Understanding Uterine Issues: Chronic Inflammation and Pap Smear Insights
Uterine issues Chronic endometritis - can it be diagnosed through ultrasound and pelvic examination? What does a Pap smear check for? I only know it tests for cervical cancer; does it also check for ovarian cancer?
Dr. Zhang Kunmin Reply:
Hello, the diagnosis of pelvic inflammatory disease can be made based on medical history, symptoms, pelvic examination, and blood tests. If it progresses to an abscess, ultrasound can also detect it. A Pap smear is primarily used for screening cervical cancer, while issues relate...[Read More] Understanding Uterine Issues: Chronic Inflammation and Pap Smear Insights
Understanding Chlamydia Testing: Why Your Results May Differ
The issue of Clostridium? Hello Dr. Chen: Recently, my husband experienced pain while urinating and went to the urology department for an examination. The test results confirmed a Chlamydia infection, so I also went to the obstetrics and gynecology department last week for a chec...
Dr. Chen Changfu Reply:
Chlamydia is contagious, but not necessarily so; a negative test result does not definitively indicate the absence of a chlamydia infection, as it is possible to be infected without the infection being detected. Diagnosis must be based on the physician's examination, symptom...[Read More] Understanding Chlamydia Testing: Why Your Results May Differ
Postpartum Menstrual Issues: Understanding Irregularities After Childbirth
Postpartum Menstrual Issues Hello, I have a history of abnormal cervical cytology and have undergone a cone biopsy. I became pregnant six months post-surgery, and my postpartum follow-up Pap smear results were normal. Additionally, I have issues with premature ovarian failure, bu...
Dr. Chen Changfu Reply:
Abnormal menstrual bleeding and abnormal vaginal bleeding in females, please consult a gynecologist for examination and treatment.[Read More] Postpartum Menstrual Issues: Understanding Irregularities After Childbirth
Understanding Abnormal Pap Smear Results: CIN 1 and HPV Treatment Options
Abnormal Pap smear? Hello doctor, I recently had a Pap smear that showed CIN 1, and I also tested positive for HPV (specifically HPV 53 and HPV 90). What are the treatment options? Is there a possibility of natural resolution?
Dr. Dong Yuhong Reply:
Hello: Your smear report is abnormal, and you should seek medical attention from an obstetrician-gynecologist. Your physician will discuss your report and the examination findings during your visit, as well as the arrangements for further testing and subsequent follow-up treatmen...[Read More] Understanding Abnormal Pap Smear Results: CIN 1 and HPV Treatment Options
Understanding Pap Smear Tests: What to Expect in Cervical Screening
Uterine examination A Pap smear test includes the following examinations:
Dr. Zhang Kunmin Reply:
Hello, the cervical smear test usually includes a pelvic examination to assess the uterus and ovaries. If necessary, further tests such as ultrasound may be recommended. Thank you! Wishing you peace and health. Dr. Chang[Read More] Understanding Pap Smear Tests: What to Expect in Cervical Screening
Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Uterine fibroids I am currently 46 years and 5 months old, and my usual menstrual cycle is about 23 days, which is normal, but the blood flow has been extremely light. Since October, I have noticed that my period has not come. At the end of November, I was worried about pregnancy...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, Hello. The average age of menopause in Taiwan is approximately 49.8 years. It is possible that fibroids approaching menopause are mostly benign, so there is...[Read More] Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Understanding the Differences: Electronic vs. Traditional Pap Smears
Electronic cervical smear test I went to the hospital last week for a Pap smear. Since I was diagnosed with CIN2 last year and underwent a large loop excision procedure, I have been monitored every three months. During the second follow-up, abnormal cells were found again. Theref...
Dr. Dong Yuhong Reply:
Hello: The recommended examinations by your physician should be tailored to your specific situation. As for whether the examination refers to hysteroscopic procedures, I am not entirely sure. I suggest you discuss any questions related to the examinations in more detail with your...[Read More] Understanding the Differences: Electronic vs. Traditional Pap Smears
Understanding Chlamydia Antibody Positivity in Virgin Women
Confusion about Mycoplasma? I am a virgin and have never engaged in sexual intercourse, but I am puzzled as to why I tested positive for antibodies against Chlamydia. I sincerely request your assistance in clarifying this matter. Thank you.
