Wishing you good health.

Can You Insert an IUD During Non-Menstrual Periods?

Questions about intrauterine devices (IUDs) Hello, doctor. Due to upcoming travel plans, I would like to delay my period. Is it possible to insert a contraceptive ring during a non-menstrual period? (This is my first time using it.) I will not be engaging in sexual intercourse du...

Dr. Zhang Kunmin Reply:
Hello, if the intrauterine device (IUD) is not inserted within the recommended timeframe, it may cause irregular bleeding. It is advisable to consult a physician for medication to delay menstruation. Thank you! Wishing you peace and health. Dr. Zhang

Can Trans Men with High Testosterone Symptoms Safely Undergo HRT?

(Transgender-related) Questions regarding Female-to-Male HRT? Hello Dr. Chang, I would like to ask you about the suitability of hormone replacement therapy (HRT) for transgender individuals in physiological females with elevated androgen levels. My situation is that I identify a...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended that you visit a medical center for an evaluation by both an obstetrician-gynecologist and a psychiatrist. This will ensure that medical advice and regulations are followed appropriately. Thank you! Wishing you peace and health....

Postpartum Hemorrhage and Uterotonics: Key Concerns for New Mothers

Postpartum hemorrhage, uterotonics? Hello, I would like to ask a few questions. I had a natural delivery on April 16, and on April 25, I experienced heavy bleeding (approximately 122g within an hour) and went to the emergency room. After an abdominal ultrasound, the doctor said t...

Dr. Zhang Kunmin Reply:
Hello, based on your description, the treatment medication should not cause side effects when used within reasonable doses. It is recommended to follow up with your physician for treatment and regular check-ups. Thank you! Wishing you peace and health. Dr. Chang

Should Your Partner Get Treated for Trichomoniasis Too?

If the wife is diagnosed with trichomoniasis, should the husband also be treated? Hello, Doctor: I visited a gynecologist who performed a vaginal secretion test, a pelvic examination, and an ultrasound of my uterus. The doctor prescribed me metronidazole for trichomoniasis and mi...

Dr. Cao Guotao Reply:
Hello, the medication for trichomoniasis does not necessarily indicate a low-level infection; it is simply an antibiotic. The determination of infection should be based on the physician's assessment. Wishing you good health.

Understanding Incomplete Miscarriage: Symptoms and Treatment Options

Incomplete abortion after medical abortion? Hello, I would like to inquire about my situation. I received my first dose on April 13 and experienced mild abdominal pain. On April 15, before my follow-up appointment, I passed a large blood clot. After taking the second dose during ...

Dr. Liu Fuping Reply:
1. Failure or incomplete miscarriage rates: According to gestational weeks, the success rate of RU486 is between 80% to 90%, with a higher failure rate as the fetus grows larger. Subsequent administration of uterotonics may help expel remaining tissue, but there is still a chance...

Can You Ovulate Immediately After Your Period Ends?

Is it possible to ovulate immediately after menstruation? 2.29 The last menstrual period started, and it ended on 3.6 (my menstrual cycles are usually irregular). On 4.6, I had some friction with my boyfriend, but there was no penetration and no ejaculation; however, pre-ejaculat...

Dr. Cao Guotao Reply:
Hello, April 19 should be your menstrual period, and there was light spotting on April 28, which can be monitored. Wishing you good health.

Managing Urinary Tract Infections After Vaginal Yeast Infections

Urinary tract infection (UTI) Hello, doctor. Yesterday, I visited a clinic due to a vaginal yeast infection, and the doctor prescribed Doxycycline. I took one pill last night, and around 10 PM, I started feeling symptoms of a urinary tract infection. I didn't use the supposi...

Dr. Cao Guotao Reply:
You should drink plenty of water and take your medication. Suppositories can be used. Wishing you good health.

Do I Need Emergency Contraception After Using Pre-Pill?

If you had unprotected intercourse five days before your expected period and did not ejaculate inside, you may still want to consider taking emergency contraception. Emergency contraception is most effective when taken as soon as possible after unprotected intercourse. It is reco...

Dr. Cao Guotao Reply:
Hello, within the general safety zone, just observe this. Wishing you good health.

Using External Ointments for Vulvar Itching: What You Need to Know

Use of ointment for vulvar itching? Hello Doctor: I recently visited the hospital due to itching in the genital area and occasional blood streaks when wiping after using the restroom. The doctor informed me that I have inflammation of the vagina and cervix, and advised me to retu...

