Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Menstrual irregularities? My last menstrual period was from October 25 to October 30, but I experienced a second period on November 3, which had a small amount of light pink blood. I then visited a clinic for medical attention, but during the medication period, the bleeding incre...
Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterin...[Read More] Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Understanding Post-Menstrual Spotting: Causes and Concerns
Menstrual issues Hello doctor, my menstrual cycle is usually every 30-33 days, but since this year, I have noticed a small amount of blood or pink discharge about three days after my period ends. The amount is not significant, and I can only see the pink or blood streaks if I loo...
Dr. Cao Guotao Reply:
Hello, you can observe the situation, or you can use birth control pills for two to three months. Wishing you good health.[Read More] Understanding Post-Menstrual Spotting: Causes and Concerns
Understanding HPV Infection and Pap Smear Results After Treatment
Pap Smear Test & HPV Infection Hello, doctor. In September 2021, I was diagnosed with CIN 2, and in October, I underwent a cone biopsy. Post-operative follow-up was normal. In June 2022, I completed the nine-valent HPV vaccine, and subsequent follow-up in September 2022 showe...
Dr. Lin Manying Reply:
Hello: 1. Cone biopsy surgery has an inflammation rate of approximately 0.3%-0.4%. Vaccination may lead to concerns about reinfection; vaccines are not intended to eliminate the virus but to provide prevention. It is also possible that a previous infection was not completely clea...[Read More] Understanding HPV Infection and Pap Smear Results After Treatment
Understanding Burning Sensation After Applying Medication: Is It Too Thick or Wrong Area?
Medication Consultation: Is the burning sensation experienced when applying Eucerin cream inside the labia due to applying it too thickly? Doctor, after I had a Pap smear, the doctor prescribed a suppository and a soothing cream, instructing me to use the suppository first and th...
Dr. Cao Guotao Reply:
Hello, generally, it is sufficient to apply it only to the external genital area. If discomfort persists, then do not apply it anymore. Wishing you good health.[Read More] Understanding Burning Sensation After Applying Medication: Is It Too Thick or Wrong Area?
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Vaginal bleeding In August 2023, due to an overseas trip in September, I visited the doctor early to take medication to induce menstruation and also had a Pap smear. From August 25 to 30, I had my menstrual period (normal flow). On September 4, the Pap smear results indicated ben...
Dr. Cao Guotao Reply:
Hello, it could be ovulatory bleeding; just observe for now. Wishing you good health.[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding Ovulation Bleeding: Causes, Concerns, and Prevention Tips
Vaginal bleeding Ovulatory bleeding can occur due to hormonal fluctuations that happen during the menstrual cycle, particularly around the time of ovulation. This type of bleeding is typically light and may be accompanied by other symptoms such as mild cramping. To prevent futu...
Dr. Cao Guotao Reply:
Hello, it is generally due to a decrease in female hormones during ovulation that causes the shedding of the endometrium. If it occurs occasionally, it can be monitored. However, if it happens frequently, it is advisable to consult a gynecologist for evaluation and adjustment. Ad...[Read More] Understanding Ovulation Bleeding: Causes, Concerns, and Prevention Tips
Evaluating the Need for Hysterectomy in CIN3 and Invasive Adenocarcinoma Cases
Cervical squamous epithelium CIN3+ with in situ adenocarcinoma? I found squamous epithelium CIN3 and microinvasive adenocarcinoma in a small biopsy. The pathology report after the LEEP procedure indicated squamous epithelium CIN3 and adenocarcinoma in situ (with clean margins and...
Dr. Lin Xinwang Reply:
Hello Ms. Tseng: Cervical adenocarcinoma typically grows into the uterine cavity, making it more challenging to monitor. If it is classified as IA, a hysterectomy is recommended. Otherwise, Pap smears should be performed every three months for monitoring. If any abnormalities are...[Read More] Evaluating the Need for Hysterectomy in CIN3 and Invasive Adenocarcinoma Cases
When Will My Period Return After Uterine and Cervical Scraping?
