Is Ovarian Removal Necessary After Cervical Carcinoma In Situ?
In cases of cervical carcinoma in situ, if the ovaries are unaffected, is there a need for removal? Hello Doctor: My mother (65 years old) underwent a vertebral resection surgery four years ago. E-Da Hospital originally arranged for a biopsy, but my mother chose to have surgery a...
Dr. Cao Guotao Reply:
Hello, if it is cervical carcinoma in situ, health insurance only covers the cost of a hysterectomy. At 65 years old, if the ovaries are no longer functioning, the decision to proceed with the surgery is up to you. Whether to pay out of pocket for additional procedures varies by ...[Read More] Is Ovarian Removal Necessary After Cervical Carcinoma In Situ?
HPV Testing and Gynecological Concerns for Women with No Sexual Experience
Asexual experience HPV testing Hello, doctor. I have no sexual experience, and my only experience with my boyfriend has been manual stimulation. I found that in medical terms, if there is no penetration, it may not be classified as sexual intercourse. Therefore, I have a few ques...
Dr. Cao Guotao Reply:
Hello, this does not count as sexual intercourse, so a vaginal ultrasound and HPV test cannot be performed, and a Pap smear is also not necessary. If you would like to receive the cervical cancer vaccine, that is possible. Wishing you good health.[Read More] HPV Testing and Gynecological Concerns for Women with No Sexual Experience
Understanding Abnormal Bleeding After Intimate Contact: Causes and Concerns
Abnormal bleeding In mid-March, I had a Pap smear and HPV test. The Pap smear report indicated vaginal inflammation, so I was prescribed a suppository to use for 6 days. However, after having non-invasive sexual activity with my boyfriend on April 4th (just clitoral stimulation a...
Dr. Zhang Kunmin Reply:
Hello, the causes of post-coital bleeding may include hormonal imbalances, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding persists, it ...[Read More] Understanding Abnormal Bleeding After Intimate Contact: Causes and Concerns
Vaginal Suppository Use: Understanding Bleeding and Discomfort
Vaginal suppository bleeding? Hello, I would like to ask about a previous vaginal infection. The doctor prescribed Huangjia Fuzheng vaginal suppositories, and during the first use, I experienced an orange-pink watery discharge. For the next two weeks, the doctor prescribed differ...
Dr. Wu Xianghui Reply:
It is recommended to return to the outpatient clinic for a pelvic examination assessment.[Read More] Vaginal Suppository Use: Understanding Bleeding and Discomfort
Understanding HPV Positive Results: Key Questions and Concerns for Women
HPV Positive Issues Hello Doctor, last week I had a free traditional Pap smear and HPV screening. The Pap smear result showed inflammation, and the HPV test indicated infections with types 53 and 39, with a quantity of ++. I would like to ask the doctor: 1. Is there a possibility...
Dr. Huang Yuande Reply:
1. In principle, it is not necessary, but it is recommended to have a Pap smear examination annually. 2. Once a year is sufficient. 3. There is no direct correlation. 4. The probability is low, but it still falls within the risk group; regular Pap smear follow-ups are advised, an...[Read More] Understanding HPV Positive Results: Key Questions and Concerns for Women
Understanding Abnormal Menstrual Cycles and Inflammation: A Guide for Women
Enrollment inflammation Hello Doctor, I have been experiencing irregular menstrual cycles in February and March. In February, my period lasted almost 10 days with light flow, and in March, I barely had any bleeding at all. Additionally, I have been feeling a dull pain and swell...
Dr. Wu Xianghui Reply:
1. Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women. The causes are numerous, and treatment methods require comprehensive patient education. It is recommended to consult a gyneco...[Read More] Understanding Abnormal Menstrual Cycles and Inflammation: A Guide for Women
Understanding Abnormal Menstrual Symptoms: Causes and Concerns
Menstrual status The menstrual cycles for the past two months have been relatively regular, with the last month starting on February 22 and this month on March 23. However, the first day of both menstrual periods has presented with dark brown blood, lasting for about two days, an...
