Understanding Abnormal Menstrual Bleeding: Causes and Next Steps
Not menstrual bleeding? Hello, Doctor. I had a Pap smear done at the end of December last year, which was normal except for some inflammation. In July, my menstrual cycle was irregular and lasted for 14 days. I visited a doctor on the 24th and had a vaginal ultrasound, which was ...
Dr. Huang Yuande Reply:
First, you need to consult a gynecologist for a diagnostic evaluation to determine the cause, including: 1. whether there is a tumor, 2. hormone testing, and 3. assessment of endometrial thickness. The treatment steps include: 1. medications for contraction and hemostasis, 2. hor...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Next Steps
Understanding Menstrual Pain and Fertility Concerns: A Comprehensive Guide
Questions related to dysmenorrhea and infertility? Last month, I had a Pap smear and mentioned to my doctor that I experience diarrhea and tailbone pain before and after my menstrual period. I have been relying on painkillers for over two years (taking 1-3 pills on the first day ...
Dr. Cao Guotao Reply:
Hello, if your menstrual cycle is regular, your ovulation function should be fine. If you are not planning to get pregnant, you can just observe. The ultrasound shows no major issues, and for menstrual pain, symptomatic treatment is sufficient. Wishing you good health.[Read More] Understanding Menstrual Pain and Fertility Concerns: A Comprehensive Guide
Understanding Pregnancy Test Timing and Menstrual Delays
Pregnancy test timing Hello doctor, I would like to inquire about my previous Pap smear, which showed signs of inflammation. My last menstrual period started on July 10, and now it is August 21, and I still haven't gotten my period. It seems to be a week late. I took a pregn...
Dr. Wu Xianghui Reply:
For pregnancy concerns, please perform a home pregnancy test or consult a specialist in obstetrics and gynecology for evaluation four weeks after sexual intercourse.[Read More] Understanding Pregnancy Test Timing and Menstrual Delays
Understanding Abnormal Bleeding and Discharge: Hormonal Imbalances Explained
Intermenstrual bleeding and blood clots? Symptoms: - Abdominal bloating, especially in the right abdomen; gentle tapping reveals more bloating in the right side. - Previous episodes of intermenstrual bleeding, with only a few days of light bleeding. - Frequent yellow, mucus-like...
Dr. Cai Yonglong Reply:
Intermenstrual bleeding may be due to ovulation, endometrial polyps, or other causes. Yellow discharge is mostly indicative of trichomoniasis (while white discharge suggests a fungal infection). Hormonal medications for regulating menstruation typically require a treatment cycle ...[Read More] Understanding Abnormal Bleeding and Discharge: Hormonal Imbalances Explained
Understanding Irregular Menstrual Cycles After Liver Transplant: What to Know
Menstrual cycle Hello Doctor, I am 23 years old and have undergone a liver transplant. I started my menstrual period when I was in the first year of junior high school, and previously my periods would come every 2-3 months. After giving birth to my first child at 31, my menstrual...
Dr. Lin Manying Reply:
Ms. Wenwen: Hello, there are many reasons for menstrual irregularities. It is recommended that you take the time to visit the outpatient clinic. The Hualien Hospital of the Ministry of Health and Welfare cares about your health.[Read More] Understanding Irregular Menstrual Cycles After Liver Transplant: What to Know
Understanding CIN1: Follow-Up Options After Negative HPV Test
Cervical intraepithelial neoplasia (CIN) Biopsy: CIN1 HPV: Negative (previously infected with low-risk type 62). What should the follow-up treatment be? 1. Repeat Pap smear in 3 months 2. Electrosurgery or cryotherapy 3. Cone biopsy. How can there be CIN1 with HPV negative? Thank...
Dr. Wu Xianghui Reply:
1. All are acceptable. 2. Insufficient HPV sampling or false positive.[Read More] Understanding CIN1: Follow-Up Options After Negative HPV Test
Understanding CIN1 with HPV Negative Results: Key Concerns and Next Steps
CIN1 HPV negative Hello: 1. In March, the Pap smear showed a result of ASCUS (Atypical Squamous Cells of Undetermined Significance) with HPV negative (two years ago, a low-risk HPV type 62 was detected). In June, the liquid-based cytology showed a result of ASC-US (atypical). I...
