Understanding Pap Smears and Colposcopy: Your Questions Answered
Cervical smear and colposcopy? Hello Doctor, I would like to ask about Pap smears and colposcopy. 1. I had a general health check-up at my family medicine clinic and also had a Pap smear done. I have undergone two Pap smear tests so far. The first one was in September 2011, and ...
Dr. Lin Wenbin Reply:
1. It cannot be ruled out. Human papillomavirus (HPV) infection does not present symptoms initially; cellular changes may occur several years later. 2. This is possible. The sampling site is extensive, including the cervical os. Abnormal cells may have been detected. However, a...[Read More] Understanding Pap Smears and Colposcopy: Your Questions Answered
Understanding Pseudo-Warts: Misdiagnosis and Women's Health Concerns
Pseudocauliflower On November 29, I visited a doctor due to itching in the vulva, and the doctor said there was a fungal infection in the vagina. The first doctor examined me and mentioned it looked like genital warts but could also be a hyperplasia; I was advised to wait a few d...
Dr. Dong Yuhong Reply:
Hello: The appearance of the vulva varies from person to person, and some lesions may be difficult to diagnose in the early stages. Without a consultation, it is not advisable to make assumptions about a diagnosis. It is recommended to visit a hospital for a better understanding ...[Read More] Understanding Pseudo-Warts: Misdiagnosis and Women's Health Concerns
Understanding Abnormal Vaginal Bleeding: Causes and Solutions
Abnormal vaginal bleeding? I would like to ask about recent abnormal bleeding, which is not related to stress, and I am unsure of the cause. I previously had a Pap smear that showed no issues. Recently, I have been trying to lose weight and have developed a habit of jogging. Coul...
Dr. Yang Wangjun Reply:
Hello: When experiencing abnormal vaginal bleeding, the first step is to rule out bleeding caused by pregnancy. Next, a pelvic examination and ultrasound should be performed to check for any organic causes of bleeding, such as cervical polyps or lacerations. Most cases of abnorma...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Solutions
Is It Menstruation? Understanding Post-Intercourse Bleeding
Is this menstruation? Hello, doctor: I would like to ask, if after my period has ended I engage in sexual intercourse and then experience some bleeding, is that considered a period? It was only a small amount, about the size of a coin. I'm a bit worried, thank you.
Dr. Lin Wenbin Reply:
It is important to have regular examinations of the cervix, including Pap smears. If there is any bleeding, it is also advisable to have a pelvic examination by a physician to check for any lesions such as cervical polyps.[Read More] Is It Menstruation? Understanding Post-Intercourse Bleeding
Concerns About HPV Vaccine and Safe Sex After First Dose
After receiving the first dose of the cervical cancer vaccine, sexual activity..? I have never had sexual intercourse before, but after receiving the first dose of the cervical cancer vaccine at the hospital last week, I want to engage in sexual activity with my boyfriend. He has...
Dr. Zhang Kunmin Reply:
Hello, the questioner: It is possible to engage in sexual activity during the period of receiving the cervical cancer vaccine. However, maintaining a monogamous relationship and practicing safe precautions also provide benefits in preventing sexually transmitted infections and un...[Read More] Concerns About HPV Vaccine and Safe Sex After First Dose
Understanding Pap Smear Results and Ovarian Health Checkups
Pap smear examination and treatment methods? If the Pap smear results indicate high-grade squamous intraepithelial lesion (HSIL) and the HPV results are normal, treatment options may include close monitoring, repeat Pap tests, or a colposcopy for further evaluation. To check th...
Dr. Zhang Kunmin Reply:
Hello, the results of the report you provided can be followed up with a Pap smear examination after 12 months, according to the 2011 guidelines from the National Institutes of Health. Thank you! Wishing you peace and health, Dr. Chang.[Read More] Understanding Pap Smear Results and Ovarian Health Checkups
Understanding Abnormal Discharge Colors: When to Consult a Gynecologist
Color of secretions Hello Doctor: For the past 1 to 2 months, I have noticed that sometimes after using the restroom, the color of my discharge varies, appearing somewhat brownish. Could this be related to my menstrual cycle approaching (within about a week)? I'm unsure if t...
