Pap smear, Obstetrics and Gynecology FAQ - Page 13

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Understanding the Impact of Sexual Activity on Young Women's Health

Is sexual activity harmful to health? Hello doctor, I am 18 years old. I started my menstrual period at 11, and recently I have been reading a lot online and discovered that engaging in sexual activity under the age of 18 can cause significant harm to the body, particularly to th...


Dr. Cao Guotao Reply:
Hello, it is best to arrange for sexual activity. You can engage in sexual intercourse, but it will be at your own expense. Wishing you good health.

[Read More] Understanding the Impact of Sexual Activity on Young Women's Health


Can Women with Cervical Pre-cancer Use Birth Control Pills Again?

Can someone with a history of cervical precancerous lesions take birth control pills? Hello, Doctor! Three years ago, I was taking the contraceptive pill, Mestranol, but I stopped after a Pap smear showed precancerous changes in my cervix. Since then, I have received the HPV vacc...


Dr. Lin Manying Reply:
Ms. Nana: Hello, based on your description, 1. You may continue taking the contraceptive pill, with previous usage being the preferred option. 2. White cohosh is a type of phytoestrogen, and theoretically, the food-grade dosage should be very low, which should not conflict with t...

[Read More] Can Women with Cervical Pre-cancer Use Birth Control Pills Again?


Can I Take Birth Control Pills After Cervical Pre-Cancer Treatment?

Can someone with a history of cervical precancerous lesions take birth control pills? Hello Doctor, three years ago I was regularly taking Mestranol, but after a Pap smear showed precancerous changes in my cervix, I stopped taking it. I subsequently underwent cryotherapy and have...


Dr. Wu Xianghui Reply:
The HPV virus is directly related to common precursors of cervical cancer.

[Read More] Can I Take Birth Control Pills After Cervical Pre-Cancer Treatment?


Common Questions About HPV Vaccination and Screening for Women

Questions about receiving the HPV vaccine? Hello Dr. Wu, I have some questions I would like to ask you. I had a Pap smear and HPV test done in July of last year, and both results were normal. This was done within three years of my first sexual intercourse. Since then, I have enga...


Dr. Wu Xianghui Reply:
1. HPV testing only indicates that there is no current HPV infection. 2. It is recommended to receive the HPV vaccine regardless of whether one is infected with HPV. 3. Individuals over 26 years old can still receive the vaccine, and as long as their immune function is normal, th...

[Read More] Common Questions About HPV Vaccination and Screening for Women


Understanding Abnormal Bleeding and Hormonal Imbalances in Women

Intermenstrual bleeding Hello, Doctor: For the past six months, I have been experiencing intermenstrual bleeding. I have visited a gynecologist several times, and health checks on my uterus and ovaries showed no significant issues. The doctor mentioned it could be ovulation bleed...


Dr. Chen Zhiyu Reply:
Regarding your concerns, here are the responses to questions one and two: Even if the gynecological examination shows no structural issues with the uterus and ovaries, functional disorders can still lead to the abnormal conditions you described. Question three: The relationship b...

[Read More] Understanding Abnormal Bleeding and Hormonal Imbalances in Women


Does Abnormal Pap Smear Affect Your Chances of Getting Pregnant?

Will an abnormal Pap smear affect fertility? I have been married to my husband for over a year. We used contraception for the first six months, and for the past year, we have not used any protection. On average, we have intercourse once or twice a month, but we have not gotten pr...


Dr. Zhang Kunmin Reply:
Hello, based on your description, the results of the Pap smear are less related to conception. It is advisable to have the abnormal Pap smear and the difficulties in conception evaluated separately by the relevant subspecialty physicians. Thank you! Wishing you peace and health. ...

[Read More] Does Abnormal Pap Smear Affect Your Chances of Getting Pregnant?


Postpartum Bleeding Concerns: Understanding Irregular Menstruation After C-Section

Postpartum menstruation is persistent? Hello, I am eight weeks postpartum (after a cesarean section). During my sixth week check-up, I experienced my first menstrual period (from June 9 to June 13, which was normally seven days before pregnancy). On the day of my six-week postpar...


Dr. Wu Xianghui Reply:
1. It is recommended to visit the obstetrician for a vaginal examination and a transvaginal ultrasound. 2. Breastfeeding can stimulate uterine contractions, helping to control bleeding.