Dr. Cao Guotao Reply:
Hello, both can be used; just apply it if there's itching. Wishing you good health.

Using Vulvar Itch Cream: Safety and Recommendations for Patients

Use of ointment for vulvar itching? Hello Doctor: I recently visited the hospital due to itching in the genital area and occasional blood streaks when wiping after using the restroom. The doctor informed me that I have inflammation in the vagina and cervix, and advised me to retu...

Dr. Cao Guotao Reply:
Hello, both are very good medications. Meikang is a compound formulation, while Beiluo Yi is a single formulation. Both contain corticosteroids, and you can apply them for itching. Wishing you good health!

Can Taking Menstrual Induction Pills Lead to Pregnancy After Intercourse?

Is it possible to get pregnant after having unprotected intercourse following the use of menstrual induction medication? I was originally expecting my period on April 10, but after waiting a week with no signs, I visited the doctor on April 19 and tested negative for pregnancy. H...

Dr. Cao Guotao Reply:
Hello, if you are observing for pregnancy, the likelihood should be low. It's normal; after taking the menstrual induction medication, you should expect your period within a week. Wait a few more days to see if it arrives. If it doesn't come after a week, it is advisabl...

Should You Treat Thickened Endometrium? Key Insights and Recommendations

Does endometrial thickening require treatment? Hello Dr. Tsao, I have undergone a hysteroscopy due to thickened endometrium, and the results showed no issues, just simple endometrial hyperplasia and some polyps (pre-menstrual thickness about 2 cm). 1. Do I need to take medicati...

Dr. Cao Guotao Reply:
Hello, if the pathology report does not indicate endometrial hyperplasia, then observation is sufficient, and regular follow-up is recommended. Wishing you good health.

Understanding Abnormal Bleeding Before Menstruation: Causes and Concerns

Abnormal bleeding one week before menstruation? I have been taking emergency contraception daily. On April 19, I had sexual intercourse, and on the morning of April 21, I noticed light pink discharge (unsure if it was menstrual blood). That afternoon, the discharge turned brown, ...

Dr. Cao Guotao Reply:
Hello, if you have been taking the emergency contraceptive pill on time, then it is advisable to monitor the situation. If there is no improvement after taking the medication, it is recommended to consult a gynecologist. Wishing you good health.

Managing Bloating and Sleep Issues from Wen Bu Nin 28 Medication

Wenbunin 28 (orange) menstrual regulation medication causes bloating and poor sleep? Hello, doctor. Due to significant upcoming arrangements, I went to the obstetrics and gynecology department to obtain the medication "Wenburen 28 (orange)" for menstrual delay. I starte...

Dr. Cao Guotao Reply:
Hello, let's observe for now. If you still experience discomfort after taking the medication, please stop taking it and consider seeing a gynecologist. Wishing you good health.

Can You Get Pregnant After Taking Menstrual Induction Pills?

I have been taking menstrual induction medication for two days? Because my period is late, I have taken five pregnancy tests, all of which were negative. The doctor prescribed me medication to induce my period (I have one day of medication left). Today, I had unprotected intercou...

Dr. Chen Zhiyu Reply:
Hello, it is recommended to practice safe behaviors to reduce the risk of sexually transmitted infections. This also helps to avoid unintended pregnancies. Emergency contraceptive pills should not be used as a method of post-coital contraception or guarantee 100% effectiveness. I...

Understanding Menstrual Pain and Fertility Challenges: When to Seek Help

Menstrual pain and pregnancy issues? Hello, doctor. I am currently trying to conceive and have been diligently using ovulation test strips for three cycles without success. Both my partner and I have normal preconception check-ups. During my last menstrual period, on the first da...

Dr. Cao Guotao Reply:
Hello, if you still feel unwell, please visit a gynecologist for an examination. Wishing you good health.

Understanding Emergency Contraceptive Pills: Your Questions Answered

Emergency contraceptive pills Hello, doctor. I would like to ask about the birth control pill I have been taking, which is Aivei 28. I started taking it over a year ago, with the first pill taken on April 5. The pills went missing on April 19, and I did not take any for more than...

Dr. Cao Guotao Reply:
Hello, if there was bleeding on April 22, then start taking the medication from April 26. Wishing you good health.

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