After a dilation and curettage (D&C) and cervical scraping, when can one expect their menstrual period to return? Hello Dr. Tsao: Last year, I underwent chemotherapy, during which my surgeon administered Leuprolide to protect my ovaries. My last chemotherapy and Leuprolide in...
Dr. Cao Guotao Reply:
Hello, it is normal to have your menstrual period about a month after surgery. You experienced some bleeding on September 19, which should be monitored. As for inflammation, you may consider taking some anti-inflammatory medication. Wishing you good health.[Read More] When Will My Period Return After Uterine and Cervical Scraping?
Understanding Brown Discharge After Menstruation: When to Seek Help
Brown discharge after the menstrual cycle? Hello, Doctor. Over the past year, the number of days with heavier menstrual bleeding has been about the same as before, approximately 4 days. After those 4 days, I notice dark red or brownish discharge on the toilet paper when I wipe, a...
Dr. Cao Guotao Reply:
Hello, the bleeding time has been a bit prolonged. It is recommended to try using contraceptive pills in the next cycle to see how it goes. Wishing you good health.[Read More] Understanding Brown Discharge After Menstruation: When to Seek Help
Understanding Post-Abortion Menstrual Irregularities and Hormone Levels
Blood test values inquiry? Hello, I underwent a surgical abortion on March 27, and since then, I have experienced irregular menstruation. I have not had my period for a long time, so I returned to the original surgical hospital at the end of May to seek treatment for inducing men...
Dr. Cao Guotao Reply:
Hello, your blood test results are normal. You may consider taking contraceptive pills for a few months. Wishing you good health.[Read More] Understanding Post-Abortion Menstrual Irregularities and Hormone Levels
Understanding Cervical Polyps: Causes, Symptoms, and Hormonal Links
Cervical polyp issues? In July of this year, I had a Pap smear that came back normal. My last menstrual period was on July 31. On August 19, after using the restroom, I noticed a faint translucent pink color on the toilet paper, which was not present every time. On August 20, I a...
Dr. Chen Zhiyu Reply:
Uterine polyps can cause abnormal vaginal bleeding, such as intermenstrual bleeding, bleeding between periods, or increased menstrual flow. It is advisable to consult your primary care physician (who performed the examination) regarding your concerns. Thank you.[Read More] Understanding Cervical Polyps: Causes, Symptoms, and Hormonal Links
Understanding Abnormal Bleeding: Causes and When to Seek Help
Intermenstrual bleeding Hello Doctor: Last year, I had a Pap smear and an ultrasound, and the doctor mentioned that I have fibroids and an ovarian cyst. My most recent menstrual period started on the 11th and lasted about 3 to 4 days, but on the seventh and eighth days, I noticed...
Dr. Chen Zhiyu Reply:
Abnormal bleeding outside of the menstrual period may require medical evaluation. Please consult your attending physician during your outpatient visit. Thank you.[Read More] Understanding Abnormal Bleeding: Causes and When to Seek Help
Understanding Cervical Polyps: When to Test and What to Know
Cervical polyp not sent for biopsy? Hello Doctor, I have a condition where I discover cervical polyps every few years. The last two times, they were removed in the clinic and sent for biopsy, both of which were benign. This time, another cervical polyp was found during the clinic...