Dr. Wu Xianghui Reply:
1. The menstrual cycle can be influenced by various physical and mental conditions. 2. Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women. The causes are numerous, and treatment sh...[Read More] Understanding Abnormal Menstrual Symptoms: Causes and Concerns
Understanding Cervical Pre-Cancer: Concerns and HPV Insights
Cervical precancerous lesions Hello Doctor, last year I had an abnormal Pap smear and tested positive for HPV type 33. After a year of monitoring, my condition worsened from CIN1 to CIN2 and CIN3, so the hospital arranged for an LLETZ procedure. I am feeling very anxious and afra...
Dr. Cao Guotao Reply:
Hello, the groin area should not be significantly related to cervical cancer. If you are still feeling unwell, you can consult a surgeon. If you wish to receive the vaccine, you can certainly do so without waiting. Wishing you good health.[Read More] Understanding Cervical Pre-Cancer: Concerns and HPV Insights
Understanding Fibroids and Thyroid Issues in Pregnancy Planning
Fibroid issues and pregnancy problems? Hello Dr. Tsao, I would like to ask you about my situation. I went to the hospital for pre-pregnancy check-ups, and everything was fine except for hypothyroidism, which needs to be managed properly. The doctors said there should be no issues...
Dr. Cao Guotao Reply:
Hello, if the fibroid is smaller than 5 centimeters, observation is sufficient, and it generally does not have an impact. Thyroid issues need to be well managed in order to have a chance of conceiving. If you have been trying to conceive for over a year, further examinations are ...[Read More] Understanding Fibroids and Thyroid Issues in Pregnancy Planning
Understanding HPV Vaccination and Pelvic Exams: Key Questions Answered
Regarding pelvic examinations and the HPV vaccine? When asking about sexual experience during a gynecological examination, the definition typically refers to the penetration of the vagina by a sexual organ rather than just a finger. If someone has no sexual experience, they may s...
Dr. Cao Guotao Reply:
Hello, generally, if there is no sexual activity, a Pap smear is not performed, focusing mainly on the genital organs. As for HPV, vaccination is available. The experience of a pelvic exam varies from person to person, so it is difficult to provide a definitive answer. Wishing yo...[Read More] Understanding HPV Vaccination and Pelvic Exams: Key Questions Answered
CIN3 Diagnosis: Urgency of Cone Biopsy and Travel Considerations
Cervical biopsy report: CIN3 (Cervical Intraepithelial Neoplasia grade 3) Hello, I have had abnormal Pap smears for many years, with annual follow-ups. At the end of 2020, after another abnormal result, I underwent a biopsy, which reported CIN3, HSIL. The detailed pathology repor...
Dr. Cai Yonglong Reply:
CIN3 or HSIL are considered significant dysplasia, which can progress to CIS or Stage Ia1. It is essential to perform cervical conization and endocervical curettage (ECC) as soon as possible to determine if there is any extension. Therefore, please do not delay and address this p...[Read More] CIN3 Diagnosis: Urgency of Cone Biopsy and Travel Considerations
Understanding Irregular Periods: Causes, Concerns, and When to See a Doctor
Menstrual issues Hello Doctor, my menstrual cycle is usually normal. The app shows an average cycle of 28 days, with each period lasting about 7 days, fluctuating slightly by 1-2 days earlier or later, and occasionally extending to 3-4 days. I think this is within a normal range,...
Dr. Cao Guotao Reply:
Hello, it is possible that your period is coming soon, so just observe for now. Wait another week, and if it doesn't come, I recommend seeing a gynecologist. A Pap smear should be done when you are not menstruating. Wishing you good health.[Read More] Understanding Irregular Periods: Causes, Concerns, and When to See a Doctor
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Non-cyclic long-term vaginal bleeding? Hello, Doctor. Since February 14th until now (February 23rd), I have been experiencing abnormal vaginal bleeding, which is bright red in color. Initially, the amount was similar to what I would expect on the 4th or 5th day of my normal menst...