[Read More] Postpartum Bleeding Concerns: Understanding Irregular Menstruation After C-Section


Can Vitex Help with Uterine Fibroids and Irregular Cycles?

Can women with uterine fibroids take chaste tree berry? Hello Doctor: Due to my menstrual cycle being often irregular, I purchased a dietary supplement containing Vitex (Chaste Tree) to see if it can help improve my cycle issues. I had a Pap smear at the clinic at the end of Apri...


Dr. Huang Yuande Reply:
1. It is recommended to seek proper medical treatment for abnormal menstrual cycles. Many dietary supplements on the market may have some hormonal effects, so it is advisable to consult your physician before taking them. 2. Generally, if there are no symptoms, an ultrasound exami...

[Read More] Can Vitex Help with Uterine Fibroids and Irregular Cycles?


Understanding Cervical Health: HPV, Vaccination, and Treatment Questions

Cervical (vaccine) related issues? Hello, Doctor, and thank you for your response. This year, my Pap smear showed abnormalities (CIN1), and I have undergone a cone biopsy and tested positive for HPV. I have regular follow-up appointments and continuous monitoring. I also received...


Dr. Cao Guotao Reply:
Hello, getting vaccinated a little earlier won't have any negative effects. HPV relies on the immune system for elimination, and boys can also receive the vaccine. Wishing you good health!

[Read More] Understanding Cervical Health: HPV, Vaccination, and Treatment Questions


Why Are Doctors Reluctant to Perform Internal Exams for Virgins?

Is it possible to have a pelvic examination without having engaged in sexual intercourse? Hello Doctor, I have a question that has been troubling me. When I visit obstetricians and gynecologists, they are unwilling to perform a pelvic examination and only conduct abdominal ultras...


Dr. Huang Yuande Reply:
1. A Pap smear can still be performed even if there is no sexual experience; however, if a colposcopy or hysteroscopy is performed, there is a possibility of damaging the hymen that needs to be considered. 2. Young women often experience "functional ovarian cysts," wh...

[Read More] Why Are Doctors Reluctant to Perform Internal Exams for Virgins?


Understanding Irregular Menstrual Cycles: Causes and Solutions

Menstrual issues Hello, since the beginning of this year, my menstrual cycles have been around fifty days apart. At the end of March, I thought my period was about to start, but I only had brown discharge that lasted for over a week, then it cleared up, and a week later, I had me...


Dr. Cao Guotao Reply:
Hello, it is possible that you are experiencing menopause. If you do not have any discomfort, you can simply monitor the situation. Wishing you good health.

[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions


Understanding HPV Infection Risks: Common Concerns Before Your First Gynecologist Visit

Risk of HPV Infection I am about to visit a gynecologist for the first time due to vaginal inflammation. Before the appointment, I would like to consult about some long-held questions to discuss my situation with the doctor. 1. Is there a significant chance of HPV virus being p...


Dr. Lin Manying Reply:
Dear Ms. Mackenzie, Regarding your inquiry, please find the responses below: 1. The probability is very low. 2. Blood tests can be done, but a cervical cytology sample is more accurate. 3. Please maintain a healthy lifestyle. The Hualien Hospital of the Ministry of Health ...

[Read More] Understanding HPV Infection Risks: Common Concerns Before Your First Gynecologist Visit


Understanding Small Growths on the Vulva: When to Seek Further Evaluation

There is a small protrusion on the vulva? About a year ago, I discovered a small protrusion on my vulva. I consulted a gynecologist at that time, and the doctor mentioned that the main concern could be genital warts, but it didn't appear to be that. To confirm, a biopsy woul...


Dr. Huang Yiwen Reply:
Hello Ms. LiLi: Since the lesions on your skin have not changed significantly, they are likely not warts or any major issue. If you would like to go back for a biopsy, that is certainly an option, but I believe it may not be necessary.

[Read More] Understanding Small Growths on the Vulva: When to Seek Further Evaluation


Managing CIN II: Follow-Up Pap Smears and HPV Considerations

Pap smear follow-up Hello Doctor, I had a Pap smear in November 2019 that showed CIN II. I underwent a large loop excision of the transformation zone (LEEP) at National Taiwan University Hospital, which also confirmed CIN II. I have been monitored every six months since then, wit...