Dr. Zhang Yongxuan Reply:
Based on your description, a preliminary examination for endometriosis using ultrasound can provide some insights (other conditions such as ovarian cysts or even uterine fibroids can also be differentiated). A pelvic examination along with a Pap smear is necessary to clarify whet...[Read More] Understanding Abnormal Discharge Colors: When to Consult a Gynecologist
Understanding Vaginal Discomfort After Using Suppositories: What to Do?
After using the suppository? Hello, Doctor: I have a question. Last night, I inserted a suppository before bed, and in the middle of the night, I felt itching and pain in my vagina. I was afraid to scratch it. By the time I had breakfast in the morning, I still felt pain and itch...
Dr. Lin Wenbin Reply:
If using the suppository is uncomfortable, take a break for a few days before trying again. It doesn't matter which doctor you see for the Pap smear; the results will be the same, so there's no need to worry about which specific doctor examines it.[Read More] Understanding Vaginal Discomfort After Using Suppositories: What to Do?
Handling Medical Disputes in Obstetrics: A Case Study
Medical disputes On May 20, I visited a gynecology clinic in Taichung due to cleanliness issues. The female doctor diagnosed me with bleeding caused by a vaginal discharge infection. She immediately performed a treatment with medication insertion and determined that the infection...
Dr. Zhang Kunmin Reply:
Hello, the questioner: I suggest that when you return to Clinic A to review your report, you discuss with your physician whether the examination results may be affected by your menstrual cycle. Additionally, based solely on your description, it is not possible to determine the st...[Read More] Handling Medical Disputes in Obstetrics: A Case Study
Understanding Early Pregnancy Loss: Signs and Next Steps
Could it be embryonic atrophy? Hello Doctor: I got my period on March 9 and took ovulation medication. I received an ovulation trigger shot on March 21 and had intercourse on March 22. On April 3, I took a pregnancy test and saw a faint second line. Later, on April 7, I went to T...
Dr. Cao Guotao Reply:
Hello, a positive pregnancy test indicates a likely pregnancy, but if it turns negative a few days later, the chances of being pregnant may be low. However, before your period arrives, it is advisable to continue monitoring the situation. If you have any concerns, you can consult...[Read More] Understanding Early Pregnancy Loss: Signs and Next Steps
Why Do I Feel Tingling in My Vagina? Common Causes Explained
What causes a tingling sensation in the vagina? Hello Doctor: For the past two to three years, I have been experiencing a tingling sensation right before intercourse when I feel vaginal secretions. There was also a time when I injected lubricant into my vagina, and I felt a simil...
Dr. Lin Wenbin Reply:
Your description may not indicate any specific disease. Please visit the outpatient clinic for an examination so we can discuss it in more detail.[Read More] Why Do I Feel Tingling in My Vagina? Common Causes Explained
Understanding Vaginal Bleeding During Intercourse: Causes and Prevention
Questions about the vagina? Hello, doctor. I would like to ask you about something. During intercourse with my wife, I noticed some bleeding from her vagina halfway through. What could be the cause of this? We were using a condom, so could it be due to dryness that led to vaginal...
Dr. Dong Yuhong Reply:
Hello: Vaginal dryness during intercourse can lead to the minor dark red bleeding you described due to friction, and similar occurrences may happen around the time of menstruation. It would be advisable to consult your gynecologist for a Pap smear and vaginal examination. Based o...[Read More] Understanding Vaginal Bleeding During Intercourse: Causes and Prevention
Understanding Fetal Weight Concerns and Maternal Health Issues
Why hasn't my weight increased? Hello, doctor: 1. My sister is about to give birth, and April 1st is approaching, but she says the fetal weight hasn't increased in the past two weeks, remaining at 2970 grams. She can feel fetal movements; is that normal? 2. I accomp...
Dr. Lin Wenbin Reply:
1. The assessment of fetal weight via ultrasound has a certain margin of error. Please have your sister consult with the obstetrician. 2. Follow the dentist's instructions; if there is a fever, please seek medical attention again. 3. Inflammation in a Pap smear should be eva...[Read More] Understanding Fetal Weight Concerns and Maternal Health Issues
Understanding Brownish Discharge After Hysterectomy: Causes and Concerns
Brownish-red discharge - uterus has been removed? Hello, my mother underwent a total abdominal hysterectomy and oophorectomy at the end of 2005, and it has been 7 years since then. However, in the past three weeks, she has been experiencing intermittent reddish-brown discharge. L...