Dr. Cao Guotao Reply:
Hello, if you finish your current birth control pills and continue taking them next month but still experience abnormal bleeding, it is recommended to return to the obstetrics and gynecology department for an examination. Wishing you good health.[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding Abnormal Vaginal Discharge Colors: What You Need to Know
Vaginal discharge color Hello doctor, my vaginal discharge appears light yellow-green on my underwear, but when I wipe with tissue, it is clear. I do not have any itching or discomfort. I have regular Pap smears every year, and previously, I was diagnosed with inflammation. This ...
Dr. Cao Guotao Reply:
Hello, if the amount is significant, it is recommended to see a gynecologist; otherwise, just monitor the situation for now. Wishing you good health.[Read More] Understanding Abnormal Vaginal Discharge Colors: What You Need to Know
Do I Need STD Testing After Safe Sex? A Guide for Women's Health
Should I go to the hospital to get tested for sexually transmitted infections (STIs)? I have had sexual intercourse with four people, and I used condoms throughout. Should I still go to the hospital to get tested for sexually transmitted infections (STIs)? Also, should I get a Pa...
Dr. Cao Guotao Reply:
Hello, using a condom should be fine. It is recommended to get a Pap smear. Wishing you good health.[Read More] Do I Need STD Testing After Safe Sex? A Guide for Women's Health
Understanding Candida Infections: Symptoms and Concerns in Women
Candidiasis, uterine discomfort with mild bleeding? Last Saturday, I had a Pap smear, and the doctor diagnosed me with a Candida infection (currently on medication and suppositories). Two nights later, I felt a dull ache in my lower abdomen, which suddenly turned into severe pain...
Dr. Huang Zifei Reply:
Dear Xin, It is possible that the infection is causing the issue, and there is concern that vaginal inflammation may lead to pelvic inflammatory disease. The bleeding may also be related to sexual activity. It is recommended to visit a gynecologist for further examination and t...[Read More] Understanding Candida Infections: Symptoms and Concerns in Women
Is It Necessary to Mandate Cervical Pap Smears for Mothers?
Is there a necessity to compel mothers to undergo cervical smear tests? Hello Doctor: My mother is 53 years old. About six or seven years ago, she experienced vaginal bleeding (unsure if it was related to menopause) and visited a gynecologist, where she had a Pap smear. I don...
Dr. Cao Guotao Reply:
Hello, it's still necessary to get checked to know if there are any issues. Wishing you good health.[Read More] Is It Necessary to Mandate Cervical Pap Smears for Mothers?
Understanding HPV Vaccine Protection and Ongoing Risks for Women
Questions about the cervical cancer vaccine? I started receiving the nine-valent HPV vaccine in November 2016, and after completing the second dose in May 2017, I engaged in sexual intercourse (with a condom). I would like to know if the vaccine provided sufficient antibodies to ...
Dr. Cao Guotao Reply:
Hello, the examination results are all normal, and there should be no warts. Don't worry. Wishing you good health.[Read More] Understanding HPV Vaccine Protection and Ongoing Risks for Women
Understanding CIN3 Diagnosis: Urgency for Surgery and Travel Considerations
Cervical biopsy report shows CIN3 (Cervical Intraepithelial Neoplasia grade 3)? Hello Dr. Tsao, I have had abnormal Pap smears for many years, and I have been undergoing follow-ups annually. At the end of 2020, after another abnormal result, I underwent a biopsy, and the report i...
Dr. Cao Guotao Reply:
Hello, surgery is generally not urgent, but it is necessary to address the issue. After undergoing a cone biopsy, it is best to observe for about two weeks. Wishing you good health.[Read More] Understanding CIN3 Diagnosis: Urgency for Surgery and Travel Considerations
Can Pap Smears Accurately Detect Precancerous Lesion Levels?
Can a Pap smear test detect the grade of precancerous lesions? Hello doctor, I was diagnosed with CIN2 this year, and I underwent a cervical cone biopsy in mid-June. I had a Pap smear test at the end of October (without any HPV testing or biopsies). The results still showed abnor...
Dr. Cai Yonglong Reply:
Yes, cervical intraepithelial neoplasia (CIN) has a 50% chance of spontaneous regression (can be treated with minor electrosurgery or application of Albothyl), but it requires follow-up in 3 to 6 months.[Read More] Can Pap Smears Accurately Detect Precancerous Lesion Levels?