Dr. Cao Guotao Reply:
Hello, it is recommended to go to the hospital for a cervical cone biopsy for treatment and diagnosis. As for the vaccine, getting it at this time may reduce its effectiveness. Wishing you good health.[Read More] Understanding CIN1 with HPV Negative Results: Key Concerns and Next Steps
Normal Pap Smear but New Lip Bump: Is It HPV?
The Pap smear results are normal, but there is a sudden growth on the labia? Hello doctor, I had a Pap smear in early July, and the results were normal with no HPV virus detected. After the test, I had no sexual intercourse at all, but last week, I developed a small white bump on...
Dr. Cao Guotao Reply:
Hello, it is recommended to visit an obstetrician-gynecologist for an examination. Wishing you good health.[Read More] Normal Pap Smear but New Lip Bump: Is It HPV?
Understanding HPV Testing: Do You Need to Wait Three Years?
Concerns about HPV testing? Hello Dr. Chang, I have a question I would like to ask you! I found information online suggesting that it is better to wait until after three years of sexual activity before undergoing a Pap smear, as precancerous lesions are more likely to be detected...
Dr. Zhang Kunmin Reply:
Hello, the HPV virus has many different types, and each individual's constitution varies. Therefore, it is recommended that those with sexual experience undergo regular screenings. Thank you! Wishing you peace and health. Dr. Chang[Read More] Understanding HPV Testing: Do You Need to Wait Three Years?
Understanding Pap Smears and Their Role in HPV Risk Assessment
Pap smear and cauliflower? Hello Dr. Wu: Two years ago, I had unprotected sexual intercourse, and I recently learned that the incubation period for genital warts can be several months. However, I had a Pap smear done last year, and the results showed no abnormalities. Therefore, ...
Dr. Wu Xianghui Reply:
It is necessary to undergo HPV testing to confirm whether there is an infection with the virus.[Read More] Understanding Pap Smears and Their Role in HPV Risk Assessment
Concerns After LEEP: Changes in Menstrual Cycle and Birth Control
The issue of contraceptive pills versus LEEP (Loop Electrosurgical Excision Procedure)? Hello, doctor. I have been taking birth control pills for two and a half years, and everything has been fine. On March 4th of this year, I underwent a LEEP procedure. Since then, my menstrual ...
Dr. Wu Xianghui Reply:
After a cervical smear, it is possible to experience light vaginal bleeding for 2-3 days. You can monitor the situation yourself or visit a gynecologist for an examination.[Read More] Concerns After LEEP: Changes in Menstrual Cycle and Birth Control
Understanding Abnormal Pap Smear Results: What You Need to Know
Abnormal Pap smear results? Hello Doctor, I recently went to the hospital for an examination due to abnormal bleeding. During the first ultrasound and vaginal examination, there was a suspicion of hormonal imbalance, and both the uterus and ovaries appeared normal. For precaution...
Dr. Wu Xianghui Reply:
Related to the infection with the HPV virus and the inability of the autoimmune system to produce antibodies.[Read More] Understanding Abnormal Pap Smear Results: What You Need to Know
Should You Remove a Large Subserosal Fibroid Without Symptoms?
Subserosal leiomyoma measuring 10 to 11 centimeters? Hello Doctor, in April of this year, during a pap smear at the clinic, I discovered a subserosal uterine fibroid measuring approximately 10 to 11 centimeters. However, this fibroid has not caused any discomfort in my daily life...
Dr. Wu Xianghui Reply:
Surgery can be postponed until symptoms develop. However, a fibroid that is around 10 centimeters can still be treated with minimally invasive surgery. If the fibroid continues to grow, the only option may be an open myomectomy.[Read More] Should You Remove a Large Subserosal Fibroid Without Symptoms?