Dr. Lin Manying Reply:
Hello, ma'am: Question 1: Yes, but it is recommended to have a Pap smear report without abnormalities within one year. Question 2: The risk of polyp malignancy is very low; cervical tissue lesions are highly associated with HPV. Question 3: There is no need to be anxio...[Read More] Understanding Cervical Polyps: When to Test and What to Know
Preparing for Pregnancy with HPV: Safe Strategies and Considerations
How to prepare for pregnancy with HPV in men? Hello, doctor. At the beginning of the year, my husband and I started preparing for pregnancy. My Pap smear and HPV tests came back negative, but my husband was found to have HPV type 16 during his preconception check-up (the sample w...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended that if you are concerned about infection, you should wait until you receive a negative result before trying to conceive. If you are eager to become pregnant, you may also consider artificial insemination. Thank you! Wishing you...[Read More] Preparing for Pregnancy with HPV: Safe Strategies and Considerations
HPV Vaccination and Cervical Health Concerns for Asexual Individuals
Individuals who are sexually inactive receiving the cervical cancer vaccine, undergoing Pap smears, and addressing discharge issues? Hello, doctor. I would like to inquire about the following: 1. I am 27 years old and have not engaged in sexual intercourse. I am considering rece...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is recommended that you can proceed with getting vaccinated, and start regular Pap smears after becoming sexually active. It would be more appropriate to follow your physician's advice regarding any discharge and other symptoms. Thank you...[Read More] HPV Vaccination and Cervical Health Concerns for Asexual Individuals
Can Men with HPV Prepare for Pregnancy? Essential Insights
How should men prepare for conception if they have an HPV infection? Hello, Doctor. At the beginning of the year, my wife and I started preparing for pregnancy. My wife’s Pap smear and HPV tests came back negative, but during my preconception check-up, I discovered that I have a ...
Dr. Chen Zhiyu Reply:
Infection with HPV should not affect your fertility plans. It is recommended to consult your attending physician during your next appointment for further advice. Thank you.[Read More] Can Men with HPV Prepare for Pregnancy? Essential Insights
Understanding Herpes and Abnormal Pap Smear: Key Health Concerns
My boyfriend has simplex herpes? Medical History: 1. I have undergone three abortions (in the years 2014, 2019, and 2023). 2. I had an abortion in early May, and in mid-July, I received a call about abnormal results from my Pap smear (I had sexual intercourse the day before the s...
Dr. Cao Guotao Reply:
Hello, abortion and sexual activity are unrelated to Pap smear tests. The results of the Pap smear should be discussed with your physician. Herpes is also unrelated to the Pap smear. You can first undergo a HPV test; if the result is negative, you can then receive the vaccine. Yo...[Read More] Understanding Herpes and Abnormal Pap Smear: Key Health Concerns
Understanding Abnormal Pap Smear Results After Abortion and Sexual Health Concerns
May abortion. Abnormal Pap smear in July. Issues related to vaccines? Hello Doctor, I apologize for having multiple questions at once. Medical History: 1. I have had three abortions (in 2014, 2019, and 2023). 2. I had an abortion in early May, and in mid-July, I received a no...
Dr. Chen Zhiyu Reply:
Precautions before a Pap smear: 1. Avoid sexual intercourse the night before. 2. Do not schedule during your menstrual period. 3. Do not use vaginal suppositories. 4. Avoid douching. 5. Refrain from taking a bath in a tub. An abnormal result from a Pap smear does not necessarily ...[Read More] Understanding Abnormal Pap Smear Results After Abortion and Sexual Health Concerns
Addressing Abnormal Vaginal Discharge After Pap Smear: What to Do?
Questions related to Pap smear testing? Hello, doctor. I am due for my annual Pap smear, but since I had my last Pap test last year, I have been experiencing yellow-green vaginal discharge (despite taking numerous antibiotics, suppositories, and probiotics) with no improvement. T...
Dr. Cao Guotao Reply:
Hello, usually treatment focuses on symptoms. Please undergo a gynecological examination and treatment. It is advisable to wear cotton underwear and avoid using sanitary pads. Wishing you good health.[Read More] Addressing Abnormal Vaginal Discharge After Pap Smear: What to Do?
Can You Get the Cervical Cancer Vaccine After ASCUS Pap Results?
Vaccine administration Hello, I would like to ask about my Pap smear results which showed ASCUS. I have undergone a colposcopy biopsy and am currently waiting for the pathology results. I originally had an appointment to receive the cervical cancer vaccine. My obstetrician-gyneco...
Dr. Cao Guotao Reply:
Hello, it's better to wait for the biopsy report results before getting vaccinated. Wishing you good health.[Read More] Can You Get the Cervical Cancer Vaccine After ASCUS Pap Results?