Dr. Dong Yuhong Reply:
Hello: If there is reddish-brown discharge from the vagina, an internal examination should be conducted to confirm the presence of the reddish-brown discharge and to determine its cause. Therefore, it is advisable for you to accompany your mother during her medical visit, as you ...[Read More] Understanding Brownish Discharge After Hysterectomy: Causes and Concerns
Can I Seek Treatment Elsewhere for Pap Smear Results?
Examination by another physician? Hello, doctor: I previously had a Pap smear done at another hospital, and the results indicated inflammation, requiring follow-up treatment. However, I am unable to schedule an appointment with that doctor. Can I seek treatment at another hospita...
Dr. Zhang Kunmin Reply:
Hello, the patient can seek treatment at another hospital, but it is advisable to bring the reports for the physician's reference. If a Pap smear has been performed, it can be found in the health insurance card records. Thank you. Wishing you safety and success. Dr. Zhang.[Read More] Can I Seek Treatment Elsewhere for Pap Smear Results?
Can I Have Sex While Using Vaginal Suppositories? Expert Advice
Vaginal suppositories and sexual intercourse? Hello, doctor. Last week, I went to the obstetrics and gynecology department to receive the first dose of the cervical cancer vaccine and also wanted to have a Pap smear. The doctor informed me that there was vaginal inflammation, so ...
Dr. Zhang Kunmin Reply:
Hello, the report from the Pap smear will distinguish between cellular abnormalities or inflammation, and it generally will not be altered once issued. Additionally, during the treatment period for a vaginal yeast infection, sexual activity can have limited impact as long as the ...[Read More] Can I Have Sex While Using Vaginal Suppositories? Expert Advice
Addressing Common Gynecological Concerns: Pap Smears and Vaccinations
Super awkward? Hello, Doctor: The New Year is just a few days away, so I want to wish you an early Happy New Year. My sister was concerned, so she took me to your clinic for a consultation. She said you are very kind and have excellent medical ethics and skills, but it was quite ...
Dr. Lin Wenbin Reply:
During pregnancy, the cervical cancer vaccine should not be administered. Generally, the vaccine is given in three doses, with intervals of two months and four months. The vaccine has an efficacy of about 80%, but regular Pap smears are still necessary. While self-paid Pap smears...[Read More] Addressing Common Gynecological Concerns: Pap Smears and Vaccinations
Essential Questions About HPV Vaccination: Testing, Types, and Clinics
Questions about receiving the HPV vaccine? 1. Are there any tests that need to be conducted before vaccination? Do any tests affect the efficacy of the vaccination afterwards? 2. What is the difference between trivalent and quadrivalent vaccines? Which one has better efficacy? 3....
Dr. Zhang Kunmin Reply:
Hello, Here are the responses to your inquiries: 1. If you have had sexual experience and have not undergone a Pap smear in the past year, it is recommended to have a Pap smear. Generally, this will not affect its efficacy. 2. Currently, there are bivalent and quadrivalent...[Read More] Essential Questions About HPV Vaccination: Testing, Types, and Clinics
Persistent Vaginal Itching and Peeling: Seeking Solutions and Relief
Genital itching and peeling? Hello Doctor: Last year, I sought medical attention due to an infection. The doctor prescribed me suppositories, oral medications, and topical treatments, which helped significantly. However, just over a week after feeling better, the symptoms returne...
Dr. Zhang Yongxuan Reply:
1. Based on your statement, it is likely a fungal infection. The itching will persist until the fungus is eradicated, and treatment typically needs to continue for 1 to 2 weeks or even longer. 2. If you have diabetes, it should be treated simultaneously. 3. Regular Pap smears sho...[Read More] Persistent Vaginal Itching and Peeling: Seeking Solutions and Relief
Do You Need to Have Sex for a Gynecological Exam? Expert Insights
Please have the doctor answer my questions? Hello, doctor. Do I need to have had sexual intercourse in order to undergo a pelvic exam? The last time I visited a hospital, they refused to perform the exam and Pap smear because they were concerned about damaging my hymen. If there ...
Dr. Lin Wenbin Reply:
The presence of an intact hymen does not guarantee that one will not develop gynecological diseases. Therefore, during examinations, if one overly prioritizes the preservation of the hymen, it often leads to undetected conditions that may even be untreated despite their existence...[Read More] Do You Need to Have Sex for a Gynecological Exam? Expert Insights