Dr. Cao Guotao Reply:
Hello, delaying a bit until the pandemic subsides will not have an impact. Wishing you good health.

[Read More] Managing CIN II: Follow-Up Pap Smears and HPV Considerations


Cervical Inflammation During Mid-Pregnancy: Concerns and Considerations

Cervical inflammation during mid-pregnancy? During weeks 12 to 16 of pregnancy, there have been intermittent brownish discharge and bleeding. At the 16-week prenatal check-up, the doctor performed a pelvic exam and noted inflammation and erosion of the cervix. However, the doctor...


Dr. Cao Guotao Reply:
Hello, please follow the doctor's instructions. Generally, it does not affect the fetus. Wishing you good health.

[Read More] Cervical Inflammation During Mid-Pregnancy: Concerns and Considerations


Can You Get the HPV Vaccine During Vaginal Inflammation?

Can the cervical cancer vaccine be administered during vaginal inflammation? Hello Doctor: On January 30, I went to the hospital for a Pap smear checkup 42 days postpartum. A week later, I received a text message informing me that the Pap smear showed inflammation (during this ti...


Dr. Wu Xianghui Reply:
1. If there is vaginal inflammation without fever, the cervical cancer vaccine can be administered. 2. The items included in the self-paid triage Pap smear are unknown, so no advice can be provided. 3. Seeking a second medical opinion is advisable.

[Read More] Can You Get the HPV Vaccine During Vaginal Inflammation?


Understanding Light Pink Vaginal Bleeding: Causes and Concerns

Vaginal bleeding Hello Doctor: In the past couple of days, I noticed faint pink blood when wiping after using the restroom, along with a small amount of discharge. My menstrual cycle is as follows: February 15 - March 19 - April 19, each lasting six days, with a cycle length of a...


Dr. Huang Yiwen Reply:
Hello Miss 9n: Ovulatory bleeding typically lasts no more than three to four days and is usually characterized by light flow, often accompanied by some abdominal pain. Generally, this condition will resolve within three to four days. At the age of 23, the likelihood of cervical c...

[Read More] Understanding Light Pink Vaginal Bleeding: Causes and Concerns


Should Ovaries Be Removed in Early Cervical Cancer Cases?

Cervical carcinoma in situ, total hysterectomy; ovaries not removed? Hello Doctor: Last time I inquired about "cervical carcinoma in situ, and the ovaries are fine, is there a need for removal?" The response I received was: "At 65 years old, with ovarian function c...


Dr. Cao Guotao Reply:
Hello, generally it is unlikely to detect any issues, but for cervical carcinoma in situ, the ovaries may not be covered by health insurance. It depends on how you discuss this with your physician. Wishing you good health.

[Read More] Should Ovaries Be Removed in Early Cervical Cancer Cases?


Understanding HPV16 Infection: Can Your Immune System Clear It?

HPV type 16 infection Hello, my Pap smear result is ASCUS, and the biopsy showed inflammation. The doctor said to check again in three months. I also had an HPV test, and the result was positive for type 16. I know that type 16 is a high-risk type. The doctor mentioned to check a...


Dr. Wu Xianghui Reply:
1. The rate of self-generated antibodies (referred to as self-clearing) is approximately 90% before the age of 21, significantly decreasing with age. 2. It is recommended to receive the 9-valent HPV vaccine, and to conduct an HPV test one year after completing the three-dose seri...

[Read More] Understanding HPV16 Infection: Can Your Immune System Clear It?


Understanding HPV: Can Cauliflower Warts Reinfect You?

Cauliflower Concerns 1. Can cauliflower warts (genital warts) be transmitted back to oneself through underwear? 2. If proper hygiene is maintained, is there still a risk of re-infecting one's mouth, nose, or other mucosal areas? I have noticed new lesions appearing in areas...


Dr. Zhang Kunmin Reply:
Hello, the current treatment methods for genital warts include various options such as cryotherapy, electrocautery, topical medications, and laser therapy. These treatments are limited to removing visible warts and do not completely eliminate the virus, with a recurrence rate of ...

[Read More] Understanding HPV: Can Cauliflower Warts Reinfect You?


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