Dr. Zhang Kunmin Reply:
Hello, the questioner: Chlamydia is primarily transmitted through sexual contact or vertically during childbirth. How is Chlamydia transmitted? Chlamydia is transmitted through direct human contact, with the vast majority of cases occurring through sexual intercourse. Infections ...[Read More] Understanding Chlamydia Antibody Positivity in Virgin Women
Understanding Vaginal Itching: Causes and Solutions for Women
The issue of itching in the genital area? Hello, Doctor: After having unprotected sexual intercourse with my girlfriend, she has been experiencing frequent itching in her genital area for over a month. Initially, I thought it might be a urinary tract infection, but she reports no...
Dr. Zhang Yongxuan Reply:
Normal vaginal discharge does not necessarily mean the absence of leukorrhea. Some leukorrhea may remain in the vagina. It is advisable to visit a gynecologist for an examination, including a Pap smear, to check for the presence of Trichomonas vaginalis, Candida, Neisseria gonorr...[Read More] Understanding Vaginal Itching: Causes and Solutions for Women
Understanding Cervical Pap Smears: Pain, Feelings, and What to Expect
Pap smear test Will a Pap smear be very painful? What does it feel like? I'm really scared...
Dr. Zhang Kunmin Reply:
Hello, the cervical smear test typically takes only 1-2 minutes to complete. As long as you relax and don't get too tense, it shouldn't be uncomfortable. Although it is a very simple procedure, it is one of the most important things for protecting women's health! W...[Read More] Understanding Cervical Pap Smears: Pain, Feelings, and What to Expect
Understanding Gynecological Exams: What to Expect and How to Prepare
Gynecological examination Hello, doctor. I received a notice from the health bureau regarding a Pap smear and HPV test. How should I prepare for the examination? I have a follow-up appointment at Changhua Hospital on Wednesday morning. Should I go through with the tests or not? W...
Dr. Zhang Kunmin Reply:
Hello, the questioner: If a woman has no sexual experience, there is no need for a Pap smear. After becoming sexually active, it is recommended to have one annually, which usually takes only 2-6 minutes to complete, causing only slight anxiety and discomfort, with most results be...[Read More] Understanding Gynecological Exams: What to Expect and How to Prepare
Understanding Cervical Erosion and Abnormal Bleeding: Treatment Options
Cervical erosion vs. abnormal bleeding Is there a treatment for painful and bleeding during sexual intercourse? I've seen many doctors with different opinions, and nothing has improved. Some say it's cervical erosion; can it be treated with electrocautery? Will it heal?...
Dr. Dong Yuhong Reply:
Hello: Given your situation, I would recommend seeking care at a large hospital's obstetrics and gynecology department or choosing a gynecologist you trust. It would be better to establish a consistent relationship with the same physician over a period of time, as it is advi...[Read More] Understanding Cervical Erosion and Abnormal Bleeding: Treatment Options
Understanding Abnormal Cervical Pap Smear Results: What You Need to Know
Cervical Pap Smear Test Hello, doctor. My mother recently had a Pap smear at the health center, and she mentioned that the report had two results. One of the results indicated "abnormal cells" → (7) mild, with no atypical cells. The other result was (4) (I’m not sure wh...
Dr. Chen Changfu Reply:
You have already undergone a Pap smear and a cervical biopsy. Please reassure your family to follow the doctor's advice and ensure regular follow-up every three months. The physician will determine the appropriate medical management based on clinical examination and patholog...[Read More] Understanding Abnormal Cervical Pap Smear Results: What You Need to Know
Unexpected Menstrual Bleeding After Years of Amenorrhea: What to Know
Experiencing menstruation again after years of menopause? Hello Dr. Tsai: I had endometriosis when I was younger and had my left ovary removed. After giving birth to my second child, my menstruation stopped, and my doctor assessed that I had entered menopause. During this period,...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, Postmenopausal or post-coital bleeding is considered abnormal and requires a visit to the obstetrics and gynecology outpatient clinic for a Pap smear and re...[Read More] Unexpected Menstrual Bleeding After Years of Amenorrhea: What to Know
Understanding Cervical Pap Smears: A Guide for Young Women
Cervical smear question Hello, I am 21 years old. I received three doses of the cervical cancer vaccine when I was 19. That same year, I had my first sexual intercourse and have had a steady partner since then. I would like to know if I should get a Pap smear? How often should I ...