Can Eyelash Technicians Contract HPV from Clients? Key Insights
Is it possible to be infected with human papillomavirus (HPV)? 1. As a lash technician, I frequently use adhesive on clients' eyelashes, which can lead to some eye discharge or secretions. The adhesive often gets on my hands and is difficult to wash off, sometimes remaining ...
Dr. Cao Guotao Reply:
Hello, it is generally unlikely to be infected through this route, and testing can usually be done at any time. Wishing you good health.[Read More] Can Eyelash Technicians Contract HPV from Clients? Key Insights
Confusion Over HPV Diagnosis: Understanding Asymptomatic Genital Warts
I feel inexplicably diagnosed with genital warts? In May of this year, I underwent a Pap smear, which revealed abnormalities. Following that, I had a human papillomavirus (HPV) test that identified me as having HPV type 59. Subsequently, I had a colposcopy with biopsy and was inf...
Dr. Cao Guotao Reply:
Hello, it is recommended to consult a hospital with your pathology report. Wishing you good health.[Read More] Confusion Over HPV Diagnosis: Understanding Asymptomatic Genital Warts
Annual Pap Smear Concerns: Should I Get ThinPrep Testing After HPV Negative?
Pap smear examination shows inflammation every year? Doctor, I have had traditional Pap smears every year, and each time I have inflammation with a result of grade 2, which raises concerns about a high rate of false negatives. This year, feeling uneasy, I also underwent a Human P...
Dr. Cao Guotao Reply:
Hello, please follow the doctor's instructions. Wishing you good health.[Read More] Annual Pap Smear Concerns: Should I Get ThinPrep Testing After HPV Negative?
Understanding Abnormal Bleeding: Is Your Birth Control to Blame?
Bleeding condition During the last sexual intercourse, there was bleeding (bright red) but no pain or discomfort. Afterwards, there was a small amount of bleeding when using the restroom (not hematuria), which was reddish and dark brown. I am currently taking oral contraceptives,...
Dr. Lin Manying Reply:
Hello, Miss: Regarding your inquiry, there are two possible causes: one is bleeding caused by the contraceptive pill, and the other is an issue related to the cervix. It is recommended that if you have not had a Pap smear in the past year, you should get one, or consult with your...[Read More] Understanding Abnormal Bleeding: Is Your Birth Control to Blame?
Could HPV and Fungal Test Results Vary Due to Doctor's Technique?
HPV and fungal sampling failure? Hello, doctor. I mainly want to ask if the results of HPV and fungal tests at the hospital could vary due to differences in the doctor's technique. At the end of 2018, I had my first HPV test, referred to a large hospital A by a trusted priva...
Dr. Wu Xianghui Reply:
There are several possible reasons, including: 1. Autoantibody production. 2. Insufficient sample collection or absence of HPV virus in the specimen. 3. Issues with the testing equipment, among others. It is recommended to consider switching to a different laboratory every other ...[Read More] Could HPV and Fungal Test Results Vary Due to Doctor's Technique?
Understanding HPV Vaccination for Women Over 50: Key Questions Answered
HPV vaccination? Hello Doctor: I am 55 years old. I had an abnormal Pap smear last October, and another abnormal result in February of this year. I underwent a biopsy at the hospital, and the result was CIN 1. The doctor advised me to have a follow-up Pap smear in three months. I...
Dr. Cao Guotao Reply:
Hello, for a 55-year-old, the vaccine may not be very effective. If the primary mode of transmission is through general contact and there is no sexual activity, vaccination may not be necessary. Wishing you good health.[Read More] Understanding HPV Vaccination for Women Over 50: Key Questions Answered
Managing Abnormal Pap Results and CIN1 After Conization: A Patient's Guide
Cervical intraepithelial neoplasia (CIN) Hello Dr. Tsao, I would like to ask you about my situation. In January of this year, I had an abnormal Pap smear and tested positive for HPV, which was classified as CIN1. My gynecologist performed a cone biopsy in February, but after thre...
Dr. Cao Guotao Reply:
Hello, please follow the doctor's instructions. Wishing you good health.[Read More] Managing Abnormal Pap Results and CIN1 After Conization: A Patient's Guide