Dr. Dong Yuhong Reply:
Hello: After three years of sexual activity, you should start having Pap smears. Even after receiving the cervical cancer vaccine, it is still recommended to have annual screenings. The Pap smear process may cause some discomfort, but there is no need to worry excessively. Thank ...[Read More] Understanding Cervical Pap Smears: A Guide for Young Women
Can I Get the Quadrivalent Vaccine After HPV Treatment for CIN?
If you have already been infected with a different type of virus, can you receive the quadrivalent vaccine to protect against other types of the virus? Hello, I would like to ask about my situation. Last year, I had a Pap smear that showed abnormalities, and a biopsy confirmed CI...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-Lung of the Tainan Hospital, Department of Obstetrics and Gynecology, Vaccines are preventive measures, and there are four situations in which the cervical cancer vaccine should not be administered: (1) It should not be given during pregnancy (it can be admin...[Read More] Can I Get the Quadrivalent Vaccine After HPV Treatment for CIN?
Timing for Pap Smear After Quadrivalent HPV Vaccine: Expert Insights
Quadrivalent cervical cancer vaccine Hello Dr. Chen, I hope you don't mind me asking you a question. My question is as follows: My wife is scheduled to receive her third dose of the quadrivalent HPV vaccine this July, and she will turn 30 this year. Dr. Chen, how long after ...
Dr. Chen Xuhui Reply:
Dr. Chen replied that the Pap smear does not test for human papillomavirus (HPV) antibodies, so there is no time limit for receiving the vaccine. The goal of vaccination is to generate antibodies that can reduce the incidence of cervical cancer over the following decades. Current...[Read More] Timing for Pap Smear After Quadrivalent HPV Vaccine: Expert Insights
Understanding Irregular Post-Menstrual Bleeding After IUD Insertion
Menstrual bleeding? I have given birth to two children and currently have an intrauterine device (IUD) for contraception. After my menstrual period ends, I experience bleeding again the next day, which can last from one day to three to five days. The color of the blood varies, so...
Dr. Dong Yuhong Reply:
Hello: If your menstrual cycle is regular, without dysmenorrhea or excessive bleeding, and your gynecological examination results are normal, it is still recommended to undergo a Pap smear. Regular gynecological check-ups are advisable, and any explanations regarding your conditi...[Read More] Understanding Irregular Post-Menstrual Bleeding After IUD Insertion
When Can Transvaginal Ultrasound Detect Embryo in Early Pregnancy?
Transvaginal ultrasound can typically detect an embryo around 5 to 6 weeks of gestation? Hello Dr. Chen, I would like to ask, if a urine test confirms pregnancy but an ultrasound cannot detect anything, at how many weeks can a transvaginal ultrasound visualize the embryo, and at ...
Dr. Chen Xuhui Reply:
Hello, pregnancy tests can typically detect pregnancy about 4 weeks after the last menstrual period. Transvaginal ultrasound can detect the pregnancy about a week earlier than abdominal ultrasound. By approximately 4 weeks, the gestational sac can be seen, and the embryo within t...[Read More] When Can Transvaginal Ultrasound Detect Embryo in Early Pregnancy?
When Can You Detect an Embryo with Vaginal or Abdominal Ultrasound?
Vaginal ultrasound and abdominal ultrasound can typically detect an embryo around 6 to 7 weeks of gestation? Director Chen, I have a question. My menstrual cycle is consistently 28 days, and my last period started on February 19. I was supposed to get my period on March 24, but i...
Dr. Chen Xuhui Reply:
Transvaginal ultrasound at around 4 weeks may reveal a small gestational sac, which at this stage (approximately 4mm) may require further monitoring to confirm it is indeed a gestational sac due to its small size. If the gestational sac is larger than 5 weeks, it is easier to con...[Read More] When Can You Detect an Embryo with Vaginal or Abdominal Ultrasound?